Herpes zoster, cellulitis, and scabies


Book Section

© 2007 by Taylor & Francis Group, LLC. Herpes zoster is a neurocutaneous disease caused by the reactivation of varicella-zoster virus (VZV) from a latent infection of dorsal sensory or cranial nerve ganglia. Nearly all elderly adults in the United States are latently infected with VZV and at risk of zoster. The incidence of zoster increases strikingly with aging. For example, in Boston, investigators reported a zoster incidence of 1.9, 2.3, 3.1, 5.7, and 11.8 per 1000 person-years for the age groups 25 to 34, 35 to 44, 45 to 54, 55 to 64, and 65 to 75+ years, respectively (1). The incidence of zoster in long-term care facilities (LTCFs) is unknown because there are no investigations of zoster in this population. In the general population, the lifetime incidence of zoster is estimated to be 10% to 20% and as high as 50% of a cohort surviving up to age of 85 years. There are approximately 600,000 to 850,000 cases of zoster in the United States each year. Given an incidence of 7 to 11 cases of zoster per 1000 elderly persons per year and approximately 1.5 million elderly nursing home residents in the United States, one may estimate at least 10,500 to 16,500 zoster cases in U.S. nursing homes per year.

Duke Authors

Cited Authors

  • Schmader, KE; Twersky, J

Published Date

  • January 1, 2006

Book Title

  • Infection Management for Geriatrics in Long-Term Care Facilities, Second Edition

Start / End Page

  • 277 - 296

International Standard Book Number 13 (ISBN-13)

  • 9780849398933

Citation Source

  • Scopus