Materiały źródłowe

• #1 Cold sore | Beacon Health System

  https://www.beaconhealthsystem.org/library/diseases-and-conditions/cold-sore?content_id=CON-20370997

  Your health care provider may prescribe an antiviral medicine for you to take on a regular basis if you develop cold sores more than nine times a year or if you’re at high risk of serious complications. If sunlight seems to trigger your condition, apply sunblock to the spot where the cold sore tends to form. Or talk with your health care provider about using an oral antiviral medicine before you do an activity that tends to cause a cold sore to return. […] Take these steps to help avoid spreading cold sores to other people: […] Avoid kissing and skin contact with people while blisters are present. The virus spreads most easily when the blisters leak fluid. […] Avoid sharing items. Utensils, towels, lip balm and other personal items can spread the virus when blisters are present. […] Keep your hands clean. When you have a cold sore, wash your hands carefully before touching yourself and other people, especially babies.

• #2 How to stop a cold sore in the early stages

  https://www.medicalnewstoday.com/articles/319811

  Cold sores develop in response to infection with the herpes simplex virus (HSV), but early treatment with topical applications such as creams, patches, and balms may help manage them. […] Though it is not always possible to avoid cold sores, people should aim to begin cold sore treatment as soon as symptoms develop. Treating a cold sore in its earliest stage can result in a smaller sore that heals quickly. In some cases, it may stop the cold sore from developing at all. […] Below are some methods to help prevent a cold sore or minimize the outbreak. […] People who frequently experience cold sores should have medications on hand to begin using them at the earliest possible stage of an outbreak. […] Cold sores respond to medications called antivirals, which work by stopping the herpes virus from replicating. Using the medication as soon as symptoms develop can stop the cold sore from developing or reduce its size and healing time.

• #3 Cold sores

  https://www.nhs.uk/conditions/cold-sores/

  Cold sores are contagious from the moment you first feel tingling or other signs of a cold sore coming on to when the cold sore has completely healed. […] To help stop cold sores spreading: wash your hands with soap and water whenever you touch your cold sore, do not kiss anyone while you have a cold sore, do not have oral sex until your cold sore completely heals as you could give your partner genital herpes. […] If you regularly get cold sores, use antiviral creams as soon as you recognise the early tingling feeling. They do not always work after blisters appear. […] There are things you can do to help ease cold sores while they heal and to avoid triggering a cold sore. […] Avoid anything that triggers your cold sores, such as sunbeds, use sunblock lip balm (SPF 15 or above) if you’re outside in the sun, take paracetamol or ibuprofen to ease pain and swelling, drink plenty of fluids to avoid dehydration.

• #4 Cold Sores (HSV-1) (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/cold-sores.html

  Can Cold Sores Be Prevented? The HSV-1 virus is very contagious. To help prevent it from spreading, anyone with a cold sore should: […] Keep their drinking glasses, eating utensils, washcloths, and towels away from those used by others. Wash these items well after use. […] Not kiss other people until the sores heal. […] Wash their hands well and often, especially after touching a cold sore.

• #5 Cold sores | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cold-sores

  Cold sores are blisters around the mouth and nose, caused by the herpes simplex virus. […] Cold sores can easily be spread to others, although most adults are already infected. […] Cold sores will get better by themselves except in cases where they get infected by bacteria, occur in the eye or become widespread in people with a weakened immune system. […] It is important to remember that cold sores are a symptom of ongoing infection rather than a new infection. The sores usually recur in the same place. […] If you have a cold sore, be sure to wash your hands after touching it and be especially careful to avoid touching your own eyes after touching your cold sore. […] While you have a cold sore it is also important to avoid: sharing toothbrushes, sharing drinking glasses or bottles, sharing cutlery, sharing towels or other personal items, close contact (such as kissing and hugging) with newborn and young babies, kissing others, close contact with children with burns or eczema, close contact with people with weakened immune systems.

