What should I do if my herpes simplex virus antibody is positive?

Under the slogan of eugenics, many friends will make some necessary efforts to have a high-quality baby, such as going to the hospital for regular check-ups to see if their bodies are infected with any viruses that may affect the baby's health. A positive herpes simplex virus antibody IgG means that the mother has been infected with the herpes simplex virus.

Herpes simplex virus mainly causes herpetic stomatitis, eczematous herpes, herpetic keratoconjunctivitis, neonatal herpes, herpetic vulvovaginitis and other infections outside the reproductive organs are mostly caused by herpes simplex virus-I, while infections of the reproductive organs are mostly caused by herpes simplex virus-II. This test cannot distinguish between herpes simplex virus-I and herpes simplex virus-II. A positive IgM antibody test indicates a recent herpes simplex virus infection. Herpes simplex virus can cause a variety of infections, including mucocutaneous infections, genital and anal infections, central nervous system infections, and occasionally visceral infections. HSV infection in pregnant women can cause congenital infection in the fetus, inducing miscarriage, premature birth, stillbirth, and deformity. The mortality rate of HSV infection in newborns is high, and survivors often have sequelae.

Symptomatic treatment

Mainly general and symptomatic treatment. Principles: Anti-viral, reduce pain, prevent secondary infection, and shorten the course of the disease. ①Neuralgia: Analgesics such as aspirin, acetaminophen, indomethacin, ibuprofen, Xinhuang tablets, etc. can be given. Postherpetic neuralgia requires the combined use of analgesics and sedatives, such as doxepin 25 mg, taken orally 3 times a day; cimetidine 0.2 g, dexamethasone 1.5 mg, cyproheptadine 2 mg, taken orally 3 times a day, and vitamin B12 100 micrograms, injected intramuscularly once a day, for a total of 10 days.

② Local skin care treatment: Apply phthalamide ointment or calamine lotion externally, 3-5 times a day. For erosion, apply 2% gentian violet solution or neomycin furfural oil paste. Or ultraviolet irradiation, audio frequency electrotherapy, laser irradiation (helium-neon or carbon dioxide expanded beam irradiation), TDP spectrum irradiation, etc.

③ Herpes zoster in the eye: Herpes zoster or acyclovir can be used as eye drops, and atropine can be used to dilate the pupil to prevent corneal adhesion;

Antiviral therapy

Mainly used for patients with immunodeficiency or immunosuppression, adenosine or acyclovir. Oral highly effective antiviral drugs: acyclovir, valacyclovir, etc. (Clinical tips: acyclovir is ineffective for the treatment of postherpetic neuralgia) Apply topical acyclovir eye drops to the affected area. You can take antibiotics orally or apply erythromycin ointment to the affected area. If the blisters rupture, apply 2.5% gentian violet solution to the affected area. Corticosteroids: Use with caution in the short term!

This type of examination is one of the items that must be checked before pregnancy. If the result is positive, it is recommended that female friends take good care of their bodies first, and consider having a baby only when the test result is negative. Otherwise, the herpes simplex virus can cause fetal malformation or intellectual decline, and give birth to an unhealthy child.