Respiratory Syncytial Virus (RSV) Tests
RSV tests identify the presence of respiratory syncytial virus in the respiratory tract to help manage moderate to severe infections.
Overview
RSV is a contagious viral infection affecting the respiratory tract. While it typically causes mild, cold-like symptoms that resolve in 1–2 weeks, it can lead to serious breathing complications in infants, older adults, and those with weakened immune systems or heart/lung disease.
Types of Tests
- Rapid RSV antigen tests: Detect viral proteins (antigens). These provide results in an hour or less.
- Molecular tests (RT-PCR): Detect genetic material from the virus. These are more sensitive than antigen tests and are often used for older children and adults.
Why do I need an RSV test?
Healthy adults and older children usually do not require testing. However, testing may be necessary for infants or adults over 65 who exhibit symptoms of a moderate or serious infection, such as:
- Fever
- Wheezing
- Serious cough
- Difficulty breathing or rapid breathing
- Blue skin color
Procedure
Samples are collected from the nose, most commonly via a nasal aspirate or wash, where saline is used to flush and collect fluid. A nasal swab may also be used, though it is less preferred for collecting sufficient viral material.
Understanding Results
- Negative result: No signs of the virus were found. This does not definitively rule out RSV, as the sample may not have contained enough of the virus to detect.
- Positive result: Indicates an RSV infection.
Treatment for severe cases may include oxygen or IV fluids in a hospital setting. Most healthy individuals recover with over-the-counter symptom relief and fluids.
Prevention
Preventative measures include practicing good hygiene, covering your mouth when sneezing, and discussing vaccination or preventative antibody medications (such as nirsevimab or palivizumab) with your health care provider.