The antigenicity of the protective epitopes on the F glycoprotein appeared to be reduced during the process of formalin inactivation. Evidence from animal models, including neonatal ferrets, cotton rats, and owl monkeys, also indicated that antibody protects against RSV disease 85 , , Interferon from nasal secretions from infants with viral respiratory tract infections. Int J Biol Macromol. A musical mobile The response to RSV infection in mice has been characterized as a Th1 response with subsequent production of gamma interferon, interleukin-2 IL-2 , and IgG2a.

Pneumonitis may occur as the alveoli become filled with fluid 1 , 55 , M2 ORF-2 protein appears to be a negative regulatory factor 33 , 34 , The observation that RSV-infected epithelial cells upregulate and secrete eosinophil chemoattractants supports the hypothesis that eosinophils are recruited to and participate in the immunopathogenesis of RSV disease. Join for free today. RSV-infected respiratory epithelial cells.

Does anyone have RSV hesi case study?

Synthetic peptides derived from separate domains of the F protein blocked RSV-induced syncytium formation when used at concentrations as low as 0. Follow-up of children with respiratory syncytial virus bronchiolitis in and Perhaps the most clinically important characteristic of F protein is that it has been identified as one of the major virus-neutralizing antigens produced during viral replication; i.

In addition, RSV-specific CTL cell lines infused into normal or nude mice resulted in viral clearance, emphasizing their importance 5171866 However, syncytial multivariable analysis, none of these associations were statistically significant. Humanized monoclonal antibody to respiratory syncytial bronhciolitis.

Are vaccines safe for children?

The production of the respiratory syncytial virus M2 gene ORF1 enhances readthrough of intergenic junctions during viral transcription. Master your assignments with step-by-step solutions to countless homework questions asked and answered by our members. Nutritional foundations and clinical applications: These events lead to bronchiolar obstruction with patchy atelectasis and areas of bronchioltiis emphysema.


While the immunopathologic mechanisms associated with enhanced RSV disease following vaccination with the inactivated vaccine are compelling and the involvement of immune system-mediated components in the stydy of RSV bronchiolitis and pneumonia is likely, it is important to emphasize that much of the damage is probably a result of direct cytotoxicity.

Hesi case study answers respiratory syncytial virus (rsv) bronchiolitis

In these studies, cotton rats or mice were immunized with inactivated RSV vaccine and then challenged with intranasal inoculations of wild-type RSV. Reduction of respiratory syncytial virus hospitalization among premature infants and infant with bronchopulmonary dysplasia using respiratory syncytial virus immune globulin prophylaxis.

However, evidence implicating the host cell immune response as a direct participant in RSV pathophysiologic changes is also compelling. Role of Cell-Mediated Immunity The most dramatic support for an immunopathologic mechanism in RSV disease emerged from field studies where infants were immunized with a formalin-inactivated, alum-precipitated, parenterally administered RSV vaccine. Aerosolized ribavirin in mechanically ventilated children with respiratory syncytial virus lower respiratory tract disease: Like F protein, G protein can induce the production of potent RSV-neutralizing antibodies by host cells.

Inhibition quizlte respiratory syncytial virus replication by antisense oligodeoxyribonucleotides.

Respiratory Case Study Quizlet – 893997

Cytoplasmic inclusions of respiratory syncytial virus-infected cells: Cytotoxic T cells clear virus but augment lung pathology in mice infected with respiratory syncytial virus. Other RNases have been studied for their antiviral properties, and the ability of these proteins to degrade viral genomic RNA has led to some elegant studies. The observation that passive antibodies to RSV were protective in animal models prompted studies with humans.


This article has been cited by other articles in PMC. Systemic cell mediated and antibody responses in infants with respiratory syncytial virus infections.

rsv bronchiolitis case study quizlet

Levels of IgE were high in infants with bronchiolitis and correlated with the degree of hypoxemia during acute RSV disease. The contribution of the different T-cell subsets to recovery from RSV infection remains a focus of investigation by a number of laboratories. Another possible mechanism for the spread of RSV to the lower respiratory tract is via infection of macrophages, with migration to the lower airways.

Place a pulse ox, Inspect chest wall, Count the infants pulse and RR 3. Designated rsv personnel were trained by using a lecture, hesi instructions, and video. Normally, Th1-type responses with gamma interferon and IL-2 production are seen with viral disease.

Immunoprophylaxis of respiratory syncytial virus in the infant ferret.

rsv bronchiolitis case study quizlet

Monoclonal antibodies to respiratory syncytial virus proteins: Cytotoxic lymphocytes in the lungs of mice infected with respiratory syncytial virus. Loading Broonchiolitis Custom Search The immunologic response to infection with respiratory syncytial virus in infants.