Huge jump in RSV cases among Louisville-area children

The increase in cases of respiratory syncytial virus (RSV) bronchiolitis is persisting in the Louisville area, with more than 300 cases diagnosed by Norton Healthcare providers this season.

The latest data, from just before the Thanksgiving holiday, showed 318 cases of the cold-like virus since September. Through the same period last year, there were 98 cases. All but 24 of this season’s cases were in children.

The following was first posted Nov. 21, 2019:

The Louisville area has seen a huge jump in respiratory syncytial virus (RSV) bronchiolitis in recent months, which could spell trouble for the holiday season.

Since September, Norton Healthcare has diagnosed about 200 cases of the cold-like virus. That’s compared with 58 during the same period last year. All but about a dozen of this year’s cases have been in children.

“RSV season typically peaks in late December through mid-February, so we’re certainly seeing above-normal activity,” said Sayeed Khan, D.O., pediatrician with Norton Children’s Medical Associates – Fern Creek. “We could be seeing the brunt of the virus now, or we could be in for a wild winter.”

Signs and symptoms of RSV

RSV is a common respiratory virus with symptoms such as nasal drainage/congestion, wheezing and some labored breathing. Fever may be present. Dehydration is common, due to increased effort in breathing. The most dreaded complication is respiratory failure, which requires hospitalization.

Most adults and children recover in a week or two, but the illness can be fatal for infants, especially those born prematurely. In fact, RSV is the most common cause of pneumonia in children younger than 1 year and leads to thousands of hospitalizations each year.

Pediatricians near home, work or school

Norton Children’s Medical Associates offers pediatric primary care at more than 20 locations throughout the Louisville area, including Southern Indiana.

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Related: RSV almost killed my baby

Holidays could lead to even more cases

Upper respiratory illnesses are common around the holidays as families and friends come together to celebrate. RSV is no exception.

Dr. Khan said parents of babies need to be extra careful this year.

“Ideally, anyone with cold-like symptoms shouldn’t interact with children at high risk for RSV, including premature infants, kids younger than 2 years with chronic lung or heart conditions, and children with weakened immune systems,” Dr. Khan said. “If that’s unavoidable, proper handwashing is key. Avoid close contact, such as kissing, shaking hands and sharing cups or eating utensils.”

What to do if your child is at risk

Parents of children at high risk for developing severe RSV should help their child by:

  • Avoiding close contact with sick people
  • Washing their hands often with soap and water
  • Not touching the child’s face with unwashed hands

How to treat RSV

Because RSV is a virus, antibiotics won’t cure it. For most, it’s a matter of managing symptoms.

“Getting rid of the excess mucus is the important part,” said Dr. Khan. “Suctioning before and after feeding, along with before and after sleeping, helps tremendously. Hydration is also vital. Pedialyte is beneficial, as formula and milk are thicker and harder for children to tolerate. Cough medications should be avoided.”

When to seek medical attention

If your child is displaying symptoms of RSV, it’s a good idea to visit the pediatrician’s office for testing. However, if the child is really struggling to breathe, a trip to the emergency room might be in order.

“RSV is very manageable for most, but it really can be deadly,” Dr. Khan said. “Parents need to be aware of the symptoms and be ready to take action.

Changes in visitation policy at Norton Children’s Hospital

Norton Children’s Hospital is treating a very high volume of patients with viral bronchiolitis, most commonly caused by respiratory syncytial virus (RSV) and other viruses.

To ensure the safety of all patients, families, and the community, the hospital has made changes to the visitation policy until further notice.

  • Visitors are limited to four primary caregivers
  • No visitors under 16 allowed on any unit

Norton Children's Medical Associates – Fern Creek

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Norton Children's Medical Associates – Windy Hills

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Norton Children's Medical Associates – Crestwood

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