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Doctor insights on: When Does A Child Need To Be Hospitalized For Rsv

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Dr. Jay Park Dr. Park
3 doctors agreed:
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When does a child need to be hospitalized for rsv?

Dr. Jay Park Dr. Park
3 doctors agreed:
When does a child need to be hospitalized for rsv?

Dehydration, Low O2: 1. Need for supplemental oxygen to maintain adequate oxygen level 2. Dehydration secondary to poor feeding/fluid intake. ...Read more

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Dr. Agustin Rivas
149 doctors shared insights

Rsv (Definition)

Respiratory syncytial virus or RSV is a virus that causes bronchiolitis (infection of lower airways) in infants and toddlers. It is particularly serious in premature infants and infants with respiratory and heart disease. In older children and adults, ...Read more


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When does a middle-aged adult need to be hospitalized for the flu?

When does a middle-aged adult need to be hospitalized for the flu?

Several issues: If the influenza is so severe that they cannot hold anything down and need intravenous fluids, or if they develop primary influenza pneumonia, or if they have secondary bacterial complications (usually pneumonia), or if they have underlying illnesses which are made worse by the influenza they may need hospitalization. ...Read more

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If a baby was just diagnosed with rsv, for how long would he be contagious to other babies?

If a baby was just diagnosed with rsv, for how long would he be contagious to other babies?

3-8days +/-: According to the aap redbook, viral shedding is usually 3-8d but occasionally longer in young infants. Strict hand washing technique and avoidance of respiratory secretions will limit transmission. ...Read more

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A 3-year-old child is diagnosed to have urti. Is it necessary to initially give him antibiotics?

A 3-year-old child is diagnosed to have urti. Is it necessary to initially give him antibiotics?

URI-no, UTI-yes: Uti is urinary tract infection. These infections are usually bacterial and are treated with antibiotics. Uri is upper respiratory infection. These infections are usually viral and should not be treated with antibiotics. ...Read more

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How long is viral bronchiolitis contagious? I have a 5.5 month-old who was hospitalized for it and i want to know when he can be around other babies.

How long is viral bronchiolitis contagious? I have a 5.5 month-old who was hospitalized for it and i want to know when he can be around other babies.

Wash Your hands!: Virus can be spread cariable lebgths depending on virus. Usually caused by rsv. Typically, once fever and wheezing are gone they are less likely to be contagious. Make sure to use good hand hygeien and wash hands frequently as well to prevent spread. ...Read more

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Why would one be admitted for a kidney infection? How does the dr determine if patient should be admitted or sent home?

Why would one be admitted for a kidney infection? How does the dr determine if patient should be admitted or sent home?

Kidney infection: It is difficult to say exactly why the patient was admitted. Perhaps she had an elevated fever, a high white blood cell count indicating that she had a severe infection or she had a low blood pressure. For more information as to the reason for the patient's admission, ask the doctor taking care of her in the hospital for more information about the reasons for her admission. ...Read more

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Does a donor need to be hospitalized for pre-evaluation?

Usually not: Usually all pre-donation tests are done on an outpatient basis. Unless if any tests were positive and they need to be taken care of that will preclude donation at this point. ...Read more

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Is it safe for an infant to be close to a child who had have nasal flu vaccine?

Is it safe for an infant to be close to a child who had have nasal flu vaccine?

Yes: It is safe for a child to be administered FluMist when they have close contact with an infant <6 months of age. ...Read more

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What happens if one needs to be admitted to a psychiatric hospital, but they can't pay?

What happens if one needs to be admitted to a psychiatric hospital, but they can't pay?

Safety first: If someone has a serious psychiatric illness and needs inpatient care, they should be admiited and payment can be addressed later. A hospital can not legally deny admission based on inability to pay. Once admiited, the person could talk to a hospital social worker or financial specialist about payment options. Often, hospitals will write off indigent care or the state may absorb the costs. ...Read more

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How high does the fever have to be in order to take a 7 year old child to the hospital?

How high does the fever have to be in order to take a 7 year old child to the hospital?

No too high: Fever is a way of your body to fight infection. Some illnesses cause high fever and some children tend to run high fevers. Usually there is no danger in just the fever. The concern is about the underlying illness that caused the fever. Fever makes them more uncomfortable but does not hurt them. Treat the fever to make them more comfortable and call your pediatrician for further instructions. ...Read more

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What could a hospital do if a person with pneumonia is resistant to antibiotics?

