Viruses

Now I may be a bit thick, or at least slow on the uptake. However a thought struck me last week.

If you’re anything like me, you will have

  • Extractor fans, giving at least 10 air changes per hour (mine is about 19 ACH)
  • Gowns (washable, single-use, or both)
  • Visors
  • Gloves
  • FFP3 masks, respirators, hoods, etc
  • Hand-washing/ sanitising etc
  • Enhanced environmental cleaning

All this to deal with the threat of the Corona virus which you may have heard of at some point in the last 7 months or so.

But I had a patient for routine examination and hygiene at the end of the day last week who had a cold sore.

This got me thinking.

Ordinarily, we are encouraged to reappoint such patients a week or 2 into the future to avoid the risk of spreading HSV-1 (or indeed HSV-2 and no sniggering at the back). But with all the gear to mitigate the risk of Covid-19, surely there is no need to delay treatment for someone with a cold sore? After all, the majority of people with HSV 1 or 2 in their saliva do not have symptoms, just like about 40% of Covid positive people.

Just a thought.

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