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单纯疱疹病毒感染:急诊护理临床医生检测概述

Herpes Simplex Virus Infections: An Overview of Testing for the Urgent Care Clinician.

作者信息

Tice Brittney, Something Joseph, Zimmerman Benjamin

机构信息

Legacy GoHealth Urgent Care, Portland, Oregon.

Prism Health, Portland, Oregon.

出版信息

JUCM. 2025 Jun 15;19(9):31-36. Epub 2025 Jun 1.

Abstract

In the urgent care (UC) setting, patients commonly present with nominal requests for herpes simplex virus (HSV) testing. HSV infections are common, pleomorphic, and associated with significant stigma. This combination creates a situation where decisions regarding which, if any, test(s) to obtain can be highly impactful for the mental health of patients and their romantic partners. It is imperative that UC clinicians understand the utility and test characteristics of HSV testing and the implications of findings before ordering testing. Given that both HSV-1 and HSV-2 are chronic infections, serologic testing results have the potential for lifelong consequences and should only be obtained in settings where clinically indicated and with appropriate patient counseling.

摘要

在紧急护理(UC)环境中,患者通常会提出进行单纯疱疹病毒(HSV)检测的名义请求。HSV感染很常见,具有多形性,并且与严重的污名化相关。这种情况导致在决定是否进行检测时,对患者及其浪漫伴侣的心理健康可能产生重大影响。UC临床医生在开具检测医嘱之前,必须了解HSV检测的效用、检测特征以及检测结果的影响。鉴于HSV-1和HSV-2都是慢性感染,血清学检测结果可能会产生终身影响,因此仅应在临床指示的情况下并在对患者进行适当咨询后进行检测。

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Sexually Transmitted Infections Treatment Guidelines, 2021.《2021年性传播感染治疗指南》
MMWR Recomm Rep. 2021 Jul 23;70(4):1-187. doi: 10.15585/mmwr.rr7004a1.

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