Treatment. In the treatment of smallpox or wind opoyasyvayuschego depriving patients with immune deficiency used vidarabin and Acyclovir, the latter
less toxic. It should give preference to an early stage, without waiting for disease progression. Transfusion of immune plasma or immunoglobulin has proved ineffective.
Children with wind smallpox should not take shtsilaty because such a relationship between children receiving salicylates and subsequent EVELOPMENT Reye syndrome. Is the use of schetaminofena.
The isolation of hospitalized patients. For patients with smallpox wind shows close confinement for at least 5 days of the availability of sypi and throughout the period vezikuleznyh eruption, which in patients with immune deficiency can last a week or more. Been in contact with a patient susceptible children are also subject to strict isolation from 10 to 21-day from the date of the appearance sypi patient. Those who received immunoglobulin, are in need of isolation to 28-day post-exposure. Children with non-VZV-embriopatiey and can not be isolated.
Patients who have developed against the backdrop of immune zoster (localized or disseminated), and immunocompetent patients with disseminated depriving must remain in strict isolation during the illness. For healthy people with localized depriving precautions are in contact with the drainage and detachable secret until all lesions are covered with crust.
The control measures. Day-care centers and schools. Children with uncomplicated wind smallpox, which had been suspended from school or day care center, may return to the 6 th day after the appearance of sypi. In the light forms with a single eruption and the rapid formation of crusts return of children can be accelerated. Children with immune deficiency and prolonged over the years are not permitted in the community, yet there are puzyrkovye rash. The issue of removing children from shingles from school or day care center should be decided individually.
Lost in closed parts of the body represented a slight risk to susceptible individuals. Older children can be instructed on the need to wash hands after touching potentially infected lesion. Children with shingles that had been suspended from school or day care center, could return after injury covered crust.