Page 40 - LECTURE NOTES
P. 40

Frequency:

               6 – 12 times a year → deserve prophylaxis


               Treatment of Genital herpes

               Betadine or potassium solutions sitz baths 3 times daily. Gentian violet 0.5%, Zinc
               oxide and castor oil to sooths. Alternatively betadine ointment or oxytetracycline

               ointment 3 times daily.
               Acyclovir cream can also be given 5 times daily.

                 Severe infections or infection in immunodeficient patients: if available give acyclovir
               200 -400 mg   5 times daily for 5-10 days

               OR

               Famciclovir 250mg orally three times a day for 7--10 days,
               OR

               Valacyclovir 1 g orally twice a day for 7--10 days.


               3.8.9. Neonatal Intrauterine

               HSV -2 - 70%
               HSV -1 - 30%

               Intrauterine: Rare but devastating neonatal infection, encephalitis

               Risks:  active lesion in the mother (30 – 50% rate of acquisition)
               Recurrence: 2 – 5%

               In all cases, CS delivery is mandatory.
               Manifestations: Skin vesicles, Encephalitis, Hepatitis, Pneumonia, Coagulopathy

               Mortality rate (M/R) >50% in ideal setting.

               Without skin infection, it is difficult to diagnose.


               3.9. Scabies

               Definition: - scabies is one of the commonest intensely pruritic, highly contagious
               infectious conditions of the skin caused by a mite Sarcoptis scabei and transmitted by

               close personal and sexual contacts





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