Sunday 15 February 2015

Chickenpox

Chickenpox
Chickenpox (varicella) is a viral infection that causes an itchy, blister-like rash

Symptoms
Chickenpox infection usually lasts about five to 10 days. The rash is the tell-tale indication of chickenpox. Other signs and symptoms, which may appear one to two days before the rash, include:
·         Fever
·         Loss of appetite
·         Headache
·         Tiredness and a general feeling of being unwell (malaise)

Once the chickenpox rash appears, it goes through three phases:

·         Raised pink or red bumps (papules), which break out over several days
·         Fluid-filled blisters (vesicles), forming from the raised bumps over about one day before breaking and leaking
·         Crusts and scabs, which cover the broken blisters and take several more days to heal
New bumps continue to appear for several days. As a result, you may have all three stages of the rash — bumps, blisters and scabbed lesions — at the same time on the second day of the rash. Once infected, you can spread the virus for up to 48 hours before the rash appears, and you remain contagious until all spots crust over.
The disease is generally mild in healthy children.
When to see a doctor
If you suspect that you or your child has chickenpox, consult your doctor. He or she usually can diagnose chickenpox by examining the rash and by noting the presence of accompanying symptoms. Your doctor can also prescribe medications to lessen the severity of chickenpox and treat complications, if necessary. Be sure to call ahead for an appointment and mention you think you or your child has chickenpox, to avoid waiting and possibly infecting others in a waiting room.
Also, be sure to let your doctor know if any of these complications occur:
·         The rash spreads to one or both eyes.
·         The rash gets very red, warm or tender, indicating a possible secondary bacterial skin infection.
·         The rash is accompanied by dizziness, disorientation, rapid heartbeat, shortness of breath, tremors, loss of muscle coordination, worsening cough, vomiting, stiff neck or a fever higher than 103 F (39.4 C).
·         Anyone in the household is immune deficient or younger than 6 months old.

Home Care for Chicken Pox
1. Don’t scratch- If your child can't stop scratching:
·         Put gloves on his or her hands, especially at night
·         Trim his or her fingernails
2. Diet -A soft, bland diet -Eat foods that are soft, and if you have sores inside your mouth, avoid eating foods that are salty, spicy, acidic or too hot
3. Hydration -Consume water regularly to prevent dehydration.
4. Dress appropriately and avoid wearing tight-fitting clothing. Loose, cotton-based clothes that keep you at a comfortable temperature are best to prevent discomfort.
5. Take a cool bath –Also when you dry your skin or hairs after a bath use a soft cotton towel and don’t rub on the scab.
Prevention
Chickenpox vaccine can prevent chickenpox. Most people who get chickenpox vaccine will not get chickenpox. But if someone who has been vaccinated does get chickenpox, it is usually very mild. They will have fewer blisters, are less likely to have a fever, and will recover faster.

 

Children who have never had chickenpox should get 2 doses of chickenpox vaccine at these ages:

1st Dose:   12–15 months of age
2nd Dose:  4–6 years of age (may be given earlier, if at least 3 months after the 1st dose)
People 13 years of age and older (who have never had chickenpox or received chickenpox vaccine) should get two doses at least 28 days apart.

Catch-up


Anyone who is not fully vaccinated, and never had chickenpox, should receive one or two doses of chickenpox vaccine. The timing of these doses depends on the person’s age. Ask your doctor.


www.drrozinaspaediatricclinic.com