title: Varicella infection and the impact of late entry into the Irish healthcare system.
abstract: We present a case which highlights several areas of concern relating to the prevention and management of varicella in Ireland. We review the pathophysiology of this virus and highlight its greater potential for morbidity in certain groups, most particularly adult males. The experience and opinions with regard to varicella vaccination in the US and other temperate countries is reviewed along with evidence of changing epidemiology of varicella infection. The National Immunisation Advisory Committee (NIAC) guidelines are reviewed in the context of our experience.
authors.affiliation: Department of Infectious Diseases, St. James's Hospital, Dublin 8, Ireland. sineadfeeney2004@yahoo.com
authors.forename: Sinéad
authors.initials: S
authors.lastname: Feeney
authors.forename: Eavan
authors.initials: E
authors.lastname: Muldoon
authors.forename: Patrick
authors.initials: P
authors.lastname: Barrett
authors.forename: Ramon
authors.initials: R
authors.lastname: Martos
authors.forename: Niall
authors.initials: N
authors.lastname: Mulvihill
authors.forename: Darina
authors.initials: D
authors.lastname: O'Flanagan
authors.forename: Colm
authors.initials: C
authors.lastname: Bergin
mesh_terms: D000082:Acetaminophen / Q000627:therapeutic use; D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D058633:Antipyretics / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D053840:Brugada Syndrome / Q000150:complications; D002644:Chickenpox / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology / Q000517:prevention & control; D019433:Chickenpox Vaccine / Q000008:administration & dosage; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D014645:Herpesvirus 3, Human / Q000472:pathogenicity; D006801:Humans; D007494:Ireland / Q000453:epidemiology; D008297:Male; D013188:Sri Lanka / Q000208:ethnology; D017180:Tachycardia, Ventricular / Q000209:etiology; D014611:Vaccination / Q000592:standards
chemical_list: D058633:Antipyretics; D000998:Antiviral Agents; D019433:Chickenpox Vaccine; D000082:Acetaminophen; D000212:Acyclovir