What causes shingles
Shingles is the reactivation of the virus that causes chickenpox. Nearly all adults aged 50 years and older carry the inactivated virus that causes shingles. 1 in 3 people develop shingles in their lifetime. As you age the immune system naturally declines increasing the risk of developing shingles. Those who are immunocompromised are at greater risk.
Complications of shingles
Onset rash that usually lasts 10-15 days and nerve pains that can last longer than 3 months. Further complications consist of eye diseases, neurological problems and scarring with chronic nerve pain.
Shingrix
Shingrix is the immunization that can assist in prevention of developing shingles. This immunization is recommended for people aged 50 years and over and people below the age of 18 who are immunocompromised. As with all vaccinations 100% protection cannot be guaranteed. Shingrix is significantly more effective than Zostavax, the previous vaccine.
Shingrix is a 2-dose immunisation to provide a stronger protection against shingles. Initial dose can be administered at any time if patient is feeling well. Second dose is given 2-6 months after receiving initial dose. For adults who are immunosuppressed they would benefit from a shorter vaccination schedule, the second dose can be administered 1-2 months after initial dose.
Free vaccinations are available for persons aged 65 and over. Aboriginal and Torres striate islanders are eligible 50 years and over. Immunocompromised people aged 18 years and over with the following conditions need to see their doctor before they can receive this vaccine.
- Haematopoietic stem cell transplant
- Solid organ transplant
- Haematological malignancy
- Advanced or untreated HIV
After receive vaccination common side effects include pain, redness and swelling at injection site, tiredness, headaches chills, fever, upset stomach and muscle pains.
Patient is allocated 10 minutes with a nurse to administer the Vaccination and update the immunisation record. Once the immunisation has been given the patient is asked to wait for a further 10 minutes in waiting room for any adverse reactions.