• #6 Cold sores – causes, symptoms and treatment | healthdirect

  https://www.healthdirect.gov.au/cold-sores

  Cold sores usually clear up on their own after 2 weeks without leaving any scars. […] There are steps you can take to prevent spreading cold sores to others if you have them: Avoid any direct physical contact with other people, particularly kissing or sexual activities such as oral sex. Always wash your hands after touching your cold sore. Don’t share things such as cups, cutlery, towels, toothbrushes, razors, flannels and cold sore creams with anyone else. […] There are also ways to prevent spreading cold sores from erupting again: Minimise or avoid your triggers if you can. Triggers are different for different people, but can include: illnesses, sunburn, very windy conditions, emotional or physical stress, hormonal changes speak with your doctor about what you can do if you notice your menstrual cycle triggers your cold sores. Take care of your general health avoid becoming run down and overly stressed.

• #7 Cold sores | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/cold-sores

  If young children with a cold sore are unable to follow good hygiene practices, they should be excluded from childcare or school until the blister stops weeping. […] There is no cure for cold sores. Suggestions to reduce the number of outbreaks include: Avoid known triggers, if possible. Wear sunblock on your face and lips when outdoors. Pay attention to your general health and stress levels. Avoid getting ill or run down.

• #8 Cold sore remedies dermatologists recommend

  https://www.aad.org/public/diseases/a-z/cold-sores-self-care

  After a cold sore heals, you can get another one. Theres no remedy that can prevent cold sores. However, there are actions you can take to reduce the likelihood of getting another one. […] To prevent reinfection, throw away your toothbrush, lip balm, cosmetics, and other products that may have touched the cold sore. […] Stress can reactivate the virus that causes cold sores, leading to another outbreak. Finding ways to reduce your stress could reduce outbreaks. […] Sunlight can trigger an outbreak any time of year, including winter while youre skiing or enjoying another outdoor activity. […] Youre more likely to develop cold sores when your lips are dry or cracked. […] Sleep improves your immune systems ability to fight viruses and other germs. Being constantly sleep deprived triggers cold sores for some people.

• #9 How to stop a cold sore in the early stages

  https://www.medicalnewstoday.com/articles/319811

  Preventing a cold sore is preferable to treating an existing outbreak. Preventing a cold sore also helps reduce the likelihood of spreading the herpes virus to other people. […] One way to identify triggers is to keep a diary of potential triggers and cold sore symptoms. Taking notes on diet, activities, illnesses, and life events can help narrow down the different factors that preceded the outbreak. […] An added benefit of identifying cold sore triggers is being even more proactive in taking medications. If a person knows they were exposed to a cold sore trigger, they can be watchful for early signs and start medications immediately. […] Below are some tips that can help to prevent the spread of HSV: […] Avoid touching, scratching, or picking at cold sores: Touching sores transfer the virus to the hands, allowing it to spread to the fingers, eyes, and other people.

• #10 Cold sore remedies dermatologists recommend

  https://www.aad.org/public/diseases/a-z/cold-sores-self-care

  Both can trigger an outbreak. […] If you frequently get cold sores, it can be helpful to keep track of what you were doing before an outbreak. […] Pressure on your lips or around your mouth may trigger a cold sore. If youre going to have a procedure in or around your mouth, like laser or light therapy, a lip filler, or dental work, tell the person who will be performing the procedure. Proactive treatment or at-home aftercare may reduce a cold sore outbreak.

• #11 Treatment and prevention of herpes simplex virus type 1 in immunocompetent adolescents and adults – UpToDate

  https://www.uptodate.com/contents/treatment-and-prevention-of-herpes-simplex-virus-type-1-in-immunocompetent-adolescents-and-adults/print

  PROPHYLAXIS FOR RECURRENT HSV WITH IDENTIFIED TRIGGER — Both iatrogenic and natural triggers can lead to predictable HSV-1 infections in some patients. Treatment trials have addressed a variety of strategies when managing these patients. […] Sunlight exposure — In some patients, intense sunlight exposure can lead to HSV-1 reactivation. Various treatment strategies have been evaluated to prevent these recurrences, including zinc-based sunscreen products and topical and oral antiviral therapies, although no studies have directly compared any of these strategies. […] We advise patients with HSV-1 triggered by sunlight to use sunscreen. A placebo-controlled crossover trial of 38 patients found that after ultraviolet (UV) light exposure, herpes labialis developed in 27 patients (71 percent) treated with placebo with a mean time to HSV recurrence of 2.9 days. In contrast, when sunscreen was applied before UV light exposure, no lesions developed, although 1 of 35 patients did shed virus at the UV light exposure site.

