Materiały źródłowe

• #1 Patient education: Shingles (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/shingles-beyond-the-basics

  Patient education: Shingles (Beyond the Basics) […] SHINGLES OVERVIEW […] Shingles, also known as herpes zoster, is a painful rash caused by varicella-zoster virus (the same virus that causes chickenpox). […] Shingles can affect people of all ages. It is particularly common in adults over age 50 years. It is also more common in people of all ages with conditions that weaken the immune system. […] RISK OF SHINGLES […] Up to 20 percent of people will develop shingles during their lifetime. The condition occurs in people who have had chickenpox in the past. […] Age — Shingles can occur in people of all ages, but it is much more common in adults 50 years of age and older. […] Immune status — Shingles can occur in healthy adults. However, some people are at a higher risk of developing shingles because of a weakened or „compromised” immune system.

• #2 Shingles (Herpes Zoster): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/11036-shingles

  Shingles is caused by the varicella-zoster virus, the same virus that causes chickenpox. […] There are treatments for shingles symptoms, but there is no cure. […] There is a vaccine against shingles. […] Shingles (herpes zoster) is a viral infection that causes an outbreak of a painful rash or blisters on the skin. […] Shingles is caused by the varicella-zoster virus, the same virus that causes chickenpox. […] There is no cure for shingles but there are treatments for managing the symptoms. […] These drugs may ease the discomfort and make the symptoms stop sooner, particularly if you start them within 72 hours of the first sign of shingles. […] Antibacterial drugs may be prescribed if you develop a bacterial infection due to the shingles rash. […] After the shingles rash has disappeared, you might continue to have nerve pain in that same area.

• #3 Shingles (Herpes Zoster)

  https://www.veteranshealthlibrary.va.gov/Encyclopedia/142,89203_VA

  Shingles is also called herpes zoster. About 1 out of every 3 people in the United States will develop shingles in their lifetime. It’s a painful skin rash caused by the herpes zoster virus. This is the same virus that causes chickenpox. After a person has chickenpox, the virus stays inactive in the nerve cells. Years later, the virus can become active again and travel along the nerve to the skin. Most people have shingles only once. But it’s possible to have it more than once. […] Anyone who has ever had chickenpox can get shingles. But your risk is greater if you: Are age 50 or older, Have an illness that weakens your immune system, such as HIV/AIDS, Have cancer, especially Hodgkin disease or lymphoma, Take medicines that weaken your immune system, Are 19 years or older and have or will have a weakened immune system because of disease or therapy that could cause immunosuppression.

• #4 Herpes Zoster (Shingles) – Infectious Disease for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/medical-surgical-nursing-pathophysiology-296/infectious-disease-1442/herpes-zoster-shingles_7690

  Activation of the dormant varicella-zoster virus is responsible for an outbreak of herpes zoster (shingles). Assessment of a patient with shingles will reveal a vesicular, erythematous maculopapular rash that is unilateral and linear in distribution. […] The rash is characterized as a vesicular, erythematous maculopapular rash. Linear distribution of the shingles rash typically occurs along a single dermatome plane on the patients trunk, face, and/or lower back/sacral area. […] Patients may report pruritus, or itching, during the shingles outbreak. When extreme pruritus occurs after the infection has resolved, it is referred to as postherpetic itch. This condition can be treated with a topical anesthetic. […] Postherpetic neuralgia is a chronic pain disorder that can develop after an acute infection with herpes zoster (shingles).

• #5 Patient education: Shingles (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/shingles-beyond-the-basics

  SHINGLES SIGNS AND SYMPTOMS […] Shingles usually begins with unusual sensations such as itching, burning, or tingling feelings in an area of skin on one side of the body. […] The shingles rash most commonly affects the trunk (chest, abdomen, and back). […] The pain of shingles can be mild or severe and usually has a sharp, stabbing, or burning quality. […] Within three to four days, the shingles blisters can become open sores or „ulcers.” […] In most cases, shingles runs its course without any lasting health problems. […] Is shingles contagious? — It is not possible to catch shingles from another person. […] SHINGLES COMPLICATIONS […] Complications of shingles can occur in anyone but are more likely in older adults and in people with a weakened immune system. […] Postherpetic neuralgia — This is a term used to describe pain that lasts for more than three months after the onset of the shingles rash.

• #6 Herpes zoster (syn. shingles)

  https://www.pcds.org.uk/clinical-guidance/herpes-zoster

  Herpes zoster is more common in adults, especially the elderly, the unwell, and the immunosuppressed. […] The first manifestation of herpes zoster is usually pain, which may be severe, and may be accompanied by fever, headache and malaise. […] The pain and general symptoms subside gradually as the eruption disappears. In uncomplicated cases recovery is complete in 2-3 weeks in children and young adults, and 3 to 4 weeks in older patients. […] Treatment is recommended to prevent progression of the eruption and reduce complications including the development of postherpetic neuralgia. […] Adults – oral antiviral therapy eg aciclovir tablets, 800 mg five times a day for seven days. […] All patients with ophthalmic zoster, irrespective of age or severity of symptoms, should be prescribed oral antiviral drugs at the first sign of disease.

• #7 Nursing Care Plan For Shingles – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-shingles/

  Shingles, also known as herpes zoster, is a viral infection caused by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. The nursing care plan for shingles focuses on providing comprehensive care to manage pain, promote healing, prevent complications, and support the overall well-being of the affected individual. […] The nursing care plan for shingles aims to alleviate pain, prevent the spread of infection, promote healing, and provide support to individuals affected by this condition. […] A thorough nursing assessment is essential in evaluating individuals with shingles to identify the extent of the infection, assess the severity of symptoms, and determine the appropriate interventions. […] Regular reassessment, documentation, and ongoing monitoring are essential to track the progression of symptoms, evaluate the effectiveness of interventions, and detect any potential complications.

• #8 7 Herpes Zoster (Shingles) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/herpes-zoster-shingles-nursing-care-plans/

  Use this nursing care plan and management guide to help care for patients with shingles. Enhance your understanding of nursing assessment, interventions, goals, and nursing diagnosis, all specifically tailored to address the unique needs of individuals facing herpes zoster. This guide equips you with the necessary information to provide effective and specialized care to patients dealing with shingles. […] Major nursing goals for a client with herpes zoster (shingles) may include increased understanding of the disease condition and treatment regimen, relief of discomfort from the lesions, emphasis on strict contact isolation, development of self-acceptance, and absence of complications. […] The following are the nursing priorities for patients with herpes zoster (shingles): Manage acute pain and discomfort. Minimize complications and infections. Promote healing and prevent scarring. Educate patients on self-care measures. Support emotional well-being. Prevent transmission. Provide follow-up care and monitoring.

