Respiratory Viruses in Kids: What Parents Should Know

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A girl blowing her nose into a tissue. As the weather gets colder, many children get sick with respiratory viruses that affect their lungs and breathing. These viruses can make kids feel very ill. Parents need to know what these viruses are, how to treat them, and how to keep children safe. Post-COVID, we are seeing children get multiple viruses this year!

Here are some of the most common respiratory viruses affecting children this season. If your child has difficulty breathing or a fever over 101°F that persists for three days, it is always important to visit your pediatrician.

1. RSV (Respiratory Syncytial Virus) 

RSV is one of the most common viruses that makes babies and young children sick. It can cause coughing, trouble breathing, and a runny nose. In babies, especially those younger than eight months old, RSV can be very serious. The peak is November through March. 

Treatment for RSV:

  • Ensure the child gets plenty of rest and fluids (like water and juice).
  • Use a humidifier in the room to help with breathing.
  • If the baby is having trouble breathing or getting worse, see a doctor immediately.
  • Ear infections after RSV are common.

2. Parainfluenza, aka Croup 

Parainfluenza is a virus that can cause cold-like symptoms and sometimes croup, a cough that sounds like a seal barking. Children with parainfluenza may have a fever or runny nose, which typically worsens at night. It is common throughout the winter. 

Treatment for Parainfluenza:

  • Keep your child calm because crying can make breathing harder.
  • A cool-mist humidifier can help with breathing.
  • If your child has trouble breathing, immediately visit the doctor or hospital.
  • Ibuprofen may help with the airway swelling.

3. Rhinovirus 

Rhinovirus is the virus that causes the common cold. It can cause sneezing, a stuffy nose, and a sore throat. Kids with rhinovirus might feel tired and have mild symptoms, but sometimes, it can lead to an ear infection or worsen asthma. This virus is common year-round.

Treatment for Rhinovirus:

  • Rest and drink fluids.
  • Use a saline nasal rinse to help clear the nose.
  • Keep the child home from school or daycare until they feel better to avoid spreading the virus.

4. Mycoplasma Pneumonia 

Mycoplasma pneumonia is a type of bacteria that can cause a cough and fever. It’s sometimes called “walking pneumonia” because kids can still be active despite being sick. However, it can also cause a bad cough and make them feel very tired. This year, there has been an unusual peak in walking pneumonia.

Treatment for Mycoplasma Pneumonia:

  • Mycoplasma pneumonia is treated with antibiotics.
  • Make sure the child gets plenty of fluids and rest.
  • There is a rapid test for mycoplasma.
  • Call your doctor if your child has a bad cough or trouble breathing.

5. COVID-19 

COVID-19 is a virus that can cause fever, cough, and difficulty breathing. It spreads easily, so everyone should wash their hands and wear a mask if necessary. Many children have mild symptoms, but some can become very sick.

Treatment for COVID-19:

  • Give your child rest and fluids.
  • Make sure they wear a mask and stay away from others to avoid spreading the virus.
  • Contact a doctor if your child has trouble breathing or seems very sick.
  • Get the two-shot series! The most recent booster for your child.

When to Seek Help

  • If your baby or child is younger than six months old, has trouble breathing, or you are worried about its symptoms, always see your doctor or go to the hospital immediately.
  • If your baby is under eight months old and you didn’t get the RSV vaccine during pregnancy, ask the doctor if RSV immunoglobulin is available. This can help protect babies from severe RSV.

Understanding these common viruses and knowing what to do can help your child feel better and stay safe this season!


Dr. Nikki GormanDr. Nikki Gorman is the owner and pediatrician at Village Pediatrics in Westport, CT. She loves spreading medical information and helping parents and children make informed decisions about their health and wellness. If you see her out, she likes hugs!

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