herpes zoster - shingles , chickenpox - varicella

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  • HERPES ZOSTER - SHINGLESCHICKENPOX - VARICELLA Disediakan Oleh : Nassruto

  • DEFINISI HERPES ZOSTER - SHINGLESInfeksi kulit melibatkan & saraf dengan ledakan inflamatori di dalam kulit bermula dari T3 L3

  • Agen PenyebabHuman (alpha) herpesvirus 3 (Virus Varicella Zoster V-Z Virus), a member of the Herpesvirus groupReactivation infection with the virus that causes CHICKENPOXAttack to skin area supplied by sensory nerves

  • InsidenSemua golongan seluruh duniaPesakit leukaemia, Hodgkin & limpomaPesakit menerima rawatan kanser, kosteroidBelaku banyak pada orang dewasa - tua10% pada kanak-kanakPesakit HIV berisiko tinggi mendapat zoster

  • ReservoirMan

  • Mode of transmissionDirect contactDroplet / airborne Respiratory tractVesicle fluid

  • Incubation period2-3 weeksCommonly 13- 17 days.

  • Period of communicability1 week10-21 days susceptible persons

  • Susceptibility and resistanceUniversal among those not previously infectedMore severe in adults than of childrenSecond attacks are rareLeukemia patient suffer more severe, prolong or fatal chickenpox.

  • Susceptibility and resistanceCancer patientsSteroid therapyImmuno-deficient patientsImmunisuppressive therapy

  • Menifestasi KlinikalKesakitan tulang belakangBintik merah pada dada, leher, muka dan selaput mukosaSakit yang kuat atau rasa kebas

  • KomplikasiParutNeuralgiaMotor palsiKeratitis

  • PenyelidikanCalitan lesi Serologi

  • RawatanSimptomatikAntiviralSteroidVitamin E

  • Method of controlPreventive measurescontrol of patients, contact and the immediate environment

  • Preventive measuresHealth educationpersonal hygieneAvoid contaminating skin with infectious material

    Health personnelwear glove

  • Preventive measuresProtect high risk individu NeonatesImmuno-deficient patients

  • Control of patients, contact and the immediate environmentReport - notificationIsolation from;neonatalsevere primary lesiondrainage/ secretionnewborn babySchool children at least 5 daysimmunosuppressed patients

  • Control of patients, contact and the immediate environmentConcurrent disinfection; Discharges from nose, throat, lesionsQuarantine ; noneImmunization of contacts:VZIG given within 96 hoursInvestigation of contacts and source of infection; of no practical importance

  • Control of patients, contact and the immediate environmentSpecific treatment:zovirax

    Epidemic measures: noneDisaster implications: outbreaksInternational measure: none

  • THANK YOU

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