• #9 7 Herpes Zoster (Shingles) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/herpes-zoster-shingles-nursing-care-plans/

  Assess for the presence and location of skin lesions. Lesions are fluid-filled, becoming yellow and finally crusting over, on one side of the trunk or buttock. Lesions follow the path of dermatomes and occur in band-like strips. […] Patients with herpes zoster (shingles) may experience painful lesions on their skin, which can affect their physical appearance and cause discomfort, leading to negative body image perceptions. […] Initiating patient education and health teachings in patients with herpes zoster (shingles) is necessary for empowering individuals to actively participate in their care and make informed decisions. Patient education plays a vital role in helping patients understand the nature of the condition, its symptoms, treatment options, and preventive measures. […] Administering medications and providing pharmacologic support in patients with herpes zoster is crucial for symptom management, prevention of complications, and faster recovery. Antiviral agents, analgesics, and adjunctive medications are employed to alleviate pain, reduce viral replication, and minimize the risk of postherpetic neuralgia.

• #10 Nursing Care Plan (NCP) for Herpes Zoster – Shingles | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-herpes-zoster-shingles

  Provide meticulous care for open lesions, including keeping the affected areas clean and dry. Instruct the patient on proper wound care techniques to prevent secondary infections. […] Educate the patient about the nature of the illness, including its course, potential complications, and the importance of completing the prescribed antiviral medication. Offer emotional support and address any concerns or questions. […] Regularly assess the intensity and nature of pain using appropriate pain scales. Evaluate the effectiveness of prescribed analgesics in managing pain and make adjustments as needed. […] Monitor the healing process of lesions and affected areas. Assess for signs of resolution, reduction in redness, and the absence of new vesicles to determine the effectiveness of the treatment plan.

• #11 Nursing Care and Pathophysiology for Herpes Zoster – Shingles | Free NURSING.com Courses

  https://nursing.com/lesson/herpes-zoster-shingles

  Reactivation of Herpes Zoster (Mnemonic) Shingles Pathochart (Cheat Sheet) Shingles on Neck (Image) Shingles Dermatome (Image) Shingles Progression (Image) Shingles Dermatome on Chest (Image) Herpes Zoster (Shingles) (Picmonic) […] Pathophysiology: A viral infection that is caused by herpes zoster. This is typically a reactivation of the virus that has been dormant. Ths initial exposure is chickenpox. It appears along a line of nerves and causes a vesicular painful rash. […] Most common in elderly patients with a history of chickenpox or the chickenpox vaccine […] Occurs during immunocompromise […] Highly contagious […] Vesicular rash […] Follows dermatome […] Usually unilateral […] Painful, itchy […] Fever […] Malaise […] Fatigue […] Isolation […] Contact […] Also Airborne if disseminated rash

• #12 Nursing Care and Pathophysiology for Herpes Zoster – Shingles | Free NURSING.com Courses

  https://nursing.com/lesson/herpes-zoster-shingles

  When we do see this type of rash with fatigue and fever, we want to immediately suspect shingles, and put the patient in isolation. […] This will always be contact isolation. […] However, if they have a rash in more than one location, for example down the back of their arm and across their abdomen, that is considered a more advanced stage of shingles, and it also requires Airborne isolation in addition to contact isolation. […] We want to assess their Vital Signs and their neurological status, because the herpes zoster virus could also affect the nervous system, and because the vesicles could potentially get infected. […] For patients at home, we can encourage them to take an oatmeal bath to help relieve the itching, or we can provide some kind of anti-itch cream or ointment. […] As far as medications we are going to give antivirals to fight the virus itself, NSAIDs to decrease inflammation and pain, and we want to encourage all of our elderly patients to receive the herpes zoster vaccination.

• #13 7 Herpes Zoster (Shingles) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/herpes-zoster-shingles-nursing-care-plans/

  Assessing and monitoring for potential complications is an essential aspect of managing patients with herpes zoster (shingles). While most cases of shingles resolve without complications, certain individuals, particularly those with weakened immune systems or older age, are at a higher risk of developing complications.

• #14 7 Herpes Zoster (Shingles) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/herpes-zoster-shingles-nursing-care-plans/

  Goals and expected outcomes may include: The client will be comfortable as evidenced by the ability to rest. The client will report satisfactory pain control at levels less than 3 to 4 on a scale of 0 to 10. The client or caregiver will verbalize needed information regarding the disease, signs and symptoms, treatment, and possible complications of herpes zoster. The client will remain free of secondary infection, as evidenced by intact skin without redness or lesions. The client will have minimal risk for disease transmission through the use of universal precautions. The client will verbalize feelings about lesions and continues daily activities. The client will demonstrate positive body image, as evidenced by the ability to look at, talk about, and care for lesions. […] Managing acute pain in patients with herpes zoster (shingles) is a critical component of their care. The pain associated with shingles can be excruciating, debilitating, and long-lasting. Effective pain management is essential not only for the patients comfort but also for promoting healing and preventing the development of chronic pain conditions such as postherpetic neuralgia.

• #15 Herpes Zoster Treatment & Management: Approach Considerations, Topical Treatments, Pharmacologic Therapy for Herpes Zoster

  https://emedicine.medscape.com/article/1132465-treatment

  Effective pain management is critical in the treatment of herpes zoster. For mild to moderate pain, acetaminophen or NSAIDs may be sufficient, and these can be used alone or in combination with weaker opioids such as codeine or tramadol. In cases of moderate to severe pain, stronger opioids like oxycodone or morphine are recommended. […] The treatment of postherpetic neuralgia (PHN) should be tailored to the individual characteristics of each patient. Options include a tricyclic antidepressant (TCA), tramadol, a long-acting opioid, or an anticonvulsant such as gabapentin or pregabalin, all of which can help reduce the pain associated with PHN. […] In managing herpes zoster among transplant recipients and immunocompromised patients, treatment strategies are tailored based on the severity of immunosuppression and individual patient conditions. High-dose intravenous acyclovir is the treatment of choice for severely immunocompromised patients.

