What should be paid attention to when children have chickenpox?

Written by Hu Qi Feng
Pediatrics
Updated on September 25, 2024
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Chickenpox is a self-limiting disease, and when there are no complications, treatment generally focuses on symptomatic relief. During illness, isolation should be maintained to prevent infection and enhance care, such as frequently changing underwear, trimming the child's nails, and wearing gloves to prevent scratching. Keep the air well-ventilated, provide sufficient fluids and easily digestible food. If a secondary bacterial infection occurs, antibiotic treatment should be administered. The child should be isolated until all the rash has crusted over.

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Is scabies chickenpox?

Scabies is caused by an infection of scabies mites and is highly contagious, generally being transmitted through direct contact, such as sharing clothes or sleeping in the same bed with shared bedding. Typically, the itching is milder during the day and worsens at night. Symptoms include itching, peeling, and blistering between the fingers. In males, red scabies nodules may appear on the scrotum. Chickenpox, caused by the varicella-zoster virus, is also highly contagious but primarily spreads through droplets and air. Once infected, it can be treated with antiviral medications. Scabies and chickenpox are entirely different diseases and must be diagnosed and treated separately.

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The Differences between Chickenpox and Hand, Foot, and Mouth Disease

Chickenpox and hand, foot, and mouth disease are common infectious diseases in young children. Chickenpox is a febrile rash disease caused by the varicella-zoster virus. Its rash mainly manifests as maculopapular, vesicular, and crusted lesions, which appear simultaneously. Generally, these are primarily seen on the face and trunk with a centripetal distribution. Hand, foot, and mouth disease is mainly caused by viruses, such as enterovirus EV71 or Coxsackievirus A16. It causes a febrile rash disease with rashes typically found on the hands, feet, and around the mouth. Rashes on the chest, back, and face are relatively rare. Thus, the main clinical presentations of hand, foot, and mouth disease and chickenpox are the different forms of rashes.

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Initial symptoms of chickenpox in children

Chickenpox is a contagious respiratory disease caused by a virus, characterized by a rash. Initially, symptoms resemble those of upper respiratory infections such as coughing, runny nose, mild fever, and decreased appetite. Subsequently, maculopapular rashes appear on the scalp and face, which gradually develop into vesicles. These vesicles contain a clear fluid, surrounded by reddened skin and are accompanied by itching. Therefore, if a child exhibits symptoms of an upper respiratory infection followed by vesicular rash, it is important to seek medical advice promptly to confirm if it is chickenpox. If diagnosed with chickenpox, isolation is necessary to prevent cross-infection.

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Precautions for Children with Chickenpox

Chickenpox is caused by the varicella-zoster virus infection, which is more common in children but can also occur in adults. The peak season for this illness is spring. Therefore, after children contract chickenpox, it is crucial to isolate them to prevent contact with other children or the elderly, as it can spread to others quickly. Typically, conventional antiviral medications are sufficient for treatment. If fever occurs, it is advisable to take some fever-reducing medications appropriately. It is also recommended to have a light diet, eat more vegetables and fruits, and drink plenty of water. Adequate rest is important, and if small blisters appear on the body, avoid scratching them to prevent infection and more severe symptoms. Generally, this disease confers lifelong immunity, meaning there is no recurrence after the initial episode.

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Will new chickenpox blisters appear if medication is used after two days?

Medication may still cause new outbreaks of chickenpox two days after its initial use, as the typical duration of chickenpox is about a week, and new outbreaks can still occur. In this situation, it is important to avoid scratching because scratching can easily lead to skin infections and worsen the condition. Therefore, it is vital to avoid scratching. If the itching is severe, a calamine lotion can be applied to the skin. Additionally, it is crucial to consume a light, easily digestible diet, including fresh vegetables and fruits, such as broccoli, kiwi, apples, etc., and timely antiviral treatment should be carried out, as chickenpox is caused by a viral infection. (Use of medication should be under the guidance of a physician.)