Questions & Answers - 2010 Treatment Guidelines
Question 1: What is the recommended technique to obtain a specimen for herpes simplex virus (HSV) culture?
Question 2: What are the treatment criteria and dosage recommendations for the use of imiquimiod for herpes? Is the treatment painful?
Question 3: Why is immunoglobulin M (IgM) not helpful for diagnosis of herpes?
Question 4: For genital HSV, does culture have a role in screening?
Question 5: Is routine herpes simplex virus (HSV) screening recommended using immunoglobulin G (IgG) type-specific serology?
Question 6: What is your recommendation for treatment of recurrent genital herpes simplex virus 1 (HSV 1)?
Question 7: How do you identify recurrence of herpes simplex virus (HSV) versus drug resistance, when recurrence is part of the disease process?
Question 8: There was no mention of immunoglobulin G (IgG) use in diagnosis and management of genital herpes simplex virus (HSV). Is this still useful, or has it gone the way of immunoglobulin M (IgM)?
Question 9: When should young adults presenting for sexually transmitted infection (STI) screening be offered herpes simplex virus (HSV) immunoglobulin G (IgG) testing?
Question 10: Any guidance on how long to prophylaxis a discordant couple where one individual has herpes?
Question 11: What are the current acyclovir dosing recommendations for herpes simplex virus (HSV), both episodic and prophylactic?