Childhood Diseases

Question
Posted by: JJ | 2012-03-19

Q.

HIV Nanny

Good day Doctor,

My nanny just recently got diagnosed with HIV she is looking after my CP baby. I heard there is no risk unless she is bleeding and my baby has a open wound. Or if she has a sore in her mouth and puts the same spoon in in baby''s mouth. My concern is now that the nanny has a rash all over her body. And the weekend she phoned me to tell me she has blisters as well now. Told her not to come in. Am i right in assuming that if the blisters pop that is an open wound and dangerous? She told me the clinic told her this happens when you start on the ARV''s is this true? My baby also has been getting ringworm from November last year. I use the creams then it goes away but this will now be the 3rd time it is comming back, please advise.

Thank you.

Expert's Reply

A.

Paediatrician

There is no risk to your baby as long as your baby's carer does not have an open wound with bleeing and even then your baby would have to have a sore or open wound as well for any possibility of spread to happen. Your carer also is now on ARV treatment, but it sounds as if she has had an allergic reaction to her treatment. She must go back to the clinic so that she can be seen there and probably should be put on a different kind of ARV treatment.
It is unusual that your baby's ringworm keeps coming back. Apply Canesten cream [the original, not a generic] twice daily and hopefully this will clear up the problem.

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1
user comments

C.

Posted by: Purple | 2012-03-19

It is probably best that your nanny remains off sick while she has oozing blisters. If this is a side effect from the ARV''s, she should ask to be changed onto different ARV''s with different side effects.

Try and find where your baby is picking up the ring worm. If you have a sand pit, put salt in the sand and make sure its covered to prevent pets going in. If you have pets, treat them. If you don''t have pets and no sand pit, take her to the doctor and check whether it is ring worm or something else.

Reply to Purple

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