Underestimation of HSV-2 seroprevalence in a high-risk population by microneutralization assay

Article Abstract:

Complement independent neutralizing antibody assays (CINA) may not be an effective method for diagnosis of infections caused by herpes simplex virus type 2 (HSV-2). Infections caused by HSV-2 are usually transmitted sexually in genital secretions. A study evaluated blood samples from 521 women using a CINA and a Western blot assay. Seventy-six percent of the women had antibodies to HSV by CINA, compared with 81% by Western blot. Of 220 blood samples with antibodies to HSV-2 by Western blot, only 48% had neutralizing antibodies to HSV-2 by CINA. Evaluation using a CINA may miss a significant number of patients infected with HSV-2.

Author: Corey, Lawrence, Koutsky, Laura A., Lee, Francis K., Stevens, Claire E., Holmes, King K., Ashley, Rhoda L., Nahmias, Andre J., Dalessio, Julie, Dragavon, Joan
Methods, Evaluation, Diagnosis, Medical testing products, Diagnostic reagents and test kits, Diagnostic reagents, Diagnostic virology

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Genital herpes in a primary care clinic: demographic and sexual correlates of herpes simplex type 2 infections

Article Abstract:

There appear to be gender and racial specific factors associated with herpes simplex virus type 2 (HSV-2) infections. HSV-2 infection rates were determined in 922 family practice patients, and a subset was polled about their sexual behaviors. Overall, 23% were infected with HSV-2. Sixty-three percent of the African-American women were infected, 40% of the African-American men, 27% of the white women, and 12% of the white men. Participants who had had a sexually transmitted disease or more than 10 sexual partners were more likely to be infected with HSV-2. The significance of these risk factors varied by race and gender.

Author: Corey, Lawrence, Wald, Anna, Koutsky, Laura, Ashley, Rhoda L.
Research, Demographic aspects, Health, Health and race, Ethnic groups, Disease susceptibility, Herpes simplex

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Subjects list: Herpes genitalis, Genital herpes
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