Can Someone Who Never Had Chickenpox Care for Shingles Patients? - Dermatology

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Shingles


Is it safe for someone who has never had chickenpox to care for a patient with shingles? Is there a risk of infection? Thank you!

Miss Chen, 30~39 year old female. Ask Date: 2013/05/24

Dr. Li Yufen reply Dermatology


Hello: After a varicella virus infection, it remains dormant in the body.
When immunity decreases, the varicella virus can reactivate and cause shingles.
Therefore, it is not recommended for individuals who have never had chickenpox to care for patients with shingles, as they may become infected and develop chickenpox.
In adults, chickenpox symptoms are usually more severe.
It is also advisable to consider getting the varicella vaccine at one's own expense.
Thank you!

Reply Date: 2013/05/24

More Info


Caring for a shingles patient when you have never had chickenpox can be a concern, primarily due to the nature of the varicella-zoster virus (VZV), which causes both chickenpox and shingles. To understand the implications of this situation, it’s essential to delve into how the virus operates and the risks involved.

Shingles, or herpes zoster, occurs when the dormant varicella-zoster virus reactivates in someone who has previously had chickenpox. This reactivation typically happens due to factors such as stress, weakened immune systems, or aging. When a person has shingles, they have a rash that can be painful and is often accompanied by blisters. Importantly, the fluid within these blisters contains the active virus.

For someone who has never had chickenpox, the concern lies in the fact that they could contract chickenpox from the shingles patient. This is because the varicella-zoster virus can be transmitted through direct contact with the fluid from the shingles blisters. If a person who has never had chickenpox comes into contact with this fluid, they could develop chickenpox, not shingles, as they have not been previously infected with the virus.

To mitigate the risk of transmission, it is crucial for the caregiver to take certain precautions:
1. Avoid Direct Contact: The caregiver should avoid touching the shingles rash or any blisters. If contact is necessary, they should wear gloves and wash their hands thoroughly afterward.

2. Cover the Rash: The shingles rash should be covered with a clean, dry bandage to minimize the risk of spreading the virus.

3. Practice Good Hygiene: Regular handwashing is essential, especially after any potential contact with the rash or items that may have come into contact with it.

4. Vaccination: If the caregiver is concerned about the risk of contracting chickenpox, they may consider getting the varicella vaccine. This vaccine can help protect against chickenpox and is particularly recommended for individuals who have never had the disease.

5. Monitor for Symptoms: The caregiver should be vigilant for any signs of chickenpox, such as fever, fatigue, or the characteristic rash. If symptoms develop, they should seek medical advice promptly.

In summary, while it is possible for someone who has never had chickenpox to care for a shingles patient, they must take appropriate precautions to avoid infection. Understanding the nature of the varicella-zoster virus and implementing preventive measures can help ensure the safety of both the caregiver and the patient. If there are any uncertainties or specific health concerns, consulting with a healthcare professional for personalized advice is always a prudent step.

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