Varicella: ICD code 10. Causes, symptoms, and characteristics of varicella treatment

In childhood, children face various diseases, from which they do not yet have immunity. One of them is chicken pox. This term is used by experts to designate a contagious infection characterized by benign course, moderate general intoxication of the body, fever, rash on the skin and mucous membranes. What features does and how is chicken pox treated? What code is used for ICD-10? We will try to find answers to these questions.

General information about the disease and statistics

Varicella is one of the most common childhood ailments. It is found all over the world. In the temperate zone, the disease predominantly occurs during the cold season. In countries with a tropical climate, the disease is not seasonal. Varicella (code on ICD-10 - B01) occurs at any time of the year, and not only in children, but also in adults.

Statistics show that every year about 80-90 million people face this disease. In some cases, due to the development of complications, death occurs. Lethal outcomes for 10 thousand cases are, as a rule, from 2 to 4. Experts, commenting on the deaths, note that those patients who have severe injuries of the central nervous system, immunodeficiency conditions, and hematological diseases die.

Causes of chicken pox

The disease occurs in children. It can develop from birth, but this is prevented by passive immunity, which is transmitted to each kid from the mother through breast milk. That's why chickenpox (code on ICD-10 - B01) in some children first appears at the age of 6 months.

The disease develops due to the ingestion of the Varicella-Zoster virus from the herpesvirus family. Its penetration is carried out by airborne droplets (infection occurs from a sick person). The mucous membrane lining the upper respiratory tract serves as an entrance gate for infection. In rare cases, the route of infection with chickenpox is contact.

What happens after the virus enters the body? Initially, it enters the lymphatic pathways, and then penetrates into the blood vessels. With the blood flow, the pathogen spreads throughout the body. The final place of his stay are epithelial cells of the skin and mucous membranes. On them because of the activity of the virus there is a rash in the form of vesicles with serous contents.

Symptoms of the disease

Chickenpox in children (code-code for ICD-10 - B01) does not immediately appear after the virus enters the human body. First comes the incubation period, which has an average duration of 14 to 17 days. During this time, the infected person feels as usual. Nothing disturbs him. The first symptoms that occur after the incubation period are associated with a brief prodromal period. At the patient:

• The body temperature rises to 37-38 degrees;
• There is a general malaise;
• The appetite worsens;
• There is a restless sleep.

Eruptions occur simultaneously with an increase in body temperature. The places of their localization are the face, the scalp, the trunk, the limbs. On the soles and palms of the pathological changes are not observed. In those places where there are rashes, notice the changes characterizing the period of chicken pox. First they are roseola, small spots that turn into papules. Later there are vesicles of oval or round shape. They contain liquid. Such bubbles stay about 1 or 2 days, after which they are opened. The contents flowing from them dry up and form crusts at this place, which disappear after about 1 or 2 weeks.

Forms of chicken pox

The symptoms listed above may be weak in some cases, but in others they may be strongly manifested. This means that the clinical picture of chicken pox depends on the form of this ailment and on its severity. To understand the essence of this, let us consider the forms of the disease. Varicella (code on ICD-10 - B01) is typical and atypical. A typical variety is subdivided:

1. To the lung. With this form of chicken pox, the temperature does not rise above 38 degrees. Rashes on the skin and mucous membranes are uninvolved, and intoxication of the body is not observed at all.
2. On the medium-heavy. The varicella pox of this form is manifested by an increase in temperature to 39 degrees. Bubble rashes are plentiful. Symptoms of intoxication of the human body are expressed moderately.
3. On heavy. With a severe form of chicken pox, the temperature rises to 40 degrees. There are a lot of rashes on the skin and mucous membranes. Patients can develop neurotoxicosis with a convulsive symptom and meningoencephalic reactions.

Atypical varicella, which occurs not too often, is also divided into several forms. For example, the disease is rudimentary. With it, single and insufficiently developed vesicles with serous contents are observed. Body temperature does not exceed 38 degrees. There is still a generalized form. Such chicken pox is characterized by high body temperature, involvement of internal organs in the pathological process, severe intoxication of the body.

