General Herpes
This type of HSV is the primary etiologic agent of herpes labialis, gingivostomatitis, and keratoconjunctivitis.
What is HSV type 1?
The tests used to confirm the presence of HSV infection can be divided into two basic groups: viral detection techniques and this technique.
What is antibody detection techniques?
These are the three oral antiviral agents that are commonly used to treat HSV infections.
What are acyclovir, valacyclovir, and famciclovir?
Cesarean delivery is indicated in women with active genital lesions or prodromal symptoms, such as these, because these symptoms may indicate viral shedding.
What are vulvar pain or burning at delivery?
Transabdominal invasive procedures, such as chorionic villus sampling, amniocentesis, and percutaneous umbilical cord blood sampling, may be performed even when genital HSV lesions are present, but these procedures should be delayed until lesions appear to have resolved.
What are transcervical procedures?
This is the range that the the incubation period after acquisition of HSV-1 or HSV-2 is.
What is 2 days to 12 days?
Virologic tests are preferred for patients who present with these types of lesions and include viral culture and HSV antigen detection by polymerase chain reaction (PCR).
What are genital vesicles, ulcers, or other mucocutaneous lesions?
This is the dose of acyclovir and valacyclovir for a primary or first episode infection.
What are 400mg orally TID for 7-10 days, and 1g orally BID for 7-10 days?
In general, cesarean delivery is not recommended for women with a history of HSV infection and this during labor.
What are no active genital lesions or prodromal symptoms?
Unless there is a lesion on the breast, this is not contraindicated.
What is breastfeeding?
During the initial infection, the virus gains access to the sensory neurons, and then the infection becomes latent in this.
What is the sensory ganglia?
These are the types of patients where type-specific serologic assays that accurately distinguish between HSV-1 and HSV-2 antibodies may be helpful.
Who are patients who have a clinical history that suggests HSV but who do not present with active lesions or whose lesions have negative culture or PCR test results?
This is the dose of acyclovir and valacyclovir for a symptomatic recurrent episode.
What is 400mg orally TID for 5 days/800 mg orally BID for 5 days, and 500mg orally BID for 3 days/1g orally daily for 5 days?
For women with a primary or nonprimary first-episode genital HSV infection during the third trimester of pregnancy, cesarean delivery may be offered due to the possibility of this.
What is prolonged viral shedding?
This disease can be as lethal as that acquired during delivery.
What is postnatally acquired disease?
The is the incidence of new HSV-1 or HSV-2 infection during pregnancy.
What is 2%?
This test in asymptomatic pregnant patients with recurrent disease are not recommended.
What are routine antepartum genital HSV cultures?
This is the dose for acyclovir and valacyclovir for daily suppression.
What is 400mg orally TID from 36 weeks until delivery and 500mg orally BID from 36 weeks until delivery.
Cesarean delivery is not recommended for women with these types of lesions, for example lesions on back, thigh, buttock.
What are nongenital lesions?
Although acyclovir was found in the breast milk in concentrations that were higher than the maternal serum, the amount of acyclovir in the breast milk was only this amount of that used for therapeutic doses in neonates
What is 2%?
These are the classifications that neonatal HSV infections can be grouped into.
What are disseminated disease (25%); central nervous system disease (30%); and disease limited to the skin, eyes, or mouth (45%).
This type of genital herpes infection during pregnancy constitutes a higher risk of perinatal transmission than does recurrent infection.
What is primary genital herpes infection?
In patients with active genital HSV lesions or prodromal symptoms and ruptured membranes at or near term, this should be performed as soon as the necessary personnel and equipment can be readied.
What is a cesarean delivery?