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For further advice please contact Cumbria and Lancashire Public Health England Centre Telephone 0844 225 0602 Reviewed: January 2014 Next review date: January 2016 Factsheet on bronchiolitis (Respiratory Syncytial Virus) What is bronchiolitis? Bronchiolitis is swelling of the walls of tiny tubes (bronchioles) in the lungs through which air passes when we breathe. The swelling results in a narrowing of these tiny tubes, reducing the amount of air able to enter into the lung. Bronchiolitis is usually caused by Respiratory Syncytial Virus (RSV). RSV is found all over the world, causing seasonal infection in infants and young children, particularly in the winter months in the UK. The virus thrives in the human nose and throat. It is quickly spread from person to person with symptoms appearing within days of coming into contact with an affected person. The virus can survive on hard surfaces or objects for up to 24 hours. The infected person is usually infectious for about a week starting from just before their symptoms start. The virus spreads by direct person to person contact and droplets carried on the air. What causes bronchiolitis? Bronchiolitis is mainly caused by Respiratory Syncytial Virus (RSV). Who does it affect? Bronchiolitis can affect those with reduced immunity and the elderly; however, it is most common in babies and children up to 2 years of age. Babies with heart and lung disease, premature babies and babies under 6 weeks of age are at risk of more severe disease. 1 What are the Symptoms? The most common symptoms are: • cough • fever • rhinitis (runny eyes and nose) Other symptoms may include: • wheezing • shortness of breath • poor feeding Do you need any treatment? The treatment received will depend upon the severity of the symptoms. In some situations hospital treatment may be required. Preventing the Spread of bronchiolitis The risk of spreading the infection can be reduced by • • • • • • covering your mouth and nose when coughing and sneezing – remember CATCH IT, BIN IT, KILL IT. using disposable tissues, rather than cotton handkerchiefs washing your hands after touching your nose or mouth washing your hands before and after feeding a baby or child washing and drying eating utensils after use ensure good cleaning of the environment, care equipment and toys with hot soapy water. This factsheet has been reviewed by a multi-disciplinary team from the North West. Further advice may be obtained from Cumbria and Lancashire Public Health England Centre. Telephone 0844 225 0602 2