Rapid Review: Adult Respiratory Syncytial Virus

Denyse Lutchmansingh, MD

Disclosures

February 22, 2024

Respiratory syncytial virus (RSV) is now a significant problem for certain adult populations, such as older adults, those with cardiopulmonary diseases, and immunocompromised persons. RSV infections in adults often go unrecognized in clinical settings owing to low clinical suspicion, despite growing knowledge of its disease burden. RSV is primarily spread through respiratory droplets, either by direct contact with an infected person or by touching contaminated surfaces. Clinical features, including nasal congestion, cough, wheezing, and low-grade fever, may be difficult to differentiate from those of other respiratory viral infections. As a result, diagnosis of RSV infection in hospitalized adults is often delayed, which can impact clinical management and outcomes. Currently, standard care for managing RSV infection in adults is supportive with oxygen, bronchodilators, intravenous fluids, and antipyretics.

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