How is chickenpox transmitted?

Written by Li Ya Ping
Dermatology Department
Updated on November 26, 2024
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Chickenpox is caused by the varicella-zoster virus infection, and it can be transmitted in two ways. One way is through the secretion of the nasopharynx, such as contagious droplets spread by coughing, sneezing, or talking, which can infect people nearby. The fluid from the blisters of chickenpox is also contagious. The primary rash of chickenpox consists of blisters, and before these blisters dry up and crust over, touching the fluid from these blisters can also transmit chickenpox. Therefore, patients with chickenpox need to be isolated until the blisters dry and form crusts before quarantine can be lifted.

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Written by Hu Qi Feng
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Can chickenpox in children be transmitted to adults?

Chickenpox is a highly contagious exanthematous disease caused by varicella-zoster virus infection. Its clinical characteristics include the successive or simultaneous appearance of papules, vesicles, and crusts on the skin and mucous membranes. Both chickenpox and herpes zoster patients are sources of infection, primarily from those with chickenpox. From one to two days before the onset of the disease until crusting, it is highly contagious, mainly transmitted through airborne droplets and the respiratory tract, or by contact with vesicular fluid. The general population is susceptible, especially pregnant women and people with low immunity, making it possible to transmit to adults.

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Written by Han Jian Hua
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When to get the chickenpox vaccine?

Chickenpox primarily affects infants and children, and the target group for chickenpox vaccination is mainly 1-12 years old. During this age period, most children enter preschool or elementary school institutions, and the chickenpox virus is highly contagious, transmittable through droplets and contact. Once one child contracts chickenpox, the surrounding children are almost certain to be infected too. Additionally, since there are currently no effective medications to cure chickenpox, it is best to vaccinate within this age range, namely 1-12 years old. Adults can receive the chickenpox vaccine without age restrictions. The timing can be decided based on individual circumstances, but it is generally recommended to get vaccinated before the onset of the peak season for chickenpox, which is best before the spring and winter seasons.

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Written by Liu Gang
Dermatology
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What should I do if my child gets chickenpox?

Chickenpox is caused by the varicella-zoster virus and is highly contagious, usually spreading through the air. Once infected, a person can quickly transmit the disease to others within a small area. After a confirmed diagnosis, antiviral medication is needed, which can be administered orally or through infusion. During treatment, chickenpox may cause high fever; if this occurs, appropriate fever-reducing medication can be used. Throughout the treatment period, it is important to drink plenty of water, rest, avoid strenuous activity, and eat a light diet. Try to isolate during treatment and avoid contact with other children or elderly people to prevent cross-infection.

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Symptoms and Treatment of Chickenpox

Chickenpox is primarily caused by an infection with the varicella-zoster virus, and the disease is generally transmitted through the respiratory tract. At the onset of the disease, red papules appear on the body, face, or scalp, which gradually develop into small vesicles. As the vesicles grow, they feel itchy. Scratching them can break the vesicles, leading to oozing and crusting. As the condition progresses, it can peak within two to three days, presenting with widespread vesicles throughout the body. In such cases, antiviral treatment should be promptly administered, such as acyclovir tablets or valacyclovir dispersible tablets. These can be combined with traditional Chinese antiviral medications, such as Scutellaria root oral solution.

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How to treat chickenpox in children?

Chickenpox is a self-limiting disease, and when there are no complications, treatment generally involves basic care and symptomatic management. Patients should be isolated, with enhanced nursing care such as frequently changing underwear, trimming the nails of children to prevent scratching, and reducing secondary infections. It is important to maintain good ventilation in the room, provide adequate water and easily digestible food, and use antipruritic agents as appropriate to relieve itching. Antiviral drugs may be appropriately selected, antibiotics can be used for secondary infections, and corticosteroids should not be used.