• #16 Nursing Care Plan (NCP) for Herpes Zoster – Shingles | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-herpes-zoster-shingles

  Herpes Zoster (Shingles) Nursing Care Plan […] Define the desired outcomes of the nursing care plan, including pain management, prevention of complications, and promotion of healing to enhance the patients quality of life during and after the shingles episode. […] Formulate and implement a comprehensive nursing care plan that encompasses pharmacological and non-pharmacological interventions for pain relief, skin care, emotional support, and patient education on managing and preventing recurrences. […] Administer prescribed analgesics to alleviate pain, considering the use of medications such as antiviral agents, nonsteroidal anti-inflammatory drugs (NSAIDs), and, in some cases, opioids. […] Apply prescribed antiviral or analgesic topical agents to the affected areas to help reduce discomfort and promote healing.

• #17

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3267

  Try not to scratch or pick at the blisters. […] Keep the blisters moist until they heal over. One way to do this is to cover them with a thin layer of petroleum jelly, such as Vaseline, and a non-stick bandage. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). Read and follow all instructions on the label. […] Avoid close contact with people until the blisters have healed. It is very important for you to avoid contact with anyone who has never had chickenpox or the chickenpox vaccine. Young babies and anyone who is pregnant or has a hard time fighting infection (such as someone with HIV, diabetes, or cancer) are especially at risk. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a new or higher fever. You have a severe headache and a stiff neck. You lose the ability to think clearly. The rash spreads to your forehead, nose, eyes, or eyelids. You have eye pain, or your vision gets worse. You have new pain in your face, or you can’t move the muscles in your face. Blisters spread to new parts of your body. You have symptoms of infection, such as increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: The rash has not healed after 2 to 4 weeks. You still have pain after the rash has healed.

• #18 Shingles (Herpes Zoster): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/11036-shingles

  Postherpetic neuralgia can last for months or years and become quite severe. […] More than 10% of people who get shingles develop postherpetic neuralgia. […] Treatments include lotions or creams (such as lidocaine or capsaicin) and/or other medications not specifically used for pain, such as antidepressants or drugs for epilepsy. […] A better approach to shingles is to take action and do what you can to lessen your risk of getting it. […] If you’ve never had shingles in the past, talk to your healthcare provider about getting the shingles vaccine. […] The best thing you can do to reduce your risk is to get the shingles vaccine.

• #19 How to relieve shingles pain

  https://www.cvs.com/learn/health/skin-health-conditions/shingles-relief

  For lingering pain due to PHN, your health care provider may prescribe a variety of other treatments. These include: Capsaicin (an extract of chili pepper), which works to desensitize receptors that cause people to experience pain. Available in creams, it is also frequently used for arthritis pain relief. Certain skin-surface numbing products such as prescription-strength lidocaine, available in numerous formulations like creams, patches, roll-ons and sprays. One 2020 study published in Dermatologic Therapy found that a 5% lidocaine patch was “well-tolerated and ensured rapid pain relief.” Oral prescription medications such as gabapentin and pregabalin that work as pain relievers by changing the way nerves send messages to your brain. Corticosteroids to reduce swelling and pain (though researchers caution about possible side effects).

• #20 Herpes Zoster and Postherpetic Neuralgia: Prevention and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/1115/p656.html

  Postherpetic neuralgia is the most common complication, occurring in about one in five patients. It is defined as pain in a dermatomal distribution sustained for at least 90 days after acute herpes zoster. Treatment is focused on symptom control and includes topical lidocaine or capsaicin and oral gabapentin, pregabalin, or tricyclic antidepressants. […] The Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices recommends two doses of adjuvant recombinant varicella zoster virus vaccine for adults 50 years and older, including those who have already had the live varicella zoster virus vaccine. […] Herpes zoster is treated with oral guanosine analogues. These medications target VZV by relying on viral kinases for phosphorylation, which promotes incorporation into viral DNA, thus disrupting replication.

• #21 Shingles: Tips for managing

  https://www.aad.org/public/diseases/a-z/shingles-self-care

  Take good care of yourself. The right self-care can ease your discomfort while you have shingles and prevent another outbreak later. […] While you have shingles, you want to take good care of yourself and the rash. Heres what dermatologists recommend. […] See a doctor within 2 to 3 days of getting the rash. If you could have shingles, you want to see a doctor within 72 hours of getting the rash. Starting treatment within 72 hours of developing a rash can: Reduce your symptoms, such as burning and stinging. […] Care for the rash every day until it clears. Most people see the blister-like rash start to scab in about 7 to 10 days. It usually takes between 2 and 4 weeks for the rash to go away completely. Until the rash clears completely, you want to do the following every day: Wash the rash with a fragrance-free cleanser.

• #22 What steps can a person with shingles take to care for their skin?

  https://www.medicalnewstoday.com/articles/shingles-and-skin-care

  Caring for the skin with shingles can include steps such as keeping the skin clean and covered, applying cool compresses, taking oatmeal baths, and wearing loose-fitting clothing. […] Taking care of the skin and applying certain topical treatments may help ease symptoms and help reduce the risk of infection and the virus passing to others. […] According to the American Academy of Dermatology Association, it is important to wash the rash daily. […] People may find applying a cool, damp compress to the skin helps to ease itching and other uncomfortable sensations. […] People can apply a new, clean bandage after washing the rash and applying petroleum jelly. […] A doctor may prescribe a topical antibiotic cream such as mupirocin or soframycin. […] People may wish to try a topical pain-relief medication, such as lidocaine or EMLA cream.

• #23 Shingles: Tips for managing

  https://www.aad.org/public/diseases/a-z/shingles-self-care

  Treat uncomfortable skin safely and effectively. While your skin heals, the skin with the rash can feel extremely uncomfortable, and even painful. To ease this discomfort, dermatologists recommend the following: Keep uncomfortable skin cool by applying a clean, cool, and damp washcloth several times a day. […] Take good care of yourself while you have the shingles rash. The following can help you heal and feel better: Get plenty of rest. […] Tell your doctor if you experience any other health problems. Some people who get shingles develop other health problems. Call your doctors office right away if you have any of the following: The rash shows signs of infection, such as swelling, pus, or not clearing. […] Talk with your doctor about getting the shingles vaccine. You can get shingles again. A shingles vaccine that the U.S. Food and Drug Administration (FDA) approved in 2017 can greatly reduce your risk of developing shingles again.

