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What is respiratory syncytial virus (RSV)?

RSV is a very contagious and common virus that causes cold-like symptoms. It passes easily between people through hand contact or in droplets produced by coughing and sneezing. 

It’s known to infect almost all children by the age of two, and often parents will not know that the colds and sniffles their baby is experiencing are caused by RSV. It is possible to catch RSV more than once. 

RSV can affect the lungs and cause breathing difficulties. Around 20,000 infants are admitted to hospital with RSV each year in England.

Find out about Respiratory Syncytial Virus (RSV), prevention, symptoms, and treatment.

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What are the signs and symptoms of RSV?

In the early stages, RSV symptoms are similar to a common cold (runny or blocked nose, cough, sneezing and high temperature). 

Symptoms usually last between one and three weeks. If the lungs are affected, one or more of the following symptoms will develop or get worse: 

  • A cough that gets worse 

  • Wheezing – a whistling sound when breathing out

  • Difficulty or distress when breathing, or pauses in breathing (apnoea) 

  • Reduction in feeding and drinking because of breathing difficulties.

RSV can lead to bronchiolitis and viral pneumonia, which can be serious conditions. It can cause critical illness in babies born premature or sick, and those with underlying medical conditions such as chronic lung disease (also known as bronchopulmonary dysplasia, or BPD), congenital heart disease, and other conditions affecting the immune system. 

If the lungs become affected it can lead to breathing difficulties and may require hospital treatment. The risk of severe infection and hospitalisation decreases as your baby gets older.