Fast Five Quiz: Respiratory Syncytial Virus (RSV)

Michael Stuart Bronze, MD


November 08, 2022

Supportive therapy is the mainstay of care for RSV. Such therapy may include administration of supplemental oxygen (guided by arterial blood gas values, oxygen saturation, respiratory rates, and work of breathing, as indicated), fluid replacement, and mechanical ventilation, as necessary. Most infants who are hospitalized with RSV infection vomit often because they are unable to tolerate milk or feedings well. A brief course of intravenous fluids is administered in this setting.

Clinical practice guidelines from the American Academy of Pediatrics do not recommend epinephrine, bronchodilators, or corticosteroids in the treatment of typical RSV bronchiolitis. Although bronchodilator therapy with beta-agonists and corticosteroids is sometimes used, convincing data as to their efficacy in this setting are lacking.

Learn more about pediatric bronchiolitis.


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