Chicken Pox: BSN 1A Aquino, Cadaoas, Edic, Elegino, Dela Cruz, Nepomuceno

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CHICKEN POX

BSN 1A
Aquino, Cadaoas, Edic, Elegino,
Dela Cruz, Nepomuceno
CHICKEN POX 2

Chickenpox is a very contagious


infection caused by the varicella-
zoster virus.
The telltale sign of chickenpox is a
super-itchy skin rash with red
blisters.
Over the course of several days, the
blisters pop and start to leak.
Then they crust and scab over
before finally healing.
SIGNS AND SYMPTOMS 3

Before a rash appears, there will be:


» Fever, which is usually worse in adults than
children
» Loss of appetite
» Headache
» Tiredness
» A general feeling of being unwell
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The Hallmark sign of chickenpox is a rash.


SIGNS AND SYMPTOMS 5
6
7
SIGNS AND SYMPTOMS 9

The chicken pox rash appears in three phases:


1. Raised pink or red bumps, which break out over
several days.
2. Small fluid filled blisters, which form in about
one day and then break and leak.
3. Crusts and scabs, which cover the broken
blisters and take several more days to heal.
Serious complications from chickenpox include: 10

1. Bacterial infections of the skin and soft tissues in


children, including Group A streptococcal infections
2. Infection of the lungs (pneumonia)
3. Infection or inflammation of the brain (encephalitis,
cerebellar ataxia)
4. Bleeding problems (hemorrhagic complications)
5. Bloodstream infections (sepsis)
6. Dehydration
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“This highly contagious disease heals after 3 to 4
weeks. The good news is: you will just have it once in
a lifetime. But be aware of its cousin, the Shingles – a
skin rash caused by the same virus that causes
chicken pox.
It comes out after at an estimated 10 to 15 years after
having chicken pox especially when a person has
poor immune system,” says Dr. Rey Salinel.
CHAIN OF
INFECTION
Reservoir: Portal of Exit:
1. In the respiratory trac t ev en
It leaves the body
before onset of symptoms.
through:
Infectious agent: 2. In the fluid of blister-like vesicular
rash.
1. Tiny droplets from
Varicella zoster Virus mouse or nose.
of the Herpes family. 3. In the nervous system after the
rash resolves. It can also appear as 2. the fluid in the blisters.
shingles.

Mode of transmission:
1. Airborne- when infected people
Susceptible host: Portal of Entry: sneezes tiny droplets are released
It enters the body through: into the air and then non infected
Humans who: 1. The res pi r a t o r y t r a c t , people will inhale it.
1. Never had the chickenpox through inhaling tiny droplets. 2. Direct contact- non immune person
before. 2. The eyes, nose or mouth will touch the blister fluid, nose, eye
2. Have not received a vaccine from touching the blister fluid. and mouth of the infected person.
3. Pregnant woman can pass it on to
her baby.
CAUSATIVE AGENTS 13

● Varicella Zoster Virus (VZV)


» exclusively human virus that belongs to the
α-herpesvirus family.
» VZV is present worldwide and is highly
infectious.
» Primary infection leads to acute varicella or
“chickenpox”
CAUSATIVE AGENTS/CAUSES 14

» After initial infection, VZV establishes lifelong latency in cranial


nerve and dorsal root ganglia, and can reactivate years to
decades later as herpes zoster (HZ) or “shingles”.
» As VZV remains in a latent state in human nerve tissue and
reactivates in about 15–30% of infected persons during their
lifetime, it will result to herpes zoster (shingles).
» The rash lasts up to several weeks, depending on severity.
The rash is often more widespread and persistent in
immunosuppressed patients like older people and people
with weak immune system
DIAGNOSIS 15

» Special blood tests, such as the FAMA test (fluorescent


antibody to membrane antigen) and the ELISA (enzyme-
linked immunosorbent assay),
» A blood sample drawn from a vein in your arm for VZV
antibody testing;
» to detect the virus itself, a sample of fluid from a blister
(vesicle), blood, cerebrospinal fluid, or other body fluid or
tissue
16

FACT
Chickenpox isn't nearly as common
as it used to be.
1. The chickenpox vaccine protects
VACCINATION children and adults from chickenpox
2. The MMRV vaccine protects children
from measles, mumps, rubella, and
chickenpox

» The vaccine is given as 2 separate


injections, usually into the upper arm, 4
to 8 weeks apart.
» It's been shown that 9 out of 10 children
vaccinated with a single dose will
develop immunity against chickenpox.
» Two doses are recommended, as this
gives an even better immune response.
» The vaccination is not quite as effective
after childhood.
OTHER TREATMENTS 18

1. Acyclovir or Valacyclovir as antibiotics


2. Oatmeal baths and calamine lotion can help to reduce the
itchiness.
3. Trim fingernails to decrease the risk of infection and scarring
from scratching.
4. oral antihistamines, such as diphenhydramine (Benadryl and
other brand names)
5. Use a non-aspirin medication such as acetaminophen (Tylenol
and other brand names) to lower your child’s fever.
TREATMENT 19

Never give aspirin to a child with chickenpox


because it can cause Reye’s syndrome, a
potentially fatal illness.
Sometimes, chickenpox blisters can become
infected with bacteria and require antibiotic
treatment.
REFERENCES: 20

1. Drugs.com. (2018, May 23). Retrieved April 14, 2019, from Chickenpox (Varicella):
https://www.drugs.com/health-guide/chickenpox-
varicella.html?fbclid=IwAR1TNLoEhH5il2OBNNAL4YdyeAhJX5piR_urA4vBFIXk0vdisWrLVqjEr_A
2. Mayo Clinic. (n.d.). Chickenpox. Retrieved from https://www.mayoclinic.org/diseases-
conditions/chickenpox/symptoms-causes/syc-20351282
3. Nordqvist, C. (2017, December 22). What you need to know about chickenpox. Retrieved from
https://www.medicalnewstoday.com/articles/239450.php
4. https://www.nhs.uk/conditions/vaccinations/chickenpox-vaccine/

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