What can be done to prevent transmission of VZV from patients with shingles in healthcare settings?
Infection control measures depend on whether the patient with shingles is immunocompetent or immunocompromised, and whether the rash is localized or disseminated. In all cases, standard infection control precautions should be followed. • If the patient is immunocompetent with a: • localized rash, Standard Precautions should be followed. • disseminated rash, Standard Precautions plus Airborne and Contact Precautions should be followed. • If the patient is immunocompromised with a: • localized rash, Standard precautions plus Airborne and Contact Precautions should be followed, until disseminated infection is ruled out. Then Standard Precautions should be followed. • disseminated rash, Standard Precautions plus Airborne and Contact Precautions should be followed.
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