Herpes in the Heart: A Case of Widely Disseminated Intrauterine Herpes Simplex Virus Infection Involving Neonatal Myocardium in a 23-Week Gestationally Aged Neonate. University Hospital Madrid, Spain (academic). Verano L, Michalski FJ. Sequential genital infections with herpes simplex virus types 1 and 2. In studies that reported participant gender (n=11), between 30% and 92% of study participants were male. Comparative performance of the Uni-Gold HSV-2 Rapid: a point-of-care HSV-2 diagnostic test in unselected sera from a reference laboratory. A seroepidemiologic survey of the prevalence of herpes simplex virus type 2 infection in the United States. WebThis is for two main reasons: Many people with herpes have no symptoms A healthcare provider may diagnose herpes by looking at any blisters or sores. Sundin M, Orvell C, Rasmusson I, Sundberg B, Ringdn O, Le Blanc K. Bone Marrow Transplant. To select the most appropriate test for a patient, a thorough knowledge of the performance and limitations of available tests is critical to inform clinical decision making and the development of future technologies that may penetrate innovation gaps. Burton M, Van Wagoner NJ, Sunesara I, Penman A, Swiatlo E, Hook EW. eCollection 2022. PCR is the most sensitive method of diagnosis. From exposed person: Collection of acute (as soon as feasible after exposure, and after the appropriate cleansing protocol has been completed) and convalescent (3 weeks post-exposure) serum is advisable, and should be submitted for serologic testing. Type-specific HSV serology is becoming more readily available and will enhance the ability to make the diagnosis and guide clinical management in select patients. Federal government websites often end in .gov or .mil. Thus, no diagnostic tools included in this systematic review have addressed this unmet medical need. Detection and differentiation of herpes simplex viruses by use of the viper platform: advantages, limitations, and concerns. Laboratory diagnosis of herpes simplex virus infections. Viruses. A herpes (HSV) test checks to see if you have been infected with the virus. Showed both sensitivity and specificity in a small group of adults. Microbiol. Epub 2016 Oct 8. Of a total of 88 (44%) HSV strains detected, 69 (78%) were detected by both shell vial cell cultures and LightCycler PCR (DNA polymerase target). sharing sensitive information, make sure youre on a federal Seal LA, Toyama PS, Fleet KM, Lerud KS, Heth SR, Moorman AJ, Woods JC, Hill RB. Description, validation, and review of a decade of experience with a laboratory-developed PCR test for detection of. In addition, the platform is fully automated [34]. Identification of viral antigens on infected cells with monoclonal antibodies is useful for definitive identification of virus in cell culture and for rapid diagnosis of infection due to HSV, VZV, or CMV. In addition, Lee et al [35] has reported that the automated ARIES assay takes only 2 hours/12 samples and has the fastest turnaround time compared with other in-house assays. The authors declare no conflict of interest. The studies included within this systematic review employed heterogeneous methods while also using different patient populations. Although not quantified, capital would be saved because of the automated nature and more rapid turnaround of such devices. We evaluated the study characteristics and the performance of the various tests included in the studies; here, we conclude by discussing the various strengths and limitations of various tools and how they may relate to the development of future diagnostics. There are two main types of HSV: HSV-1, which causes most oral Among other common sexually transmitted diseases, only coinfection with Neisseria gonorrhoeae has been shown to significantly reduce HSV immunoassays performance [57]. Samples lying near the positivity cut off should be retested. A sample of serum should also be collected and tested to determine whether the monkey is seropositive for B virus. Epub 2013 Oct 16. The Simplexa HSV-1/2 assays demonstrated a combined sensitivity and specificity of 96.2% and 97.9%, respectively. 