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

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