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New Directions In STD Treatment - University of Hawaii

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Genital Herpes – Testing Issues<br />

� Glycoprotein G type-specific HSV-2 serology<br />

tests may be useful HSV-2 (HerpeSelect- 1 or 2 ELISA,<br />

HerpeSelect- 1 and 2 Immunoblot and HSV-2 ELISA, Biokit HSV-2, and<br />

SureVue HSV-2):<br />

� Recurrent/atypical symptoms with negative culture<br />

� Clinical diagnosis without lab confirmation<br />

� Patients with a partner with genital HSV<br />

� Some experts recommend serology tests:<br />

� As part <strong>of</strong> “comprehensive <strong>STD</strong> evaluation” in high risk<br />

individuals such a those with multiple partners, HIVinfected,<br />

MSM with high HIV risk<br />

� <strong>In</strong> pregnant women with no history <strong>of</strong> HSV and a<br />

partner with history <strong>of</strong> symptomatic HSV<br />

� Universal screening NOT recommended

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