Is This A Rash Adult Infections

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Is This A Rash???Adult Infections

• Bobi A. Crump MSN CPNP

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Chicken Pox Rash
Meningococcemia Rash
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What causes a rash???

• Skin Disorders eczema, psoriasis, yeast
  infections
• Hives allergic reaction to food, bites or
  stings, contact irritants

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What causes a rash???

• Virus chicken pox, shingles, fifth disease,
  measles, rubella, roseola
• Cured with TIME
• Bacteria Staphylococcus aureus, Pseudomonas
  aeruginosa, impetigo, cellulitis
• Cured with ANTIBIOTICS

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When to worry(Skin Disorders and Hives)

• Appearance of a rash that is new
• Not the typical rash of eczema or psoriasis
• Hives with swollen lips, tongue or abdominal pain
  and vomiting
• Anaphylactic reaction respiratory emergency

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What happens(Viral and Bacterial)

• Exposure
• Incubation
• Prodromal
• Rash
• Contagious

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Exposure

• Healthy appearing person is exposed to a virus or
  bacteria
• They either prevent it from taking hold
• Hand washing, healthy coughs and sneezes, general
  healthy lifestyle
• They become the host and incubate
• Immune compromised, underlying medical condition,
  poor health, poor hygiene, generally run down
• You CAN NOT transmit exposure

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Incubation

• The time from exposure until onset of symptoms
• Person feels fine and acts fine
• The time is different for different diseases
• Different person to person

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Prodromal

• Just before the illness
• Fever
• Malaise
• Off
• Headache
• Lights bother the eyes
• Sudden appearance of a rash
• The start of being Contagious

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Chicken Pox and Shingles
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Contagious

• Usually contagious until the rash goes away
• Or if the rash has drainage, when the rash is dry
• Each illness is spread a certain way
• Droplets in the air, germs on surfaces, contact
  with blood or body fluids

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When to worryYes or No?
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When to worry(Viral and Bacterial)

• Blood Red or Purple Rash
• Sudden onset without Prodromal symptoms
• New rash on an ADULT

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Chicken Pox Rash
Meningococcemia Rash
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When to worry(Viral and Bacterial)

• Change in an Existing rash
• Rash first, then fever
• Always inspect the rash of Adults
• Blood Red or Purple Rash

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Preventing A Rash

• Vaccinate Adults
• Varicella Zoster
• Meningococcal
• Tetanus and Diphtheria
• Influenza
• Pneumococcal polysaccharide
• 5 Steps To Good Health

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Questions ?

• Bobi A. Crump, RN, MSN, CPNP
• Pediatric Nurse Practitioner
• Alta California Regional Center
• [phone]