Synagis Shot Approved!

After getting an initial denial, insurance approved the doctor's appeal for Synagis shots for Deirdre. One less fight in the neverending battle for what Deirdre needs. Thanks to Mrs. Llibre, Dr.V and Dr. M for their effort.

RSV season is here, and the Synagis is a shot that protects against RSV. Parents of high risk children shouldn't forget to consider Synagis shots to prevent RSV infections through the winter RSV season.

The Respiratory Syncytial Virus causes a cold in older children, but it can cause serious life threatening infection in younger high risk children, and children with neuromuscular illness and respiratory distress. These children can develop bronchiolitis, which is associated with inflammation in the lungs, wheezing and difficulty breathing. RSV can also cause croup, ear infections and pneumonia.

SMA kids should get the RSV shot, especially if they go out of their house during fall/winter season. It is not an absolute remedy, but a precaution. As always, use sound judgement and take other profilactic precautions. 

"Children usually develop symptoms about 2-8 days after being exposed to someone with an RSV infection (the incubation period). These symptoms initially include just a clear runny nose, but as the virus spreads, symptoms may worsen, and may include coughing, vomiting, fever (which can range from low grade to very high), rapid breathing with retractions and nasal flaring, wheezing, and poor feeding. In severe cases, children may have apnea and respiratory failure.

Like most viral infections, treatment of RSV infections are usually symptomatic. In children with wheezing and difficulty breathing, nebulized treatments with albuterol may be helpful. In general, though, breathing treatments only help about 25% of children with bronchiolitis, so if your child doesn't have a good response to a breathing treatment, your doctor will likely not continue them.

Other treatments may include supplemental oxygen and intravenous fluids if your child is not able to eat and drink well. Treatment of bronchiolitis with steroids is controversial, and is generally not thought to be helpful. Since it is a virus, treatment with antibiotics is also not usually helpful, unless your child develops a secondary bacterial infection.

Although most children with RSV infections can be safely treated at home, those with a chronic medical condition, need to be hospitalized and closely monitored. Occasionally, children with severe difficulty breathing and/or apnea need to be placed on ventilator to help them breath. RSV can also be fatal in some hildren."

-from About.com pediatrics