Kieran Reynolds talks to Dr Stephanie Gallard and Liz Kramer about some of the clinical issues you may encounter when providing the shingles service under Pharmacy First. Discussion includes the link between chickenpox and shingles, typical presentation of shingles, dermatomal distribution of shingles and how to respond to requests for video consultations. (20m 23s)
Dr Stephanie Gallard – GP with special interest in dermatology, PCDS Executive committee member
Kieran Reynolds – Advanced Specialist Pharmacist (Medicines Governance), SPS
Liz Kramer – Community Pharmacist
Useful links:
Post exposure prophylaxis for chickenpox and shingles - GOV.UK (www.gov.uk)
Images of shingles:
NHS shingles resources
https://www.nhs.uk/conditions/shingles/
DermNet shingles resources
https://dermnetnz.org/topics/herpes-zoster
Primary Care Dermatology Society shingles resources
https://www.pcds.org.uk/clinical-guidance/herpes-zoster
Black & Brown skin resources (including images on diverse skin tones)
https://www.blackandbrownskin.co.uk/campaigns
DermNet dermatomes
https://dermnetnz.org/topics/dermatomes
Shingles immunisation programme: information for healthcare practitioners
https://www.gov.uk/government/publications/shingles-vaccination-guidance-for-healthcare-professionals/shingles-immunisation-programme-information-for-healthcare-practitioners
