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生殖器分泌物中的单纯疱疹病毒脱落

Herpes simplex virus shedding in genital secretions.

作者信息

Stenzel-Poore M P, Hallick L M, Fendrick J L, Neuburg M, Storrs F J, Hanifin J M

出版信息

Sex Transm Dis. 1987 Jan-Mar;14(1):17-22. doi: 10.1097/00007435-198701000-00004.

DOI:10.1097/00007435-198701000-00004
PMID:3031833
Abstract

Nine women and eight men with a history of genital herpes had cultures taken for 60 consecutive days to assess the frequency and duration of viral shedding in the absence of symptoms. Daily self-obtained specimens (cervical-vaginal swabs from women and urethral swabs from men) were submitted for viral isolation. Five of 972 samples were found to contain infectious virus; two of the positive specimens correlated with overt disease. The other three positive cultures, two from the same individual, were not clearly associated with a genital infection. Thus, the overall frequency of asymptomatic viral shedding was 0.31% and occurred in two of 17 individuals. It is concluded that prolonged continuous sampling may be necessary to assess the risk of asymptomatic shedding. Infectious virus was not present in the genital secretions of most individuals (15 of 17) in the absence of a lesion, even when cultured on a daily basis for 60 days.

摘要

9名有生殖器疱疹病史的女性和8名有生殖器疱疹病史的男性连续60天进行培养,以评估无症状情况下病毒脱落的频率和持续时间。每天自行采集的标本(女性的宫颈-阴道拭子和男性的尿道拭子)用于病毒分离。972份样本中有5份被发现含有传染性病毒;其中2份阳性标本与明显疾病相关。另外3份阳性培养物,其中2份来自同一个体,与生殖器感染没有明显关联。因此,无症状病毒脱落的总体频率为0.31%,17人中有2人出现这种情况。得出的结论是,可能需要长时间连续采样来评估无症状脱落的风险。即使每天培养60天,大多数个体(17人中有15人)在无病变时生殖器分泌物中也不存在传染性病毒。

相似文献

1
Herpes simplex virus shedding in genital secretions.生殖器分泌物中的单纯疱疹病毒脱落
Sex Transm Dis. 1987 Jan-Mar;14(1):17-22. doi: 10.1097/00007435-198701000-00004.
2
Frequency of asymptomatic shedding of herpes simplex virus in women with genital herpes.生殖器疱疹女性患者单纯疱疹病毒无症状排毒的频率
JAMA. 1990 Jan 19;263(3):418-20.
3
Asymptomatic virus shedding in men with genital herpes infection.生殖器疱疹感染男性的无症状病毒脱落
Scand J Infect Dis. 1986;18(3):195-7. doi: 10.3109/00365548609032327.
4
Secretory IgA antibody in cervicovaginal secretions from women with genital infection due to herpes simplex virus.单纯疱疹病毒引起生殖器感染的女性宫颈阴道分泌物中的分泌型 IgA 抗体
J Infect Dis. 1984 Apr;149(4):505-10. doi: 10.1093/infdis/149.4.505.
5
Failure of antepartum maternal cultures to predict the infant's risk of exposure to herpes simplex virus at delivery.产前母体培养未能预测婴儿在分娩时接触单纯疱疹病毒的风险。
N Engl J Med. 1986 Sep 25;315(13):796-800. doi: 10.1056/NEJM198609253151303.
6
Asymptomatic reactivation of herpes simplex virus in women after the first episode of genital herpes.女性首次发生生殖器疱疹后单纯疱疹病毒的无症状再激活。
Ann Intern Med. 1992 Mar 15;116(6):433-7. doi: 10.7326/0003-4819-116-6-433.
7
Asymptomatic virus shedding after herpes genitalis.生殖器疱疹后的无症状病毒脱落
Am J Obstet Gynecol. 1980 Aug 1;137(7):827-30. doi: 10.1016/0002-9378(80)90893-5.
8
Screening to detect asymptomatic shedding of herpes simplex virus (HSV) in women with recurrent genital HSV infection.对复发性生殖器单纯疱疹病毒(HSV)感染的女性进行筛查,以检测无症状的HSV脱落情况。
Genitourin Med. 1986 Jun;62(3):181-5. doi: 10.1136/sti.62.3.181.
9
Herpes simplex virus glycoprotein treatment of recurrent genital herpes reduces cervicovaginal virus shedding in guinea pigs.单纯疱疹病毒糖蛋白治疗复发性生殖器疱疹可减少豚鼠宫颈阴道病毒脱落。
Antiviral Res. 1988 Nov;10(1-3):83-8. doi: 10.1016/0166-3542(88)90016-2.
10
Characteristics and management of pregnancy in women with genital herpes simplex virus infection.单纯疱疹病毒感染女性妊娠的特征与管理
Am J Obstet Gynecol. 1983 Apr 1;145(7):784-91. doi: 10.1016/0002-9378(83)90679-8.

引用本文的文献

1
Vagina dentata revisited: gender and asymptomatic shedding of genital herpes.重探阴道齿状:性别与生殖器疱疹的无症状排毒
Cult Med Psychiatry. 1995 Dec;19(4):479-501. doi: 10.1007/BF01379399.
2
Asymptomatic reactivation of herpes simplex virus in women after the first episode of genital herpes.女性首次发生生殖器疱疹后单纯疱疹病毒的无症状再激活。
Ann Intern Med. 1992 Mar 15;116(6):433-7. doi: 10.7326/0003-4819-116-6-433.