Sexually Transmitted Diseases. There Maternal and Fetal Effects. HERPES : HSV I & II . TYPE I is usually found ABOVE UMBILICUS (except when transmitted through oral sex to the genitals), non-cancer causing and doesn't return as often as HSVII.
There Maternal and Fetal Effects
Precipitating factors (triggers) = stress, excessive sunlight, local trauma, PMS, hormonal changes.
***BEWARE: Labor is stressful and can activate herpes. Tests should be perfromed throughout labor (test is scraping of cells for shedding of virus)-- if cells are present, C-Section should be performed.
famciclovir(Famvir) 500 mg po q8h for 7 days (in normal renal function), beginning as immediately after diagnosis is made and for recurrent genital herpes: 250: mg tid x 5-10days (in normal renal function), within 6 hours of symptoms. Side effects are minor = headache, nausea, diarrhea, fatigue.
or more commonlywith acyclovir(Zovirax). 5-10mg/kg IV q 8 hours X 7-10 days. Administer at constant rate over 1 hour. Side effects = Renal toxicity: serum creatinine and BUN rise and creatinine clearance decreases, Encephalopathy: lethargy, obtundation, tremors, confusion, hallucinations, agitation, seizures or coma and other: transient elevated creatinine, rash or hives; diaphoresis; hematuria; hypotension; headache and nausea (GI side effects reduced if take with meals); thrombocytosis.
CANDIDA ALBACANS (monilial yeast/fungal infection)
Patients whould be instructed: