Chickenpox

Chickenpox is a common childhood illness. It is caused by a virus (varicella zoster). The main symptom is a rash. You can get chickenpox by touching a person who has chickenpox. It also can be spread through the air. Vaccination against chickenpox is available.

Symptoms

Symptoms show up about two weeks after exposure and include fever, in some cases, and your child may feel sick.

After a day or two, there's a rash. It usually starts on the head and then spreads to the rest of the body. The rash looks like small blisters that may be filled with fluid. As the blisters break, a crust or scab forms.

Keep your child home until:

This will take about 1 week after the rash first appears.

What You Can Do

If your child has chickenpox:

To help keep your child from scratching:

Prevention

The vaccine for chickenpox is given routinely at a child's one-year checkup. A booster shot is routinely given at a child's five-year checkup. Older children who have not had chickenpox may also be immunized.

Washington state requires that all children entering kindergarten through 6th grade show proof of immunity from chickenpox. This can include documentation of the child receiving varicella vaccine or health care provider verification of child's immunity (record showing child has had chickenpox).

Children usually have chickenpox once. Adults can get chickenpox if they've never had it. If you've already had chickenpox, you are immune. If you're a woman of childbearing age and have not had chickenpox or don't know if you have, you should be tested to see if you are immune. If you're not immune, you should be vaccinated.

When to Call Your Provider

Call the Consulting Nurse Service or your child's doctor if you have any questions or concerns. We will make an appointment for your child if necessary. We might prescribe medicine to cut down on itching or for a child who has a risk for getting a severe case of chickenpox.

Call if any of the sores look infected. Signs of infection include:

Call right away if your child has any of the following:

After medical center hours, contact the Consulting Nurse Service.


Clinical review by Emily Chao, DO
Group Health
Reviewed 02/15/2012