Precautions for Children with Chickenpox

Written by Liu Gang
Dermatology
Updated on March 15, 2025
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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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The differences between measles and chickenpox

Measles and chickenpox, though both are diseases caused by viral infections, have clear differences. Measles is caused by the measles virus, while chickenpox is caused by the varicella-zoster virus. Furthermore, measles generally begins with a fever, and after a few days of fever, red spots and papules appear, whereas with chickenpox, clear vesicular papules appear initially on the trunk or limbs.

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How is chickenpox treated?

The symptoms of chickenpox often present no symptoms in infants and toddlers, but they may experience low fever, irritability, and reluctance to breastfeed. Simultaneously, a rash appears. In older children and adults, symptoms can include low fever, headache, fatigue, sore throat, cough, and loss of appetite, followed by the appearance of a rash after one to two days. The rash first appears on the torso and then spreads to the face and limbs. Since chickenpox rash typically appears in batches, at the same site one may see maculopapular rashes, vesicles, and scabs. About a week later, the scabs fall off, generally leaving no scars. However, secondary bacterial infections of the rash can occur, leading to complications such as pneumonia, encephalitis, and hepatitis. Chickenpox is a self-limiting disease that usually resolves itself in about ten days. Treatment of chickenpox involves isolating the patient until all the blisters have completely scabbed over. During the fever phase, bed rest is recommended, along with easily digestible food and adequate hydration. Skin care should be emphasized to prevent infection. Early antiviral treatment can be effective, particularly if administered within 24 hours of the appearance of the rash, as it can help control the rash's progression and accelerate recovery. In cases of secondary bacterial infection, antibiotics should be used. If encephalitis leads to cerebral edema, dehydration treatment should be administered. The use of corticosteroids is not advisable for chickenpox as they can cause the disease to spread.

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Can you get the chickenpox vaccine if you have a cold?

Vaccination is generally required when the baby is healthy, as most vaccines are antigens introduced into the human body to elicit an antibody response from the immune system. If a baby has a cold, it indicates a weaker immune resistance and possible bacterial or viral infection. Vaccinating in such a condition could potentially worsen the cold due to the already compromised immune system and may lead to other side effects such as high fever, rashes, or even other infections. Therefore, it is not recommended to vaccinate while the baby has a cold. It is better to wait a few days until the cold symptoms have completely subsided before vaccinating. Generally, delaying vaccination will not affect the baby and will be rescheduled according to the plan. Thus, it is best not to vaccinate when the baby has a cold.

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Symptoms and Treatment of Chickenpox in Children

Chickenpox is an acute, contagious, exanthematous disease caused by varicella-zoster virus infection. Before the rash appears, symptoms such as fever, discomfort, and loss of appetite may occur. The fever typically lasts about one day before the rash emerges. The rash initially appears on the head, face, and trunk with a centripetal distribution. The rash can present as macules, papules, vesicles, and crusts all appearing simultaneously. Rashes can also appear on the mucous membranes of the mouth and the genital area. The treatment for chickenpox involves symptomatic and supportive care, and antiviral medications may be used appropriately to protect the skin and prevent scratching.

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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.