This document discusses measles, a highly contagious viral disease caused by the paramyxovirus. It defines three classifications of measles based on severity and presence of complications. The disease is transmitted through respiratory secretions, blood, and urine via direct contact with infected individuals. Clinical features include cough, runny nose, conjunctivitis, fever, Koplik spots, and rash. Complications can include otitis media, pneumonia, bronchitis, and convulsions. Nursing considerations for treatment involve isolation, rest, supportive care including vitamin A, and skin and eye care. Prevention focuses on controlling infection sources, interrupting transmission, protecting susceptibles through active/passive immunization, and routine measles vaccination

1. MEASLES
Pediatric Nursing
Ferdushi Akhter
Junior Faculty
Prime Bank Nursing Institute

6. DEFINITION
Measles is an acute highly contagious viral
disease caused by paramyxo virus .
Classification of measles:
1. severe complication measles:
when children with measles having any
general danger sign (convulsion, lethargy,
unconsciousness)

7. Classification
2. measles with eye or mouth complications:
children with less sever measles
complications such as pus draining from the
eyes , non extensive mouth ulcers.
3. Measles :
If children come with measles or history of
measles within last 3 months, but having no
complications of measles.

8. Etiology , source, transmission
Etiology : Paramyxovirus
Sources : respiratory secretions, blood and
urine
Transmission : usually by direct contact with
droplets from infected person.
Incubation period :
incubation period 10-20days

9. Clinical features
 cough
 Coryza
 Conjunctivitis
 Fever
 Koplik spot
 Rash
 Anorexia
 Malaise

10. Complication
Otitis media
Pneumonia
Bronchitis
Convulsions

11. Nursing consideration
 isolation until fifth day of rash; if
hospitalized, institute respiratory
precautions.
Maintain bed rest
Treatment and supportive care- vitamin
A supplementation.
Skin care: keep skin clean ; use tepid
baths as necessary.
Eye care: clean eyelids with warm saline
solution to remove secretions or crusts.

12. PREVENTION
1 .Control source of infection;
2 .Interruption of transmissions ;
3 .Protection of the susceptible person:
3.1 . Active immunization
3.2 . Passive immunization
4. immunization
measles vaccine at 9 month to 2 years

13. TTHHAANNKK YYOOUU