Respiratory Syncytial Virus (RSV) | Infectious Diseases

Infectious Diseases

RSV (Respiratory Syncytial Virus)

Severe RSV infections can be serious, especially in babies and older adults. Our infectious disease specialists use their expertise to manage severe RSV symptoms.

Medically reviewed by Dean Blumberg, M.D. on Aug. 25, 2023.

Baby having his temperature taken with an ear thermometer.

What Is RSV?

Respiratory syncytial virus (RSV) is a contagious virus that affects your breathing (respiratory system). It’s a common virus that many people get. Respiratory syncytial virus is seasonal and new RSV viruses spread each year.

RSV is most dangerous in children under age two and in adults ages 65 and older. Adults with a weakened immune system are also at higher risk for complications from RSV.

When RSV symptoms are severe, look to the infectious disease specialists at UC Davis Health. Our experts offer treatment to manage complications and help you breathe freely.

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Respiratory Syncytial Virus (RSV) Symptoms

RSV symptoms may be mild or severe.

Common Symptoms

Most adults who get RSV have typical cold symptoms. Symptoms typically last less than a week, but may last for a week or two and include:

  • Congestion
  • Cough
  • Fatigue
  • Headache
  • Mild fever
  • Runny nose
  • Sore throat

Emergency Symptoms

Severe RSV symptoms in adults and children may become life threatening. Seek emergency medical care if you have:

  • Cough that worsens or won’t stop
  • Flu-like symptoms
  • Trouble breathing (shortness of breath)
  • Skin that turns a bluish color
  • Wheezing
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RSV Causes

RSV is the virus that causes infection. Viruses spread from person to person in different ways, including through:

Air

If you’re near a person infected with RSV, you may inhale droplets that contain respiratory syncytial virus. When they cough or sneeze, you can breathe in these droplets.

Physical Contact

Hugging, kissing or shaking hands with someone who has RSV puts you at risk.

Touching Infected Surfaces

Dried secretions from an infected person’s nose or mouth can spread the virus. When you touch these secretions and then touch your eyes, nose or mouth, you may become infected.

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Risk Factors for Severe RSV

You may be at higher risk for developing severe RSV if you have any of these risk factors.

Very Young or Older Age

Infants 6 months or younger and adults 65 and older are more likely to develop severe RSV.

Heart Disease

Heart disease, including congestive heart failure, may make RSV infections more severe.

Lung Disease

RSV may be severe if you have chronic conditions that affect your lungs. Lung conditions include asthma and chronic obstructive pulmonary disease (COPD).

Weakened Immune System

You’re more likely to develop severe RSV if you have a weakened immune system (are immunocompromised).

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Diagnosing RSV

If you have mild RSV symptoms, you may think it’s just a cold. But if your symptoms are severe, certain tests can confirm RSV.

Providers at UC Davis Health take a sample of fluid from your nose. We may perform a: 

  • Rapid RSV test: We test the fluid sample for proteins called antigens. When these proteins are present, health care providers can quickly confirm that you have RSV. 
  • Polymerase chain reaction (PCR) test: Providers test fluid samples to detect RSV DNA.

Treatments for RSV

Routine antiviral therapy is not recommended for RSV. But treatment can help ease your symptoms. The infectious disease specialists at UC Davis Health are experts in treating severe RSV in babies, children and adults. We provide:

Fluids

Drink plenty of fluids to stay hydrated.

Medication

Use over-the-counter pain relievers like acetaminophen and ibuprofen to help ease body aches and fever.

Rest

Get plenty of rest to help your body recover from RSV.

Saline Drops

Use saline drops to keep your nose moist and loosen mucus.

Severe RSV Treatments

IV Fluids

Extra fluids delivered through your veins (intravenously or IV) help prevent and manage dehydration.

Oxygen

A mask or tube provides extra oxygen to help you breathe easier.

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Preventing RSV

Respiratory syncytial virus spreads quickly from person to person. But there are some steps you can take to prevent the spread of this common virus.

Cover Coughs and Sneezes

Sneeze into your elbow and cover your mouth when you cough to avoid spraying respiratory droplets.

Get Vaccinated

If you’re age 60 or older, talk to your health care provider about getting the RSV vaccine. A monoclonal antibody vaccine is recommended for infants younger than 8 months who are born during or entering their first RSV season. The vaccine is also recommended for infants and children ages 8-19 months who are at increased risk for severe RSV disease and are entering their second RSV season.

Keep Objects and Surfaces Clean

Dried secretions on objects like devices and surfaces like tables can make others sick.

Limit Physical Contact

If you’re feeling sick, avoid close contact with young infants and older people.

Wash Your Hands

Wash your hands frequently, especially before holding an infant or preparing food.

Wear a Mask

Consider wearing a mask when visiting infants and older people.

Hospitalizations of older adults

60K+Each year in the U.S.

Hospitalizations of children younger than 5

50–80KEach year in the U.S.

Annual deaths

<10KOlder adults die because of RSV in the U.S.

Source: Centers for Disease Control and Prevention (CDC): Respiratory Syncytial Virus Infection (RSV) Older Adults

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