When is a herpes virus screening indicated in the management of HIV infection in primary care?

Updated: Apr 09, 2019
  • Author: Jason F Okulicz, MD, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Patients at lower risk of CMV infection should be tested for latent CMV infection with an anti-CMV IgG test upon initiation of care. Patients who do not have evidence of immunity to varicella should receive postexposure prophylaxis with VariZIG as soon as possible (but within 96 hours) after exposure to a person with varicella or shingles. Varicella primary vaccination may be considered in HIV-infected, VZV-seronegative persons aged 18 years with CD4 cell counts at or above 200 cells/µL. [16]


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