How do you cover herpes zoster (shingles) lesions on the face?

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Last updated: February 8, 2025View editorial policy

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From the Guidelines

Covering herpes zoster lesions on the face is crucial to prevent the spread of the infection, especially in healthcare settings.

Key Considerations

  • According to the Advisory Committee on Immunization Practices (ACIP) guidelines 1, herpes zoster lesions should be covered to prevent the spread of the infection, and individuals with localized herpes zoster in immunocompetent persons should restrict from care of high-risk patients until all lesions dry and crust.
  • The American Journal of Kidney Diseases also recommends following standard infection-control precautions for herpes zoster infection, and using airborne and contact precautions when disseminated zoster is suspected or the patient is immunocompromised 1.

Management

  • Antiviral agents can be used to decrease viral shedding and lower the duration of herpes zoster lesions 1.
  • It is essential to cover the lesions and follow infection-control precautions to prevent the spread of the infection, especially in healthcare settings.
  • Individuals with herpes zoster should be restricted from caring for high-risk patients, such as those who are immunocompromised, pregnant, or have certain medical conditions, until all lesions dry and crust 1.

From the Research

Covering Herpes Zoster Lesions on the Face

There are no specific studies that provide guidance on covering herpes zoster lesions on the face. However, the following information may be relevant:

  • Herpes zoster is a viral infection that can cause skin lesions and other complications 2, 3, 4.
  • The lesions are typically visible and have a well-defined clinical picture, making them important for early and exact diagnosis 3.
  • Antiviral therapy is often used to treat herpes zoster, and prompt treatment can help reduce the incidence of complications 5, 6.
  • There is no specific guidance on covering the lesions, but it is likely that keeping the area clean and dry, and avoiding scratching or rubbing the lesions, can help promote healing and reduce the risk of further complications.

Management and Prevention

Some studies discuss the management and prevention of herpes zoster, including:

  • The use of antiviral therapy, such as valacyclovir and acyclovir, to treat the infection 5, 6.
  • The importance of prompt treatment to reduce the incidence of complications, such as postherpetic neuralgia 6.
  • The use of vaccination to prevent herpes zoster, particularly in older adults and immunocompromised individuals 2, 4.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Shedding Light on Shingles: The Power of Prevention.

The American journal of medicine, 2016

Research

Herpes zoster as a systemic disease.

Clinics in dermatology, 2014

Research

Managing herpes zoster in immunocompromised patients.

Herpes : the journal of the IHMF, 2007

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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