Measures of prevention
- Avoid unprotected genital and oral sexual contact during late
pregnancy or to take suppressive therapy with an oral antiviral medication. - Suppressive antiviral is recommended from 36 weeks of gestation in HSV-2 seropositive women at high risk for an active HSV outbreak at the time of labor.
- Antiviral treatment for pregnant females with an active primary or recurrent genital outbreak near or at the time of delivery.
- Occlusive coverage on non genital HSV lesions before vaginal delivery helps to prevent infection .
- Cesarean delivery is recommended when a mother experiences primary genital herpes or symptomatic outbreaks near or at the time of delivery.
- Prophylactic acyclovir should be considered for the neonate if active primary herpes infection was in the mother at the time of delivery
Medical treatment
For herpetic skin lesions :
- Acyclovir(early) : 30 mg/kg/day.
For disseminated and CNS disease:
- Acyclovir : 20 mg/kg iv every 8 hours for 21 days.
For skin and mucous membranes affection:
- Acyclovir : 20 mg/kg iv every 8 hours for 14 days.