Materiały źródłowe

• #1 Herpetic Whitlow: Signs and Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24681-herpetic-whitlow

  Prevention may be difficult, but the following measures can help: […] Frequent hand washing with soap and water. […] Wearing gloves in a healthcare setting, especially with close contact with peoples mouths. […] Stopping your child from sucking their fingers, especially their thumb.

• #1 What Is Herpetic Whitlow – Klarity Health Library

  https://my.klarity.health/what-is-herpetic-whitlow/

  Herpes simplex virus infections are contagious; hence it can prove difficult to prevent when you come in contact with someone that has it. The following measures can help to reduce your chances of getting the infection: […] Ensure to wash your hands regularly with soap and water […] Keep a hand sanitiser handy so you can use it when soap and water are not available […] Ensure your child doesn’t suck their fingers […] Healthcare workers should wear gloves, especially when in contact with peoples mouths […] Avoid sharing personal items such as towels or toothbrushes.

• #1 Herpetic Whitlow: Symptoms, Causes, Treatment | Qwark

  https://qwarkhealth.com/conditions/herpetic-whitlow

  To avoid Herpetic Whitlow, it is important to practice good hand hygiene and avoid contact with people who have active cold sores or genital herpes. […] Effective preventative measures for Herpetic Whitlow include avoiding contact with infected individuals or their secretions, keeping the affected area clean and dry, wearing gloves when coming into contact with infected individuals or objects, and avoiding nail biting or finger sucking. […] Hand hygiene is crucial for preventing the spread of Herpetic Whitlow. Washing hands with soap and water or using an alcohol-based hand sanitizer can help kill the virus and prevent it from spreading to other surfaces or individuals. […] It is recommended to avoid direct contact with individuals who have Herpetic Whitlow to prevent its spread. […] Some common mistakes people make that increase their risk of getting Herpetic Whitlow include nail biting, finger sucking, and not wearing gloves when coming into contact with infected individuals or objects. […] There are currently no vaccines available for Herpetic Whitlow prevention.

• #1

  https://journals.lww.com/nursing/fulltext/2004/07000/getting_the_lowdown_on_herpetic_whitlow.16.aspx

  To treat herpetic whitlow, the health care provider will order an oral, topical, or I.V. antiviral medication, such as acyclovir, famciclovir, or valacyclovir. These medications accelerate healing, reduce viral shedding and pain, and may help prevent a recurrence. […] To protect yourself from infection, follow standard precautions. Wear gloves and take other standard contact precautions whenever you may have contact with a patient’s body fluids, blisters, lesions, or mucous membranes or with any item that’s touched a patient’s mucous membranes or body fluids. […] If you develop herpetic whitlow, follow your facility’s policy and procedure to prevent disease transmission. The Centers for Disease Control and Prevention recommends restricting health care providers from contact with patients or patient environments until lesions heal.

• #1 Herpetic whitlow: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/317701

  Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. […] People can support healing from herpetic whitlow in several ways: Cover the infection: Lightly covering the affected area helps keep the virus from spreading. […] Wash the hands: Doing so frequently and thoroughly is key, especially before and after touching an area of whitlow. Those working in medical or dental fields should take every precaution, such as working in gloves whenever possible. […] Tell the doctor or dentist: Letting healthcare providers know about an active outbreak can ensure that they use the right protective measures. […] If whitlow reappears, a doctor may prescribe suppressive antiviral medications, which a person takes daily. These may reduce the chances of future outbreaks.