• #24 Shingles – aftercare: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000560.htm

  Shingles is a painful, blistering skin rash that is caused by the varicella-zoster virus. This is the same virus that causes chickenpox. Shingles is also called herpes zoster. […] To treat shingles, your health care provider may prescribe: A medicine called an antiviral to fight the virus, A medicine called a corticosteroid, such as prednisone, Medicines to treat your pain. […] To relieve itching and discomfort, try: A cool, wet compresses on the affected skin, Soothing baths and lotions, such as colloidal oatmeal bath, starch baths, or calamine lotion, Zostrix, a cream that contains capsaicin (an extract of pepper), Antihistamines to reduce itching (taken by mouth or applied to the skin). […] Keep your skin clean. Throw away bandages you use to cover your skin sores. Throw away or wash in hot water clothing that has contact with your skin sores. Wash your sheets and towels in hot water.

• #25 Nursing Care and Pathophysiology for Herpes Zoster – Shingles | Free NURSING.com Courses

  https://nursing.com/lesson/herpes-zoster-shingles

  Assess neurological status and s/s infection […] Oatmeal bath or anti-itch cream for itching […] Antivirals […] NSAIDs […] Shingles Vaccine […] Infection Control […] Comfort […] Caring for rash and managing itching […] Medication Instructions […] Vaccination importance and instructions […] Shingles is a viral infection caused by the herpes zoster virus. […] Shingles is highly, highly contagious. […] What we’ll see in a patient with shingles is a vesicular rash. […] This rash is very painful and very itchy, and often comes with fatigue, malaise, and fever. […] The way that we know this is shingles, is that it presents typically on one side of the body only, and it follows nerve Pathways. […] Dermatome is an area of the skin that is affected by a single spinal nerve.

• #26 What steps can a person with shingles take to care for their skin?

  https://www.medicalnewstoday.com/articles/shingles-and-skin-care

  People may find taking cool baths or even oatmeal baths may help soothe discomfort and pain from shingles. […] The National Institute on Aging recommends people wear loose-fitting, comfortable clothes made out of natural fibers while they have shingles. […] Topical treatments and taking care of the skin may help reduce symptoms, prevent infection, and reduce the risk of the virus passing to other people. […] Keeping the rash clean and covered with a sterile bandage has benefits. Also, people may want to wear loose-fitting clothing to help reduce any discomfort.

• #27 Nursing Care Plan (NCP) for Herpes Zoster – Shingles | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-herpes-zoster-shingles

  Evaluate the success of infection control measures by assessing whether there are any new cases of varicella-zoster virus transmission, especially in healthcare settings or among close contacts of the affected individual. […] Assess the patients understanding of the disease, its potential complications, and the importance of completing the prescribed antiviral medication. Address any misconceptions or concerns and reinforce key educational points. […] Evaluate the patients emotional well-being and coping mechanisms throughout the course of the illness. Assess for signs of anxiety or depression and provide additional support or referrals to mental health services if necessary.

• #28 Managing Herpes Zoster (Shingles) Exposures in Health Care Settings – MN Dept. of Health

  https://www.health.state.mn.us/diseases/shingles/hcexposurezos.html

  If the patient is immunocompetent and the rash is localized, follow standard precautions, and cover all lesions until lesions are dry and crusted. […] If a patient is immunocompromised and the rash is localized, follow standard precautions plus airborne and contact precautions until disseminated infection is ruled out. If dissemination is ruled out, follow standard precautions and cover all lesions until lesions are crusted. […] Only health care workers with adequate evidence of immunity to varicella should care for patients with zoster. […] If the rash is disseminated (lesions outside the primary or adjacent dermatomes), follow standard precautions plus airborne and contact precaution until the lesions are crusted, regardless of if the patient is immunocompromised or immunocompetent.

• #29 Shingles: Tips for managing

  https://www.aad.org/public/diseases/a-z/shingles-self-care

  Prevent others from getting sick. Until the shingles rash clears, you are contagious. Anyone who has not had chickenpox (or the vaccine for chickenpox) can catch the virus. This could cause chickenpox. To avoid infecting others, who could get chickenpox and later shingles, dermatologists recommend that you do the following until the rash clears: Cover the rash.

• #30 Immunizations: Shingles (Herpes Zoster) | Wisconsin Department of Health Services

  https://www.dhs.wisconsin.gov/immunization/shingles.htm

  Shingles is an infection caused by the varicella-zoster virus. Its the same virus that causes chickenpox. People whove had chickenpox in the past are at risk for shingles. […] The best way to prevent shingles is to get vaccinated! […] People who have a weakened immune system are at a greater risk of getting shingles. […] Most people develop shingles only once during their lifetime. However, some people get shingles more than once. […] To prevent spreading the virus to others: Cover the rash. Avoid touching or scratching the rash. Wash your hands often. […] Symptoms can range from mild itching to severe pain. The first sign of shingles is often a tingling, itchiness, or a stabbing pain on the skin. […] Medicine is available to treat shingles. These medicines are most effective if you start taking them as soon as possible after the rash appears.

• #31

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3267

  Shingles (herpes zoster) causes pain and a blistered rash. The rash can appear anywhere on the body but will be on only one side of the body, the left or right. It will be in a band, a strip, or a small area. The pain can be very severe. Shingles can also cause tingling or itching in the area of the rash. The blisters scab over after a few days and heal in 2 to 4 weeks. Medicines can help you feel better and may help prevent more serious problems caused by shingles. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. Antiviral medicine helps you get better faster and may help prevent later problems.

• #32

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?HwId=uh3267

  Shingles (herpes zoster) causes pain and a blistered rash. The rash can appear anywhere on the body but will be on only one side of the body, the left or right. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. Antiviral medicine helps you get better faster and may help prevent later problems. […] Avoid close contact with people until the blisters have healed. It is very important for you to avoid contact with anyone who has never had chickenpox or the chickenpox vaccine. Young babies and anyone who is pregnant or has a hard time fighting infection (such as someone with HIV, diabetes, or cancer) are especially at risk.

