Management of Acyclovir‐Resistant Herpes Simplex and Varicella‐Zoster Virus Infections
作者:
Henry Balfour,
Constance Benson,
James Braun,
Brett Cassens,
Alejo Erice,
Alvin Friedman-Kien,
Thomas Klein,
Bruce Polsky,
Sharon Safrin,
期刊:
Journal of Acquired Immune Deficiency Syndromes
(OVID Available online 1994)
卷期:
Volume 7,
issue 3
页码: 254-260
ISSN:0894-9255
年代: 1994
出版商: OVID
关键词: Acyclovir;Foscarnet;Herpes simplex virus (HSV);Resistance;Varicella-zoster virus (VZV).
数据来源: OVID
摘要:
SummaryPersons with AIDS who have CD4+counts ≤100 and transplant patients, especially bone marrow allograft recipients, may experience clinically significant infections with acyclovir-resistant herpes simplex virus (HSV) or varicella-zoster virus (VZV). Patients who have received prior repeated acyclovir treatment appear to be at the highest risk of harboring acyclovir-resistant strains. Algorithms for the management of these infections were developed at a recent roundtable symposium. The consensus of the panelists was that treatment with foscarnet should be initiated within 7–10 days in patients suspected to have acyclovir-resistant HSV or VZV infections. Foscarnet therapy should be continued for at least 10 days or until lesions are completely healed. Recurrences may respond to either foscarnet or, occasionally, acyclovir.
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