herpes%20simplex%20virus%20infection
HERPES SIMPLEX VIRUS INFECTION
Treatment Guideline Chart
Primary herpes simplex virus (HSV) infection is first infection with either herpes simplex virus-1 (HSV-1) or herpes simplex virus-2 (HSV-2) in individuals who do not have antibodies to either HSV-1 or HSV-2.
First episode-non primary infection is infection with either HSV-1 or HSV-2 in individuals who have previously existing antibodies against HSV-1 or HSV-2 respectively.
Recurrent HSV infection results from reactivation of latent virus. It is usually brought about by triggering factors eg UV light, immunosuppression.
Orolabial HSV disease is mostly caused by HSV-1 that occurs most commonly in children <5 years of age. It is transmitted through close contact with individuals who have active viral shedding.
Genital HSV disease is caused by HSV-2 that is the usual cause of herpes genitalis. It typically occurs in adults and transmitted through sexual contact.

Herpes%20simplex%20virus%20infection Signs and Symptoms

Definition

Primary Herpes Simplex Virus (HSV) Infection

  • First infection with either herpes simplex virus-1 (HSV-1) or herpes simplex virus-2 (HSV-2) in individuals who do not have antibodies to either HSV-1 or HSV-2

First Episode - Nonprimary Infection

  • Infection with either HSV-1 or HSV-2 in individuals who have previously existing antibodies against HSV-1 or HSV-2 respectively

Recurrent Herpes Simplex Virus (HSV) Infection

  • Results from reactivation of latent virus
  • Usually brought about by triggering factors eg ultraviolet (UV) light, immunosuppression, trauma, stress, febrile illness
  • Less severe and becomes less frequent with time

Epidemiology

  • Globally, HSV-1 infection affects approximately 3.7 billion individuals under 50 years of age, and approximately 491 million in 15 to 49-year-old-individuals are infected with HSV-2

Transmission

  • Direct contact with sores, saliva or areas around the mouth of actively shedding individuals encourage transmission of HSV-1; incubation period ranges from 2-12 days
  • HSV-2 virus is typically transmitted during sexual intercourse through direct contact of genital or anal surfaces, skin, sores or fluids
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