• #33 Herpes Zoster (Shingles) – Infectious Disease for Nursing RN

  https://www.picmonic.com/pathways/nursing/courses/standard/medical-surgical-nursing-pathophysiology-296/infectious-disease-1442/herpes-zoster-shingles_7690

  Antiviral medications, such as acyclovir, famciclovir, and valacyclovir, can be administered within 72 hours to prevent the development of postherpetic neuralgia. […] Patients who develop postherpetic neuralgia after a shingles outbreak may be treated with gabapentin (Neurontin). […] The rash present during an outbreak of shingles is contagious. Individuals who have not had varicella (chickenpox) or who have not been vaccinated against the disease along with those who are immunosuppressed are at an increased risk of contracting the virus. […] The preferred method of zoster prevention is a killed recombinant vaccine sold under the name Shingrix.

• #34 Herpes Zoster – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441824/

  Herpes zoster, also known as shingles, is a viral syndrome caused by reactivation of the varicella-zoster virus. […] This activity outlines the presentation, evaluation, and management of shingles and highlights the role of the interprofessional team in managing patients with this condition. […] Describe the presentation of a patient with shingles. […] List treatment and management options available for shingles. […] Explain interprofessional team strategies to prevent shingles and improve the care of affected individuals. […] Antiviral therapy hastens the resolution of lesions, decreases acute pain and helps to prevent post-herpetic neuralgia especially in elderly patients. […] Acyclovir 800 mg, five times daily for five days, valacyclovir 1 gm three times daily for five days, and famciclovir 500 mg three times daily for seven days are the antiviral drugs used to treat herpes zoster.

• #35 How to relieve shingles pain

  https://www.cvs.com/learn/health/skin-health-conditions/shingles-relief

  If you’re suffering from shingles, here are some options to help support relief. […] Treatment of shingles symptoms includes a combination of either over-the-counter (OTC) pain relievers or prescription antiviral and pain-relieving medications. To help relieve minor discomfort, your doctor might prescribe an OTC medication, such as acetaminophen (Tylenol), and nonsteroidal anti-inflammatories, such as ibuprofen (Motrin or Advil). It’s best to start antiviral medication within 72 hours of developing a rash. […] Experts also suggest taking an antiviral medication only available by prescription that your provider may recommend. The antiviral medication should be taken as soon as possible after the rash emerges to help shorten a shingles attack and ease the pain of the rash. […] To help soothe itchy skin, the American Academy of Dermatology suggests applying a clean, cool, moist washcloth to the rash and blisters, soaking in a cool oatmeal bath, applying a thin layer of petroleum jelly or calming your skin with calamine lotion after the shingles blisters have scabbed over. You might also try other over-the-counter treatments such as Terrasil Shingles Skincare Ointment.

• #36 Understanding shingles and the extended vaccination campaign | Nursing in Practice

  https://www.nursinginpractice.com/clinical/understanding-shingles-and-the-extended-vaccination-campaign/

  Shingles is a painful blistering rash caused by reactivation of varicella zoster virus, the chickenpox virus. It is correctly known as herpes zoster. […] Treatment aims to reduce the severity of the attack, ease pain and discomfort, accelerate healing and protect others from potential infection. Treatment is normally with oral antivirals such as acyclovir, famciclovir and valaciclovir. […] Antiviral treatment reduces rash, pain and complications such as postherpetic neuralgia (PHN). […] Corticosteroids such as prednisolone may be prescribed in severe infections to reduce pain and inflammation and increase the rate of healing. […] Pain can be treated with paracetamol alone or in combination with codeine or a nonsteroidal anti-inflammatory drug (such as ibuprofen). […] Vesicles contain the herpes varicella zoster virus and contact with vesicle liquid could potentially cause chickenpox infection in a person who has not had it earlier in life.

• #37 Patient education: Shingles (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/shingles-beyond-the-basics

  Skin infection — The sores of shingles can become infected with bacteria, which can delay healing. […] Eye complications — Eye complications occur in about 2 percent of cases. […] Ear inflammation — Herpes zoster can cause inflammation of the ear. […] SHINGLES TREATMENT […] Treatment of shingles usually includes a combination of antiviral and pain-relieving medications. […] Antiviral medications — Antiviral medications stop the virus from multiplying, help the rash to heal more quickly, and reduce the severity and duration of pain. […] Pain medications — The pain related to shingles can be severe, and medications are frequently needed. […] Antibiotics — If the rash becomes infected, you may need treatment with an antibiotic medication. […] RETURNING TO WORK […] If you have shingles, you may wonder when it is safe to return to work. […] PREVENTION OF SHINGLES […] You can reduce your chances of developing shingles by getting the shingles vaccine. […] WHERE TO GET MORE INFORMATION […] Your health care provider is the best source of information for questions and concerns related to your medical problem.

• #38

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?HwId=uh3267

  Call your doctor or nurse advice line now or seek immediate medical care if: You have a new or higher fever. You have a severe headache and a stiff neck. You lose the ability to think clearly. The rash spreads to your forehead, nose, eyes, or eyelids. You have eye pain, or your vision gets worse. You have new pain in your face, or you can’t move the muscles in your face. Blisters spread to new parts of your body. You have symptoms of infection, such as increased pain, swelling, warmth, or redness. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: The rash has not healed after 2 to 4 weeks. You still have pain after the rash has healed.

• #39 Shingles | Washington State Department of Health

  https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/shingles

  The Shingles vaccine, called Shingrix, is recommended for everyone age 50 years and older, as well as people age 19 years and older who have a weakened immune system. You should get Shingrix even if you’ve already had shingles. Shingrix can help prevent future occurrences of the disease. If you received Zostavax (the older shingles vaccine) before November 18, 2020, you should also get Shingrix. […] The shingles vaccine causes a strong immune response in your body, it is common to experience short-term side effects. The most common side effects of shingles vaccine include: Sore arm with mild to moderate pain; Redness and swelling where you got the vaccine; Feeling tired; Headache; Fever and chills. […] Getting shingles vaccine is highly effective at preventing the disease. This vaccine prevents shingles in 97 percent of people with healthy immune systems aged 50 to 69 years old and 91 percent of people age 70 or older. In adults with weakened immune systems, Shingrix was between 68 and 91 percent effective in preventing shingles, depending on the condition that is affecting their immune system.

