Respiratory syncytial virus (RSV) infection is a
common illness that affects people throughout life. The first infection is
usually the worst and occurs in early childhood. Approximately 90% of children
have had at least one RSV infection by age 2.1
RSV infection spreads easily where there are many people in one area,
such as households, urban areas, nursing homes, and child care centers. Because
symptoms often resemble those of the common cold, RSV infection is often not
recognized. However, in the United States, this virus is the most common cause
of respiratory infection in young children that requires hospitalization.
Bronchiolitis is the major complication of RSV in
infants and young children. In the United States, approximately 31 infants
(under 1 year of age) in 1,000 infected are hospitalized for bronchiolitis
resulting from RSV.2 The hospitalization rate is
higher for certain populations. For example, Native American infants who
receive health care through the Indian Health Services have a rate of 62
hospitalizations per 1,000 infants infected with RSV.2
An RSV infection is more likely to cause serious complications in
infants younger than 6 months of age, especially those who were born
prematurely or have another underlying health problem. Other people who have an
increased risk of developing complications include adults age 65 and older and
anyone with chronic health problems, especially heart disease, lung disease, or
immune system problems. In older people,
pneumonia is a common complication of RSV.