PtEd – HERPES ZOSTER (SHINGLES) – SỔ TAY LÂM SÀNG

HERPES ZOSTER (SHINGLES) PROBLEM Shingles is a reactivation of the viral infection common in childhood known as chickenpox. The virus is contagious for those who have not had the chickenpox. CAUSE Varicella-zoster virus is stimulated and produces a blister-like rash, commonly seen on the chest and trunk area. The rash is commonly confined to one side of the body. PREVENTION Zostavax is a vaccination for the prevention of shingles. The Centers for Disease Control and Prevention (CDC) recommends this onetime vaccine for anyone age 60 and older. TREATMENT PLAN A.Zostavax cannot be used to treat the shingles breakouts or the painful sensations (postherpetic neuralgia) after you develop shingles. B.The shingles rash usually lasts 2 to 3 weeks; however, symptoms may persist beyond this period. C.The goal is to relieve the itching. D.Apply warm soaks of Burow’s solution three times a day to lesions. E.Notify family and friends of active virus. Advise anyone who has had contact with you that you have shingles, especially pregnant women and those who have never had the chickenpox. Activity: Avoid touching the shingles. Wash your hands. Your partners should not touch the area, especially when blisters are present. Use separate bath towels. Diet: There is no special diet for shingles. Medications: Oral and topical medications may be prescribed to soothe the itching. Take acetaminophen (Tylenol) as needed for comfort. Antiviral medications are available to help slow down the virus if started within 48 to 72 hours after the initial outbreak. You may be prescribed medications to help with the painful sensations (neuralgia). CDC guidelines recommended all immunocompetent adults 50 years of age and older receive the Shingrix vaccine. You Have Been Prescribed: ___________________________________________________________ You Need to Take: ___________________________________________________________ You Need to Notify the Office If You Have: A.Severe pain at lesion sites. B.Any new symptoms relating to the shingles, such as excruciating pain, headaches, numbness, tingling sensation, or other symptoms. C.Any questions regarding the shingles. Phone: ____________________________ RESOURCE American Academy of Dermatology 9500 W Bryn Mawr Avenue, Ste 500, Rosemont, IL 60018-5216 United States Phone: (888) 462-DERM (3376) www.aad.org

HERPES ZOSTER (SHINGLES)

PROBLEM

Shingles is a reactivation of the viral infection common in childhood known as chickenpox. The virus is contagious for those who have not had the chickenpox.

CAUSE

Varicella-zoster virus is stimulated and produces a blister-like rash, commonly seen on the chest and trunk area. The rash is commonly confined to one side of the body.

PREVENTION

Zostavax is a vaccination for the prevention of shingles. The Centers for Disease Control and Prevention (CDC) recommends this onetime vaccine for anyone age 60 and older.

TREATMENT PLAN

A.Zostavax cannot be used to treat the shingles breakouts or the painful sensations (postherpetic neuralgia) after you develop shingles.

B.The shingles rash usually lasts 2 to 3 weeks; however, symptoms may persist beyond this period.

C.The goal is to relieve the itching.

D.Apply warm soaks of Burow’s solution three times a day to lesions.

E.Notify family and friends of active virus. Advise anyone who has had contact with you that you have shingles, especially pregnant women and those who have never had the chickenpox.

Activity: Avoid touching the shingles. Wash your hands. Your partners should not touch the area, especially when blisters are present. Use separate bath towels.

Diet: There is no special diet for shingles.

Medications: Oral and topical medications may be prescribed to soothe the itching. Take acetaminophen (Tylenol) as needed for comfort. Antiviral medications are available to help slow down the virus if started within 48 to 72 hours after the initial outbreak. You may be prescribed medications to help with the painful sensations (neuralgia).

CDC guidelines recommended all immunocompetent adults 50 years of age and older receive the Shingrix vaccine.

You Have Been Prescribed: ___________________________________________________________

You Need to Take: ___________________________________________________________

You Need to Notify the Office If You Have:

A.Severe pain at lesion sites.

B.Any new symptoms relating to the shingles, such as excruciating pain, headaches, numbness, tingling sensation, or other symptoms.

C.Any questions regarding the shingles.

Phone: ____________________________

RESOURCE

American Academy of Dermatology

9500 W Bryn Mawr Avenue, Ste 500, Rosemont, IL 60018-5216

United States