What is the recommended isolation period for chickenpox (varicella)? | Rounds What is the recommended isolation period for chickenpox (varicella)? | Rounds
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What is the recommended isolation period for chickenpox (varicella)?

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Varicella (Chickenpox) Isolation Period

In healthcare settings, persons with varicella should be excluded from work or kept in isolation until all lesions have dried and crusted. [1] Varicella is considered contagious from 1–2 days before rash onset until all lesions have crusted. [2]

Isolation Start Point

Isolation/exclusion should begin at rash onset, including the period during which new lesions are developing. [1]

Contagiousness Endpoint

The discontinuation endpoint is complete crusting of all lesions. [1]

Exceptions for Vaccinated Persons

Exclusion can be discontinued for vaccinated persons who do not develop vesicles when no new lesions appear within a 24-hour period. [1]

Practical Duration Estimate

Chickenpox typically lasts 4–7 days, which often aligns with the period required for lesions to crust. [2]

Infection Control Context

Isolation guidance is part of CDC infection-control measures for varicella in healthcare settings and is used to prevent transmission from vesicular lesions. [1]

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