Herpes zoster in hospitalized adults: Practice gaps, new evidence, and remaining questions - 13/12/17

Doi : 10.1016/j.jaad.2017.07.054

Iris Ahronowitz, MD ^a, Lindy P. Fox, MD ^b,^⁎
^a Departments of Dermatology at the Keck School of Medicine, University of Southern California, Los Angeles, California
^b University of California San Francisco, San Francisco, California

^∗Correspondence to: Lindy P. Fox, MD, Department of Dermatology, University of California, San Francisco, 1701 Divisadero St, Box 0316, San Francisco, CA 94143.Department of DermatologyUniversity of California, San Francisco1701 Divisadero St, Box 0316San FranciscoCA94143

Abstract

Herpes zoster can present many uncertainties for consulting dermatologists. We review the current guidelines and recent literature on important issues that arise in the care of hospitalized patients with herpes zoster, including infection control isolation practices, treatment courses for zoster and acute zoster-associated pain, and indications for long-term prophylaxis. We present the findings of an inpatient zoster management practices survey of the membership of the Society of Dermatology Hospitalists, an expert resource group of the American Academy of Dermatology, and discuss directions for future investigation and potential opportunities for management improvements in light of these collective data.

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