• #12 Treatment and prevention of herpes simplex virus type 1 in immunocompetent adolescents and adults – UpToDate

  https://www.uptodate.com/contents/treatment-and-prevention-of-herpes-simplex-virus-type-1-in-immunocompetent-adolescents-and-adults/print

  In general, we suggest not using prophylactic antiviral therapy for the sole purpose of preventing recurrences due to sunlight, since there are conflicting data on the benefit of antiviral therapy in this setting. However, some patients with frequent recurrences may choose to go on suppressive therapy, as discussed above. […] Prophylactic oral therapy may prevent HSV reactivation during certain procedures, such as trigeminal nerve root decompression, facial dermabrasion, or ablative laser resurfacing. […] Given the high risk of HSV reactivation associated with these procedures, we typically administer antiviral prophylaxis around the time of surgery, even to those without a known history of HSV. […] For patients undergoing trigeminal surgery, we administer oral acyclovir (400 mg twice daily) starting the night before surgery and continuing twice daily for five days. […] For patients undergoing dermabrasion, we administer valacyclovir (500 mg twice daily) for 14 days. […] For ablative laser resurfacing, acyclovir, valacyclovir, or famciclovir can be used.

• #13 Nongenital Herpes Simplex Virus | AAFP

  https://www.aafp.org/pubs/afp/issues/2010/1101/p1075.html

  Oral acyclovir, valacyclovir, and famciclovir are effective in treating acute recurrence of herpes labialis (cold sores). […] Recurrences of herpes labialis may be diminished with daily oral acyclovir or valacyclovir. […] Oral acyclovir is effective in suppressing herpes labialis in immunocompetent adults with frequent recurrences. In one RCT, treatment with oral acyclovir (400 mg twice per day) resulted in a 53 percent reduction in the number of clinical recurrences and a 71 percent reduction in virus culture-positive recurrences compared with placebo. […] Treatment with oral valacyclovir (500 mg per day) for 16 weeks was compared with placebo in the suppression of herpes labialis in patients with a history of four or more recurrent lesions in the previous year. […] In a Cochrane review of herpes labialis prevention in patients receiving treatment for cancer, acyclovir was found to be effective in the prevention of HSV infections, as measured by oral lesions or viral isolates (relative risk = 0.16 and 0.17, respectively).

• #14 Is there a role for chronic suppressive therapy in herpes simplex virus infection? | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/91/3/151

  Currently recommended agents for chronic suppressive therapy include acyclovir, valacyclovir, and famciclovir. […] Chronic suppressive therapy is recommended for patients with recurrent genital HSV infection. It is effective in decreasing the frequency and severity of symptoms, and can decrease viral shedding and transmission from HSV-2-infected patients to sexual partners. HSV-1 is associated with a lower risk of recurrent infection. Current available data do not show a clear benefit of chronic suppressive therapy in patients with recurrent HSV-1 infection.

• #15 Herpes – STI Treatment Guidelines

  https://www.cdc.gov/std/treatment-guidelines/herpes.htm

  Consistent and correct condom use has been reported in multiple studies to decrease, but not eliminate, the risk for HSV-2 transmission from men to women. […] Counseling regarding the natural history of genital herpes, risks for sexual and perinatal transmission, and methods for reducing transmission is also integral to clinical management. […] Treatment with valacyclovir 500 mg daily decreases the rate of HSV-2 transmission for discordant heterosexual couples in which a partner has a history of genital HSV-2 infection. […] Suppressive therapy reduces frequency of genital herpes recurrences by 70%80% among patients who have frequent recurrences. […] Suppressive antiviral therapy for persons with a history of symptomatic genital herpes also is likely to reduce transmission when used by those who have multiple partners.

