RSV Timeline: How Long Are You Contagious?

Get to Know RSV
Respiratory syncytial virus (RSV) is a common virus that affects the respiratory system, including your lungs and airways. Most people get it before age 2, but adults can also get it.
Symptoms in Older Adults and Children
RSV symptoms are similar in older adults and children. It starts with cold-like symptoms like cough, fever, and a runny nose. These symptoms can quickly worsen and turn into trouble breathing or wheezing. This is especially important to watch in young infants who can’t communicate their symptoms.
Incubation Period
The incubation period for RSV is between 4 to 6 days from exposure. You may not have symptoms during this time.
Contagious Period
RSV is usually contagious for 3 to 8 days from when you’re exposed. But babies and people with weakened immune systems can spread it for up to a month.
Recovery Time
Most people recover from RSV within a week or two. But for infants and older adults who are more at risk, recovery can take longer.
Treatment Options
RSV can be managed at home with rest, fluids, and over-the-counter medications like ibuprofen. If symptoms worsen or you have trouble breathing, you may need to go to a hospital for oxygen or fluids.
Seasonal Patterns
RSV is most common in the fall and winter. It usually peaks between December and February, but patterns vary by region.
How RSV Spreads
RSV spreads through droplets when someone coughs or sneezes. You can also get it by touching contaminated surfaces and then your face. It is highly contagious, especially in its early stages.
Prevention Tips
To prevent RSV, wash your hands frequently, clean surfaces, and avoid close contact with sick people. Wearing a mask can also help reduce the spread of RSV and other respiratory infections. The RSV vaccine is recommended if you are pregnant, over the age of 75, or you are over 60 with a serious health condition.
Photo Credit: Rainer Fuhrmann/Shutterstock
SOURCES:
CDC: “Respiratory Syncytial Virus (RSV),” “RSV Immunization for Children 19 months and Younger," "Recommendations."
Mayo Clinic: “Respiratory Syncytial Virus (RSV).”
New York State Department of Health: “Respiratory Syncytial Virus (RSV) Infection.”
Cleveland Clinic: “RSV in Adults.”
Healthychildren.org: “RSV: When It's More Than Just a Cold.”
UpToDate: “Patient education: Bronchiolitis and RSV in infants and children (Beyond the Basics).”
CDC: "RSV Vaccination: What Older Adults 60 Years of Age and Over Should Know," "RSV in Older Adults and Adults with Chronic Medical Conditions."
Mayo Clinic: "Respiratory syncytial virus (RSV) - Symptoms & causes," "Bronchiolitis - Symptoms and causes."
Cleveland Clinic: "Is RSV Dangerous for Older Adults?"
American Lung Association: "RSV in Adults"
Intermountain Health: "Respiratory Syncytial Virus."
Torrance Memorial: "RSV: When It's More Than Just a Cold."