2021 Jan-Jun;42(1):19-23. doi: 10.4103/ijstd.IJSTD_60_17. Dupont B, Huber M, Kim SJ, Bennett JE. Bethesda, MD 20894, Web Policies There were no duplicates in the records identified; hence, all 294 record titles and abstracts were screened for eligibility; 235 articles were excluded based on the eligibility criteria. A test that can accurately diagnose acute (not just latent infection) is urgently required, as current methods may not detect early infection. The .gov means its official. HSV-Qx has a lower cost per specimen ($22) compared with that of HSV-LC ($34). As such, antibodies produced in response to either virus have substantial levels of cross-reactivity, which can increase the potential for both false-positive and false-negative results. Samples for Polymerase chain reaction (PCR) testing should not be obtained at the time of exposure, as the act of collection could push infectious virus more deeply into the wound. Johnson RE, Nahmias AJ, Magder LS, Lee FK, Brooks CA, Snowden CB. Expert Rev Mol Diagn. Direct culture of B virus has been the standard for diagnosis of infection, but requires a biosafety level 4 (BSL-4) containment facility to reduce the risk of exposure for laboratory workers, and the collection of samples must be delayed until symptoms appear. It is important that a specimen be appropriately collected and transported when the possibility of HSV or VZV is entertained. Accessibility Gitman et al [31] aimed to compare cell culture, DFA, and a laboratory-developed real-time TaqMan PCR (LDT HSV PCR) for the detection of HSV in dermal, genital, ocular, mouth, or other swab samples [31]. HHS Vulnerability Disclosure, Help Rapid detection of herpes simplex virus DNA in human brain tissue by in situ hybridization. 8600 Rockville Pike Polymerase chain reaction (PCR) is the preferred diagnostic method for herpes simplex virus infections, particularly CNS infection [ 8, 9, 10] and disseminated disease. Disclaimer. Accessibility Luker G, Chow C, Richards DF, Johnson FB. Significant antibody response takes, however, several days and depends on a functioning immune system. doi: 10.1002/rmv.2054. Loughman T, Singh B, Seddon B, Noone P, Santhosh P. Validation of a membrane touch biosensor for the qualitative detection of IgG class antibodies to herpes simplex virus type 2. However, the process shares the limitation with B virus culture that sample collection must be delayed until symptoms appear. Unable to load your collection due to an error, Unable to load your delegates due to an error. Light microscopy, culture, molecular, and serologic methods for detection of herpes simplex virus. Lipson SM, Salo RJ, Leonardi GP. Evaluation of five monoclonal antibody-based kits or reagents for the identification and culture confirmation of herpes simplex virus. Al-Shobaili H, Hassanein KM, Mostafa MS, Al Duways AS. The effects of herpes simplex virus-2 on HIV-1 acquisition and transmission: a review of two overlapping epidemics. FOIA Validation of laboratory-developed molecular assays for infectious diseases. Continuous high-speed rolling versus centrifugation for detection of herpes simplex virus. Infant deaths due to herpes simplex virus, congenital syphilis, and HIV in New York City. Given this information, it is concerning that greatest incidence of HSV infections occurs in women of reproductive age increasing the risk of maternal transmission of the virus to the fetus or neonate [59,60]. Serology-based tests can also be used to confirm a clinical diagnosis of HSV because it is a more reliable method than clinical diagnosis [10]. Serologic analysis of first-episode nonprimary genital herpes simplex virus infection. This is an important point because of the high rate of coinfection and increased risk of transmission and acquisition of HIV by HSV-positive individuals [56,57]. Healthy children aged between 5 months and 3 years, healthy voluntary blood donors aged 18 to 65 years, or hospitalized patients aged between 14 and 70 years, Evaluate the HSV type-common and type-specific IgG. Molecular assays for the detection of herpes simplex virus, summarizing the different molecular assays studied within the 10 included studies. and transmitted securely. Could polymerase chain reaction tests on conjunctival swabs be useful to diagnose herpetic keratitis? After the formation of the AgAb immunocomplex is detected, the anti-antibody specific to IgG/IgM linked with the enzyme is added, which subsequently binds to the target antibody. Laboratory Diagnosis of Neonatal Herpes Simplex Virus Infections - PMC Journal List J Clin Microbiol v.57 (5); 2019 May PMC6498033 As a library, NLM provides Immediately following exposure, and prior to the onset of symptoms, it is important to collect sera approximately 3 weeks apart to determine whether seroconversion to B virus infection has occurred. The https:// ensures that you are connecting to the Methodological details including sample collection method, transportation/storage method, study aims, and conclusions. Ratnam S, Severini A, Zahariadis G, Petric