Respiratory Syncytial Virus (RSV) in Kids
Ray Smith
/ Categories: 2022, 2022

Respiratory Syncytial Virus (RSV) in Kids

Here at SVMC and the surrounding area, we are seeing the expected annual increase in pediatric respiratory illnesses, including Respiratory Syncytial Virus Infection (RSV), influenza, COVID, and rhinoviruses in children. Many places across the country are experiencing a big spike in RSV and other respiratory illnesses among kids and we expect the same.

As parents and caregivers, here’s some helpful information:

  • RSV causes cold-like symptoms similar to many other viruses, including fever, cough, and runny nose.
  • RSV can be more severe in certain patients, particularly those who are under 3 months old, are premature or have underlying conditions affecting their immune system or heart defects. These children may be more likely to be hospitalized but less than 5% of all children with RSV require hospitalization.
  • Avoid visits to the doctor or emergency department, unless your child has concerning symptoms such as trouble breathing or drinking. Some parents expect to get tested in the same way we used to test for COVID, but testing is not indicated in most cases, because the outcome doesn’t affect the treatment plan.
  • There are no treatments for RSV but some children may benefit from asthma type treatments such as nebulizers or inhalers. This is a small portion and this is not needed for most kids.
  • There are no home medications for RSV in children, but there are many things you can do to make your child more comfortable. Over the counter (OTC) cough medications are not recommended for children under 6 years of age. There are some non-medicated “herbal” over the counter medications for younger children but these have not been sufficiently studied for broad recommendation and are unlikely to make a significant difference in symptoms.
  • Rest, good hydration, nasal suction, cool mist vaporizer, honey (for children over 1 years old), and steam baths can help relieve cough and congestion.
  • If your child is experiencing severe symptoms (significant discomfort, prolonged symptoms), call your pediatrician’s office and don’t hesitate to bring them to the emergency department if they are having difficulty breathing or staying hydrating.
  • To minimize the effects of other illnesses, we recommend that parents vaccinate their children who are 6 months and older against the flu and COVID. Children 5 and older who have been previously vaccinated against COVID are now recommended to get the bivalent (“updated”) booster against COVID which can be done at the SVMC COVID Resource Center.
  • Stay away from sick people, particularly infants, away from sick people. American Academy of Pediatrics recommendations are to keep your child at home from school and all other activities when the child has a fever or acute sick symptoms interfering with play/participation.

RSV can be scary but most children can get through it without significant problems and back to play within a week!

Meghan Gunn, MD, is a pediatrician at SVMC Pediatrics and the chair of the Department of Pediatrics at Southwestern Vermont Medical Center in Bennington.

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SVMC Creates Virtual Waiting Room to Encourage Distancing

BENNINGTON, VT—May 29, 2020—Starting Monday, many people who need in-person appointments at Southwestern Vermont Health Care's (SVHC) hospital and clinics will no longer need to use traditional waiting rooms. A virtual system created by the hospital allows patients to call 802-447-5000 when they arrive in the parking lot and receive a text message when their provider is ready to see them.

SVMC's outpatient and inpatient surgeries and diagnostic services, like those for imaging and laboratory work, have resumed with enhanced safety protocols per the directive of Governor Phil Scott. The health system's emergency department, ExpressCare, emergency surgical services, and most of its primary and specialty practices remained open during the pandemic.

"SVHC has provided safe, high-quality care throughout the pandemic." Said Thomas A. Dee, FACHE, Southwestern Vermont Health Care’s (SVHC) president and CEO. "Innovation has been an important part of providing care during these extraordinary times and this new program decreases the number of people in our waiting rooms and allows them to stay the recommended 6 feet apart or more."

In order to use the virtual waiting room, patients must be able to wait in their vehicle and have a charged cell phone with them. They will receive the virtual waiting room telephone number during their appointment-reminder telephone call. Signs outside the building and at the respiratory check-in stations inside the main hospital and medical office building entrances will also include the number to call.

Patients simply call the number when they arrive in the parking lot and wait in their cars. When the provider is ready to see them, they will receive a text message alert to indicate that they should come in.

"We love that we can use the same technology that most people carry with them to help people stay socially distanced," said Gail Balch, RN, who directs information technology at SVMC. "It's through innovations like this one that we are able to resume services safely and ensure patients receive the care they need."

Hospital and clinic staff anticipate that the new program will allow greater distance between people who must use traditional waiting rooms, including those who walked or took public transportation to their appointment and those who do not have a cell phone.

Additional safety protocols indicate that all patients should arrive to the hospital or clinic with their own cloth face covering. Face coverings must be worn over the mouth and nose for the entire duration of patients' visits. Patients should also come alone, unless they absolutely need assistance from a loved one.

For questions about how to resume or initiate elective care, call your primary care provider or the specialist directly. For a list of providers, visit svhealthcare.org/physician-directory.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit svhealthcare.org.

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