Hesi case study pediatric respiratory syncytial virus( rsv bronchiolitis
Metrics details. Respiratory syncytial virus RSV is the most common viral cause of pediatric bronchiolitis and pneumonia worldwide. Risk factors for high mortality and prolonged morbidity after RSV infection include premature birth, bronchopulmonary dysplasia, congenital heart disease, and Down syndrome. However, some previously healthy, full-term children who are infected with RSV also require hospitalization and even experience severe sequelae or death. In this report, we present the case of an RSV-associated death of a child who was born at full-term and developed normally up to the age of 2 years old.
Novel respiratory syncytial virus challenge strain identified in human infection trial
Bronchiolitis is a common lower respiratory tract infection in infants and young children, and respiratory syncytial virus RSV is the most common cause of this infection. RSV is transmitted through contact with respiratory droplets either directly from an infected person or self-inoculation by contaminated secretions on surfaces. Patients with RSV bronchiolitis usually present with two to four days of upper respiratory tract symptoms such as fever, rhinorrhea, and congestion, followed by lower respiratory tract symptoms such as increasing cough, wheezing, and increased respiratory effort. In , the American Academy of Pediatrics updated its clinical practice guideline for diagnosis and management of RSV bronchiolitis to minimize unnecessary diagnostic testing and interventions. Bronchiolitis remains a clinical diagnosis, and diagnostic testing is not routinely recommended.
Respiratory syncytial virus RSV causes significant pediatric morbidity and is the most common cause of bronchiolitis. Denominators were based on birth hospitalizations with conditions associated with high-risk for RSV: chronic perinatal respiratory disease chronic lung disease [CLD] ; congenital airway anomalies CAA ; congenital heart disease CHD ; Down syndrome DS ; and other genetic, metabolic, musculoskeletal, and immunodeficiency conditions. Preterm infants could not be identified. Poisson and linear regression were used to test statistical significance of trends. RSV rates declined by
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