How Do You Get RSV?
Respiratory syncytial virus, or RSV, spreads easily through droplets when someone infected coughs or sneezes. You can also catch it by touching contaminated surfaces (like toys) or by being in close contact with someone who has it. RSV infections are most common in the fall and winter months but can happen any time.
Why Are Children at Risk?
“Babies and young children are especially vulnerable to RSV because their immune systems and airways are still developing,” explains Austin Drake, MD, a pediatrician at Carilion Children’s. Certain groups face even higher risks, including:
- Infants under 6 months old
- Premature babies
- Kids with chronic health issues like heart problems or lung diseases
- Children with weakened immune systems
Signs and Symptoms in Children
“Typically RSV will start like your other colds and progress over the next 3 – 5 days. That range is when it will get to the most significant symptoms,” says Dr. Drake. Here’s what to watch for:
- Runny nose
- Less interest in eating or drinking
- Coughing
- Sneezing
- Fever
- Wheezing or noisy breathing
In more severe cases, RSV can cause bronchiolitis (swelling in the airways) or pneumonia. Infants may also show:
- Rapid or shallow breathing
- Trouble feeding
- Bluish lips or skin (a sign they’re not getting enough oxygen)
How To Protect Your Child from RSV
There are several steps you can take to prevent your child from catching or becoming seriously ill from RSV:
- Wash hands often: Make sure everyone in the family washes their hands with soap and water often
- Keep sick people away: Limit your child’s exposure to people with cold symptoms
- Clean and disinfect: Regularly sanitize toys, doorknobs and other surfaces your child touches
- Get extra protection: Talk to your child’s doctor to see if they’re a candidate to receive the RSV immunization, which can help prevent severe illness (Tip: Pregnant mothers can receive a vaccine prior to birth instead of their baby receiving the RSV immunization!)
What To Do if Your Child Gets RSV
Most cases of RSV can be managed at home with basic care. Here’s what you can do:
- Relieve symptoms: Use over-the-counter saline spray and bulb suction to relieve nasal congestion, which can make it easier for your child to stay hydrated
- Control fever: Give age-appropriate fever reducers like acetaminophen (Tylenol) or ibuprofen (Motrin)
- Monitor closely: Watch for signs of worsening infection or dehydration, like fast breathing or rapid heart rate. In severe cases, your child might need medical care, including oxygen or fluids at the hospital.
If your child is showing worrisome symptoms of RSV, reach out to their doctor as soon as possible.

