Pediatric Respiratory Outpatient Clinic

MU Health Care is experiencing an increase in children and babies with RSV who need care at MU Children’s Hospital. Our teams are working to meet this challenge and maximize our patient care capabilities for inpatients.

Triaging acuity is extremely important. Inpatient beds will be reserved for children who require a higher level of care. Patients who are stable and low risk should be monitored from home.

Pediatric Respiratory Outpatient Clinic

In response to the volume of young patients with RSV, Children’s Hospital has opened a 24/7 pediatric respiratory outpatient clinic to provide supportive care. This clinic is not intended to be an alternative to the Emergency Department; it is for low-acuity patients.

The clinic will be staffed by a respiratory therapist who will evaluate and scale the severity of symptoms. If the severity is high, the patient will be referred to the Emergency Department to be seen by a physician. If the patient does not need evaluation in the Emergency Department, a respiratory therapist can provide suction and pediatric respiratory treatments.

How to refer:

Providers not employed by MU Health Care should use the order form available below and fax the order to 573-882-7862.

Providers employed by MU Health Care can submit the order “Pediatric Respiratory (ROC) Eval and Treat” through PowerChart.

Patients can be seen as often as is needed for seven days following the placement of the order.

Please print and date the document below for patient families. It outlines where to go and what to expect for the Pediatric Respiratory Outpatient Clinic.

Details for Patient Families  Pediatric Respiratory Outpatient Clinic Physician Order Form

Patients eligible for the Pediatric Respiratory Outpatient Clinic:

  • Infants 0-36 months of age with a clinical diagnosis of viral bronchiolitis, viral pneumonia, or viral lower pediatric respiratory tract infection (LRTI)

Patients not eligible for the Pediatric Respiratory Outpatient Clinic:

  • Children >36 months of age
  • Children with the following chronic conditions:
    • Chronic lung diseases (including Asthma)
    • Cystic Fibrosis
    • Congenital Heart Disease
    • Neuromuscular Disease
    • Abnormal Airway Anatomy

RSV Facts

  • RSV is spread when an infected person coughs or sneezes, expelling virus droplets that enter others’ eyes, nose, or mouth. RSV can be spread by touching a contaminated surface or through direct contact with the virus, such as close contact with a person who has RSV.
  • People infected with RSV are typically contagious for 3 - 8 days. Those with weakened or under-developed immune systems can continue to spread the virus for up to 4 weeks, even when the person is asymptomatic.
  • Clinical symptoms of RSV are nonspecific and are similar to other viral pediatric respiratory infections. Patients with RSV infection typically present with fever, cough, wheezing and runny nose. Patients may or may not have a fever. Symptoms in children 6 months and younger may present with irritability, lethargy, and poor feeding.
  • Severe disease most commonly occurs in young infants.
  • Children with these conditions are considered high-risk:
    • Premature infants
    • Those 6 months and younger
    • Children with suppressed immune systems
    • Children who have neuromuscular disorders or difficulty swallowing/clearing mucus secretions