What could a hospital do if a person with pneumonia is resistant to antibiotics?

Antibiotic : There are tests that can determine the type of bacteria causing pneumonia. The test will also which antibiotic will work on that infection. A person doesn't have resistance to antibiotics, only certain bacteria can be. ...Read more

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How bad does a child's asthma need to be in order to have Pulmicort respules used?

How bad does a child's asthma need to be in order to have Pulmicort respules used?

Asthma: Severity os a significant component. But if you have to ask the question, then you really should see an asthma specialist to make that decision for you. Better to treat and be safe, then pay the price (expense and worry) of a late night visit to the urgent care. ...Read more

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Is it safe for a patient with leukaemia be given tobramycin, even if they get an infection?

Is it safe for a patient with leukaemia be given tobramycin, even if they get an infection?

Yes: Tobramycin might be given to leukemic patients with chemotherapy induced lack of white blood cells and fever. It is only used if a patient is felt to have an inf. Other antibiotics are usually used in this situation as they are less likely to be toxic to the kidneys than tobramycin. For pseudomonas infection in a leukemic patient tobramycin would frequently be used along with another antibiotic. ...Read more

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Is it ok for a doctor to refuse to give a child a flu vaccine who is chronically ill?

Is it ok for a doctor to refuse to give a child a flu vaccine who is chronically ill?

Which vaccine: There is ample reason never to give a chronically ill kid the live nasal flu vaccine.The contraindications to its use are well known and given its poor effectiveness the last flu season many didn't even stock it.The injection is a different issue. If the kid had an allergic reaction to any component to that vaccine it may be reason to avoid it, but for most it would be appropriate if not proffered ...Read more

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Does a child have to be terminally ill to do make-a-wish?

Does a child have to be terminally ill to do make-a-wish?

Not sure: I have done make a wish personally for some of my patient's families. Sadly, each were terminal. I have seen children being treated to their dream events with disabilities. I am not sure if they were make a wish. ...Read more

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Can my child get allergy testing done if he is sick and has a fever? I need to know if I should take him to his apt this morning with a fever. Will they do the testing?

Can my child get allergy testing done if he is sick and has a fever? I need to know if I should take him to his apt this morning with a fever. Will they do the testing?

Postpone: If he is ill, then it would be best to reschedule so that he feels well at the start of testing. There is a blood test panel called a CAP allergy test which can be performed as well. The panel should be selected to include any potential triggering agent based on his history. ...Read more

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When a child goes to a hospital with asthma, what treatment happens there?

When a child goes to a hospital with asthma, what treatment happens there?

Many things: Often an i v is started to give lots of fluids and for administration of steroids and antibiotics. The use of nebulized medicine often albuterol frequently and chest clapping and suctioning of secretions . If needed oxygen is given to help as well. ...Read more

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When can a child return to school if she has been treated for pinworms?

When can a child return to school if she has been treated for pinworms?

Immediately: Children do not need to be kept out of school for pinworms. They are almost ubiquitous in preschool and daycare children and only need treated if they are causing symptoms. Most children who have them do not have symptoms and they and their families are not aware they are there. See http://www.Cdc.Gov/parasites/pinworm. ...Read more

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If you have bullae and pneumothorax is there a greater chance for your children to have it too? Do you have to be born with it for it to pass on child

If you have bullae and pneumothorax is there a greater chance for your children to have it too? Do you have to be born with it for it to pass on child

Depends: Most of these are acquired by people during life after environmental factors like infection. Some, like asthma have a genetic component and some like alpha1 antitrypsin deficiency only occur when both parents pass on the genes.Your answer can only be determined when the cause of your problem and its pattern can be determined. ...Read more

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Every year I have my 96 yr-old mother vaccinated against influenza. However, it is always possible that she could contract influenza before then. Can influenza be sufficient to kill an elderly person by itself or is it only if it leads to pneumonia?

