Barton S E, Munday P E, Patel R J
Int J STD AIDS. 1996 Jul;7(4):229-32. doi: 10.1258/0956462961917799.
A frequent component of the management of patients with genital herpes concerns the possibility of asymptomatic shedding and potential sexual transmission of the virus. Approaches intended to provide supportive counselling and reassurance of patients about these issues need now to be modified in the light of increasing data of the frequency of asymptomatic detection of virus and the effects of antiviral therapy on this phenomenon. Further studies to delineate the relationship between asymptomatic detection of HSV in the genital tract and the mechanism of sexual transmission of this virus need to be conducted before clinicians instigate antiviral suppressive treatment primarily to prevent sexual transmission of HSV. However, it is important that the new data and our greater understanding of the natural history of genital herpes is translated into accurate and comprehensible information for our patients.
生殖器疱疹患者管理中的一个常见问题是病毒无症状排毒及潜在性传播的可能性。鉴于越来越多关于病毒无症状检测频率以及抗病毒治疗对该现象影响的数据，现在需要对旨在为患者提供这些问题相关支持性咨询和安慰的方法进行调整。在临床医生主要为预防单纯疱疹病毒（HSV）性传播而开始抗病毒抑制治疗之前，需要进一步开展研究来明确生殖道HSV无症状检测与该病毒性传播机制之间的关系。然而，重要的是要将这些新数据以及我们对生殖器疱疹自然史的更深入理解转化为准确且易于理解的信息传达给我们的患者。
