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RSV In Older Adults: The Symptoms & Treatment

Written by  and  Tracy Flack
Reviewed by  and  April Gallik, NP
senior woman blowing nose sitting on couch

What is RSV?

Respiratory Syncytial Virus (RSV) is a common respiratory virus that usually causes mild, cold-like symptoms. It can, however, lead to serious respiratory issues, especially in infants and older adults. Understanding RSV is crucial to managing and preventing its impact on vulnerable populations.

Can Older Adults Get RSV?

Yes, older adults can get RSV. While it’s often associated with infants and young children, RSV can also pose significant health risks to adults aged 65 and older, especially those with underlying health conditions.

How does RSV affect Older Adults?

In older adults, RSV can lead to severe respiratory illnesses such as:

  • Bronchitis
  • Pneumonia
  • Exacerbation of chronic obstructive pulmonary disease (COPD)
  • Heart failure in those with existing heart conditions
senior couple with provider

What Are the Symptoms of RSV in Older Adults?

The symptoms of RSV in older adults can range from mild to severe. Common symptoms include:

  • Runny nose
  • Sore throat
  • Coughing
  • Sneezing
  • Fever
  • Wheezing
  • Shortness of breath
  • Decrease in appetite

How Long Does RSV Last in Older Adults?

RSV symptoms typically appear 4–6 days after exposure and last about 1–2 weeks. In older adults, the recovery might take longer, especially if complications arise.

Is RSV Contagious?

Yes, RSV is highly contagious. It spreads through droplets when an infected person coughs or sneezes. It can also be transmitted by touching surfaces contaminated with the virus.

How Long Is RSV Contagious?

Individuals with RSV are usually contagious for 3 to 8 days. However, people with weakened immune systems, including older adults, can spread the virus for up to four weeks.

How to Treat RSV in Older Adults

Treatment for RSV focuses on relieving symptoms and preventing complications. Steps to manage RSV in older adults include:

  • Rest: Ensure plenty of rest to help the body recover.
  • Hydration: Drink fluids to stay hydrated.
  • Medication: Use over-the-counter medications to reduce fever and alleviate pain.
  • Breathing Treatments: In some cases, bronchodilators or steroids may be prescribed.
  • Hospital Care: Severe cases may require hospitalization for oxygen therapy or mechanical ventilation.

How to Test for RSV in Adults

Testing for RSV involves:

  • Nasal Swab: A sample taken from the nose to detect the presence of the virus.
  • Blood Tests: To check for signs of infection and inflammation.
  • Chest X‑rays: To identify any lung complications like pneumonia.

What Is the RSV Vaccine?

The RSV vaccine is designed to protect against the Respiratory Syncytial Virus. It helps reduce the severity of the infection and prevents complications, especially in high-risk groups like older adults.

senior female with provider

Who Should Get the RSV Vaccine?

The RSV vaccine is recommended for:

  • Adults aged 65 and older
  • Individuals with chronic heart or lung diseases
  • People with weakened immune systems

Does Medicare Cover the RSV Vaccine?

Yes, Medicare Part D may cover the cost of the RSV vaccine. It’s important to check with your specific plan and healthcare provider to confirm coverage details. 

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