mother dx with chickenpox baby is 7 day old VZIG or not ? - USMLE Forums
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  #1  
Old 06-10-2012
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Virus mother dx with chickenpox baby is 7 day old VZIG or not ?

A mother calls you frantic because she has just been diagnosed with
chicken pox. She delivered 7 days ago a term infant that appears to be eating,
stooling, and urinating well. The child has been afebrile and seems to be doing
well. Which of the following is the most appropriate step in management?
a. Isolate the infant from the mother.
b. Hospitalize the infant in the isolation ward.
c. Administer acyclovir to the infant.
d. Administer varicella-zoster immunoglobulin to the infant.
e. Advise the mother to continue regular well-baby care for the infant.
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  #2  
Old 06-10-2012
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a) Isolation from momma
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Old 06-11-2012
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I'm guessing D.
b/e now the infant is at the risk for neonatal varicella.
..and I read a mother with lesions does not need to be isolated from her own infant.
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  #4  
Old 06-12-2012
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Default my answer :)

I'd say it's D)

@tyagee - what is the right answer?
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Old 06-12-2012
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Quote:
Originally Posted by Casandra View Post
I'd say it's D)

@tyagee - what is the right answer?
its e

qbank expln

If a normal full-term newborn is exposed to chicken pox 2 or more days
postnatally
, VZIG and isolation are not necessary because these babies appear
to be at no greater risk for complications than older children. Acyclovir may
be used in infants at risk for severe varicella, such as those infants exposed
perinatally.


thoughts?
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Dr. Mexito (06-12-2012)
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Old 06-12-2012
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Quote:
Originally Posted by tyagee View Post
its e

qbank expln

If a normal full-term newborn is exposed to chicken pox 2 or more days
postnatally
, VZIG and isolation are not necessary because these babies appear
to be at no greater risk for complications than older children. Acyclovir may
be used in infants at risk for severe varicella, such as those infants exposed
perinatally.


thoughts?

Which Qbank is this? According to what I know and have read... D looks like the right answer

"When maternal chickenpox develops within 7 days and up to 28 days after delivery the newborn is at risk of developing severe neonatal varicella (reported mortality rates of up to 30%) since the newborn will not have any passive immunity."

http://www.rch.org.au/nets/handbook/...cfm?doc_id=893
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Last edited by Dr. Mexito; 06-12-2012 at 09:23 AM.
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