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Published on: September 20, 2021
A nurse practitioner's guide to the management of herpes simplex virus-1 in children
Janel M Drugge1, Patricia Jackson Allen
1Yale University School of Nursing, New Haven, CT, USA.
Insights
This article details managing herpes simplex virus-1 (HSV-1) in children and adolescents. Clinicians need to understand HSV-1
Area of Science:
- Pediatric Infectious Diseases
- Clinical Dermatology
Background:
- Herpes simplex virus-1 (HSV-1) infections are common in children and adolescents.
- Transmission occurs through close contact with infected individuals, both symptomatic and asymptomatic.
- Recurrent outbreaks can be triggered by various factors, leading to significant physical and emotional distress for patients and families.
Purpose of the Study:
- To provide clinicians with comprehensive guidance on managing HSV-1 infections in pediatric populations.
- To enhance understanding of the pathophysiology and clinical presentations of HSV-1 in children and adolescents.
- To outline effective identification, treatment, and prevention strategies for HSV-1.
Main Methods:
- Review of current literature on HSV-1 pathophysiology, clinical manifestations, and management in children and adolescents.
- Synthesis of evidence-based recommendations for diagnosis and treatment.
- Discussion of prevention strategies and supportive care, including nutritional supplementation.
Main Results:
- HSV-1 commonly presents as gingivostomatitis in children but can manifest in various skin infections like herpetic whitlow and eczema herpeticum.
- Effective management requires familiarity with diverse clinical presentations.
- Treatment options include topical and systemic medications.
Conclusions:
- Clinicians must be knowledgeable about HSV-1 to accurately diagnose and manage infections in pediatric patients.
- A multi-faceted approach involving medication, prevention, and nutritional support is crucial for optimal outcomes.
- Early and effective management can mitigate the physical and emotional impact of HSV-1 on children and their families.
Abstract:
This state of the science clinical article focuses on ways clinicians can manage herpes simplex virus-1 (HSV-1) infections in children and adolescents. HSV-1 infections can be transmitted during close contact with asymptomatic and symptomatic individuals (Waggoner-Fountain & Grossman, 2004). Recurrent HSV-1 outbreaks are believed to be caused by various endogenous and exogenous triggers. These HSV-1 outbreaks cause physical and emotional consequences in children and their families. HSV-1 infections in children most commonly cause gingivostomatitis, but these infections can also cause various skin infections, including herpetic whitlow, herpes gladiatorum, eczema herpeticum, and herpes genitalis. It is critical for clinicians to be familiar with the pathophysiology and clinical manifestations in order to effectively identify, manage, and treat HSV-1 infections with a variety of topical or systemic medications, as well as with prevention strategies and nutritional supplementations.
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