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Managment of Herpes simplex Virus infection in pregnancy and in ...

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Risk <strong>of</strong> per<strong>in</strong>atal HSV transmission<br />

Seattle: 202 parturients with positive cultures, cultures,<br />

10 neonatal<br />

<strong><strong>in</strong>fection</strong>s<br />

% <strong>in</strong>fected OR (95% CI)<br />

• Infection episode<br />

– Reactivation (antibody ( antibody +) 1.3%<br />

– First episode (no ( no antibody) antibody 30.8% 33.1 (6.5-168)<br />

• HSV type<br />

– HSV-2 2.7%<br />

– HSV-1 31.3% 16.5 (4.1-65)<br />

• Mode <strong>of</strong> delivery<br />

– Vag<strong>in</strong>al 7.7%<br />

– Cesarean section 1.2% 0.14 (0.02-1.08)<br />

Brown ZR et al JAMA 2003; 289:203-9<br />

Ostschweizer K<strong>in</strong>derspital

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