• #1 Herpetic Whitlow Condition, Treatments and Pictures for Adults – Skinsight

  https://skinsight.com/skin-conditions/herpetic-whitlow/

  Herpetic whitlow can affect people of any age, race / ethnicity, and sex. However, it is more common in children and in dental and medical workers. […] Because HSV infections are very contagious, it is important to take the following steps toward preventing spread (transmission) of the virus during the prodrome phase (burning, tingling, or itching) and active phase (presence of blisters or sores) of herpetic whitlow: Avoid sharing towels and other personal care items. Cover the affected finger with a bandage. Wear gloves if you are a health care provider. Avoid popping any blisters, as it may make the condition worse. […] Unfortunately, the virus can still be transmitted even when someone does not have active lesions. However, this is uncommon for people with herpetic whitlow.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abs5548

  Your doctor may prescribe medicines to help fight the herpes virus. You may be asked to cover your finger with a bandage. This can avoid spreading the infection. […] Follow your doctor’s advice to care for your finger. If you did not get instructions: Wash the area with clean water 2 times a day. Don’t use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and a non-stick bandage.

• #1 Herpetic Whitlow – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482379/

  Patients should be educated that the virus can spread to other parts of their body or to other people via direct contact. […] Viral shedding is present until the epidermal lesion is healed, so patients should be counseled on the importance of wearing gloves or another protective barrier. […] The patient should also be counseled that the chance of recurrence is about 30% to 50%. […] The diagnosis and management of herpetic whitlow are best accomplished with an interprofessional team that consists of a nurse practitioner, primary care physician, pediatrician, dermatologist, and an infectious disease expert. […] The role of antiviral agents is still being debated but should be considered in immunocompromised patients. […] For most immunocompetent patients, the infection spontaneously resolves in 2 to 4 weeks. […] Incision and drainage should not be performed as it provides no symptomatic relief and may cause viremia and bacterial superinfection. […] There have been reports of significant pain relief following nail segment excision for decompression of vesicles along the nail bed.

• #1 Herpetic Whitlow Symptoms, Causes and Treatment

  https://www.verywellhealth.com/herpetic-whitlow-overview-4584881

  Herpetic whitlow is a rare complication of herpes simplex virus (HSV) infection that leads to a painful rash in the finger or hand. […] A person may develop a herpetic whitlow if broken skin on a finger (usually trauma-induced) comes into direct contact with HSV sores or blisters (such as cold sores or genital herpes) on someone else’s body or on their own body. […] While anyone (children and adults) can get herpetic whitlow, certain factors increase a person’s chances of becoming infected: Having a weakened immune system (such as having HIV or cancer that affects the bone marrow) […] Engaging in occupational hazards, such as not wearing gloves as a dentist, healthcare provider, or another healthcare practitioner. […] In order to prevent a bacterial secondary infection, it’s important to gently clean the affected area on your finger every day. After cleaning, apply a dry dressing over the rash. The dressing will not only prevent bacteria from getting into the sore(s) but will also prevent the spread of the herpes virus.

• #1 A man with an infected finger: a case report | Journal of Medical Case Reports | Full Text

  https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-015-0589-5

  Whitlow is rarely caused by the herpes simplex virus, but this disease requires swift recognition and treatment to prevent complications. […] As this treatment differs from that of a traditional whitlow, physicians should be aware of herpetic whitlow.

• #1 SciELO Brazil – Herpetic whitlow in a child with AIDS: the importance of Tzanck test in the diagnosis Herpetic whitlow in a child with AIDS: the importance of Tzanck test in the diagnosis

  https://www.scielo.br/j/abd/a/Cv5tmMz9ntqMyCgxwvXxHSH/

  The Tzanck test allows a quick and low-cost diagnosis of herpes simplex virus infection. […] The Tzanck tests or the antigen detection are indicated for a rapid diagnosis. […] The Tzanck test, or smear, is a fast, easy to perform, low-cost test that showed to be very useful in the present case, especially in a child, because it does not require anesthesia. […] In conclusion, the authors of this present study highlight that in the presence of chronic painful ulcerations in the fingers of children with AIDS, the diagnosis of HW should be considered and the Tzanck test should be performed as a useful method to confirm the diagnosis.

