Genital Herpes
Conditions
Keywords
HSV-2, HSV-1, Sensitivity, Specificity, Testing algorithm, Test evaluation
Brief summary
The purposes of this study are: * To determine the accuracy of commercially available serologic assays in diagnosing patients with herpes simplex virus type 2 (HSV-2); * To assess the sensitivity and specificity of the commerical assays using HSV-2 western blot as the gold standard in a diverse patient population; * To develop testing strategies and recommendations for screening asymptomatic populations for HSV-2.
Detailed description
The purposes of this study are: * To determine the accuracy of commercially available serologic assays in diagnosing patients with herpes simplex virus type 2 (HSV-2); * To assess the sensitivity and specificity of the commerical assays using HSV-2 western blot as the gold standard in a diverse patient population; * To develop testing strategies and recommendations for screening asymptomatic populations for HSV-2. We will evaluate the assays in diverse populations: 1. STD clinic population 2. Men who have sex with men, with high prevalence of HIV infection 3. Pregnant women The study will inform the development of testing strategies: 1. Combine commercial tests to optimize positive predict value (PPV) and negative predict value (NPV) 2. Increase cutoff values to increase PPV 3. Understand factors associated with false positive results that may include HSV-1 infection, pregnancy status, HIV infection, and age/race etc.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Men and women 16-55 years of age
Exclusion criteria
* Those who refuse to get tested for HIV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity and Specificity using Western Blot as the Gold Standard test | Up to 4 months after initial testing |
Secondary
| Measure | Time frame |
|---|---|
| In population with relative low prevalence of HSV-2 infection (e.g. persons <=25 years), whether a combination of tests (i.e. testing algorithm(s)) can increase the positive predictive value to the level of >= 95% | Up to 4 months after initial testing |
Countries
United States