Herpes Zoster
Herpes Zoster
Herpes Zoster
PERIOD OF COMMUNICABILITY
Is communicable day before the appearance of the 1st rash
until five to six days after the last crust disappears.
MODE OF TRANSMISSION
Through direct contact, specially through droplet
infection and airborne spread.
It can also be transmitted through indirect contact.
CLINICAL MANIFESTATION
The erythematous base of the skin lesion appears.
Pain of varying intensity is a presenting symptoms in about
two-thirds of patient.
Fever, malaise, anorexia, and headache occur for one or
more days.
Regional lymph nodes are involve in the early stage of the
disease.
Gasserian ganglionitis
Ramsay-Hunt Syndrome
DIAGNOSTIC EXAM
The characteristic skin rash may be diagnostic.
Tissue culture technique
Smear of vesicle fluid
Microscopy
COMPLICATIONS
Encephalitis
Paralytic ileus, bladder paralysis
Ophthalmic herpes, which may lead to blindness
MODALITIES OF TREATMENT
Symptomatic
Antiviral drugs
Analgesic to control the pain
Anti-inflammatory
NURSING MANAGEMENT
Keep the patient comfortable.
Keep the patient in strict isolation.
Apply cool, wet dressing with NSS to pruritic lesions.
Effort should be made to prevent secondary infection.
Prevent entrance of microorganism into the lesion, especially
if they are broken.
Assess the degree of pain.
Encourage sufficient bed rest and provide supportive care to
promote proper healing of lesions.
Provide the patient with a diversionary activity to take his
mind off the pain and the pruritus.
NURSING DIAGNOSIS
Pain
Alteration of comfort
Body image disturbances
Risk for infection
Impaired physical mobility
Impaired skin integrity
Altered role performances
PREVENTION
Immunization against chickenpox
Avoid exposure to a patient suffering from either varicella or
herpes zoster
Increase the patients immune resistance