• #1 How to Treat Whitlow: Medical Treatments & Home Remedies

  https://www.wikihow.com/Treat-Whitlow

  Wash your hands frequently. Washing your hands is one of the most basic things you can do to prevent getting a viral infection like whitlow. Use soap and warm water to wash your hands for at least 20 seconds multiple times throughout the day, especially if you come into contact with something that may have a lot of germs. If you think you might have come into contact with someone who has HSV, wash your hands immediately. […] Reduce your stress levels. In some cases, stress can cause a recurrence of HSV and its symptoms. Do your best to manage your stress levels and practice healthy habits in your daily life. Some options to deal with stress include getting regular exercise, cutting back on alcohol or caffeine if you consume them frequently, quitting smoking, eating healthier, and getting a good night’s sleep.

• #1 Whitlow: Symptoms, Causes, and Treatments

  https://resources.healthgrades.com/right-care/infections-and-contagious-diseases/whitlow

  You may be able to lower your risk of whitlow or prevent the spread of HSV by: […] avoiding direct contact with open herpes lesions, including cold sores and genital lesions […] avoiding sharing objects that have been in contact with saliva, such as cutlery […] practicing safe sex by using a barrier method such as a condom […] not having sex while symptomatic.

• #1 Herpetic whitlow (whitlow finger)

  https://www.nhs.uk/conditions/herpetic-whitlow/

  Herpetic whitlow can come back. […] There’s not much you can do to prevent herpetic whitlow but it can be treated in the same way if it comes back.

• #2 Herpetic Whitlow – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482379/

  Patients should be educated that the virus can spread to other parts of their body or to other people via direct contact. […] Viral shedding is present until the epidermal lesion is healed, so patients should be counseled on the importance of wearing gloves or another protective barrier. […] The patient should also be counseled that the chance of recurrence is about 30% to 50%. […] The diagnosis and management of herpetic whitlow are best accomplished with an interprofessional team that consists of a nurse practitioner, primary care physician, pediatrician, dermatologist, and an infectious disease expert. […] The role of antiviral agents is still being debated but should be considered in immunocompromised patients. […] For most immunocompetent patients, the infection spontaneously resolves in 2 to 4 weeks. […] Incision and drainage should not be performed as it provides no symptomatic relief and may cause viremia and bacterial superinfection. […] There have been reports of significant pain relief following nail segment excision for decompression of vesicles along the nail bed.

• #2 Herpetic Whitlow: Signs and Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24681-herpetic-whitlow

  Prevention may be difficult, but the following measures can help: […] Frequent hand washing with soap and water. […] Wearing gloves in a healthcare setting, especially with close contact with peoples mouths. […] Stopping your child from sucking their fingers, especially their thumb.

• #2 Whitlow in Africans: Prevention and Treatment

  https://www.datelinehealthafrica.org/whitlow-in-africans-prevention-and-treatment

  Prevention is less expensive than cure, according to a well-known saying. This is true when one considers the pain and expense that will be incurred if one contracts herpetic whitlow. […] You can take the following measures to reduce your risk of contracting herpetic whitlow: Limit or avoid contact with those infected with the virus. […] Wash your hands often to maintain general hygiene. […] If you are a healthcare worker, use PPE (personal protection equipment) and supplies such as face masks, hand gloves, and disinfectants regularly. […] Use condoms and other safe sex practices. […] Monitor and discourage hand suckling, biting, and licking by children. […] Have one sexual partner. […] Preventive measures include maintaining hygiene, practicing safe sex, and avoiding direct contact with infected individuals.

• #2 Herpetic Whitlow Treatment & Management: Emergency Department Care, Medical Care, Surgical Care

  https://emedicine.medscape.com/article/788056-treatment

  Healthcare workers should wear gloves while providing medical and/or dental care to prevent inadvertent exposure and subsequent infection.

• #2 Herpetic Whitlow

  https://www.patientcareonline.com/view/herpetic-whitlow

  Herpetic whitlow is somewhat common in dental and medical personnel, who contract herpes simplex from H hominis found in their patients’ saliva. […] Prophylactic valacyclovir was prescribed for this patient. She was advised to wear latex gloves to prevent transmission of the virus.

