RSV treatment

hi Bethany

I have seen the same tx used with the kids once they have RSV. I am a ped. nurse in florida. However you can check this website:

www.rsvinfo.com

hope this will help you, let me know

Alice

I work on a ped unit in Springfield, Mo. A few years ago we used Riboviran on every child with RSV that walked throught the doors. Our physicians now only use it on kids with cardiac problems and very rarely on ICN grads. On our unit, we don't try to treat the RSV. We treat the symptoms. Albuterol and sometimes atrovent nebs, O2, maintanence hydration, and solumedrol. Most importantly, we keep our kids suctioned. We suction at least every 4 hours. Our physicans don't feel that the Riboviran makes that much difference in most kids and it is very expensive. Hope this can give some insite as to what other places are doing.

Here is an article on wwnurse.com about RSV that might be of interest to all of you. Hope this helps.

http://www.wwnurse.com/Nurse-zine/Articles/RSV.shtml

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Brian Short

WORLDWIDE NURSE: The Internet's Nursing Directory

wwnurse.com

Thanks Alice, Marcy, and bshort for your replies. The information was very helpful!

I am a senior nursing student from the Univ. of MN responding to the question about treatment of RSV with Ribavirin. I have found that Ribavirin is being used to treat severe cases of RSV. It is the only drug licensed to treat RSV in the United States (www.rsvinfo.com). It inhibits RSV replication during the active replication phase. According to www.rsvinfo.com, it significantly improves arterial blood oxygenation, which accelerates patient recovery and decreases the need for supplemental oxygen; decreases illness severity; and decreases viral shedding. Ribavirin is being used in combination with IV fluids, respiratory support, and bronchodilators (Wong, 1999). Ribavirin does have serious potential side effects for the patient (hypotension, cardiac arrest) and for health care workers (reproductive risk-causes human fetal risk) (Deglin and Vallerand, 1999). Two recently published articles offer conflicting evidence regarding the effectiveness of Ribavirin. The American Journal of Resp. and Critical Care Med. states that Ribavirin is not effective in reducing the length of ventilation, length of oxygen therapy, and length of ICU stay in infants with no underlying illness ventilated for respiratory distress secondary to RSV bronchiolitis. In contrast, the Archives of Pediatric Adolescent Med. reports no increase in reactive airway disease, wheezing, and pneumonia (potential complications of RSV) in infants treated with Ribavirin. They suggest that there is a long-term beneficial effect with Ribavirin therapy. There is no vaccine for RSV, but currently RespiGam (an RSV immune globulin) is being used prophlactically to prevent RSV infection in high risk infants (Wong, 1999).

Deglin, J. and Vallerand, A. (1999). Davis's drug guide for nurses (6th ed.). Philadelphia, PA: F.A. Davis Company.

Guerguerian, A.M., Gauthier, M. Lebel, M., Farrell, C.A. and Lacroix, J. (1999). Ribavirin in ventilated respiratory syncytial virus bronchiolitis: a randomized, placebo-controlled trial. American Journal of Critical Care Medicine, 160, 829-834.

Managing the symptoms of RSV. [online]. Available: http://www.rsvinfo.com/managing/virazole/html

Rodriguez, W., Arrobio, J., Fink, R., Kim, H. and Milburn, C. (1999). Prospective follow up and pulmonary functions from a placebo-controlled randomized trial of ribavirin therapy in RSV bronchiolitis. Archives of Pediatric Adolescent Medicine, 153, 469-474.

Wong, D., Hockenberry-Eaton, M., Winkelstein, M., Wilson, D., Ahmann, E. and DiVito-Thomas, P. (1999). Whaley and Wong's nursing care of infants and children (6th ed.). St. Louis, MO: Mosby, Inc.

In our Peds unit, we usually just treat the symptoms of RSV. Hydration, 02 therapy, Albuterol, Chest PT and suctioning. Also mist tents. Ribavirin is usually used for severe cases of RSV. There are alot of serious side effects with this medicine. Hope this helps.

Originally posted by BethanyJ:

I am looking for some information for my sister in law who is a resp. therapist in the Chicago area. Currently they are treating peds with RSV with riboviran. She seems to think there may be more effective treatment modalities to treat RSV. Does anyone out there use anything else in their facilities to treat RSV? Also, is there any recent research results on the treatment of RSV? If so, where would I find it? Thanks!!