chickenpox _mookai presentation
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Chicken Pox
Presented by: Dr. Harihar KhanalADK Hospital, Male
Prepared for the staff of MOOKAI hotel, male maldives
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Introduction
What is chickenpox?• Viral illiness– Very itchy, red rashes, fever with bodypain – More common in childhood– More important in adults and pregnant women
• Virus name– Herpes varicella zoster
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Signs & Symptoms
• Very itchy rashes*TrunkNeck,Face,Limbs (Rashes in Crops)
• Red bumps• Blisters, filled with clear fluid(1-5mm or more in size) drainscab
• Fever with body ache*on the day or 1st day before rash appears
• MOUTH ,SCALP , AROUND EYES , GENITALS painful• Cycle repeats in crops
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If those signs & symptoms appear, visit Doctor ASAP preferably within 24 hours
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An area of skin studded with Chicken Pox Rashes
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Chicken Pox Lesions in “crops”
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A typical skin lesion in Chicken Pox
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Transmission of disease
• Highly contagious , via – Droplets from sneeze/cough– Clothing , Bed linens– Oozing blisters of infected person
• 1-2 days before rashes appear and until completely the rashes dried up
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Incubation Period• Anyone can develop disease anytime between
10th to 21st days after coming in contact with the diseased person
(10-21 days)
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Treatment (How doctors treat)
• Antiviral Medicine(Acyclovir)– Valuable if started within 24hrs of appearance of
rashes.– Shortens the duration/severity of symptoms– Usually not necessary for previously healthy child
• Symptomatic– Paracetamol, cetrizine, calamine lotion
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Treatment(Home management)
• Supportive– Rest , oral fluids– Cool wet towel over the skin allow to dry– Use oral lozenges and ointments for oral cavity
rashes(as per doctor’s advice)– Maintain hygiene of skin rashes – Avoid hot and spicy foods in case of oral ulcers
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When to review with doctor? (Emergency Signs)
• Severe skin pain• Sleepiness, lethargy , stiff neck• Cough with sputum• Painful skin rashes with green discharge
*** on 7th day of antiviral medicine visit your doctor as routine review***
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Management
• Isolation– Take leave from job– Don’t send your sick child to school, public places,
social gatherings etc.– Isolate your guest ASAP
***Consult your doctor for duration of isolation***
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Prevention
• Vaccination– No need if once already infected– For child:2 doses (12-18 months) & (4- 6 years)– For Adult: 2 doses with a gap of 4 to 8 weeks in
between
*** Before vaccination, Please give a clear history regarding pregnancy, fever, allergy & medication ***
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Chickenpox- In Hotel Context• For staffs – Inform management – Visit Doctor within 24 hours
• Towards guests– Be vigilant for any guest with complaint of fever and rashes– Approach doctor with the guest immediately– Isolation
• For housekeeping– Isolate the sick guest’s bed linens , towels , handkerchief ,
cloths and treat(wash) separately
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Take Home Message
• Consult doctor within 24 hr for any suspected chicken pox ( fever and rashes )
• Isolate the patient and his accessories to limit the spread
• Be more careful for pregnant, infants and elderly and anybody with other chronic diseases(eg.Diabetes Arthritis , Asthma )
• Vaccination for prevention • Review in hospital for any emergency signs 12/20/2015
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Reference
• www.google.com• www.google.com/image• www.cdc.gov• www.webmed.com
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Thank you
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