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. 2023 Feb 26;44(2):407–423. doi: 10.1016/j.ccm.2022.11.018

Table 1.

Comparison of characteristics of severe acute respiratory syndrome coronavirus 2, influenza, and respiratory syncytial virus

SARS-CoV-2 Influenza RSV
Viral structure Single-stranded, positive-sense RNA Negative-sense, single-stranded RNA with surface glycoproteins integral in determining influenza type Filamentous enveloped, negative-sense, single-stranded RNA
Zoonotic infection Bats Avian and swine Animal models of RSV infections in rodents and nonhumans primates
Virulence Median r0 2.79 Median r0 1.28 Median r0 1.2–.2.1
Population at risk
  • Hypertension

  • Diabetes

  • Smoking history

  • Age: elderly

  • Male sex

  • Pregnancy

  • Obesity

  • History of heart disease

  • History of lung disease

  • History of chronic disease

  • Neuromuscular disorders

  • Morbid obesity

  • Pregnancy

  • Age: elderly and young children

  • Age: children and elderly

  • History of heart disease

  • History of lung disease

Time until postexposure presentation 3–7 d 2–5 d 4–6 d
Clinical symptoms
  • Fever

  • Headache

  • Dyspnea

  • Cough

  • Myalgias

  • Fatigue

  • Anosmia and loss of taste

May be asymptomatic
  • Fever

  • Nasal congestion

  • Sore throat

  • Myalgias

  • Fatigue

  • Nausea?, vomiting

  • Abdominal pain

  • Diarrhea

  • Fever

  • Poor appetite

  • Rhinorrhea

  • Cough

  • Dyspnea

  • Wheezing

Duration of symptoms Depends on severity of illness Typically resolves by day 8 Typically resolves by 3–7 d
Complications Post-COVID syndrome and severe cases can lead to ARDS Severe cases can lead to ARDS Severe cases can lead to bronchiolitis and pneumonia (especially in pediatric cases)

Abbreviation: ARDS, acute respiratory distress syndrome.

Data regarding SARS-CoV-2 from Refs.44, 45, 46, 47, 48, 49, 50, 51, 52, 53; data regarding influenza from Refs.54, 55, 56, 57, 58; data regarding RSV from Refs.59, 60, 61