Sheary Belinda, Dayan Linda
Aust Fam Physician. 2005 Dec;34(12):1043-6.
Genital herpes is one of the most common sexually transmitted infections. While genital herpes can present with self limiting genital lesions, most people with genital herpes simplex virus (HSV) infection are asymptomatic or have unrecognised infection. Use of type specific serology for HSV antibodies can identify these individuals.
This article discusses the role and use of HSV serology in asymptomatic patients, including pre- and post-test counselling and interpreting results.
The indications for HSV serology in an asymptomatic patient are limited. Patients tested for HSV antibodies require careful assessment and counselling. Identifying asymptomatic genital herpes should ideally only be done in cases where there may be clinical benefit. Limitations of type specific HSV serology need to be considered when interpreting the results in low risk patients.
生殖器疱疹是最常见的性传播感染之一。虽然生殖器疱疹可表现为自限性生殖器病变，但大多数单纯疱疹病毒（HSV）感染的人无症状或感染未被识别。使用HSV抗体的型特异性血清学检测可识别这些个体。
本文讨论HSV血清学检测在无症状患者中的作用和应用，包括检测前和检测后的咨询以及结果解读。
无症状患者进行HSV血清学检测的指征有限。检测HSV抗体的患者需要仔细评估和咨询。理想情况下，只有在可能有临床益处的情况下才应识别无症状生殖器疱疹。在解读低风险患者的检测结果时，需要考虑型特异性HSV血清学检测的局限性。
