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Bronchiolitis: Use of RSV rapid testing
- Firstly, know that the sensitivity of the test is ~60% (leaving 40% that have the disease testing falsely negative)
- Secondly, in whom will the result impact your decision?
- High-risk patient populations (at risk of decompensation or apnea)
- Premature (especially <34 wks GA)
- Infants < 2months of age
- Chronic Lung Disease
- Congenital Heart Disease
- Infants undergoing sepsis evaluations
- The incidence of concominant serious bacterial infection and RSV is low (<1%)
- The incidence of concominant serious bacterial infection and RSV is low (<1%)
- High-risk patient populations (at risk of decompensation or apnea)
Purcell K, Fergie J. Concominant serious bacterial infections in 2396 infans and children hospitalized with respiratory syncytial virus lower respiratory tract infections. Arch pediatr adolesce med. 2002; 156: 322-324.