• #16 Is there a role for chronic suppressive therapy in herpes simplex virus infection? | Cleveland Clinic Journal of Medicine

  https://www.ccjm.org/content/91/3/151

  Yes. The primary role of chronic suppressive therapy in herpes simplex virus (HSV) infection is to decrease the frequency, severity, and duration of outbreaks, and to reduce the risk of transmitting the virus to others. It is indicated in patients with recurrent oral and genital HSV-2 infection and oral HSV-1 infection. However, there is no clear proven benefit in providing chronic suppressive therapy in recurrent genital HSV-1 infection. […] Chronic suppressive therapy has been found to reduce the frequency of genital herpes recurrences by 70% to 80%. […] In addition to decreasing the severity of symptoms and reducing the frequency of outbreaks, suppressive therapy has been shown to reduce asymptomatic viral shedding, thereby decreasing the potential for transmission to HSV-uninfected sexual partners.

• #17 Treatment and prevention of herpes simplex virus type 1 in immunocompetent adolescents and adults – UpToDate

  https://www.uptodate.com/contents/treatment-and-prevention-of-herpes-simplex-virus-type-1-in-immunocompetent-adolescents-and-adults

  PROPHYLAXIS FOR RECURRENT HSV WITH IDENTIFIED TRIGGER […] We advise patients with HSV-1 triggered by sunlight to use sunscreen. […] In general, we suggest not using prophylactic antiviral therapy for the sole purpose of preventing recurrences due to sunlight, since there are conflicting data on the benefit of antiviral therapy in this setting. […] Given the high risk of HSV reactivation associated with these procedures, we typically administer antiviral prophylaxis around the time of surgery, even to those without a known history of HSV. […] Prophylactic oral therapy may prevent HSV reactivation during certain procedures, such as trigeminal nerve root decompression, facial dermabrasion, or ablative laser resurfacing.

• #18 Cold sores: Learn More – Can cold sore outbreaks be prevented? – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK525765/

  Sunscreen and good lip care can protect your lips from potential cold sore triggers like sunlight and cracked lips. […] If someone often has cold sores that really affect them in everyday life, preventive treatment with antiviral tablets may be considered. […] Depending on the aim of treatment, medications for the prevention of cold sore outbreaks can be used over the short term or long term. […] In short-term treatment with antiviral drugs, the medication is taken for about one week in order to try to prevent a cold sore outbreak for instance, shortly before and during a skiing trip, which involves both strenuous physical activity and exposure to bright sunlight. […] In long-term treatment, the medication is taken over several months in order to reduce the number of outbreaks. […] There are only a few studies in this area, on the short-term use of acyclovir for the prevention of cold sores in people who have a healthy immune system. There is no proof that the short-term use of antiviral drugs can prevent outbreaks.

• #19 Herpes simplex virus (HSV) and varicella zoster virus (VZV) prophylaxis in immunocompromised adults

  https://www.eviq.org.au/clinical-resources/side-effect-and-toxicity-management/prophylaxis-and-treatment/1795-prophylaxis-antiviral-therapy-for-herpes-si

  Herpes simplex virus (HSV) prophylaxis may be extended beyond this time in patients who experience frequent HSV recurrences. […] Once a patient has had HSV reactivation requiring treatment, it is recommended that HSV prophylaxis is administered during all future anti-cancer treatment and during any episodes of treatment-induced neutropenia. […] If appropriate, consider VZV immunisation. […] Patients who are VZV seropositive pre transplant should receive prophylaxis for at least 12 months post allogeneic transplant. […] Continuation of prophylaxis beyond this time is recommended in patients with chronic graft-versus-host disease (cGVHD) who continue on immunosuppression. […] Prophylaxis may be discontinued when CD4 counts are greater than 200 cells/microlitres and immunosuppressive therapy is ceased.

• #20 Guideline for the Management Herpes Simplex 1 and Cosmetic Interventions | JCAD – The Journal of Clinical and Aesthetic Dermatology

  https://jcadonline.com/guideline-management-herpes-simplex-1-cosmetic/

  ACICLOVIR 400MG (twice a day): To commence two days before treatment and to continue for seven days. […] If previous history of failure on aciclovir prophylaxis (with good adherence) or deemed to be high risk of reactivation including immunosuppression: VALACICLOVIR 500MG (once a day): For two days before and to continue for seven days. […] Oral antivirals do not prevent progression of latent infection.

