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[Verified Answer]: A 9-month-old presented to the ED in…

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A 9-month-old presented to the ED in February with irritability, fever, and upper respiratory congestion with difficulty breathing and coughing. The patient attends daycare where it was noted that several other children were sick with colds and one infant was hospitalized for severe breathing problems. Physical examination revealed a temperature of 38.6C, increased respiratory rate and pulse. The physician noted inspiratory and expiratory wheezing. The chest x-ray revealed no infiltrates in the lungs but the patient was admitted due to respiratory distress. 1. Which test should be ordered for this patient? What source? What are the suspected results? The Nucleic Acid Amplification Test (NAAT) should be ordered for this patient. Use a nasopharyngeal swab to collect from the patients nostrils and placed in a viral transport medium. NAAT should come back positive for RSV. Additionally RSV can be identified with Direct Fluorescent Antibody (DFA) or Enzyme Immunoassays (EIA). 2. What is the seasonality, if any of this organism? Winter or early spring in temperate zones (Mahon, 2023). 3. What patient population is usually affected by this organism? Children under the age of five, infants, immunocompromised, patients with cardiac and respiratory problems, and the elderly are at risk of being vulnerable to RSV (Mahon, 2023). 4. Are there panels available to test for multiple respiratory pathogens with one sample? If so, what are they? Multiplex Assay PCR 5. What are some advantages and disadvantages to multi-plex respiratory testing? Must give at least 3 of each. 6. Describe any method of treatment of prophylaxis for this organism.

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