7. HERPES, treatment and nursing management .ppt

herpes

1. Herpes
HARJOT KAUR,
CLINICAL INSTRUCTOR, Army College
of Nursing,
Jalandhar Cantt., Punjab, 144005.

2. (CI) Harjot Kaur
Army College of Nursing,
Jalandhar Cantt., Punjab.
INTRODUCTION

3. INTRODUCTION
Theyareknownasthehumanherpesvirusesandareherpes
simplexvirustype-1,herpessimplexvirustype-2,varicella-zoster
virus,cytomegalovirus,Epstein-Barrvirus,Humanherpesvirus6
,Humanherpesvirus7andmostrecently,Kaposi’sSarcoma
herpesvirus.
Itprimarilyspreadsbyskin-to-skincontact.Itistreatablebutnot
curable.
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4. Herpesviruses
They are noted for causing latent infections .
These are evelopedviruses (100nm in
diameter) with an double-stranded linear DNA .
The 5 important human pathogens are:-
•Herpes Simplex Virus type-1 and type-2
•Varicella-Zoster Virus
•Cytomegalovirus
•Epstein-Barr Virus _mononucleosis) .
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5. 1. HERPES SIMPLEX VIRUS
The HSVis an infection that causes herpes . Herpes can appear
in various parts of the body , most commonly on the genitals or
mouth . 2 types :-
•HSV-1:-Primarily causes oral herpes , and is generally
responsible for cold sores and fever blisters around the
mouth and on the face .
•HSV-2:-Primarily causes genital herpes , and is generally
responsible for genital herpes outbreaks .
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6. PROPERTIES OF HSV
GenomesequenceofHSV-1andHSV-2ARESAMEBUTCANBE
DISTINGUISHEDBYSEQUENCEANALYSISorBYRESTRICTION
ENZYMEANALYSIS.
HSV-1isspreadbycontact,usuallyinvolvinginfectedsaliva,
whereas
HSV-2istransmittedsexuallyorfromamaternalgenitalinfection
toanewborn.
Growthcycleproceedsrapidly,requiring8-16hoursfrom
completion.
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7. ETIOLOGY of HSV-1
Eatingfromsameutensils
Sharinglipbalm
Kissing.
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8. HSV-2
It is contacted through forms of sexual contact with a person
who has HSV-2 . An estimated 20% of sexually active adults in
united states are infected with HSV-2 .
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9. SYMPTOMS OF HSV
A. OROPHARYNGEAL DISEASE :-
•Symptomatic disease
•Most frequently in small children (1-5 yrof age)
•Involves the buccal and gingivialmucosa of mouth
•clinical illness: lasts 2-3 weeks
•Symptoms include fever , sore throat , vesicular and ulcerative
lesions , gingivostomitis, and malaise
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10. B. KERATOCONJUNCTIVITIS
HSV-1 infections in the eye produce severe keratoconjunctivitis .
It appears corneal ulcers .
HSV-1 can also cause corneal blindness .
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11. C. ENCEPHALITIS
-Survivors often have neurological defects .
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12. LABORATORY DIAGNOSIS
Cyopathology (Giemsa’s stain)
Isolation and Identification of virus (Nt test or
immunofluroscence)
PCR ( viral DNA from CSF)
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