Chicken pox and Herpes Zoster (Shingles)
 

Inhalation of airborne respiratory droplets from an infected host
CHICKEN POX Is highly contagious disease caused by herpes virus varicella, characterized by vesicular eruptions on the skin and mucous membranes usually with mild constitutional manifestations

Determination of V-Z virus Determination of V-Z virus

Incubation Period:

though Complement Fixation Test through Electron days with a mean From10-21 Microscopic

examination week. of 14 days or 2of vesicular fluid
Medical Management Clinical Manifestation  Zoverax 500mg/tablet, 1 tab 2x a

The virus infects the conjunctivae or the mucosa of the upper respiratory tract

Viral proliferation

Viral replication
Synonyms and Keywords

Secondary viremia (14-16 days post infection.) varicella, shingles, herpes zoster, varicellazoster virus, VZV, chicken pox, chickenpox, skin rashes in children, chickenpox vaccine,
Chickenpox is usually acquired by the inhalation of airborne respiratory droplets from an infected host. The highly contagious nature of VZV explains the epidemics of

chickenpox in pregnancy, neonatal VZV

infection, VZV that spread globulin, treatment of who is immune through schools as one child chickenpox chickenpox quickly spreads the virus to many classmates. High infected
viral titers are found in the characteristic vesicles of

are mild and consist of fever and a day for Oral acyclovir 800 mg 3x malaise 2. Rash five days must also be given  Oral antihistamine can be taken to  Start from trunk and symptomatic pruritus other parts of then spread to  Calamine lotion will ease itchiness the body  Salicylates must not be given  In bigger children, the  Antipyretics for fever. lesions may be more widespread and severe Nursing Management:  Rapid progressions so 1. Prevention of secondary that transitions is completed infection of the skin lesions in 6-8 hours through hygienic care of the  All stages are present patient simultaneously before all are 2. Attention should be given to covered scabs
nasopharyngeal discharges and disinfection of cloths and linen by

day for seven days must be 1. Prodromal symptoms administered

Causative Agent: viral transmission may also occur through chickenpox; thus, “varicella”contact with these vesicles, although the risk is lower. direct virus
After transmission Mode of initial inhalation of contaminated respiratory droplets, the virus infects the conjunctivae or the mucosae of the upper

1. Direct Contact – with patient who sheds nodes of the upper respiratory tract 2-4 days after initial the virus from vesicles 2. Indirect Contact – through articles fresh

respiratory tract. Viral proliferation occurs in regional lymph

Complications: sunlight or boiling  Secondary infection of the 3. Cut fingernails short and wash lesions – furuncles, cellulites, skin hands more often in order to abscess, erysipelas minimize bacterial infections; may  Meningoencephalitis be introduced by scratching  Pneumonia 4. Calamine lotion over rashes  Sepsis
5. Antipyretics for fever 6. Isolation of patient; cannot be confined in general hospital; isolated until all lesions have become encrusted.

infection and is followed by primary viremia on postinfection days 4-6. A second round of viral replication occurs in the body's internal organs, most notably the liver and the spleen,

3. Airborne – or spread by droplet infection

followed by a secondary viremia 14-16 days postinfection. This secondary viremia is characterized by diffuse viral invasion of capillary endothelial cells and the epidermis. VZV infection of cells of the malpighian layer produces both intercellular edema and intracellular edema, resulting in the characteristic vesicle.

soiled by discharges of infected persons

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