Varicella zoster virus: chickenpox and shingles
1School of Healthcare Science, Cardiff University, Cardiff.
Summary
Varicella zoster virus causes chickenpox and shingles. While chickenpox is usually mild in children, adults and immunocompromised individuals face severe risks. Nurses play a key role in educating at-risk populations about varicella prevention.
Area of Science:
- Virology
- Immunology
- Public Health
Background:
- Varicella zoster virus (VZV) causes varicella (chickenpox) and herpes zoster (shingles).
- Varicella is common in childhood but can be severe in adults, pregnant women, neonates, and immunocompromised individuals.
- VZV establishes latency in sensory ganglia post-infection, with potential for reactivation.
Purpose of the Study:
- To highlight the risks associated with VZV infections, particularly in adult and vulnerable populations.
- To emphasize the role of healthcare professionals, especially nurses, in VZV prevention education.
- To provide an overview of VZV epidemiology and the introduction of a shingles vaccine.
Main Methods:
- Literature review of VZV epidemiology and clinical manifestations.
- Discussion of VZV pathogenesis, including latency and reactivation.
- Information on current UK vaccination strategies for VZV.
Main Results:
- Adults with varicella are at higher risk of complications compared to children.
- Pregnant women, neonates, and immunocompromised individuals are particularly vulnerable to severe VZV disease.
- A herpes zoster vaccine was introduced in the UK for individuals aged 70-79 in September 2013.
Conclusions:
- Effective patient education regarding VZV risks and prevention is crucial, especially for at-risk groups.
- Nurses are vital in disseminating information about avoiding varicella.
- Vaccination strategies are evolving to address VZV-related morbidity.
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