The Persistent Respiratory Impact of Respiratory Syncytial Virus (RSV) Bronchiolitis in Infants

Elif Çelik1, Pınar Uysal2

  • 1Department of Pediatrics, Aydin Adnan Menderes University Faculty of Medicine, Aydin, Türkiye.

Pediatric Pulmonology
|January 6, 2026
PubMed

Insights

Infants hospitalized with respiratory syncytial virus (RSV) bronchiolitis show persistent expiratory airway obstruction, even after recovery. Lung function impairment in children with RSV bronchiolitis requires long-term monitoring.

Area of Science:

  • Pediatric Pulmonology
  • Respiratory Viral Infections
  • Infant Lung Health

Background:

  • Infant respiratory syncytial virus (RSV) bronchiolitis can lead to long-term respiratory issues like asthma.
  • Limited data exists on infant lung function using tidal breath analysis post-bronchiolitis.

Purpose of the Study:

  • Assess infant lung function via tidal breath analysis after RSV bronchiolitis.
  • Compare lung function during acute illness versus 2 months post-recovery.
  • Evaluate the impact of bronchiolitis severity on lung function outcomes.

Main Methods:

  • Prospective study of 78 infants (1-12 months): 39 with RSV bronchiolitis, 39 healthy controls.
  • Tidal breath analysis performed during hospitalization and 2 months after recovery.
  • Comparison between RSV patients and controls, and across disease severity subgroups.

Main Results:

  • Infants with RSV bronchiolitis had significantly lower time to peak tidal expiratory flow to expiratory time (tPTEF/tE) ratio compared to controls.
  • This reduction in tPTEF/tE persisted at 2-month follow-up, with no significant improvement.
  • Severe RSV bronchiolitis cases showed lower tPTEF and tPTEF/tE values than mild/moderate cases.

Conclusions:

  • Expiratory airway obstruction may persist in infants after RSV bronchiolitis, despite clinical recovery.
  • Lack of improvement in tidal breathing parameters (tPTEF, tPTEF/tE) indicates a need for long-term follow-up.
  • Increased disease severity correlates with more persistent lung function impairment, emphasizing early detection and prevention.
Abstract

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