Treatment of Shingles

If a shingles infection has been identified

Assess and monitor for pain

Administer medications to relieve symptoms if prescribed

Keep affected areas dry and clean

Cover the rash with a non-stick dressing to avoid spreading the virus

Encourage residents not to scratch the rash, as this can cause infection and scarring of the blisters

After a bath or shower, gently pat dry with a clean towel

Encourage loose cotton clothes around the parts of the body that are affected

Cool compresses, baths, or ice packs may help with the discomfort

If the blisters are open, applying creams or gels is not recommended because they might increase the risk of a secondary bacterial infection

Apply cool, moist dressings if the lesions are in the blister stage to provide protection, relieve pain and itching

Stop moist dressings as soon as the rash begin to crust

Check skin integrity to prevent further infection 

Prevent contact by implementing transmission-based precautions

Isolate until blisters have dried

Treatment

Oral antiviral medication may relieve the symptoms, shorten the length of the infection and help prevent complications. Treatment must commence within three days of the rash appearing for it to be effective. Prompt review by the Doctor is necessary. Paracetamol and anti-inflammatories may also be prescribed for pain relief.

Vaccination recommendations

Shingles vaccines are live vaccines so should not be given to anyone who is immune-compromised or expected to be so in the near future.

Australia: Check the Australian Immunisation Handbook for recommendations and eligibility for free vaccination.

New Zealand: Available through general practice for people within 12 months of turning 65.  Recommended for anyone over the age of 50 but not funded.