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  1. Home
  2. Comparing Morbidity Of Infants Hospitalised With Rsv Or Sars-cov-2.
  1. Home
  2. Comparing Morbidity Of Infants Hospitalised With Rsv Or Sars-cov-2.

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Comparing Morbidity of Infants Hospitalised With RSV or SARS-COV-2.

Belinda Tran1,2, Chia-Han Yeh3,4, Ian Barr5,6

  • 1Queensland Children's Hospital, Children's Health Queensland, Brisbane, Australia.

Journal of Paediatrics and Child Health
|November 8, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Respiratory Syncytial Virus (RSV) infection caused more severe illness in hospitalized children under two years old compared to SARS-CoV-2. RSV patients required more oxygen and had longer hospital stays, highlighting differences in pediatric respiratory virus impact.

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Area of Science:

  • Pediatric Infectious Diseases
  • Virology
  • Public Health

Background:

  • The clinical impact of SARS-CoV-2 versus RSV in young children is not fully understood.
  • Understanding comparative disease severity is crucial for public health strategies.

Purpose of the Study:

  • To compare the morbidity of SARS-CoV-2 and RSV in hospitalized children under two years of age.
  • To inform policy decisions regarding pediatric respiratory virus immunizations.

Main Methods:

  • Retrospective, cross-sectional, single-center study.
  • Inclusion of children under 24 months hospitalized with SARS-CoV-2 or RSV from January 2021 to December 2022.
  • Comparison of demographics, oxygen therapy, antibiotic use, and length of stay.

Main Results:

  • RSV infection was associated with significantly higher rates of oxygen therapy (61% vs. 15.7%) and longer hospital stays (3 vs. 2 days) compared to SARS-CoV-2.
  • Children with SARS-CoV-2 had a higher proportion of medical comorbidities (25.1% vs. 12.1%).
  • Antibiotic prescriptions were more frequent in SARS-CoV-2 cases (40% vs. 30.2%).

Conclusions:

  • RSV infection presents a more severe respiratory illness course in children under two years than SARS-CoV-2.
  • Findings support targeted public health interventions and vaccination policies for both RSV and SARS-CoV-2 in young children.