Dangers of influenza: Certainly influenza can kill - actually 90% of the mortality is in those patients older than 65. That's because as we age, the body gets weaker (in all respects, including the immune system-we call this immunosenescence). The 'flu' can lead to a heart attack (from viral sepsis), primary or secondary pneumonia as you reference, plus other complications including stroke. Get HIGH DOSE vaccine 4 mom. ...Read more

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Dr. Jay Park Dr. Park
3 doctors agreed:
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When does a child need to be hospitalized for rsv?

Dr. Jay Park Dr. Park
3 doctors agreed:

Dehydration, Low O2: 1. Need for supplemental oxygen to maintain adequate oxygen level 2. Dehydration secondary to poor feeding/fluid intake. ...Read more

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Do many parents have a baby or child that had RSV but were not hospitalized for it?

Do many parents have a baby or child that had RSV but were not hospitalized for it?

Yes: Since RSV is the main cause of the common cold in season, (>60%) most infants and older kids do well with it. The RSV label became common after simple lab tests were developed to confirm the illness from nasal secretions. A fraction of kids, mostly under 16 lbs can end up with deeper infections and hospital care. Kids will generally get this repeatedly through life,it doesn't stimulate immunity ...Read more

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Can a Baby Die From RSV ?What will Happen once my baby is hospitalized because she came up Positive RSV ?

Can a Baby Die From RSV ?What will Happen once my baby is hospitalized because she came up Positive RSV ?

RSV common virus: Most babies who are hospitalized recover and return home in a few days. Some infants who have had RSV may develop asthma symptoms, but the course depends on a number of factors including genetics and environmental exposures. She should not be around anyone who smokes, since even the smell of smoke on clothing can trigger a reaction A virtual consult appt can be arranged/ I hope she is home soon ...Read more

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Is it normal for my almost one year old baby to occationally shake while sleeping? She was hospitalized at 10 days old for rsv

Is it normal for my almost one year old baby to occationally shake while sleeping?

She was hospitalized at 10 days old for rsv

Extra Movements: Babies may occasional have a tremor or shiver which lasts a second or two.These little movements are normal.If however, these movements are prolonged your child should be evaluated by your pediatrician. In the meantime there is no relation betweenthese movements and rsv. ...Read more

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Should my 8 week old baby be in the hospital if she has rsv? She was there for 2 days than they sent her he but she hasn't had any improvement.

Should my 8 week old baby be in the hospital if she has rsv? She was there for 2 days than they sent her he but she hasn't had any improvement.

Follow up suggested: Some babies need to be readmitted to the hospital. RSV infection at this age should be followed closely. Your physician will assess the baby's oxygen saturation and rate of breathing. Positive signs include normal respiratory patterns and normal feeding. ...Read more

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Wet cough that's been lingering in almost 4 month baby for weeks. Previously had RSV(hospitalized). Lethargic, fussy, and excessive sleeping. Concern?

Wet cough that's been lingering in almost 4 month baby for weeks. Previously had RSV(hospitalized). Lethargic, fussy, and excessive sleeping. Concern?

Needs Evaluation: With the babies persistent cough, previous need for hospitalization, and new onset symptoms of lethargy I would definitely see your pediatrician as soon as possible for a full workup and evaluation. ...Read more

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What are RSV symptoms in a child?

Similar to bad cold: Rsv usually causes the same symptoms as a bad cold, such as: cough; stuffy or runny nose; a mild sore throat; earache; fever. Babies with RSV may also have no energy; act fussy or cranky; be less hungry than usual. Some children have more serious symptoms, like wheezing and respiratory distress which can lower the level of oxygen in the blood. These symptoms require emergent evaluation! ...Read more

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If your child has RSV when will you be able to go back to work?

No need to stay out: Rsv is responsible for 70% of common cold like symptoms in season & not considered a general health threat.Good handwashing, covering a cough, tossing used tissues, etc. Are considered adequate control measures for those who may have minor symptoms. Rsv probably infects at least half of us every season if we have significant exposure. ...Read more

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How long is a child with RSV contagious to other people?

How long is a child with RSV contagious to other people?

5-7 days: An infant or child with RSV will usually shed the virus or be contagious to others for 5-7 days after the start of the illness. Rsv is mainly spread by direct contact so good handwashing can prevent spread of the RSV virus. ...Read more

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What is RSV bronchiolitis, and what is the age of a child when the child is no longer susceptible to it?

What is RSV bronchiolitis, and what is the age of a child when the child is no longer susceptible to it?