• #21 Cold Sores | ChemoExperts

  https://www.chemoexperts.com/cold-sores-herpes-labialis-acyclovir-valacyclovir-valtrex.html

  For people who get frequent cold sores, either acyclovir or valacyclovir can be taken to prevent cold sores from appearing during treatment […] For patients with recurrent cold sores or for those who will be receiving treatment that increases the risk of recurrent cold sores, preventative antiviral therapy, known as prophylaxis, may be offered: […] Common Acyclovir schedule TO PREVENT cold sores: Acyclovir 400mg – 800mg by mouth two times daily until told to stop by your doctor […] Common Valacyclovir (Valtrex) schedule TO PREVENT cold sores: Valacyclovir 500mg by mouth once or twice daily until told to stop by your doctor.

• #22 Dr Morton’s – How to Prevent Cold Sores

  https://legacy.drmortons.co.uk/services/wh_cold_sore_herpes.php

  Cold sores are painful, highly contagious blisters around the mouth that can ruin your holidays. For a cold sore-free experience, our GPs recommend starting an antiviral tablet called Aciclovir 5 days before your event or trip. […] Aciclovir tablets may be effective in preventing cold sores if taken before travel and may also be used, following the instructions on dosage included, to treat either a primary herpes attack or a recurrence. […] Please note that Aciclovir only has a licence for herpes prevention in people whose immune systems are compromised, but it is routinely prescribed by doctors for people who are very prone to herpes breakouts under stressful circumstances or sunlight. […] If you suffer regularly from cold sores, you probably know exactly what your trigger factors are.

• #23 Guideline for the Management Herpes Simplex 1 and Cosmetic Interventions | JCAD – The Journal of Clinical and Aesthetic Dermatology

  https://jcadonline.com/guideline-management-herpes-simplex-1-cosmetic/

  Herpes simplex virus type 1 (HSV-1) is known to cause symptoms commonly called cold sores. […] Prophylaxis is recommended with or without a history of HSV-1 for patients undergoing ablative laser resurfacing procedures. […] This guideline focuses on the diagnosis, risk assessment, and management strategies to reduce risk of HSV-1 occurrence following cosmetic procedures and optimize outcomes. […] It is important to document a detailed medical history of all patients prior to dermal filler procedures, including current medications that the patient is taking. […] Patients should be screened for a history of previous herpetic outbreaks, including cold-sores (HSV-1). […] Clinical decision making and risk assessment should consider the patient-specific history and assessment. […] CMAC advocates anti-HSV prophylaxis for patients who have previously had a herpetic outbreak following an aesthetic procedure, when the procedure breaches the integrity of the skin, such as medical needling, chemical peels, dermabrasion and microdermabrasion, dermal filler injections to the lips or nasal labial folds, and routinely for CO2 laser resurfacing procedures.

• #24 8 Ways to Treat Cold Sores in the Early Stages

  https://www.healthline.com/health/how-to-stop-a-cold-sore-in-the-early-stages

  Oral zinc supplements can strengthen your immune system and help prevent cold sore outbreaks. […] This same review showed that licorice also exhibited antifungal activity. […] Applying a cool compress to a cold sore is also soothing. […] Your doctor may recommend a prescription antiviral to treat a cold sore. […] To reduce your chance of a major outbreak, it’s important to start antiviral therapy medication as soon as you feel a cold sore coming on, even if blisters haven’t formed yet. […] You can help avoid cold sore outbreaks by living a healthy lifestyle, which includes eating nutrient-dense foods and exercising regularly. […] A cold sore is contagious as soon as symptoms begin, even if blisters haven’t appeared. […] To avoid transmitting the cold sore virus: Avoid intimate contact including kissing and other skin-to-skin contact until the lesion is healed. […] If you have frequent outbreaks, ask your doctor about a daily antiviral. […] However, prescription oral antivirals can shorten the duration and severity of a cold sore, as well as prevent future outbreaks.