M, Romanowski B. Accessibility Gonik B, Seibel M, Berkowitz A, Woodin MB, Mills K. Comparison of two enzyme-linked immunosorbent assays for detection of herpes simplex virus antigen. For example, for respiratory viruses, diagnostic test should be provided at the point-of-care (possible with results ready in less than 1.6 hours) to ensure the best outcomes for the patient [54]. In populations with optimal diagnostic accuracy, Kalon is a reliable stand-alone method for on-site HSV-2 IgG antibody detection. Would you like email updates of new search results? Evaluation of LightCycler PCR for implementation of laboratory diagnosis of herpes simplex virus infections. -, Crimi S., Fiorillo L., Bianchi A., DAmico C., Amoroso G., Gorassini F., Mastroieni R., Marino S., Scoglio C., Catalano F., et al. Suitability of infection of cells in suspension for detection of herpes simplex virus. If symptoms consistent with B virus disease develop, collection of saliva or material from blisters (if present) can be tested by B virus PCR to determine whether the virus is present. MeSH All 19 discrepant samples had HSV DNA detected by an independent PCR directed to the thymidine kinase gene of the virus. Disclaimer. Accessibility Yamamoto LJ, Tedder DG, Ashley R, Levin MJ. official website and that any information you provide is encrypted Kouyoumjian SP, Heijnen M, Chaabna K, Mumtaz GR, Omori R, Vickerman P, Abu-Raddad LJ. A total of 19 (22%) specimens were detected exclusively by LightCycler PCR. Department of Laboratory Medicine, University of Washington, Seattle 98195. Diagnostic; Genital herpes; Genital ulcer disease; Herpes simplex virus; STI. Herpes simplex virus (HSV)-1 and HSV-2 are common infections affecting the global population, with HSV-1 estimated to affect 67% of the global population. Bernstein DI, Lovett MA, Bryson YJ. 1 Device approved for anogenital infections; this study investigates its use on lesions from other anatomical locations. Prymas LA, Venezia RA, McSharry MM. Searches of the PubMed database yielded 264 studies; 11 studies included 11 molecular assays, and 8 studies included 19 different serological assays for the detection of HSV-1, HSV-2, or both. As a library, NLM provides access to scientific literature. A thorough knowledge of the performance and limitations of available tests is critical to select the most appropriate test for a patient as well as inform clinical decision making and the development of future technologies. Reeves WC, Corey L, Adams HG, Vontver LA, Holmes KK. Using standard culture methods, results are usually available within 5 days; although in some cases, the result may take up to 2 weeks. Tools for the Diagnosis of Herpes Simplex Virus 1/2: Systematic Review of Studies Published Between 2012 and 2018. Srivastava HK, Ellis LT, Miller DC, Duff DJ. Herpetic Keratitis Following Corneal Crosslinking for Keratoconus: A Case Series. Whitley RJ, Gnann JW., Jr Acyclovir: a decade later. Compare the performance, time to result, and cost of the Simplexa HSV 1 & 2 Direct PCR with those of conventional, Simplexa HSV 1 & 2 Direct PCR is expensive but required the least training, had the lowest hands-on time and fastest assay time (75 min vs 3 hours by LDT. 2018 Jun 13;3(3):e00283-18. Hughes JH, Mann DR, Hamparian VV. Sampled using a polyester swab, which was placed directly into universal viral transport medium (Becton, Dickinson [BD], Sparks, MD), and then using a second, foam-tipped swab, which was placed directly into the BDQx liquid wet-swab transport medium (Qx WS). To evaluate the performance of Amplivue HSV-1 + 2 assay compared with ELVIS HSV IDD3 in detecting HSV-1-2 from clinical specimens. To evaluate the analytical and clinical performance of the Luminex ARIES assay in detecting HSV-1 and HSV-2 compared with an approved assay for the HSV testing for the diagnosis of meningitis/encephalitis. Case Rep Infect Dis. Careers. Torrone EA, Morrison CS, Chen P, Kwok C, Francis SC, Hayes RJ, Looker KJ, McCormack S, McGrath N, van de Wijgert JH, Watson-Jones D, Low N, Gottlieb SL, STIMA Working Group Prevalence of sexually transmitted infections and bacterial vaginosis among women in sub-Saharan Africa: an individual participant data meta-analysis of 18 HIV prevention studies. This throughput time is rapid compared with 3 to 7 days of processing time needed for viral culture [52]. According to Lee et al [35], the ARIES assays throughput time was reported as 12 samples in 2 hours. Before WebTrichomoniasis, known for often not having symptoms, can be easily cured. A clinical diagnosis of genital herpes should always