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Updated: Aug 10, 2026

An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
[Ribavirin treatment of children with respiratory syncytial virus bronchiolitis]
1Barneavdelingen Aker sykehus, Oslo.
Insights
Ribavirin offers a new treatment for severe respiratory syncytial virus bronchiolitis in infants when standard therapies fail. This antiviral drug effectively reduced viral shedding and improved infant oxygenation and clinical outcomes.
Area of Science:
- Pediatrics
- Infectious Diseases
- Pharmacology
Background:
- Severe respiratory syncytial virus (RSV) bronchiolitis in infants traditionally managed with bronchodilators and corticosteroids.
- Limited effective pharmacological options existed for severe cases.
- The introduction of ribavirin presented a novel antiviral therapeutic approach.
Observation:
- A case study of a three-week-old infant with severe RSV bronchiolitis in Norway.
- This infant received ribavirin treatment when conventional therapies were insufficient.
- This represents one of the few documented cases of ribavirin use in Norway for this condition.
Findings:
- Ribavirin treatment demonstrated success in this infant.
- The drug was shown to reduce viral shedding.
- Significant improvements in oxygenation and overall clinical course were observed.
Implications:
- Ribavirin provides a potential new therapeutic option for severe RSV bronchiolitis in infants.
- Further critical evaluation of cost-benefit and safety is necessary before widespread adoption.
- This case highlights the potential of antiviral therapy in managing severe pediatric respiratory infections.
Abstract:
Until recently, the pharmacological treatment of infants with severe respiratory syncytial virus bronchiolitis has been limited to inhalation of adrenergic alfa- and beta 2-agonists, with the objective of reducing airway oedema and smooth muscle tension, thus improving oxygenation and reducing airway resistance. Corticosteroid treatment, aimed at attenuating the inflammatory response in the airway, has also been used. The introduction of the antiviral drug ribavirin, licensed in the US in 1986 and in Sweden 1989, offers a new therapeutic tool for a selected group of infants when conventional therapy proves inadequate. We report the successful treatment of a three week old infant with severe respiratory syncytial virus bronchiolitis, one of the few infants treated with ribavirin in Norway. This drug has been shown to reduce viral shedding and to improve oxygenation and clinical course. However, its cost-benefit and the safety aspects must be critically evaluated before treatment is initiated on a large scale.
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