Re: ACOG Preventive med guidelines and Hep B

From: Cheri Van Hoover (cherivh@home.com)
Thu Oct 26 18:44:29 2000


Efrain Ramirez wrote:

> You are right about cross reaction but read about "Pockit" - type
> specific - highly sensitive - $60 though -

It doesn't look like the CDC is supporting this type of testing yet. The following web page spells out their current recommendations: http://www.cdc.gov/nchstp/dstd/Reports_Publications/Part1.htm

Besides which, my other concern about serological testing is that knowing if they have antibodies for Type I or Type II HSV doesn't tell us anything about where they get their lesions. The last couple of women I cultured for genital lesions came back positive for Type I. One of these women knew exactly how she contracted it - a Hawaiian vacation where too much sun exposure caused her boyfriend's oral HSV to become active. She didn't know you could get that kind of herpes "down there."

So I guess I just don't see the utility of such testing at this time. Even knowing for certain the type of HSV doesn't tell you the site of infection.

--
Cheri Van Hoover, CNM
San Francisco, CA




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