• #2 Herpetic Whitlow: Symptoms, Causes, and Diagnosis

  https://www.healthline.com/health/herpetic-whitlow

  Herpetic whitlow is a viral condition where small blisters form on the fingers and the fleshy area around the fingertips. […] For that reason, its important that you recognize symptoms of this condition and take steps to protect yourself. […] Due to the contagious nature of this condition, you should keep the blistered area covered until it heals. Not covering the area means it could spread to other parts of your body or be transmitted to other people. […] Wearing gloves while cleaning an affected area also prevents spreading the condition to other parts of your body. […] As a precaution, dont wear contact lenses if you have herpetic whitlow. If you touch your eye with the finger containing the affected area, the virus could spread to your eye.

• #2 Herpetic whitlow: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/317701

  Herpetic whitlow, or whitlow finger, is a painful infection caused by the herpes simplex virus (HSV). […] A person can develop herpetic whitlow through direct contact with skin containing the virus, which might be on the genitals, face, or hands. […] People can support healing from herpetic whitlow in several ways: Cover the infection: Lightly covering the affected area helps keep the virus from spreading. […] Wash the hands: Doing so frequently and thoroughly is key, especially before and after touching an area of whitlow. Those working in medical or dental fields should take every precaution, such as working in gloves whenever possible. […] Tell the doctor or dentist: Letting healthcare providers know about an active outbreak can ensure that they use the right protective measures. […] If whitlow reappears, a doctor may prescribe suppressive antiviral medications, which a person takes daily. These may reduce the chances of future outbreaks.

• #2 Herpetic Whitlow: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.herpetic-whitlow-care-instructions.abs5548

  Your doctor may prescribe medicines to help fight the herpes virus. You may be asked to cover your finger with a bandage. This can avoid spreading the infection. […] Follow your doctor’s advice to care for your finger. If you did not get instructions: Wash the area with clean water 2 times a day. Don’t use hydrogen peroxide or alcohol, which can slow healing. You may cover the area with a thin layer of petroleum jelly, such as Vaseline, and a nonstick bandage.

• #2 Herpetic Whitlow – MD Searchlight

  https://mdsearchlight.com/infectious-disease/herpetic-whitlow/

  Patients need to know that this virus can move to other parts of their body or even spread to other people through direct touch. They can still pass the virus to others until the rash or skin sore has completely healed. So, its crucial for patients to wear something like gloves to act as a protective barrier. […] Its also important to know that the virus may come back with a chance of about 30% to 50%. To manage this, patients are advised to stick to their prescribed medicines and contact their doctor if they see signs of an additional bacterial infection over their current virus.

• #2 Herpetic whitlow – WikEM

  https://wikem.org/wiki/Herpetic_whitlow

  Antivirals such as Acyclovir or Valacyclovir may shorten duration of infection. […] Topical acyclovir 5% shortens duration and viral shedding in primary infection. […] Oral acyclovir dosing – 800mg BID initiated during prodrome may prevent recurrence. […] Application of clean dressings to involved digits is important to prevent autoinoculation or spread to other individuals.

• #2 Herpetic Whitlow Condition, Treatments and Pictures for Adults – Skinsight

  https://skinsight.com/skin-conditions/herpetic-whitlow/

  Herpetic whitlow can affect people of any age, race / ethnicity, and sex. However, it is more common in children and in dental and medical workers. […] Because HSV infections are very contagious, it is important to take the following steps toward preventing spread (transmission) of the virus during the prodrome phase (burning, tingling, or itching) and active phase (presence of blisters or sores) of herpetic whitlow: Avoid sharing towels and other personal care items. Cover the affected finger with a bandage. Wear gloves if you are a health care provider. Avoid popping any blisters, as it may make the condition worse. […] Unfortunately, the virus can still be transmitted even when someone does not have active lesions. However, this is uncommon for people with herpetic whitlow.

