Chicken Pox (1)

8/14/2019 Chicken Pox (1)

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DR.AARTI BHARDWAJ


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Chicken pox is mild& acute,communicable,viralinfection.

Mostly in childrenunder 10 yrs age.

Characterized byvesicular rash &fever.


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It occur worldwide sporadically endemically

epidemically.


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Giovanni Filipo an Italian scientist firstdescribed the symptoms of Chicken Pox

An English physician described a mildcase of Small Pox as Chicken Pox in the1600s

William Heberden was the fist physician

to demonstrate that Chicken Pox wasdifferent than Small Pox


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The skin appeared to be picked bychickens

Resembles the seeds of Chick Peas Most common explanation is that its not

that dangerous so its a chicken versionof Pox.

Pox is anotherword for a curse,which is what it wasbelieved to be in

medieval times.


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Varicella zooster(V-Z) Also known as human herpes virus 3 (HHV-

3)

one of the eight herpes viruses known toaffect humans Filterable virus


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INCUBATION PERIOD: 14-16 DAYS MODE OF TRANSMISSION: Chickenpox spreads easily. It is most contagious the day

before the rash appears. It spreads from person to person through direct contact

with the virus. You can get chickenpox if you touch a

blister, or the liquid from a blister. You can also getchickenpox if you touch the spit of a person who haschickenpox. The virus enters the body by the nose ormouth and can make you sick also.

It can also spread through the air, if you are near someonewith chickenpox who is coughing or sneezing.

A pregnant woman with chickenpox can pass it on to herbaby before birth. Mothers with chickenpox can also give it to their newborn

babies after birth.


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Persons to personcontact or

sneezing/coughing Kids around 6 or 7

will usually spread

it between eachother.


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A rash that usually begins on the body and face andlater often spreads to the scalp and limbs.

It may also spread to the mucous membranesespecially in the mouth and on the genitals.

The rash is often itchy. It begins as small red spots which develop into

blisters in a couple of hours.

After one or two days, the blisters turn into scabs.


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New blisters may appear after three to sixdays.

The number of blisters differs greatly fromone person to another.

The infected person may run atemperature.

These symptoms are mild in youngchildren.

Chickenpox lasts 7 to 10 days in childrenand longer in adults. Adults can feel very ill and take longer to

recover. They are also more likely thanchildren to suffer complications


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Pregnant women who have not hadchickenpox.

People with a weak immune system, suchas those with acute or chronic leukaemia orHIV.

Patients taking medicine to suppress theirimmune system, such as long-term oral

corticosteroids


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Chickenpox is contagious from about 2 days beforethe rash appears and lasts until all the blisters arecrusted over. A child with chickenpox should be keptout of school until all blisters have dried, usuallyabout 1 week. If you're unsure about whether yourchild is ready to return to school, ask your doctor.

Chickenpox is very contagious - most kids with asibling who's been infected will get it as well, showingsymptoms about 2 weeks after the first child does. Tohelp keep the virus from spreading, make sure yourkids wash their hands frequently, particularly beforeeating and after using the bathroom. And keep a childwith chickenpox away from unvaccinated siblings asmuch as possible.


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Fever higher than 103?F A rash involving an eye Continued dehydration, vomiting, or decreased

fluid intake Uncertainty of diagnosis or what medication to

give Blisters leak a thick, yellow or green fluid. Areas around a blister are red, increasingly

painful, or swollen, or have red streakingextending from the site.


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You can give cool-water baths every 3-4 hours, adding bakingsoda to the water to calm itching.

Trimming fingernails can help prevent infection from scratchingthe blisters. If you have a small infant with chickenpox, coverthe child's hands with mittens to minimize scratching.

Never give aspirin to a child because aspirin has beenassociated with Reye syndrome.

Occasionally a child will develop blisters in the mouth, makingeating or drinking painful. A person must continue to drinkfluids to prevent dehydration. To alleviate pain, provide coldfluids (ice pops are one suggestion) and soft bland foods.

Avoid any foods that are spicy, hot, or acidic (for instance,orange juice).

Keep children at home from school and daycare until allblisters have crusted. A child with chickenpox is extremelycontagious until the last crop of blisters has crusted.


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AcyclovirTylenol

In medieval timesand still today,oatmeal baths areused to relieve

itching.


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Adults InfantsTeenagers

People with weakimmune systems


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Varicella Zoster Immune Globulin (VZIG) Only offers temporary protection Recommended for: Newborns whose mothers have chickenpox 5 days

prior to 2 days after delivery

Children with leukemia or lymphoma who have notbeen vaccinated Persons with cellular immunodeficiencies or other

immune problems Persons receiving drugs, including steroids, that

suppress the immune system Pregnant women


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Bacterial Infections Viral Pneumonia Bleeding Problems

Infection of the brain


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Before there was a vaccine, about 100people died of Chicken Pox every year inAmerica

Most of those deaths occurred in people

that didnt have an illness that put them athigher risk

Deaths still occur in healthy children andadults


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Saves lives Saves $$$ Kids dont miss school 85% percent affective in preventing

disease Less likely to develop Shingles If someone does get Chicken Pox after

vaccination, it usually is a lot less worsethan a typical case resulting in a few skinlesions, little to no fever and lasting fewerdays


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Vaccine is new. Dont know about longterm side affects yet

Chicken Pox is usually pretty harmless. Nouse in vaccinating

The vaccine is only expected to beeffective for 20 years. Those who werevaccinated will need a booster shot.Between the time the original shot wears

off and the booster shot, those who werevaccinated can now develop Chicken Poxlater in life when its more dangerous


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If you had a serious allergic reaction toChicken Pox vaccine

You have a moderate to serious illness

Youre pregnant Unable to fight off serious infection People that have been vaccinated for

Chicken Pox can still get Shingles, but

they are less likely than someone thathasnt been vaccinated to get it


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Is caused by thechickenpoxvirus thatremains in the nerveroots of all persons who

had chickenpox and cancome out in your bodyagain years later to

cause illness. More common after age

50 and the increases riskwith age.

Shingles is contagious.


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If you come in contact with someone withShingles and you havent had Chicken Poxyet, you will get Chicken Pox and notShingles

There is no vaccine for Shingles. There iswork being done to create one. It isexpected to take about 5 years

Chicken Pox (1)

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