Term
| Herpes Simplex Virus (HSV) |
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Definition
1 in 6 Americans infected (Reuter’s 2010)
HSV-1 or HSV-2 with type 2 causing more outbreaks than type 1.
Following primary infection clearing, viral "shedding continues for up to 3 months". Subsequent outbreaks vary thereafter.
50% risk of fetal transmission with presence of lesion and primary infection
60-90% of infections are truly asymptomatic or unrecognized |
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Term
Herpes Simplex Virus (HSV)
(Diagnosis) |
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Definition
More than one in five pregnant women have antibodies in their blood to HSV, indicating a past or present infection. (WebMD-2010)
Viral culture primary test in most clinics. Confirm diagnosis by PCR
Lesions begin as small macules that progress to vesicles on an erythematous base that eventually ulcerate.
Very painful |
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Term
| Herpes Simplex Virus (HSV)(Treatment of new onset) |
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Definition
"Acyclovir" or a similar antiviral agent
Hygiene measures to avoid secondary infection
Pain management with an NSAIDs or a lidocaine based topical if needed
Diet rich in B vitamins, Vit C, zinc and calcium • amino acid L-lysine reduces replication during
active phase and can use for prevention (FYI) • Education and emotional support |
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Term
| Herpes Simplex Virus (HSV)(Treatment) |
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Definition
"Acyclovir" reduces length of time of outbreak and severity and asymptomatic viral shedding (AVS). Use as suppressive Rx to reduce transmission and @ 36 weeks gestation to protect fetus.
Teach clients about AVS
Condoms not 100% protective, but reduce spread
Most important STD in enhancing HIV transmission
Psychosocial support. Need to empower client |
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Term
| Herpes Simplex Virus (HSV) Effects on Neonate |
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Definition
Infant may be asymptomatic at birth, but 2-12 days later may develop fever or hypothermia, jaundice, seizures and poor feeding and half develop vesicular lesions.
Herpes encephalitis untreated is fatal
Anti-virals tremendously helpful.
Best treatment is primary prevention.
Treat mom when symptoms present and consider C/S.
"Acyclovir" does not appear to harm fetus but "best avoided in 1st trimester" |
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Term
| Herpes Simplex Virus (HSV) Effects on Client (Nursing Diagnosis) |
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Definition
Pain r/t lesions secondary to HSV
Sexual Dysfunction
Pre-natal visit includes assessing for history of HSV in woman and partner
Pain r/t lesions secondary to HSV Sexual Dysfunction |
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