• #25 Cold sore remedies and prevention

  https://blog.virtuwell.com/cold-sore-remedies-what-you-need-to-know/

  The best way to fend off triggering another flare-up is prevention. The top trigger for flare-ups is stressyet another reason why self-care is so important! Make sure to have plenty of stress management tools in your back pocket to keep cold sores at bay. […] Cold sores can also be triggered by other sicknesses or dips in your immune system. Wash your hands frequently, avoid touching your face, and support your immunity by getting ample rest and drinking plenty of water. […] Prevention also means protecting your skin. Wearing an SPF on your lips and face dailyeven in the winterwill help prevent cold sores, and wearing a protective lip balm in the colder, drier months will prevent chapped lips and potential for cold sores.

• #26 8 Ways to Treat Cold Sores in the Early Stages

  https://www.healthline.com/health/how-to-stop-a-cold-sore-in-the-early-stages

  Using home remedies early can help heal a cold sore faster. […] If you have a healthy immune system, they usually clear up in about 10 days. […] The best time to begin treating a cold sore is as soon as you feel tingling or itching around your mouth. […] According to a small 1987 study, lysine tablets may reduce the number of herpes simplex virus outbreaks and their severity. […] Lysine may also help reduce healing time. […] To treat a cold sore, apply an ointment, cream, or gel containing 0.5% to 3% of propolis five times daily. […] According to a 2001 study, a topical cream made of rhubarb and sage may be as effective for treating cold sores as the antiviral medication acyclovir (Zovirax) in topical cream form. […] Topical zinc oxide cream (Desitin, Triple Paste) may shorten the duration of cold sores.

• #27 Cold Sores: Tips for Prevention, Treatment, and Relief

  https://dermatologyofct.com/cold-sores-tips-for-prevention-treatment-and-relief/

  Bonus tip: Use a humidifier. Winters dry indoor air can dehydrate your skin and lips, increasing your risk of cracks and irritation that can lead to outbreaks. […] By staying mindful of your triggers, practicing good hygiene, and boosting your immune defenses, you can reduce the frequency and severity of cold sores this season.

• #28 Cold sores: Learn More – Can cold sore outbreaks be prevented? – InformedHealth.org – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK525765/

  Only one study has looked into whether acyclovir can prevent cold sores when taken over a longer period of time. […] The results showed that acyclovir prevented cold sores in about half of the people while they were having the cancer treatment. So antiviral drugs can clearly reduce the risk of cold sore outbreaks in people who have a weakened immune system. […] Topical treatments (applied from the outside) with antiviral creams, gels or ointments haven’t been proven to prevent cold sores.

• #29 Herpes simplex virus (HSV) and varicella zoster virus (VZV) prophylaxis in immunocompromised adults

  https://www.eviq.org.au/clinical-resources/side-effect-and-toxicity-management/prophylaxis-and-treatment/1795-prophylaxis-antiviral-therapy-for-herpes-si

  Once a patient has had HSV reactivation requiring treatment, HSV prophylaxis is recommended during all future active anticancer treatment and episodes of neutropenia induced by treatment. […] Consider low dose antiviral prophylaxis (’suppressive therapy’) for patients with recurrent oral mucocutaneous or genital HSV infection.

• #30 Cold sores in pregnancy | Pregnancy Birth and Baby

  https://www.pregnancybirthbaby.org.au/cold-sores-in-pregnancy

  If you have HSV and you become pregnant, or if you develop cold sores or genital herpes during pregnancy, it’s important to speak with your doctor or midwife, and discuss your treatment options. Together, you can plan how to manage your symptoms during pregnancy. […] You can treat cold sores with aciclovir cream an antiviral cream that you can buy from a pharmacist without a prescription. You apply this to cold sores directly. Ask your pharmacist for advice on how to apply this cream. […] If you or your partner has a cold sore or genital herpes, ask your doctor how you can best manage it during the pregnancy and after the birth. This will lower the risk of passing the virus to your baby. […] It’s important to maintain strict hygiene habits when caring for a new baby. If you, or anyone in close contact with the baby has cold sores, help prevent spreading the virus by: covering cold sores when you are around your baby, avoiding kissing your baby until the sores have completely healed, avoiding touching the cold sores with your hands, washing your hands thoroughly before touching your baby, asking any relatives with cold sores to avoid touching or kissing your baby.

