Chickenpox
EBM Guidelines
Sep 19, 2022 • Latest change Apr 25, 2023
Table of contents
Extract
- An effective vaccine against chickenpox containing live attenuated viruses is available https://www.cdc.gov/chickenpox/vaccination.html1 https://www.ecdc.europa.eu/en/publications-data/public-health-guidance-varicella-vaccination-european-union2. Find out about its inclusion in the local national immunization programme. See also Vaccinations Vaccinations1.
- Chickenpox in an otherwise healthy child below 12 years of age does not usually require treatment with an antiviral drug.
- Prevent chickenpox in immunocompromized patients with Zoster hyperimmunoglobulin and treat symptomatic disease with antiviral drugs.
- Chickenpox can also be highly severe in patients who are on glucocorticoid medication, severely atopic or HIV positive, or who have received stem cell transplantation, as well as in patients over 12 years of age: consider antiviral medication in these patient groups.
- Recurring fever and/or intensive pain in the recovery phase suggest a bacterial complication and indicate hospital treatment.
Search terms
Acyclovir, Anti-Inflammatory Agents, Antiviral Agents, B01*, Blister, Cephalexin, Chickenpox, Chickenpox Vaccine, Child, Chronic Disease, Dermatitis, Dermatitis, Atopic, Dermatology, Immunologic Deficiency Syndromes, Immunosuppression, Impetigo, Infant, Newborn, Infectious diseases, Leukemia, Lymphoma, Paediatrics, Parturition, Pregnancy, Pruritus, Varicella, Varicella-zoster, Virulence, ZIG, corticosteroid treatment, incubation period, zoster immunoglobulin