• #40 Herpes Zoster Treatment & Management: Approach Considerations, Topical Treatments, Pharmacologic Therapy for Herpes Zoster

  https://emedicine.medscape.com/article/1132465-treatment

  Antiviral therapy is crucial for halting the progression and dissemination of acute herpes zoster in immunocompromised patients, even if initiated more than 72 hours after rash onset. […] The only consistently successful method of treating PHN is to prevent it via prompt treatment of acute zoster and its associated pain. Early initiation of antiviral therapy, within 72 hours of onset, has been shown to alleviate acute pain and prevent PHN in most patients. […] For the treatment of HZO, a specific regimen is recommended to address both the viral infection and associated symptoms. Famciclovir or valacyclovir should be administered for 7-10 days, with intravenous acyclovir available as needed for complications such as retinitis. Pain management should align with protocols used for immunocompetent patients.

• #41 Shingles

  https://www.nhs.uk/conditions/shingles/

  Shingles is an infection that causes a painful rash. Get advice from 111 as soon as possible if you think you have it. […] You might need medicine to help speed up your recovery and avoid longer-lasting problems. This works best if you start taking it within 3 days of the shingles rash appearing. […] Treatment for shingles depends on how severe your symptoms are and whether you’re at risk of complications. […] You usually need to start taking the medicine within 3 days of your rash first appearing. Treatment for shingles can also include medicines to help relieve pain, such as painkillers, steroid tablets or medicines that help with nerve pain. […] If you have shingles there are things you can do to help with the symptoms. […] Stay off work or school if the rash is still oozing fluid (weeping) and cannot be covered, or until the rash has dried out. You can only spread the infection to other people while the rash oozes fluid. […] You can reduce the risk of complications by getting treatment as soon as possible after your symptoms start. […] If you’re pregnant and get shingles, it’s mostly mild and there’s usually no risk to you or your baby. But a GP should arrange for a specialist to advise on whether you need treatment.

• #42 Shingles – treatments, symptoms and causes | healthdirect

  https://www.healthdirect.gov.au/shingles

  There is no cure for shingles. But, starting antiviral therapy within 3 days of the rash appearing can reduce the severity of your symptoms and the risk of further complications. […] Your doctor can provide you with antiviral medicines. […] If you are pregnant, talk to your doctor about whether antivirals are right for you. […] Be sure to keep your rash dry and clean. […] If possible, cover your rash, to avoid spreading the virus to other people. […] Getting vaccinated against shingles reduces your chance of developing the condition. […] Vaccination is your best protection against shingles. […] If you have shingles, you can also help prevent it from spreading by avoiding sharing towels, playing contact sports, and swimming. […] In many people, shingles gets better without any complications. However, other people may experience complications.

• #43 Nurse with Shingles caring for patients – Michigan Nursing

  https://allnurses.com/nurse-shingles-caring-patients-t308376/

  A nurse came to work knowing that he/she had Shingles. […] I would have to say that the nurse and the supervisors were putting patients and other staff at risk by allowing the nurse to care for patients knowing that he/she had Shingles. […] My understanding of Shingles is that when a patient is admitted to the hospital with Shingles they are usually placed in an isolation room alone with a CONTACT PRECAUTION sign on the door. […] A person with shingles can spread the disease when the rash is in the blister-phase. Once the rash has developed crusts, the person is no longer contagious. […] The risk of spreading shingles is low if the rash is covered. […] Individuals are encouraged to refrain from work if open lesions cannot be covered. Once the lesions have crusted over, he/she may resume work. […] Unless the lesions are open the drainage is coming in contact with other people, she shouldn’t be a danger to others. […] People with active herpes zoster lesions should avoid contact with susceptible people in their household and in occupational settings until their lesions dry and crusted.

• #44 I Think I Have Shingles. Now What? | Northwestern Medicine

  https://www.nm.org/healthbeat/healthy-tips/I-Think-I-Have-Shingles-Now-What

  If you have blisters near your eye, seek care immediately. Shingles around the eye, also known as herpes zoster ophthalmicus, can affect your eyelid, eye surface and deeper parts in your eye. If it’s left untreated, it can cause permanent damage to your cornea and swelling of the retina, which can lead to glaucoma and vision loss. […] When you have shingles, you’re contagious as soon as rash blisters appear and you stop being contagious when they crust over. „The fluid in the blisters can spread VZV, so be sure to wash your hands often, try not to itch your skin and keep your rash covered with a sterile bandage or gauze,” says Dr. Bashir. […] After shingles blisters heal, you may continue to feel pain. This is called postherpetic neuralgia. Postherpetic neuralgia happens when nerve fibers are damaged from a shingles outbreak; it’s more common in older adults. Over time, the nerve pain should subside. However, consult your primary care physician if you continue to feel pain after your blisters are gone.

• #45 Herpes Zoster – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK441824/

  Post-herpetic neuralgia commonly occurs in elderly patients, and once the lesions have crusted, they can use topical capsaicin and Emla cream. […] Shingles is a common infectious disorder in the elderly with significant morbidity. […] The condition has no cure but can be prevented in most patients via vaccination. […] When there is eye involvement, patients must be referred ASAP to an ophthalmologist. […] Healthcare workers including the primary care provider, nurse practitioner, internist and pharmacist should educate the patient on the benefits of the vaccine.

• #46 Chickenpox and shingles (varicella / herpes zoster)

  https://www.health.vic.gov.au/infectious-diseases/chickenpox-and-shingles-varicella-herpes-zoster

  Patients must be carefully evaluated to ensure that there is no eye or auditory nerve involvement when the rash involves the ophthalmic area of the face. […] A debilitating complication of herpes zoster in many (especially elderly) patients is prolonged pain (post-herpetic neuralgia) that may persist for months after resolution of the skin lesions. […] Some antiviral medications (famciclovir, valaciclovir or aciclovir) have been effective in treating varicella zoster infections in patients with a rash less than 72 hours old. These medications provide pain relief, accelerated healing and may help reduce the incidence of postherpetic neuralgia. […] Inpatients diagnosed with disseminated shingles need to be managed in a negative pressure room with contact and airborne precautions. A patient with non-disseminated shingles should also be in a single room with contact precautions if blisters are not able to be covered.

• #47 Shingles | Breastfeeding | CDC

  https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/maternal-or-infant-illnesses/shingles.html

  An immunocompetent mother with shingles may be able to continue breastfeeding if she does not have skin lesions on her breast. […] Maybe. If a mother has active shingles infection, she can continue to breastfeed if she does not have skin lesions on her breast. If a lesion develops on or near the areola, where the infant’s mouth would touch the lesion while nursing, then the mother needs to express her milk on that side to maintain her milk supply and prevent mastitis. […] All lesions should be covered with clean, dry bandages until they are healed to avoid direct contact with an infant. Mothers need to be vigilant about hand washing until all lesions are fully crusted over. […] Immunocompromised mothers who develop an active shingles infection can seek consultation from a specialist on how or if to proceed with breastfeeding. […] Yes. Women can take antiviral medications to treat shingles while breastfeeding. […] The varicella vaccine should be administered to nursing mothers who lack evidence of immunity.