• #2 Herpetic Whitlow a Rare Cause of Painful Finger

  https://www.literaturepublishers.org/archive/Herpetic-Whitlow-a-Rare-Cause-of-Painful-Finger.html

  Herpetic whitlow is a rare cause of finger infection and an underdiagnosed HSV infection. It usually affects only one finger and is caused by inoculation of the virus through a break in the skin barrier. […] Eczema and other skin lesions may increase the risk of herpetic whitlow. […] Only patients with primary HSV infection at multiple sites or recurrent herpetic whitlow may be considered for antiviral therapy. […] The distinction is important as unnecessary medication should be avoided. We highlight the typical clinical signs and appropriate management of herpetic whitlow.

• #2 AAHS – Secondary Bacterial Paronychia after Herpetic Whitlow

  https://meeting.handsurgery.org/abstracts/2019/HSEP176.cgi

  Whitlow is an infection of the tip of the finger, generally caused by bacterium. […] Herpetic whitlow is reported to occur in 2.5 per 100,000 people each year. […] Because herpetic whitlow is not seen often, it may be mistaken for a different kind of infection of the finger. […] It is important to differentiate between herpetic and bacterial whitlow, because these diseases require a different treatment. […] Often misdiagnosed and delayed treatment can cause secondary bacterial infections that are difficult to treat. […] For this reason, the most important medical procedure is the very careful listening of the patient’s past history, when treating a patient with vesicles on the finger.

• #2 Herpetic whitlow (whitlow finger) | nidirect

  https://www.nidirect.gov.uk/conditions/herpetic-whitlow-whitlow-finger

  You should see your GP if you think you have herpetic whitlow. […] Treatment is more effective if started early and will help stop the infection spreading. […] Antiviral tablets can help your finger to heal more quickly. […] Things you can do yourself include: keep your finger clean and covered with a dressing. […] Don’t touch your finger the infection can spread easily. […] There’s not much you can do to prevent herpetic whitlow. But it can be treated in the same way if it comes back.

• #2 Finger Infections & Swollen Fingers: 6 Possible Causes

  https://www.webmd.com/first-aid/finger-infection

  Common sense safety practices will help prevent many of the finger wounds that become a problem. Simple things such as wearing protective work gloves may prevent injury. Wearing latex or vinyl gloves is mandatory if possible exposure to bodily fluids is expected. Avoid chewing on your nails, and wash your hands as needed. Seek early medical attention as soon as you think an infection is present.

• #2 How to Treat Whitlow: Medical Treatments & Home Remedies

  https://www.wikihow.com/Treat-Whitlow

  Wash your hands frequently. Washing your hands is one of the most basic things you can do to prevent getting a viral infection like whitlow. Use soap and warm water to wash your hands for at least 20 seconds multiple times throughout the day, especially if you come into contact with something that may have a lot of germs. If you think you might have come into contact with someone who has HSV, wash your hands immediately. […] Reduce your stress levels. In some cases, stress can cause a recurrence of HSV and its symptoms. Do your best to manage your stress levels and practice healthy habits in your daily life. Some options to deal with stress include getting regular exercise, cutting back on alcohol or caffeine if you consume them frequently, quitting smoking, eating healthier, and getting a good night’s sleep.

• #2 Herpetic whitlow (whitlow finger) | NICS Well

  https://www.nicswell.co.uk/conditions-and-treatments/herpetic-whitlow-whitlow-finger

  Herpetic whitlow (whitlow finger) is a painful infection of the finger caused by the herpes virus. It’s easily treated but can come back. […] Treatment is more effective if started early and will help stop the infection spreading. […] There are things you can do yourself to help. […] Go back to your GP if your infection gets worse or if you have a very high temperature (you feel hot and shivery). […] There’s not much you can do to prevent herpetic whitlow but it can be treated in the same way if it comes back.

