Rubeola (Measles)

Source

• 1. Respiratory tract secretion
  
• 2. Blood
  
• 3. Urine
  
• *Virus

Transmission

• 1.Direct with droplet of infected person
  
• 2. Mostly in the winter

Incubation Period

• 1. 10 – 20 days

Periods of Communicability

• 1. 4 days before
  
• 2. 5 days after rash appears
  
• 3. Mainly during prodromal stage

Manifestation

• 1. Prodromal (Cartarrhal) Stage Fever malaise followed by 24 hr 3 C’s COUGH CONJUNCTIVITIS AND CORYZA; Koplik spots.
  • Sxs may increase until rash appears
• 2. Rash: 3 to 4 days after prodromal.
  • Begin as maculopapular eruptions on face and spreads downward.
  • Severe in earlier site and less intense in later sites. ; after 3 to 4 day brownish appearance fine esquamation
• 3. Constitutional sign and symptoms: anorexia, ab pain, malaise, lymphadenopathy

Treatment

• 1. Preventative: Childhood immunization; Vitamin A
  
• 2. Supportive: Bed rest; antipyretic; antibiotic for secondary infection

Counseling

• 1. Isolation until fifth day of rash
• 2. Airborne precautions
• 3. Encourage rest during prodromal stage; quite activity
• 4. FEVER: Antipyretic; avoid chilling; seizure precaution
• 5. EYE CARE: dim light; warm saline solution to remove crust; avoid rubbing eyes
• 6. CORYZA COUGH: Cool mist vape; protect skin and nares with petrolatum; Encourage fluid and soft bland food
• 7. SKIN CARE: Clean; use tepid bath