Management and Prevention of Herpes Zoster: A Canadian Perspective

Varicella-zoster virus reactivation leads to herpes zoster – the main complication of which is postherpetic neuralgia (PHN). Rapid antiviral therapy initiated within 72 h of rash onset has been shown to accelerate rash healing, reduce the duration of acute pain and, to some extent, attenuate the dev...

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Main Authors: Guy Boivin, Roman Jovey, Catherine T Elliott, David M Patrick
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2010/178036
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author Guy Boivin
Roman Jovey
Catherine T Elliott
David M Patrick
author_facet Guy Boivin
Roman Jovey
Catherine T Elliott
David M Patrick
author_sort Guy Boivin
collection DOAJ
description Varicella-zoster virus reactivation leads to herpes zoster – the main complication of which is postherpetic neuralgia (PHN). Rapid antiviral therapy initiated within 72 h of rash onset has been shown to accelerate rash healing, reduce the duration of acute pain and, to some extent, attenuate the development and duration of PHN. Other adjunctive therapies such as analgesics, antidepressants and some anticonvulsants are frequently required in the management of severe PHN. A live, attenuated zoster vaccine has been recently shown to significantly decrease herpes zoster incidence, PHN and the overall burden of illness when administered to adults older than 60 years of age. This new prophylactic modality has been reported to be cost-effective in the Canadian context, especially in the 60- to 75-year-old age group.
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series Canadian Journal of Infectious Diseases and Medical Microbiology
spelling doaj-art-a6ea7e2b9f074de3a9dfde707a89a9ff2025-08-20T03:38:50ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322010-01-01211455210.1155/2010/178036Management and Prevention of Herpes Zoster: A Canadian PerspectiveGuy Boivin0Roman Jovey1Catherine T Elliott2David M Patrick3Research Centre in Infectious Diseases of the Centre Hospitalier Universitaire de Québec and Laval University, Quebec City, Quebec, CanadaCentres for Pain Management, Mississauga, Ontario, CanadaBC Centre for Disease Control and University of British Columbia, Vancouver, British Columbia, CanadaBC Centre for Disease Control and University of British Columbia, Vancouver, British Columbia, CanadaVaricella-zoster virus reactivation leads to herpes zoster – the main complication of which is postherpetic neuralgia (PHN). Rapid antiviral therapy initiated within 72 h of rash onset has been shown to accelerate rash healing, reduce the duration of acute pain and, to some extent, attenuate the development and duration of PHN. Other adjunctive therapies such as analgesics, antidepressants and some anticonvulsants are frequently required in the management of severe PHN. A live, attenuated zoster vaccine has been recently shown to significantly decrease herpes zoster incidence, PHN and the overall burden of illness when administered to adults older than 60 years of age. This new prophylactic modality has been reported to be cost-effective in the Canadian context, especially in the 60- to 75-year-old age group.http://dx.doi.org/10.1155/2010/178036
spellingShingle Guy Boivin
Roman Jovey
Catherine T Elliott
David M Patrick
Management and Prevention of Herpes Zoster: A Canadian Perspective
Canadian Journal of Infectious Diseases and Medical Microbiology
title Management and Prevention of Herpes Zoster: A Canadian Perspective
title_full Management and Prevention of Herpes Zoster: A Canadian Perspective
title_fullStr Management and Prevention of Herpes Zoster: A Canadian Perspective
title_full_unstemmed Management and Prevention of Herpes Zoster: A Canadian Perspective
title_short Management and Prevention of Herpes Zoster: A Canadian Perspective
title_sort management and prevention of herpes zoster a canadian perspective
url http://dx.doi.org/10.1155/2010/178036
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