• #2 Herpetic Whitlow | Treatment & Management | Point of Care

  https://www.statpearls.com/point-of-care/22848

  Herpetic whitlow is caused by the herpes simplex virus, type 1 or type 2. […] Patients should be educated that the virus can spread to other parts of their body or to other people via direct contact. […] Viral shedding is present until the epidermal lesion is healed, so patients should be counseled on the importance of wearing gloves or another protective barrier. […] The patient should also be counseled that the chance of recurrence is about 30% to 50%. […] The diagnosis and management of herpetic whitlow are best accomplished with an interprofessional team that consists of a nurse practitioner, primary care physician, pediatrician, dermatologist, and an infectious disease expert. […] For most immunocompetent patients, the infection spontaneously resolves in 2 to 4 weeks. […] Incision and drainage should not be performed as it provides no symptomatic relief and may cause viremia and bacterial superinfection. […] There have been reports of significant pain relief following nail segment excision for decompression of vesicles along the nail bed.

• #3 Herpetic Whitlow: Background, Pathophysiology, Epidemiology

  https://emedicine.medscape.com/article/788056-overview

  Herpetic whitlow is an intensely painful infection of the hand involving 1 or more fingers that typically affects the terminal phalanx. […] Infection with HSV-1 is more common and usually is secondary to unprotected exposure to infected oropharyngeal secretions of patients. This easily can be prevented by use of gloves and by scrupulous observation of universal fluid precautions. […] Patients should be advised to utilize gloves or other barriers to prevent exposure and potential spread to other anatomic locations or to other persons.

• #3 Herpetic Whitlow — DermNet

  https://dermnetnz.org/topics/herpetic-whitlow

  Those at higher occupational risk are advised to use gloves when in contact with patients with symptoms of herpes simplex. […] Children with oral herpes should be discouraged from sucking their thumb.

• #3 Herpetic whitlow on the thumb: MedlinePlus Medical Encyclopedia ImageLock

  https://medlineplus.gov/ency/imagepages/1373.htm

  A herpetic whitlow is an infection of the herpes virus around the fingernail. […] The use of rubber gloves prevents herpes whitlow in healthcare workers.

• #3 Herpetic Whitlow: Symptoms, Causes, and Diagnosis

  https://www.healthline.com/health/herpetic-whitlow

  Herpetic whitlow is a viral condition where small blisters form on the fingers and the fleshy area around the fingertips. […] For that reason, its important that you recognize symptoms of this condition and take steps to protect yourself. […] Due to the contagious nature of this condition, you should keep the blistered area covered until it heals. Not covering the area means it could spread to other parts of your body or be transmitted to other people. […] Wearing gloves while cleaning an affected area also prevents spreading the condition to other parts of your body. […] As a precaution, dont wear contact lenses if you have herpetic whitlow. If you touch your eye with the finger containing the affected area, the virus could spread to your eye.

• #3 Herpetic Whitlow – Presentation and Management

  https://pedemmorsels.com/herpetic-whitlow-dont-cut-it/

  But before you numb that digit and perform a incision extending across the entire width of the digit, first consider one thing: is this a Herpetic Whitlow? […] Avoid I+D (may increase risk for super-infection and wont help it heal) […] Dry Dressings (to help limit further spread) […] Acyclovir/valacyclovir can be used but not studies about this specific use but reasonable if it has only been 1-2 days of symptoms.

• #3 Dealing with herpetic whitlow

  https://canadianfirstaid.ca/dealing-with-herpetic-whitlow/

  Herpetic whitlow is an infection of the fingertip that causes severe pain. […] Avoid picking on the vesicles to prevent the area from becoming susceptible to bacterial infection. […] If there are open blisters or drained vesicle, soak the area in warm water mixed with antibacterial soap to protect the area against bacterial infections. […] Avoid being stressed to prevent the development of herpetic whitlow. Minimize stress and boost the immune system by eating healthy meals, maintain good sleeping habits and regular exercise for proper flow of blood in the area. […] Avoid placing hands in the mouth such as biting the fingernails or sucking the finger or thumb. […] Avoid touching the affected person with HSV lesions especially in the mouth and genitals. […] During an outbreak of the HSV virus, cover any break in the skin with a bandage to prevent spreading of the virus from the broken skin. […] Reduce the levels of stress to prevent a dormant HSV virus from becoming activated.

