[Respiratory syncytial virus infections in children in general practice]

Lisa Monica Nielsen1, Jørgen Halgrener, Bjarne V Lühr Hansen

  • 1Syddansk Universitet, Forskningsenheden for Almen Medicin.

Ugeskrift for Laeger
|July 31, 2003
PubMed

Insights

Respiratory syncytial virus (RSV) is common in young children presenting with acute respiratory infections in general practice. While RSV infections are frequent, they typically present with uncomplicated clinical pictures.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • General Practice

Background:

  • Respiratory syncytial virus (RSV) is a significant cause of acute respiratory infections in infants and young children.
  • Understanding the clinical course of RSV in primary care settings is crucial for effective management.

Purpose of the Study:

  • To describe the clinical course of respiratory syncytial virus (RSV) infections in children under two years of age.
  • To compare clinical findings and disease progression in RSV-positive versus RSV-negative children.

Main Methods:

  • A prospective study involving 221 children under two years with acute respiratory infection across 59 general practices.
  • Data collection included GP registration charts, parental questionnaires, and RSV testing.
  • Comparison of clinical signs, treatment, and disease course between RSV-positive and RSV-negative groups.

Main Results:

  • Respiratory syncytial virus (RSV) was detected in 25.8% (57/221) of the children studied.
  • RSV-positive children showed a significantly higher incidence of audible wheezing upon auscultation.
  • No significant differences were observed in other clinical parameters, GP assessments, treatment choices, or disease course based on RSV status.

Conclusions:

  • Respiratory syncytial virus (RSV) infections are frequent among young children presenting with acute respiratory illness in general practice.
  • The clinical presentation of RSV infections in this age group is typically uncomplicated.
Abstract

Related Concept Videos

Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Common Respiratory Disorders01:31

Common Respiratory Disorders

Respiratory disorders, a prevalent health concern globally, are generally divided into two primary categories: upper and lower respiratory tract disorders. The categorization is based on the area of the respiratory system they affect.
Upper respiratory disorders impact the airways above the vocal cords, encompassing areas like the nose, sinuses, and throat. Various conditions fall under this category, including the common cold and allergic rhinitis. These disorders can stem from several causes,...
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Microbiota of the Respiratory Tract01:29

Microbiota of the Respiratory Tract

The human respiratory tract, comprising the upper and lower segments, serves as a critical interface with the external environment. The upper respiratory tract (URT)—including the nostrils, sinuses, pharynx, and oropharynx—is heavily colonized by microbes, while the lower respiratory tract (LRT), composed of the larynx, trachea, bronchi, and lungs, was long thought to be sterile. However, recent molecular studies have revealed that the lungs are not devoid of microbes but act more like...
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...