PRIMARY HSV
(First episode of genital herpes ≤6 weeks before vaginal delivery)
- Strict infection control
- Swab baby’s nasopharynx, conjunctiva, mouth and rectum in viral transport medium for HSV PCR
- Check baby’s ALT and send blood for HSV PCR
- Start aciclovir 20 mg/kg IVI (over 1 hr) 8-hrly
- If ALT abnormal or other signs of infection (including skin lesions) send CSF for HSV PCR
- Recommend breastfeeding unless herpetic lesions around nipple