Indirectly by hands, articles, surfaces soiled with respiratory secretions. Self-inoculation after touching contaminated surfaces then own mucous membranes is common. In hospital, the primary mode of transmission is on the hands of care-givers. Especially in infants, RSV shedding may persist for a week or longer after symptoms subside. Universal in nature.
Illness is more frequent and more severe in age extremes.
Segregate positive or suspect RSV patients and place on Contact Precautions . Cohorting of patients in one room or one area is permissible. Avoid close contact with patients at high risk of developing life-threatening disease. Segregate high risk patients as much as possible. Hand washing is the main control measure in preventing cross infection.