ICD-10 B01, chicken pox: possible complications

Not always chickenpox proceeds according to the standard pattern of development (infection - incubation period - temperature rise - the appearance of rashes - the formation of vesicles and their opening - the appearance of crusts - their disappearance - the onset of clinical recovery no earlier than 10 days from the onset of the disease). Some patients experience complications. They are observed in about 15% of cases. Complications develop when the virus is exposed to a weakened organism and when it enters the opened vials of pathogenic microorganisms (that is, when a bacterial infection is attached).

Frequent complications of chickenpox include abscesses, foci of suppuration, necrotic and hemorrhagic phenomena. Rare, but very dangerous consequences are considered pneumonia, poorly amenable to antibiotic treatment, sepsis.

Diagnosis of chicken pox

The diagnosis can be made by specialists after acquaintance with the clinical picture. The use of any diagnostic methods is not required. In rare cases, laboratory tests are performed:

• RSK (complement binding test, serological analysis method);
• Virological methods of isolation and identification of the causative agent of the disease.

Sometimes differential diagnosis is required. Medical workers carry out it at suspicions on the generalized herpetic infection, a pyoderma, an allergic eruption, stings of insects.

Treatment of chicken pox

When the febrile period begins, the patient is assigned bed rest. Experts recommend to carry out treatment aimed at combating intoxication of the body. Also they advise to observe the hygienic measures necessary to quickly and effectively cure the disease B01 (ICD-10 code). Chickenpox will pass if the blisters are treated continuously. This procedure is carried out using aqueous solutions of brilliant green or methylene blue. Treatment is carried out twice a day. When crusts are formed, they are lubricated with a fat baby cream or petroleum jelly to speed up the process of falling off and repairing the skin.

Children who suffer from itching, doctors prescribe antihistamines. These drugs can get rid of an unpleasant symptom. If there is a risk of developing severe varicella, then experts advise using antiviral drugs with anti-herpetic effect (eg, "Acyclovir", interferon preparations, "Viferon" suppositories).

Protecting healthy children from sick people

A very infectious disease is considered chickenpox (chicken pox) in children. Causes, symptoms, we discussed above, and now we move on to the measures that parents of affected children should take to prevent the spread of the virus. From the first day of illness to full recovery, isolation from surrounding people is required. Patients should be at home.

Special measures concerning the disinfection of the premises are not required, since it is known that the virus in the environment is not too persistent. He quickly dies. It is enough for parents to observe usual hygienic norms, including frequent airing of the room in which the sick child is, regular wet cleaning.

Nonspecific preventive measures

To prevent the occurrence of smallpox in healthy children, non-specific prevention is required. If a child in a child's collective is sick, then he must be isolated at home until he is cured. Sometimes isolation in the hospital is required. The child is sent to the hospital when he has severe chicken pox (ICD-10 code - B01), complications are revealed.

If some children are in contact with a sick child, they are also isolated at home. They are being monitored. In the institution that they visited (in kindergarten or at school), at this time appears the inscription "Quarantine for chicken pox".

Specific prevention of disease

Specific prophylaxis is the use of developed vaccines to prevent disease B01 (ICD-10 code). Varicella (chickenpox) due to them does not arise, the probability of serious complications is eliminated. In Russia, at the moment, there are 2 vaccines against chicken pox. One of them is "Varilrix", and the other one is "Okavaks".

Each vaccine contains weakened viruses. After their introduction, the body copes with them. As a result, immunity is produced. It should be noted that "Okavaks" is introduced once, and "Varilrix" - twice.

Chicken pox is a disease with which humanity is constantly confronted. In most cases it occurs without a trace, but complications that threaten life sometimes develop. That's why you should not treat chicken pox as a safe disease. If you have any suspicious symptoms, you need to see a doctor. He will say whether it really is chicken pox. Causes, treatment of chickenpox specialist will also call and give the necessary advice.