• #48 Shingles Precautions While Nursing: What to Know

  https://www.healthline.com/health/breastfeeding/shingles-precautions-nursing

  If you have shingles, precautions while nursing may involve covering your shingles rash, expressing and disposing of your milk, or keeping the baby away from direct contact with active blisters. Working with a healthcare professional is highly advised. […] Yes, you can nurse your baby if you have shingles unless both of your breasts are affected by a shingles rash or you cannot do so without your baby coming into contact with your rash. […] If you have symptoms of shingles, nursing your baby is safe as long as there are no skin lesions, oozing blisters, or open sores on or under the breast. […] If there are blisters or lesions on only one breast, you’ll need to nurse with the other breast and avoid contact between the baby and any affected areas. You may also need to cover your shingles rash completely with clean, dry bandages, and wash your hands before touching your baby.

• #49 Postherpetic Neuralgia: Symptoms, Causes, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/12093-postherpetic-neuralgia

  Postherpetic neuralgia (PHN) is a complication of shingles infection (also called herpes zoster). Shingles is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. […] Shingles causes a painful, blistering rash and other symptoms. The rash most commonly occurs in a band pattern on one side of your body, usually on your trunk (central core of your body). The rash turns into blisters. As the rash/blisters go away, pain may remain. When pain remains, the condition is called postherpetic neuralgia. […] Postherpetic neuralgia (PHN) can last for weeks, months, or in some people, years after the shingles rash goes away. In most people, shingles pain goes away in one to three months. However, in one in five people, pain lasts more than one year.

• #50 Shingles: diagnosis and treatment | Nursing Times

  https://www.nursingtimes.net/dermatology/shingles-diagnosis-and-treatment-28-12-2000/

  Shingles also causes a persistent and debilitating condition known as postherpetic neuralgia (PHN). This is pain that persists for one month or longer after the acute illness. […] We used the following guidelines to determine when to recommend a systemic antiviral treatment: – All ophthalmic zoster (where the eye area is involved); – All immunosuppressed patients; – All patients aged over 55; – All patients with disseminated zoster. […] Topical antivirals are available but are useful only in combination with systemic antivirals for ophthalmic zoster. Some patients found calamine lotion helped to relieve burning pain and itching during the acute phase. […] Dihydrocodeine, codeine and paracetamol combinations, and paracetamol with the addition of low-dose amitriptyline (10-75mg at night) were our recommended analgesics.

• #51 Shingles | Washington State Department of Health

  https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/shingles

  Long-term nerve pain is the most common complication of shingles. About 10 to 18 percent of people who have shingles develop nerve pain after the rash goes away. This nerve pain is called postherpetic neuralgia (PHN). As people get older, they are more likely to develop PHN, and it is more likely to be severe and long lasting. Shingrix vaccine reduces the risk of PHN by 89 percent.

• #52

  https://www.nursingcenter.com/journalarticle?Article_ID=5650817&Journal_ID=2695880&Issue_ID=5650551

  Risk factors of PHN, which occurs in 10% to 15% of cases, are advanced age, immune status, and clinical course with severe pain and rash during phase 1. […] Shingles is a preventable disease. In 2017, the Shingrix vaccination became available for those age 50 and older. It consists of 2 intramuscular doses, 2 to 6 months apart and has been 97% effective for those age 50 to 69, and 91% effective for those age 70 or above.

• #53 Shingles: diagnosis and treatment | Nursing Times

  https://www.nursingtimes.net/dermatology/shingles-diagnosis-and-treatment-28-12-2000/

  PHN is usually treated with a combination of the analgesic drugs mentioned. Up to 14% of patients with shingles develop PHN (Wood, 1991) and as many as 30% of these still have pain after a year, so it is important that different treatment regimes are available if necessary. […] Starting systemic antivirals within 72 hours of the onset of the shingles rash has been shown to reduce the percentage of people who develop PHN (Beutner et al, 1995). […] Acute shingles and the management of PHN is an ideal area for the development of a nurse-led service linking the acute and community settings. Such a service would help to promote research into an intractable area of pain management.

• #54 Herpes zoster (syn. shingles)

  https://www.pcds.org.uk/clinical-guidance/herpes-zoster

  Oral antiviral therapy must be started immediately and contact the on-call ENT team. […] Tricyclic antidepressants such as amitriptyline, or anticonvulsants such as gabapentin, are the mainstay of treatment. […] Herpes zoster can result in chickenpox (varicella) in those who have never developed primary immunity, both from virus in the lesions and in some instances the nose and throat.

• #55 Shingles Self-Care: How to Soothe a Shingles Rash at Home | SELF

  https://www.self.com/story/shingles-self-care

  If your rash is feeling really tender, sensitive, or itchy, try calming it down before covering it up. […] Again, taking antiviral meds as soon as possible is the best way to minimize shingles-related nerve pain. […] But if you need reinforcements, over-the-counter pain medications, including ibuprofen (Advil) and acetaminophen (Tylenol), can temporarily quell the discomfort. […] Dr. Miller also recommends trying OTC capsaicin creams like Zostrix after the blistering phase of the rash has resolved to help with any residual nerve pain. […] Its possible to get a secondary bacterial infection with shingles, but its fairly rare. […] However, scratching or picking at shingles blisters or scabs can up your risk of introducing harmful germs, so try to keep your fingers off the rash. […] Shingles rarely leaves behind major scars, but it depends on the severity of your rash, Dr. Miller says.

• #56 Shingles | Washington State Department of Health

  https://doh.wa.gov/you-and-your-family/immunization/diseases-and-vaccines/shingles

  As you get older, your risk of developing shingles and having serious complications increases. Before the shingles vaccine was available, about half (500,000) of shingles cases occurred in people age 60 or older. It is more common in people who have a weakened immune system because of a disease, such as cancer or human immunodeficiency virus (HIV), or from drugs, like steroids or chemotherapy. Anyone can get shingles though, including children. […] The only way to prevent shingles is to get vaccinated. There is one vaccine, Shingrix, which is given as a 2-dose series. Shingrix is very effective in preventing shingles and improves your chances of not experiencing complications from shingles such as postherpetic neuralgia (PHN). PHN is severe pain in the area where the shingles rash occurred.

