Prophylactic oral antiviral treatment should be considered if the patient is:<\/p>\n\n\n\n
Those with atypical lesions or in whom the diagnosis is uncertain (but thought to be benign) \u00a0should be referred routinely to Oral Medicine<\/a>. Patients with unexplained ulceration of the oral mucosa persisting > 3 weeks should be referred as urgent, suspicious of cancer to <\/mark>Oral and Maxillofacial Surgery<\/a>.<\/p>\n\n\n\n Severe or recurrent genital HSV infection should be referred to Sexual and Reproductive Health Services<\/a>.<\/p>\n\n\n\n C.M & N.B – 5-10-26<\/strong><\/p>\n\n\n\n Patients with confirmed recurrent non-genital HSV infection which does not respond to first line prophylactic oral antiviral therapy.<\/p>\n\n\n\n Immunocompromised patients with recurrent non-genital HSV infection.<\/p>\n\n\n\n Patients with<\/p>\n\n\n\n Via Sci Gateway to Infectious Diseases at the Western General Hospital<\/p>\n<\/div><\/div>\n\n\n\n Guidance on the management of uncomplicated oral HSV is available as a NICE CKS summary<\/a>. Patients should be offered screening for HIV infection. Prophylactic treatment regimens for recurrent HSV infection can be found in the BNF.<\/p>\n\n\n\n In immunocompetent patients, the first line treatment is aciclovir 400mg twice daily. Breakthrough infections should be treated with standard courses of antiviral therapy before reverting to prophylactic dose.<\/em><\/strong><\/p>\n<\/div><\/div>\n\n\n\n https:\/\/cks.nice.org.uk\/topics\/herpes-simplex-oral\/<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":" Prophylactic oral antiviral treatment should be considered if the patient is: Those with atypical lesions or in whom the diagnosis is uncertain (but thought to be benign) should be referred routinely to Oral Medicine. Patients with unexplained ulceration of the oral mucosa persisting > 3 weeks should be referred as urgent, suspicious of cancer to<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4043,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[1057],"class_list":["post-17726","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-recurrent-oral-herpes-simplex-virus-hsv-infection"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" Recurrent Oral Herpes Simples Virus (HSV) Infection<\/a>","rttpg_excerpt":"Prophylactic oral antiviral treatment should be considered if the patient is: Those with atypical lesions or in whom the diagnosis is uncertain (but thought to be benign) should be referred routinely to Oral Medicine. Patients with unexplained ulceration of the oral mucosa persisting > 3 weeks should be referred as urgent, suspicious of cancer to","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17726","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=17726"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17726\/revisions"}],"predecessor-version":[{"id":30355,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17726\/revisions\/30355"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4043"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=17726"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=17726"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}<\/ul>\n
Who to refer:<\/strong><\/h4>\n\n\n\n
Who not to refer:<\/strong><\/h4>\n\n\n\n
\n
How to refer:<\/strong> <\/h4>\n\n\n\n