Winter is also a season of high incidence of respiratory infectious diseases. The reporter learned from the dermatology clinic of Nanjing Children's Hospital that recently many children came to see varicella, especially young infants and children in kindergartens. Director Yang Su of the dermatology department of Nanjing Children's Hospital reminded parents that although chickenpox is common, there are still many things to pay attention to in the process of prevention, treatment and nursing.
Vaccinated babies also get chickenpox
"Director Yang, please help me to see what's wrong with my baby?" The anxious parents could not wait to ask when they sat in front of the doctor. Director Yang Su carefully examined the child in the parents' arms and found that there were multiple blisters on the baby's face, blisters and red rashes on the chest and back. "This should be chickenpox. What kind of medicine did the parents put on him?" Hearing Director Yang's remark, the parents said in surprise, "It's impossible. My baby has been vaccinated against chickenpox. Surely it's not chickenpox, and my baby has no fever!"
According to the parents' description, Hao Hao, a young patient, is five years old and in the middle class of kindergarten. A few days ago, Hao Hao had some small pink rashes on his chest. Since Hao Hao had been injected with varicella vaccine when he was about 2 years old, his parents did not consider the possibility of varicella at all. They thought it was a mite bite, so they applied anti allergy drugs to the small macula. However, the next day, Hao Hao's small rash not only did not subside, but turned into a green bean sized blister, and more and more, spread to the limbs and face. Hao Hao's family was so flustered that they hurried to take him to the hospital for treatment.
Director Yang Su made a careful identification again, and clearly diagnosed that what Hao Hao suffered from was chicken pox. Director Yang told parents that although the varicella vaccine can help children resist the infection of varicella virus within a certain period of time, it can not completely prevent the onset of varicella. However, children who have been vaccinated with varicella vaccine are relatively mild even if they have attacks, and the incidence of serious complications such as varicella pneumonia and encephalitis will also be reduced. In addition, because the initial symptoms of chickenpox are very similar to some allergic rashes, parents often apply anti allergy drugs to their children, which will directly stimulate the children's affected skin and accelerate the onset of chickenpox.
Herpes zoster is also chicken pox, which can also be infected
When Xinxin (a pseudonym) was diagnosed with chickenpox, parents expressed great surprise. Because the baby who has just turned a week is usually taken care of by his grandparents. How can he be infected with chickenpox if he has never contacted other sick children? Director Yang Su found out the reason after some inquiry that she was infected by her grandmother. Xinxin's grandmother got herpes zoster about 10 days ago. She didn't come to the hospital for treatment until a few days after she was not seriously ill. She was still taking care of the baby a few days before the onset. Now Grandma's condition is getting better, but Xinxin is suffering from chicken pox.
Director Yang Su explained that varicella is caused by varicella zoster virus, which is the same virus as adult herpes zoster. Patients who have been infected with chickenpox in the past are prone to herpes zoster when they are overtired and have poor immunity. Therefore, herpes zoster patients can infect babies who have not been infected with chickenpox. When varicella zoster virus is transmitted to children, its manifestation is chickenpox, and then it quickly spreads among children.
The best way to prevent chickenpox isolation
As we all know, chickenpox is a highly contagious skin disease, which can be transmitted through droplets and breathing. The main high-risk groups are children and school-age children. Generally speaking, the course of disease from infection to healing takes 10-14 days. It is highly infectious from 1-2 days before onset to 5-6 days after eruption. At present, isolation is the best way to prevent varicella in adults and children. If isolation is not carried out in time, it will not only lead to the outbreak of varicella virus, but also affect the treatment of children themselves. Therefore, whether children or adults, once diagnosed with chickenpox, they should be isolated and treated in a timely manner until all blisters have dried up.