• #57 Shingles Treatment, Medication, and Prevention: Pain Relief, Antiviral

  https://www.webmd.com/skin-problems-and-treatments/shingles/understanding-shingles-treatment

  The vaccine Shingrix is available in the U.S, to help prevent shingles. It is the only way to help prevent shingles. […] The CDC recommends that you get this vaccine if youre a healthy adult age 50 or older, whether or not you remember having had chickenpox, because most people have been exposed to the virus. […] Shingrix reduces your chance of getting shingles by more than 90%. Even if you still get shingles, the vaccine may help it be less painful.

• #58 Shingles (herpes zoster)

  https://www.health.ny.gov/diseases/communicable/shingles/fact_sheet.htm

  There is one shingles vaccine currently available, RZV or Shingrix. Shingrix vaccine is recommended for the prevention of shingles and its complications. Two doses of Shingrix given two (2) to six (6) months apart are recommended for healthy adults 50 years of age and older. Shingrix is also recommended for adults who have previously received ZVL or Zostavax or varicella vaccine. Shingrix is also recommended for persons 19 years and older who are or will be immunodeficient or immunosuppressed because of disease or therapy. […] The risk of spreading the virus that causes shingles is low if the rash is covered. People with shingles should keep the rash covered, not touch or scratch the rash, and wash their hands often to prevent the spread of shingles. Once the rash has developed crusts, the person is no longer contagious.

• #59 Understanding shingles and the extended vaccination campaign | Nursing in Practice

  https://www.nursinginpractice.com/clinical/understanding-shingles-and-the-extended-vaccination-campaign/

  While people normally recover from shingles without any additional issues, there are a number of potentially serious complications. […] Secondary bacterial infection can occur, so good hygiene is important. […] Around 10 per cent of people with shingles develop ophthalmic complications. […] The NHS shingles vaccination programme began in 2013. […] Vaccination is reported to have averted 40,500 GP consultations and 1,840 hospitalisations in England over a five-year period. […] From September, Shingrix is given routinely to all eligible people via two doses, two months apart. […] The Shingrix vaccine is 97.2% effective, a significant improvement on 51% for Zostavax. […] Primary care staff can identify those eligible and ensure they are aware they can get the vaccine, which can be given at the same time as flu vaccination.

• #60 Practice Nursing – Shingles in adults: what the practice nurse needs to know

  https://www.practicenursing.com/content/clinical-focus/shingles-in-adults-what-the-practice-nurse-needs-to-know/

  Shingles is a relatively common condition, more frequently seen in older adults. […] Given its prevalence, it is very likely that nurses and non-medical prescribers will encounter patients seeking advice in managing their symptoms. […] This article, therefore, hopes to give an overview of the recognition, treatment, management and prevention of shingles, with the aim of improving outcomes and quality of life for those affected. […] Given the frequency of its occurrence, general practice nurses and advanced nurse practitioners will encounter patients either with symptoms, or asking for advice and guidance on managing their illness.

• #61 I Think I Have Shingles. Now What? | Northwestern Medicine

  https://www.nm.org/healthbeat/healthy-tips/I-Think-I-Have-Shingles-Now-What

  If you have shingles, you are not alone. Approximately one out of every three people in the U.S. will get it in their lifetime. Shingles is caused by a virus called varicella zoster virus (VZV). Shingles typically starts with itchy skin in a small area on one side of your body, face or neck and builds to a burning sensation. In that same area, a painful red rash will develop, blister and eventually dry up. You may also develop a fever, headache or the chills in addition to the blistering rash. […] If you think you have shingles, contact your primary care physician. They can determine if you need an antiviral medication to shorten the life of the virus, as well as any medications for pain. […] „Antivirals are most effective when taken within 72 hours of your outbreak, so it’s really important to seek medical care within that window,” says Mohammad S. Bashir, MD, a primary care physician at Northwestern Medicine. „Far too many times, patients will come in five or seven days after they notice their rash. At that point, it’s too late for an antiviral to have significant effect on the duration of the virus.”

• #62 Managing Herpes Zoster (Shingles) Exposures in Health Care Settings – MN Dept. of Health

  https://www.health.state.mn.us/diseases/shingles/hcexposurezos.html

  Place patient in negative airflow rooms. If this is unavailable, place patients in their own room and keep the door closed. Those without immunity to varicella should not enter the room. […] Only health care workers with adequate immunity to varicella should care for patients with zoster. […] Evaluate evidence of immunity to varicella in all individuals exposed to zoster. […] For localized zoster, exposures include those with intimate contact (i.e., changing bandages, touching, hugging). These exposures are usually limited. […] For disseminated zoster, exposures include those in the same 2- to 4- person bedroom, adjacent beds in a large area, or face-to-face contact. […] Health care provider diagnosis of varicella or zoster or verification of history of varicella or zoster disease. Health care providers should refer to CDC: Clinical Overview of Chickenpox (Varicella) when verifying history of disease in patients.

• #63 Managing Herpes Zoster (Shingles) Exposures in Health Care Settings – MN Dept. of Health

  https://www.health.state.mn.us/diseases/shingles/hcexposurezos.html

  Healthy individuals age 12 months and older should be given varicella vaccine (as long as it is not contraindicated) within 5 days of exposure. […] The following individuals should receive VariZIG within 10 days of exposure: Immunocompromised individuals. […] To prevent transmission of varicella in health care facilities, all health care workers should have evidence of immunity to varicella. […] Health care workers exposed to zoster with adequate evidence of immunity to varicella should be monitored daily for symptoms of varicella from days 8-21 after exposure. […] Health care workers who are at high risk for severe disease and cannot receive varicella vaccine are recommended to receive VariZIG.

• #64 Nursing Care Plan For Herpes Zoster – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-herpes-zoster/

  Nursing interventions for herpes zoster aim to alleviate pain, prevent complications, offer emotional support, and educate patients on managing their condition. […] By closely monitoring and managing symptoms, providing emotional support, and offering education on herpes zoster and its management, nurses play a crucial role in facilitating patient recovery. […] Effective nursing interventions, coupled with clear communication and patient education, contribute significantly to the successful management of herpes zoster and the enhancement of overall patient well-being and outcomes.

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