• #3 Herpetic Whitlow Condition, Treatments and Pictures for Adults – Skinsight

  https://skinsight.com/skin-conditions/herpetic-whitlow/

  Herpetic whitlow can affect people of any age, race / ethnicity, and sex. However, it is more common in children and in dental and medical workers. […] Because HSV infections are very contagious, it is important to take the following steps toward preventing spread (transmission) of the virus during the prodrome phase (burning, tingling, or itching) and active phase (presence of blisters or sores) of herpetic whitlow: Avoid sharing towels and other personal care items. Cover the affected finger with a bandage. Wear gloves if you are a health care provider. Avoid popping any blisters, as it may make the condition worse. […] Unfortunately, the virus can still be transmitted even when someone does not have active lesions. However, this is uncommon for people with herpetic whitlow.

• #3 AAHS – Secondary Bacterial Paronychia after Herpetic Whitlow

  https://meeting.handsurgery.org/abstracts/2019/HSEP176.cgi

  Whitlow is an infection of the tip of the finger, generally caused by bacterium. […] Herpetic whitlow is reported to occur in 2.5 per 100,000 people each year. […] Because herpetic whitlow is not seen often, it may be mistaken for a different kind of infection of the finger. […] It is important to differentiate between herpetic and bacterial whitlow, because these diseases require a different treatment. […] Often misdiagnosed and delayed treatment can cause secondary bacterial infections that are difficult to treat. […] For this reason, the most important medical procedure is the very careful listening of the patient’s past history, when treating a patient with vesicles on the finger.

• #3 How to Treat Whitlow: Medical Treatments & Home Remedies

  https://www.wikihow.com/Treat-Whitlow

  Practice safe sex. You can get the whitlow viral infection from coming into contact with another person’s infected genital regions, so be sure to always practice safe sex and take the proper precautions. This includes wearing a condom or dental dam to reduce the chances of touching the infected area and asking your partner if they have been diagnosed with HSV before having sex. […] Wear gloves in a healthcare setting. If you work somewhere like a dentist’s office or medical clinic, you’re at a greater risk of coming into contact with someone who has herpetic whitlow or another form of HSV. If you need to touch their mouth, genitals, or any other area that may be infected, make sure you’re wearing gloves and washing your hands thoroughly before and after coming into contact. If you have whitlow, alert the medical personnel before getting treated by them so that they know to take the proper precautions.

• #3 Herpetic Whitlow: Symptoms, Causes, Treatment | Qwark

  https://qwarkhealth.com/conditions/herpetic-whitlow

  To avoid Herpetic Whitlow, it is important to practice good hand hygiene and avoid contact with people who have active cold sores or genital herpes. […] Effective preventative measures for Herpetic Whitlow include avoiding contact with infected individuals or their secretions, keeping the affected area clean and dry, wearing gloves when coming into contact with infected individuals or objects, and avoiding nail biting or finger sucking. […] Hand hygiene is crucial for preventing the spread of Herpetic Whitlow. Washing hands with soap and water or using an alcohol-based hand sanitizer can help kill the virus and prevent it from spreading to other surfaces or individuals. […] It is recommended to avoid direct contact with individuals who have Herpetic Whitlow to prevent its spread. […] Some common mistakes people make that increase their risk of getting Herpetic Whitlow include nail biting, finger sucking, and not wearing gloves when coming into contact with infected individuals or objects. […] There are currently no vaccines available for Herpetic Whitlow prevention.

