Shingles
Hello Doctor: My husband has recently been very fatigued and has developed shingles (with blisters on his eyelid that have burst and scabs on his forehead).
He has already seen a dermatologist for treatment.
We have a 3.5-month-old baby at home, and currently, we are feeding her half formula and half breast milk.
I would like to ask if my husband can assist with bottle-feeding the baby, or if he needs to be isolated.
He has been washing his hands frequently and trying to avoid getting too close to our daughter, but I am worried because I read online that it can be contagious.
I would appreciate your guidance on this matter.
Thank you!
Xiao Fang, 20~29 year old female. Ask Date: 2019/09/24
Dr. Wu Yuxin reply Dermatology
Isolation is necessary.
The 3.5-month-old infant has not yet received vaccinations and only has antibodies from the mother, which may not be sufficient.
Reply Date: 2019/09/24
More Info
When it comes to the safety of bottle-feeding a baby while one parent has shingles, there are several important factors to consider. Shingles, or herpes zoster, is caused by the reactivation of the varicella-zoster virus, which is the same virus that causes chickenpox. While shingles itself is not directly contagious, the virus can be transmitted to someone who has never had chickenpox or has not been vaccinated against it, leading to chickenpox in that individual.
Given that your husband has shingles, it is crucial to take precautions to protect your baby, especially since she is only three and a half months old. Here are some recommendations based on medical guidelines and best practices:
1. Avoid Direct Contact: Your husband should avoid direct contact with the baby, especially if the shingles rash is active and has not yet crusted over. The virus is most contagious when the blisters are open and oozing. If the rash is crusted, the risk of transmission is significantly reduced, but caution is still advised.
2. Hand Hygiene: It is excellent that your husband is already practicing good hand hygiene. He should continue to wash his hands thoroughly with soap and water before handling the baby or any feeding equipment. This is crucial in preventing the spread of any potential pathogens.
3. Use of Protective Barriers: If your husband must bottle-feed the baby, he should consider wearing a mask to minimize any risk of respiratory transmission, although shingles is primarily a skin-to-skin transmission concern. Additionally, he should avoid touching his face and the rash area while feeding the baby.
4. Feeding Equipment: Ensure that all feeding equipment, such as bottles and nipples, are thoroughly cleaned and sterilized before use. This will help reduce any risk of contamination.
5. Isolation Recommendations: While it may not be necessary for your husband to completely isolate himself from the baby, it is advisable for him to limit close contact until the shingles rash has fully healed. If possible, you could take on the majority of the feeding responsibilities during this time to minimize risk.
6. Consult with Healthcare Providers: It is always best to consult with your healthcare provider or pediatrician regarding specific concerns about your husband’s shingles and its potential impact on your baby. They can provide personalized advice based on your family’s health history and the current status of your husband’s condition.
7. Monitor for Symptoms: Keep an eye on your baby for any signs of illness, such as fever, rash, or unusual behavior. If you notice any concerning symptoms, contact your pediatrician immediately.
In summary, while your husband can assist with bottle-feeding, it is essential to take precautions to minimize any risk of transmission. Prioritizing hygiene, avoiding direct contact, and consulting with healthcare professionals will help ensure the safety and health of your baby during this time. Your vigilance and care in this situation are commendable, and it’s important to continue prioritizing your family’s health.
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