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Shingles Chain of Infection

Organism

  • The varicella zoster virus is what initially causes chicken pox.
  • Once you get chicken pox the virus remains dormant, as you become an adult it can be activated again, which is known as SHINGLES!

Reservoir

Portal of Exit

  • The nervous system
  • Fluid filled blisters
  • The virus exits through the fluid filled blisters.

Transmission

  • Exposure to shingles will not cause you to get shingles.
  • Shingles occurs when the virus is reactivated from being dormant.
  • If someone with shingles comes in contact with someone who has never had chicken pox, then they may get chicken pox.
  • The virus can only be spread when the blisters are fluid-filled.
  • The person is NOT contagious before the blisters, or after the blisters have crusted over.

Portal of Entry

  • Eyes, nose, mouth (from coming in contact with blister fluid).
  • Virus remains dormant in nervous system, until it is activated.

Vulnerable Hosts

  • The elderly.
  • People with compromised immune systems.
  • People who have never had chicken pox.

Symptoms

  • You may first have flu-like symptoms, in addition to itching, tingling, and pain in the area of the rash.
  • The pain usually occurs several days or weeks before the rash shows up.
  • In 3 to 5 days, the rash turns into fluid-filled blisters.
  • The rash heals in about 2 to 4 weeks.

How to Prevent

  • Get vaccinated with both the chicken pox vaccine and the shingles vaccine.
  • Avoid people who have shingles or chicken pox.

How to treat

  • Antiviral medications will shorten the length of shingles.
  • Treat symptoms with pain/fever medicine, anti-itch cream.
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