Respiratory syncytial virus (RSV) is a major cause of lower respiratory tract infections in infants and the elderly. While the primary infection is the most serious, reinfection of the upper airway throughout life is the rule. Although relatively little is known about either RSV infection of the upper respiratory tract or host mucosal immunity to RSV, recent literature suggests that RSV is the predominant viral pathogen predisposing to bacterial otitis media (OM). Herein, we describe mouse and chinchilla models of RSV infection of the nasopharynx and Eustachian tube. Both rodent hosts were susceptible to RSV infection of the upper airway following intranasal challenge; however, the chinchilla proved to be more permissive than the mouse. The chinchilla model will likely be extremely useful to test the role of RSV in bacterial OM and the efficacy of RSV vaccine candidates designed to provide mucosal and cytotoxic T-lymphocyte immunity. Ultimately, we hope to investigate the relative ability of these candidates to potentially protect against viral predisposal to bacterial OM.Many factors contribute to the prevalence of middle ear infections in children as well as to the chronic or recurrent nature of otitis media (OM). These include immunological immaturity, existence of other infections, anatomic positioning of the Eustachian tube (ET), and genetic predisposition (10,14,22). However, whereas the multifactorial nature of OM is well known, it has only recently become fully appreciated that both acute and chronic OM are truly polymicrobial infections, involving any of several upper respiratory tract (URT) viruses and one or more of three bacterial pathogens.There is now ample epidemiological evidence and data generated by PCR-based assays, immunoassays, and direct culture to support the association of URT viruses with acute bacterial OM (2, 3, 15, 16, 39, 46-50, 55, 60, 64, 67-69). Moreover, peak incidence of OM occurs in concert with peak periods of viral isolation (38,56,64). Importantly, exposure to URT viruses (primarily via day care attendance or association with siblings) is a significant risk factor and/or predictor for early onset, frequent, or recurrent OM (51, 58). In a prospective study of 596 infants, Daly et al. (20) found that exposure to URT viruses is indisputably the single most important predictor for early acute OM. While the crucial role of URT viruses in the pathogenesis of bacterial OM is now firmly established (24, 32-36, 64, 65), we do not yet have a complete understanding of the mechanisms involved.Nearly all respiratory tract viruses can predispose to bacterial OM, but different viruses, and even different strains of the same virus, can differ in their relative ability to do so. The degree to which a particular virus compromises the airway, particularly the ET, has a tremendous influence on the occurrence and severity of OM (28,77). Whereas the cited studies describe intrastrain variability in the ability of influenza virus to predispose to OM, there are also ample data to suggest that othe...