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Nurse Practioners and Genital Herpes Study 2003

Source: www.herpes-foundation.org
Topic: Herpes
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Sort Desciption: The American Herpes Foundation (AHF) interviewed 15 nurse practitioners (NPs) selected at ... piece for genital herpes and what type of ... herpes. ...

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Nurse Practioners and Genital Herpes Study 2003 2003 Nurse Practitioner Genital Herpes Needs Assessment Interviews SUMMARY OF FINDINGS September 17, 2003 METHODOLOGY The American Herpes Foundation (AHF) interviewed 15 nurse practitioners (NPs) selected at random from a group of 61 respondents to our initial needs assessment survey instrument, which was distributed* in February 2003 at a womens health conference in Philadelphia, Pa. Results from the initial questionnaire were used to help focus the interview guides. Interviewees participated in a brief 15-minute interview that covered basic clinical practice as it relates to genital herpes screening and management. Interviewees were not compensated for participation. Because we surveyed and interviewed clinicians attending a womens health conference, our sample is biased toward NPs practicing in or with an interest in the field of womens health. The NPs in our sample represented a range of practice settings, as indicated in the pie chart below. Practice Settings R epresented in This Sam ple O ther 7% H ospital-based setting 13% O ffice-based practice 40% Fam ily planning clinic 40% SUMMARY & NEXT STEPS Our study yielded several key findings. As suspected, regular screening for genital herpes among pregnant women and their partners appears to be uncommon, despite the significant risk that a case of primary maternal herpes, however rare, poses to the neonate. Possible reasons may include the low incidence of neonatal herpes, the fear of false positives, and the cost and availability of serum tests. Enright and Prober report that, in fact, approximately 2000 neonates become infected with herpes simplex virus (HSV) annually, 1 or about 0.05% of all infants born in the US. Since many of these infections result from late-term primary infection and asymptomatic shedding 2 , standardized serum testing is probably critical to any neonatal herpes prevention program. *In the initial survey, AHF asked NPs who stopped by ...

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