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) should be referred routinely to Oral Medicine<\/a>. Patients with unexplained ulceration of the oral mucosa persisting > 3 weeks should be referred to Oral and Maxillofacial Surgery<\/a> \u2013 urgent, suspicious of cancer.<\/p>\n\n\n\n Severe or recurrent genital HSV infection should be referred to Sexual Health services<\/a>.<\/p>\n\n\n\n C.M & N.B 12-12-23<\/strong><\/p>\n\n\n\n Patients with confirmed non-genital HSV infection which is refractory to oral antiviral therapy. <\/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<\/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 to Oral and Maxillofacial Surgery –<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4043,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"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 to Oral and Maxillofacial Surgery –","_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":17798,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/17726\/revisions\/17798"}],"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