Always can get it: The issue is the younger the baby, the more severe the symptoms can be, once you are an older toddler or even an adult, if you catch it you just get "cold" symptoms. ...Read more

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If there is a child with rsv, how long does it take for full recovery after treatment?

Up to 3 weeks: Children may show lingering symptoms of an RSV illness for several weeks, despite treatment. Rsv symptoms routinely last 2 to 3 weeks. Call your doctor if symptoms last more than 3 weeks, or anytime if symptoms abruptly change or worsen. ...Read more

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Is it ok for my son to be around another child who's sister has RSV my 1 yr old niece has RSV and want to know if it is ok for my son to be around the 1 yr old's siblings

Is it ok for my son to be around another child who's sister has RSV my 1 yr old niece has RSV and want to know if it is ok for my son to be around the 1 yr old's siblings

You : You do not need to separate your child from the infected child's siblings. This is a very common virus that most kids have contracted by age 3. It is usually worse in kids under one; in kids older than one, if contracted would present like a common cold. The key for your son and for all the kids in this situation is handwashing. Frequent handwashing will help prevent the spread of the virus. ...Read more

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What do you suggest if my child was 7 weeks early and now the doctor wants to do the RSV shots any one know anything about them?

What do you suggest if my child was 7 weeks early and now the doctor wants to do the RSV shots any one know anything about them?

Work with your Dr: Most pediatricians are willing to develop a flexible vaccine schedule with the families who have concerns. ...Read more

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Is RSV contagious from children to adults to children? We will visit grand child 7 months diagnosed with rsv. After a few days we will then visit other grandchildren ages 5, 3, 1 in another household. Will we be contagious? Can we infect the othe

Is RSV contagious from children to adults to children? We will visit grand child 7 months diagnosed with rsv.  After a few days we will then visit other grandchildren ages 5, 3, 1 in another household.  Will we be contagious?  Can we infect the othe

Yes but.....: RSV is the main cause of the human cold during RSV season.It is a germ that generates poor if any immunity if you catch it, and humans are often reinfected every year or two. It can be spread by droplets (in air) or on your hands.If you catch it you can spread it for days and weeks afterward. It is more worrisome to kids below 16 lb than those that are larger.Good hand washing helps reduce spread ...Read more

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Dr. Jay Park Dr. Park
1 doctor agreed:
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Can air pockets in the lung in a child who had rsv, ever go away?

Dr. Jay Park Dr. Park
1 doctor agreed:
Can air pockets in the lung in a child who had rsv, ever go away?

Yes, in most cases: Air trapping associated with small airway obstruction, e.g., RSV bronchiolitis or asthma, is generally amenable to proper treatment of underlying conditions. ...Read more

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How does RSV cause disease in baby?

How does RSV cause disease in baby?

RSV: In most infants, RSV manifests as a non-specific viral uri. A proportion of infants progress to lower respiratory disease caused by inflammatory shedding of damaged cells into the lumen of the rspiratory tact and edema resulting in creased resistance to airflow. The pt will have cough , wheezing, and increased work of breathing . Some pts need oxygen, IV fluids and deep suctioniing. ...Read more

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How do I know my baby needs medical attention for rsv?

How do I know my baby needs medical attention for rsv?

Will baby drink: The simple guide to bringing baby in includes a focus on their activities. You know them better than anybody. A change in patterns is time for close monitoring. If they play less and sleep more a problem may be coming. If you notice their breathing has changed, become rapid, its time to call. If they cut their feed short, or prefer to breathe rather than drink, go in now. ...Read more

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Has any one else had a kid with RSV that was hospitalized?

Has any one else had a kid with RSV that was hospitalized?

You are not alone: Lots of kids, especially under 6 months of age, get hospitalized. The need for hospitalization are three fold. 1. Needs oxygen 2. Can't keep up with fluids and feeds 3. Needs closer monitering. Medications have not been found useful unless there is another condition present such as history of asthma or a secondary infection requiring antibiotics. ...Read more

Dr. Hirenkumar Italia
128 doctors shared insights

Respiratory Syncytial Virus (Rsv) Infection (Definition)

A common virus that causes an infection of the lungs and respiratory tract. Most children have been infected with this virus by the age of two. ...Read more