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Transmission Direct contact with patient with varicella chickenpox or zoster shingles ; droplet or airborne spread of vesicle fluid chickenpox and zoster or secretions of the respiratory tract chickenpox ; indirectly by contaminated fomites. Incubation Period Usually 14-16 days but can be as short as 10 or as long as 21 days. Communicability Communicable 5 days before rash onset especially 1-2 days before rash onset and for up to 5 days after onset of lesions.

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Laboratory Confirmation None required, but several testing methods are available. Two or more patients that meet clinical case definition Trecator Sc From India are epidemiologically linked to one another meet the confirmed case definition. Outbreak Trecator Sc From India In general, the threshold for a community outbreak investigation should be 5 or more cases related in location within a 3-week period.

In the presence of nosocomial varicella of known or suspected concurrent streptococcal infections, or among populations at high risk for complications e. Susceptible pregnant women are at risk for associated complications when they contract varicella. Their babies may also develop Congenital Varicella Syndrome, which may lead to severe complications, even death of the newborn.

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If an acute specimen is obtained, every effort should be made to collect a convalescent sample. Varicella Culture Specimen Collection The preferred specimens are vesicle fluids or skin scrapings. Specimens not received at the lab within 12 hours of collection should be frozen at -70C. Yes Does case meet clinical case definition: Acute illness with at least one of the following: Yes Meet clinical case definition: Varicella Yes No Probable Confirmed, Case status of all epi linked cases should be changed to confirmed regardless of lab confirmation. Yes No Yes No These sitesnorm allyharborbacteria and are not W asthe specim en considered sterile sites. Thistype ofspecim en obtained through a doesnotprovide evidence ofinvasive disease. Bronchial w ashingsand sim ilarspecim ensfrom the respiratorytractare not Isthe collection site considered to be from sterile sitesregardlessofthe procedure used.

Ifyou thinkit H ow ever,placentasare notroutinelytested unlessthere should m eetthe criteria ofa sterile site,contact Infectionsassociated w ith open isconcern aboutthe health ofthe m otherorbaby. Have an accidental stick or puncture with a needle Where was the piercing performed?

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If yes, please indicate the site from which the specimen was obtained and the result. If more than one specimen type is positive and more than one organism is identified please indicate the organism cultured from each specimen type in the comments the start of the acute illness?

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