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Published on: July 24, 2016
Maternal and neonatal herpes simplex virus infections
Swetha G Pinninti1, David W Kimberlin
1Division of Pediatric Infectious Diseases, The University of Alabama, Birmingham, AL 35233, USA.
Maternal genital herpes simplex virus (HSV) infection, often unrecognized, can lead to devastating neonatal herpes disease. Advances in diagnosis and antiviral therapy, including suppressive treatment, significantly improve infant outcomes.
Area of Science:
- Virology
- Neonatal Medicine
- Infectious Diseases
Background:
- Genital herpes simplex virus (HSV) infections are highly prevalent globally, affecting approximately 22% of pregnant women.
- A significant majority (80%) of individuals with genital herpes are unaware of their infection.
- Maternal genital herpes poses a severe risk, potentially causing neonatal herpes disease, a serious condition in newborns.
Purpose of the Study:
- To review the epidemiology of maternal and neonatal herpes infections.
- To discuss the clinical presentation, diagnosis, and management of neonatal herpes disease.
- To highlight recent advancements in treatment and their impact on infant morbidity.
Main Methods:
- Literature review summarizing current knowledge on herpes simplex virus in pregnancy and neonates.
- Discussion of diagnostic tools, including polymerase chain reaction (PCR) assays for central nervous system infections.
- Analysis of therapeutic strategies, including antiviral medications and suppressional therapy.
Main Results:
- Polymerase chain reaction (PCR) assays have transformed the diagnosis of central nervous system infections in neonates.
- Safe and effective antiviral therapies have revolutionized the management of neonatal herpes simplex infections.
- Long-term antiviral suppressive therapy has demonstrated significant improvements in reducing infant morbidity.
Conclusions:
- Neonatal herpes disease, though uncommon, is a critical consideration in ill neonates due to its high morbidity and mortality.
- Modern diagnostic and therapeutic approaches have greatly improved the prognosis for infants with neonatal herpes.
- Continued research and implementation of suppressional therapy are crucial for further enhancing infant health outcomes.
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