Dr. Vivi

Respiratory syncytial virus (RSV) is here and serious for infants. If you see any blue coloration around your child’s mouth, retractions over their torso or hear wheezing get help immediately. Otherwise call your doctor to get checked if your child was exposed. Beyond reactive airway disease, RSV can lead to ear infections in as many as 40% of cases. Remember, it's still important for anyone experiencing any COVID-19 symptoms such as a runny nose, fever, cough, headache, s...ore throat, loss of taste or smell to get tested. RSV can spread when * An infected person coughs or sneezes * You get virus droplets from a cough or sneeze in your eyes, nose, or mouth * You touch a surface that has the virus on it, like a doorknob, and then touch your face before washing your hands * You have direct contact with the virus, like kissing the face of a child with RSV People infected with RSV are usually contagious for 3 to 8 days. However, some infants, and people with weakened immune systems, can shed the virus after symptoms, for as long as 4 weeks. RSV can survive for many hours on hard surfaces and lives on soft surfaces such as tissues and hands for shorter amounts of time. People of any age can get RSV, but infections later in life are generally less severe. People at highest risk * Premature infants * Young children with congenital (from birth) heart or chronic lung disease * Young children with compromised (weakened) immune systems due to a medical condition or medical treatment * Adults with compromised immune systems * Older adults, especially those with underlying heart or lung disease In the United States and other areas with similar climates, RSV infections generally occur during fall, winter, and spring. The timing and severity of RSV circulation in a given community can vary from year to year. #askdrvivi #besafe #conciergepediatrics #vipkids #maskssavelives #backtoschool #prevention #wheezing #preventasthma #physicianlove #getoutside #preventcovid19 #healthylifestyle #RSV #colds #pediatrics #CaliKids #OCkids #keepkidsinschool #keepsickchildrenhome

Besides COVID19, Rhinovirus has been the predominant infection that I have recovered from PCR testing over the past year. But (!) last month RSV arrived to mix things up. Below you can read more on Rhinovirus. I will post on RSV as well! Remember, it's still important for anyone experiencing any COVID-19 symptoms such as a runny nose, fever, cough, headache, sore throat, loss of taste or smell to get tested. Rhinoviral symptoms present 12-72 hours after exposure and last ...7-11 days, but may persist for longer. Transmission: direct contact or aerosol particles from a sick person. Transmission can happen a few days before the sick child has symptoms, peaks day 2-7, and may last as long as 3-4 weeks. Site of entry - the nose and eye. The virus attaches to respiratory epithelium and spreads locally. Highly contagious behavior: includes nose blowing, sneezing, and physically transferring infected secretions onto environmental surfaces or paper tissue. Contrary to popular belief, behaviors such as kissing, talking, coughing, or even drooling do not contribute substantially to the spread of disease. Infection rates approximate 50% within the household and range from 0% to 50% within schools, indicating that transmission requires long-term contact with infected individuals. Brief exposures to others in places such as movie theaters, shopping malls, friends’ houses, or doctors’ offices are associated with a low risk of transmission. Because children produce antibodies to fewer serotypes, those who attend school are the most common reservoirs of rhinovirus infection. #askdrvivi #besafe #conciergepediatrics #vipkids #maskssavelives #workingfromhomeishard #physicianlove #getoutside #preventcovid19 #healthylifestyle #Rhinovirus #colds #pediatrics #CaliKids #OCkids #keepkidsinschool #Keepsickchildrenhome

From Washington Post Today: A lower dose of the Pfizer-BioNTech coronavirus vaccine one-third the amount given to adults and teens is safe and triggered a robust immune response in children as young as 5 years old, the drug companies announced in a news release Monday. The finding, eagerly anticipated by many parents and pediatricians, is a crucial step toward the two-shot coronavirus vaccine regimen becoming available for younger school-aged children, perhaps close to Ha...lloween. The highly transmissible delta variant has collided with school reopening to reveal why children could benefit from a vaccine. Nearly 30 percent of cases in the first week of September were among children, according to the American Academy of Pediatrics. Although children rarely suffer severe illness, when they do it can be devastating. A vaccine could protect against rare cases of severe illness, cut the risk of [long-haul covid](https://www.thelancet.com//PIIS1473-3099(21)00460/fulltext) and tamp down outbreaks. https://apple.news/AGW2xN_QQQTia6fEBcGRBJw #askdrvivi #besafe #conciergepediatrics #vipkids #maskssavelives #enjoyfamily #taketimeforyourself #physicianlove #smile #preventcovid19 #healthylifestyle #covid19 #stopthespread #maskindoors #gettested #protectothers #cdc #getvaccinated #talktoyourdoctor #thisisourshot #pfizer #moderna #johnsonandjohnson #conciergepediatrics #prevention #besafe #deltavariant

Pediatric Risk For Severe Infection - age 03 months or >20 years - preterm birth history - immunocompromise - gastrointestinal condition... - diabetes - asthma - Elevated CRP This is from a study of 454 patients identified with SARS-CoV-2. 191 (42.1%) were females, median age 11 years. Fifty-five percent of all patients identified as Hispanic compared with 29% among all hospital visits in 2019 (P < 0.0001). Source: Risk Factors for Severe COVID-19 in Children The Pediatric Infectious Disease Journal: February 1, 2021 - Volume Online First - Issue - doi: 10.1097/INF.0000000000003043 https://www.doximity.com//b211d284-ce3b-4390-b115-91f9fc7d #AskDrVivi #covid19oc #ockids #ocparents #ocmoms #stopthespread #maskssavelives #conciergemedicine #conciergepediatrician #ocpediatrics