be confirmed by laboratory testing; this can be accomplished through the use of direct tests for viral isolation, the detection of antigen or, more recently, the detection of HSV DNA using molecular diagnostic techniques. Serologic studies are useful for the diagnosis of EBV infection, because clinical symptoms and an antibody response occur simultaneously, and other diagnostic tests are generally unavailable. The study by Liermann et al [36] was the only study to investigate detection of primary infection, and concluded that its HSV IgM serology tool should not be used to make decisions for antiviral treatment in HSV [36]. Less often, a lab test of your blood may be used for confirming a diagnosis or ruling out other infections. Antivirals are recommended to be administered within the first 48 to 72 hours of the appearance of symptoms for best results [51], which is a very short time interval that requires a rapid turnaround time in case the provider has to wait for the diagnostic test results before prescribing the medication. J Clin Microbiol. Please enable it to take advantage of the complete set of features! Mindel A, Carney O, Williams P. Cutaneous herpes simplex infections. Ho DW, Field PR, Sjgren-Jansson E, Jeansson S, Cunningham AL. Bethesda, MD 20894, Web Policies PMC Participants age ranged from 5 months to 85 years (Table 2). Table format adapted from Whiting et al [22]. WebPolymerase chain reaction (PCR) can detect VZV DNA rapidly and sensitively. High risk of bias in the patient selection domain was mostly because of the lack of randomization in recruiting patients and the use of case-control design in selecting participants and/or recruited patients with confirmed diagnosis. 1985 Nov; 22 (5):748753. WebVirologic Tests HSV NAAT assays are the most sensitive tests because they detect HSV from genital ulcers or other mucocutaneous lesions; these tests are increasingly available ( 442 444 ). Full text is available as a scanned copy of the original print version. FOIA Borde C, Barnay-Verdier S, Gaillard C, Hocini H, Marchal V, Gozlan J. PLoS One. Herpes can be diagnosed in two ways, by either detecting the presence of the virus in lesions or the antibodies in the blood. The majority of studies were prospective in nature (n=12; fewer studies (n=7) relied on archived samples (Table 1). Clipboard, Search History, and several other advanced features are temporarily unavailable. Individuals with multimorbidity will also be included such as patient coinfected with herpes simplex virus (HSV) and HIV, or HSV and hepatitis C. All diagnostic tests for HSV-1 or HSV-2 used for any type of the infection such as oral, anogenital, ocular, or central nervous system infections. Diagn Microbiol Infect Dis. All others were equal to or above 80% (Multimedia Appendix 3 and Figure 3). Evaluating the performance of the focus HerpeSelect HSV-2 IgG in veterans with chronic hepatitis C infection. Aalto SM, Linnavuori K, Peltola H, Vuori E, Weissbrich B, Schubert J, Hedman L, Hedman K. Schaefer EAF, Chu S, Wylie KM, Wylie TN, Griffith OL, Pearce JW, Johnson GC, Bryan JN, Flesner BK. Federal government websites often end in .gov or .mil. Keywords: Herpes simplex virus, Genital herpes, Diagnosis Go to: Introduction This site needs JavaScript to work properly. government site. Compare HSV-Q and real-time HSV PCR in terms of accuracy and cost. Studies were selected first by removing duplicates from the initially identified studies, then manually screening the titles and abstracts of the studies against the eligibility criteria, and finally performing full-text reading of eligible studies. A majority of tools study cutaneous and mucosal HSV infections (n=13); 2 tests focused on ocular disease, whereas a single one on CNS manifestations. Specimen quality and adequate transport and handling to maintain infectivity are essential while using culture methods. This systematic review has summarized recent studies evaluating HSV-1 and HSV-2 diagnostic tools. Greninger AL, Roychoudhury P, Xie H, Casto A, Cent A, Pepper G, Koelle DM, Huang ML, Wald A, Johnston C, Jerome KR. 1983 Jun;98(6):973-83. doi: 10.7326/0003-4819-98-6-973. The tool was validated and performs comparable to other standard diagnostic methods. Comparison of biological, biochemical, immunological, and immunochemical techniques for typing herpes simplex virus isolates. doi: 10.1128/CMR.00043-15. WebHerpes simplex virus (HSV) causes several clinical manifestations in both normal and immunocompromised hosts; this agent is the most frequently detected virus in diagnostic We selected only original