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- A
highly contagious viral illness
- Causes
acute respiratory illness
- Most
important cause of bronchiolitis & pneumonia in infants
- In
preterm infants and infants < 3 months of age:
Respiratory
signs are minimal (lethargy, irritability, poor feeding
and apnea may be the major manifestation)
- In
older infants/children:
URI,
LRI, profuse nasal secretions, respiratory distress-wheezing,
rales, monchi, chest retractions, tachypnea, nasal flaring/grunting
- Transmitted
by direct/close contact with contaminated droplets
- Re-infection
throughout life is common
- Self
inoculation after touching contaminated surfaces
- RSV
lives on surfaces up to 8 hours, gloves up to 2 hours, and
hands up to 30 minutes.
Nasopharyngeal
Aspirate (NPA) only
- Send
to the lab ASAP or within ONE hour
- Antigen
results ready in 2-4 hours, depending on the time of day
- Culture
results usually finalized within 5-7 days, (but may be up
to 21 days)
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- Involves
a two stage program
- Place
patient on Pediatric Droplet Precautions,
(only used for RSV, used to be called RSV Precautions)
- Wear
gloves to enter the room, gown and mask for patient contact
- Handwashing
or use Purell® after removing gloves
- Provide
with Parent
Letter
- Stress
importance of handwashing
- Stage2-no
sibling visitation under the age of 2
-
RSV
season usually lasts from October to April
-
2003-04
RSV Season started 10/08/03 (Stage 1). Stage 2 started on 11/10/03 and ended
on 3/31/04. The New 2004-2005 RSV season has begun, and the hospital is in Stage 1
as of 10/10/04.
-
10%
of cases admitted to CMC4
-
68%
of cases admitted to CMC6
-
10%
of cases admitted to PICU
-
0%
of cases admitted to PIMC
-
9%
of cases admitted to PCRU
-
1%
of cases admitted to CMC8
- 2%
of cases admitted to CMC9
63%
of RSV cases were < 1 years old
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