• #3 Case report: palmar herpetic whitlow and forearm lymphangitis in a 10-year-old female | BMC Pediatrics | Full Text

  https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-019-1828-5

  Herpetic whitlow should be included in the differential diagnosis of palmar lesions that appear vesicular or abscess-like to ensure appropriate treatment. […] Additionally, these palmar lesions may present with associated lymphangitis without evidence of bacterial infection. […] She was advised to follow-up with her pediatrician within 12 days of discharge and discuss the option of acyclovir prophylaxis to prevent recurrence if the lesions occur more frequently moving forward. […] However, confirming the diagnosis of herpetic whitlow allowed us to provide adequate anticipatory guidance to the patient regarding the recurrence of these lesions and awareness of the prodromal phase during which treatment can be initiated.

• #4 Herpetic Whitlow – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482379/

  Patients should be educated that the virus can spread to other parts of their body or to other people via direct contact. […] Viral shedding is present until the epidermal lesion is healed, so patients should be counseled on the importance of wearing gloves or another protective barrier. […] The patient should also be counseled that the chance of recurrence is about 30% to 50%. […] The diagnosis and management of herpetic whitlow are best accomplished with an interprofessional team that consists of a nurse practitioner, primary care physician, pediatrician, dermatologist, and an infectious disease expert. […] The role of antiviral agents is still being debated but should be considered in immunocompromised patients. […] For most immunocompetent patients, the infection spontaneously resolves in 2 to 4 weeks. […] Incision and drainage should not be performed as it provides no symptomatic relief and may cause viremia and bacterial superinfection. […] There have been reports of significant pain relief following nail segment excision for decompression of vesicles along the nail bed.

• #4 Herpetic Whitlow – Musculoskeletal and Connective Tissue Disorders – Merck Manual Professional Edition

  https://www.merckmanuals.com/professional/musculoskeletal-and-connective-tissue-disorders/hand-disorders/herpetic-whitlow

  Herpetic whitlow may cause intense pain, redness, and swelling of the finger. […] Incision and drainage are contraindicated. Topical acyclovir 5% can shorten the duration of a first episode. Oral acyclovir (800 mg orally 2 times a day) may prevent recurrences if given immediately after onset of symptoms. Open or draining vesicles should be covered to prevent transmission.

• #4 Case report: palmar herpetic whitlow and forearm lymphangitis in a 10-year-old female | BMC Pediatrics | Full Text

  https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-019-1828-5

  Herpetic whitlow should be included in the differential diagnosis of palmar lesions that appear vesicular or abscess-like to ensure appropriate treatment. […] Additionally, these palmar lesions may present with associated lymphangitis without evidence of bacterial infection. […] She was advised to follow-up with her pediatrician within 12 days of discharge and discuss the option of acyclovir prophylaxis to prevent recurrence if the lesions occur more frequently moving forward. […] However, confirming the diagnosis of herpetic whitlow allowed us to provide adequate anticipatory guidance to the patient regarding the recurrence of these lesions and awareness of the prodromal phase during which treatment can be initiated.

• #4 Whitlow in Africans: Prevention and Treatment

  https://www.datelinehealthafrica.org/whitlow-in-africans-prevention-and-treatment

  Prevention is less expensive than cure, according to a well-known saying. This is true when one considers the pain and expense that will be incurred if one contracts herpetic whitlow. […] You can take the following measures to reduce your risk of contracting herpetic whitlow: Limit or avoid contact with those infected with the virus. […] Wash your hands often to maintain general hygiene. […] If you are a healthcare worker, use PPE (personal protection equipment) and supplies such as face masks, hand gloves, and disinfectants regularly. […] Use condoms and other safe sex practices. […] Monitor and discourage hand suckling, biting, and licking by children. […] Have one sexual partner. […] Preventive measures include maintaining hygiene, practicing safe sex, and avoiding direct contact with infected individuals.

• #4 Herpetic Whitlow Symptoms, Causes and Treatment

  https://www.verywellhealth.com/herpetic-whitlow-overview-4584881

  In addition to dry dressing, your practitioner may also recommend wearing a protective glove to further decrease the risk of transmission. […] There are few good ways to prevent herpetic whitlow, which can recur. The same treatments, however, can be used with subsequent episodes of recurring whitlow finger.

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