articles published between 2012 and 2018. Med. Mertz GJ, Schmidt O, Jourden JL, Guinan ME, Remington ML, Fahnlander A, Winter C, Holmes KK, Corey L. Frequency of acquisition of first-episode genital infection with herpes simplex virus from symptomatic and asymptomatic source contacts. Unauthorized use of these marks is strictly prohibited. Microorganisms. Sexual and socioeconomic factors affecting the risk of past infections with herpes simplex virus type 2. government site. Specimens can be extracted, target HSV DNA can be amplified, and HSV PCR products can be identified by genotype within 2 h after receipt of specimen into the laboratory. Scoular A, Leask BG, Carrington D. Changing trends in genital herpes due to Herpes simplex virus type 1 in Glasgow, 1985-88. The study reported the lowest specificity of 82.6% using their ELIZA and PCR techniques. Unauthorized use of these marks is strictly prohibited. Herpes can be diagnosed in two ways, by either detecting the presence of the virus in lesions or the antibodies in the blood. Herpes Virus, Oral Clinical Signs and QoL: Systematic Review of Recent Data. National Library of Medicine We will then suggest areas with unmet medical needs. Bookshelf Another limitation of traditional culture methods is that viral subtyping requires the additional step of using HSV-1 and HSV-2 monoclonal antibodies [46,47]. official website and that any information you provide is encrypted WebTest Id : HSVPB Order This Test Herpes Simplex Virus (HSV), Molecular Detection, PCR, Blood Useful For Aiding in the rapid diagnosis of disseminated disease due to herpes simplex virus (HSV) Qualitative detection of HSV DNA This test should not be used to screen asymptomatic patients. Herpes simplex virus (HSV) causes several clinical manifestations in both normal and immunocompromised hosts; this agent is the most frequently detected virus in diagnostic laboratories. An official website of the United States government. Overall, there are two main types of blood test for herpes. The ELISA test is roughly 92% effective for both positive and negative results for HSV-1 and 97% effective for HSV-2. The Immunoblot test is roughly 99% effective for testing HSV-1 and 98% effective for HSV-2. In fact, the tests that use these samples work best. Quality assessment of included studies was performed using the quality assessment of diagnostic accuracy studies (QUADAS-2) tool. Wang L, Deng Y, Ma K, Yin H, Sun C, Tang J. Infect Drug Resist. Rapid assays for herpes simplex virus also appear to have decreased sensitivity (<60%) in detecting asymptomatic excretion of herpes simplex virus from the lower genital tract. Burton MJ, Penman A, Adams-McAlpine G, Overman TL, Hook EW. Coleman RM, Pereira L, Bailey PD, Dondero D, Wickliffe C, Nahmias AJ. Ashley R, Mack K, Critchlow C, Shurtleff M, Corey L. Differential effect of systemic acyclovir treatment of genital HSV-2 infections on antibody responses to individual HSV-2 proteins. Espy MJ, Uhl JR, Mitchell PS, Thorvilson JN, Svien KA, Wold AD, Smith TF. Diagnosis of Herpes Simplex Virus: Laboratory and Point-of-Care Techniques. Prenatal screening for primary infection and subsequent medical intervention will assist in lowering the rate of neonatal herpes. Clipboard, Search History, and several other advanced features are temporarily unavailable. Rooney JF, Felser JM, Ostrove JM, Straus SE. [26] with a median sample size being of 179 patients (Table 1). Keywords: Neonates immune system has a limited ability in fighting off infections, hence resulting in mortality rates exceeding 80% from HSV infection [58]. Illustration of enzyme-linked immunosorbent assay used for detection of HSV-2 IgG/IgM from patient samples. The effects of acyclovir on antibody response to herpes simplex virus in primary genital herpetic infections. Melting curve analysis of HSV-1 and HSV-2 genotypes determined by LightCycler PCR using FRET assay. No differences in test performance based on gender, clinic type, location of the lesion, or type of lesion were observed. Laboratory Diagnosis of Neonatal Herpes Simplex Virus Infections - PMC Journal List J Clin Microbiol v.57 (5); 2019 May PMC6498033 As a library, NLM provides access to scientific literature. Saving Lives, Protecting People, B Virus (herpes B, monkey B virus, herpesvirus simiae, and herpesvirus B), National Center for Immunization and Respiratory Diseases, U.S. Department of Health & Human Services. Detection of herpes simplex virus type 1, herpes simplex virus type 2 and varicella-zoster virus in skin lesions. Incidence and mortality of herpes simplex