[Natural history of HSV1 and HSV2 infection. Asymptomatic viral excretion. Mother-infant transmission. Indirect transmission]

Ann Dermatol Venereol. 2002 Apr;129(4 Pt 2):577-85.
[Article in French]

Abstract

Recurrent asymptomatic viral shedding accounts for most of the oral, sexual and neonatal transmissions of herpes simplex infections (HSV). In immunocompetent individuals asymptomatic shedding, as determined by culture, occurs during 2-8p.100 of days, and more for persons with HIV infection or if measured by PCR. Antiviral therapy dramatically decrease but does not eliminate asymptomatic shedding. The main risk of HSV transmission to the neonate is during vaginal delivery from infected asymptomatic mothers who acquire HSV genital infection late in pregnancy. Because the survival of HSV out of the oral-genital secretions is weak, indirect and/or nosocomial transmisions of HSV are very rare and should be controlled by common-sense precautions. The prevention of the acquisition of genital or neonatal HSV infection is a challenge because it is based on the understanding and the control of asymptomatic shedding.

Publication types

  • Consensus Development Conference
  • English Abstract
  • Review

MeSH terms

  • Female
  • Fetal Diseases / virology
  • France / epidemiology
  • Herpes Genitalis* / epidemiology
  • Herpes Genitalis* / prevention & control
  • Herpes Genitalis* / transmission
  • Herpes Simplex* / epidemiology
  • Herpes Simplex* / prevention & control
  • Herpes Simplex* / transmission
  • Herpesvirus 1, Human* / growth & development
  • Herpesvirus 2, Human* / growth & development
  • Humans
  • Infant, Newborn
  • Infectious Disease Transmission, Vertical / prevention & control
  • Patient Education as Topic
  • Pregnancy
  • Pregnancy Complications, Infectious* / epidemiology
  • Pregnancy Complications, Infectious* / prevention & control
  • Prevalence
  • Seroepidemiologic Studies
  • Virus Shedding