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Chickenpox (Varicella)
Incubation = 13-17 days
Transmission: Direct contact, airborne, contaminated objects.
Airborne & contact precations in hosp.
Isolation until ALL vesicles are crusted; communicable from 2 days before rash.
Diptheria
Incubation = 2-5 days
Transmission: Direct contact with carrier, infected client contaminated articles.
Contact & droplet precautions until 2 successive negative nose & throat cultures are obtained. Complete bedrest. Administer antitoxin therapy.
Pertussis (whooping cough)
Incubation = 5-21 days (usually 10)
Transmission: direct contact, droplet, contaminated articles.
Hospitalization for infants; bedrest & hydration.
Maintain high humidity & rest
Administer erthromycin & pertussis immune globulin.
Rubella (German Measles)
Incubation = 14-21 days
Transmission: droplet spread and contaminated articles.
Droplet & Contact precations. Isolate child from pregnant women. Comfort measures. Risk fo fetal deformity.
Rubeola
Incubation = 10-20 days
Transmission: direct contact with droplets
Isolate until 5th day; bedrest first 3-4 days. Airborne & seizure precautions. Antipyretics, dim lights, humidifier.
Keep skin clean.
Scarlet fever
Incubation = 2-4 days
Transmission: droplet spread or contaminated articles. Group A beta-hemolytic streptococci.
Droplet precautions for 24hrs after start of antibiotics. Penicillin or erytromycin.
Mononucleosis
Incubation = 4-6 weeks
Transmission: direct contact with oral secretions (unknown).
Avoid saliva contact with family, etc. for 3mo's. Rest. Nutrition. Complications include encephalitis and spleen rupture.
Tonsillitis (streptococcal)
Positive culture GpA strep.
Antibiotics.
Serious potential complications: rheumatic fever, glomerulonephritis
Mumps
Incubation = 14-21 days
Transmission: direct contact with saliva, droplet.
Isolation before & after appearance of swelling. Soft, bland diet.
Complications: deafness, meningitis, encephalitis, sterility.
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