encephalitis in Denmark: a nationwide registry-based cohort study. Diagnostics for herpes simplex virus: is PCR the new gold standard? Integr Physiol Behav Sci. The study concluded that the assay could work potentially as a rapid, point-of-care test for HSV-2. Risbud A, Chan-Tack K, Gadkari D, Gangakhedkar RR, Shepherd ME, Bollinger R, Mehendale S, Gaydos C, Divekar A, Rompalo A, Quinn TC. sharing sensitive information, make sure youre on a federal Wald A, Ashley-Morrow R. Serological testing for herpes simplex virus (HSV)-1 and HSV-2 infection. Scheme for processing specimens for the diagnosis of HSV infections by LightCycler PCR. Evaluation of the HerpeSelect Express rapid test in the detection of herpes simplex virus type 2 antibodies in patients with genital ulcer disease. Lee CK, Chai CN, Capinpin SM, Ang A, Ng SY, Lee PL, Ng CW, Yan G, Lee HK, Chiu LL, Jureen R, Yan B, Loh TP. Currently used HSV diagnostic tools require highly specialized skills and availability of a laboratory setting but may lack sensitivity. WebA clinical diagnosis of genital herpes should always be confirmed by laboratory testing; this can be accomplished through the use of direct tests for viral isolation, the detection of antigen or, more recently, the detection of HSV DNA using molecular diagnostic techniques. Koutsky LA, Stevens CE, Holmes KK, Ashley RL, Kiviat NB, Critchlow CW, Corey L. Underdiagnosis of genital herpes by current clinical and viral-isolation procedures. The site is secure. Given the heterogeneous nature of the studies included within this review in terms of sample type, collection, and patient demographics, it was not possible to draw statistical inferences or perform a meta-analysis. Herpes can be diagnosed in two ways, by either detecting the presence of the virus in lesions or the antibodies in the blood. Chaudhuri A, Kennedy PG. WebThe diagnosis of infection due to herpesviruses can be performed by several laboratory techniques, including virus culture, demonstration of virus-specific cellular antigens, Rapid quantitative PCR assays for the simultaneous detection of herpes simplex virus, varicella zoster virus, cytomegalovirus, Epstein-Barr virus, and human herpesvirus 6 DNA in blood and other clinical specimens. Bookshelf Would you like email updates of new search results? The use of monoclonal antibodies in (reverse) passive haemagglutination tests for herpes simplex virus antigens and antibodies. Recovery of the virus in cell culture is considered the "gold standard" for detection of this virus from sources other than cerebrospinal fluid. Detection of antibodies to herpes simplex virus in the cerebrospinal fluid of patients with herpes simplex encephalitis. Publication types Review MeSH terms Clinical Laboratory Techniques / methods* Nah, berikut ini beberapa cara untuk diagnosis herpes Lingappa J, Nakku-Joloba E, Magaret A, Friedrich D, Dragavon J, Kambugu F, Joloba M, Whalen C, Coombs R, Celum C, Morrow RA. Cambridge University Press; Cambridge, UK: 2007. Data extraction was completed separately by the study authors ZA and AA to increase accuracy. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Bernstein DI, Lovett MA, Bryson YJ. J Clin Microbiol. A definitive diagnosis of herpes simplex virus (HSV) infection can also be confirmed by isolating the virus in tissue cultures. This often leads to overestimation of the results and may exaggerate diagnostic accuracy [22]. Current diagnostic techniques in genital herpes: their role in controlling the epidemic. Lee FK, Coleman RM, Pereira L, Bailey PD, Tatsuno M, Nahmias AJ. Detection of genital herpes simplex infections by a tissue culture-fluorescent-antibody technique with biotin-avidin. Inclusion in an NLM database does not imply endorsement of, or agreement with, A separate tool, the HSV-Qx assay, was found to produce results in a few hours compared with many days for conventional culture techniques [40]. Methodological characteristics of included studies, summarizing study aims, conclusions, and demographic data. Assay performs as well as the other assays on a fully automated system that provides results within a few hours rather than many days. Herpes can be diagnosed in two ways, by either detecting the presence of the virus in lesions or the antibodies in the blood. In conclusion, HSV diagnosis is moving away from culture-based methods to serology-based or polymerase chain reactionbased methods. HSV is spread through close contact with a person actively shedding the virus, usually through skin-to-skin or sexual contact.
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