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Staying Healthy in Child Care - National Health and Medical ...

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Controll<strong>in</strong>g the spread of <strong>in</strong>fection<br />

Chickenpox can be prevented by immunisation. Fully immunised communities offer<br />

the best protection aga<strong>in</strong>st chickenpox. Chickenpox vacc<strong>in</strong>ation is part of the<br />

Australian St<strong>and</strong>ard Vacc<strong>in</strong>ation Schedule for all children at 18 months of age from<br />

1 st November 2005. Vacc<strong>in</strong>ation after exposure is usually successful <strong>in</strong> prevent<strong>in</strong>g<br />

chickenpox when given with<strong>in</strong> 3 days of exposure <strong>and</strong> may be successful when given<br />

up to 5 days after exposure.<br />

Varicella zoster immunoglobul<strong>in</strong> (VZIG) may be given to some contacts who are at<br />

very high risk of complications because of other medical problems. This is not<br />

recommended for normal healthy children.<br />

Cover the nose <strong>and</strong> mouth when cough<strong>in</strong>g or sneez<strong>in</strong>g.<br />

Dispose of soiled tissues after wip<strong>in</strong>g a runny nose or which are soiled with nose or<br />

throat discharges. Wash h<strong>and</strong>s carefully. Do not share eat<strong>in</strong>g utensils, food or dr<strong>in</strong>k<strong>in</strong>g<br />

cups.<br />

Thoroughly wash toys that <strong>in</strong>fants <strong>and</strong> toddlers put <strong>in</strong> their mouths.<br />

Treatment<br />

There is no specific treatment, but calam<strong>in</strong>e lotion or phenergan may soothe the itch.<br />

The use of a medic<strong>in</strong>e conta<strong>in</strong><strong>in</strong>g paracetamol may be considered to lower the child’s<br />

temperature or relieve discomfort. Never give aspir<strong>in</strong> to children who develop fever<br />

after exposure to chickenpox. Aspir<strong>in</strong> appears to <strong>in</strong>crease the risk of Reye’s<br />

syndrome, a rare but serious disorder characterised by sleep<strong>in</strong>ess <strong>and</strong> vomit<strong>in</strong>g.<br />

Reye’s syndrome can lead to coma <strong>and</strong> death.<br />

97<br />

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