Transcript
Page 1: Chickenpox _Mookai Presentation

Chicken Pox

Presented by: Dr. Harihar KhanalADK Hospital, Male

Prepared for the staff of MOOKAI hotel, male maldives

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Dr. Harihar Khanal 2

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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