• #31

  https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus

  People with symptoms of oral herpes should avoid oral contact with others (including oral sex) and sharing objects that touched saliva. […] Individuals with symptoms of genital herpes should abstain from sexual activity while experiencing symptoms. […] For sexually active people, consistent and correct use of condoms is the best way to prevent genital herpes and other STIs. […] Pregnant women with symptoms of genital herpes should inform their health care providers. Preventing acquisition of HSV-2 infection is particularly important for women in late pregnancy when the risk for neonatal herpes is greatest.

• #32 Genital herpes guide: Prevention and control – Canada.ca

  https://www.canada.ca/en/public-health/services/infectious-diseases/sexual-health-sexually-transmitted-infections/canadian-guidelines/herpes-simplex-virus/prevention-control.html

  Measures to prevent and control the transmission of HSV include counselling, prompt diagnosis, use of barrier protection and suppressive therapy. For more information, refer to the Genital Herpes Counselling Tool. […] Abstaining from sexual activity during symptomatic periods (from prodrome to re-epithelialization) can reduce the risk of herpes transmission and acquisition over time. […] Condoms can reduce, but not eliminate the risk of HSV transmission or acquisition. […] Daily suppressive antiviral therapy can significantly reduce the risk of sexual transmission of HSV when taken consistently. […] Suppressive therapy from the 36th week of gestation may help prevent recurrence and asymptomatic shedding and may thus reduce the need for caesarean section.

• #33 The Ultimate Guide to Cold Sores: Causes, Treatment, and Prevention

  https://docsmedicalgroup.com/docsurgentcare/the-ultimate-guide-to-cold-sores-causes-treatment-and-prevention/

  Cold sores can be frustrating and uncomfortable, and many people are eager to find ways to get rid of them quickly. […] Prevention is key, especially for those seeking urgent care in Fairfield, CT. Here are some tips to help prevent cold sores: […] Avoid close contact with someone with an active cold sore outbreak, such as kissing or sharing utensils or towels. […] Wash your hands frequently and avoid touching your face, especially your lips and mouth. […] Avoid triggers, such as prolonged sun exposure, stress, and a weakened immune system. Wear lip balm with SPF when exposed to the sun for extended periods. […] Practice safe sex and avoid engaging in oral sex with a partner who has genital herpes. […] Avoid sharing personal items, such as towels, utensils, lip balms, or toothbrushes, with others.

• #34 The Ultimate Guide to Cold Sores: Causes, Treatment, and Prevention

  https://docsmedicalgroup.com/docsurgentcare/the-ultimate-guide-to-cold-sores-causes-treatment-and-prevention/

  Manage stress: Stress can weaken the immune system, making you more susceptible to cold sore outbreaks. Practice stress management techniques, such as exercise, meditation, and getting enough sleep, to reduce stress levels and prevent cold sores. […] Boost your immune system: A healthy immune system can help prevent cold sores. Eat a balanced diet rich in vitamins and minerals, exercise regularly, and get enough sleep to keep your immune system strong. […] Consider using a lip balm with antiviral properties: Some lip balms contain ingredients, such as a lemon balm or tea tree oil, that have antiviral properties and may help prevent cold sore outbreaks when applied regularly. […] Stay informed about your triggers: Pay attention to what triggers your cold sore outbreaks and try to avoid them. Common triggers include stress, sun exposure, hormonal changes, and a weakened immune system. You can reduce the frequency of cold sore outbreaks by identifying and avoiding your triggers.

• #35 Cold sores

  https://www.nhs.uk/conditions/cold-sores/

  Do not touch your cold sore (apart from applying antiviral cream) and if you do wash your hands before and after, do not rub cream into the cold sore dab it on instead, do not eat acidic or salty food if it makes your cold sore feel worse. […] A GP may prescribe antiviral tablets if your cold sores are very large, painful or keep coming back.

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