[Question #7673] Non-sexual Transmission + Shedding

 
1 months ago
Situation: Confirmed HSV2 case

Concern: 

1. Where does asymptomatic shedding occur? I have seen some discussions say "boxer short area." Does shedding happen in the entire "boxer short area" -or- is at the site of sores (present or not)  from the primary infection? I can't find anywhere on the internet that clarifies the scope of the shedding area. 

2. If shedding can occur anywhere in the "boxer short area" - is it possible to get it from sharing a bed *non-sexually* with someone? Example:  a vacation with family or friends where people share a bed and may have skin to skin contact briefly in the upper leg, back or stomach area. Honestly,  the picture in my mind after extensive reading about HSV2 is that at anytime a person can be shedding virus all over their genitals, back, thighs, stomach...so I don't understand how there is no risk of non sexual transmission. 

3. Vacation scenario again - if someone accidentally uses the same towel as HSV2+ person with active infection or asymptomatic shedding - is there any risk of transmission to non infected person?

1 months ago
Re: This is about a female with HSV2
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
1 months ago

1. Where does asymptomatic shedding occur? I have seen some discussions say "boxer short area." Does shedding happen in the entire "boxer short area" -or- is at the site of sores (present or not)  from the primary infection? I can't find anywhere on the internet that clarifies the scope of the shedding area.

Shedding in females happens from the genital area and the anal area.  it does not happen from thicker skin like buttocks, thighs, belly. The skin it too thick for virus to come to the surface.

2. If shedding can occur anywhere in the "boxer short area" - is it possible to get it from sharing a bed *non-sexually* with someone? Example:  a vacation with family or friends where people share a bed and may have skin to skin contact briefly in the upper leg, back or stomach area. Honestly,  the picture in my mind after extensive reading about HSV2 is that at anytime a person can be shedding virus all over their genitals, back, thighs, stomach...so I don't understand how there is no risk of non sexual transmission.

I think I answered this question - shedding does NOT happen from anywhere in the boxer shorts area.  However, it is true that outbreaks can occur anywhere in the boxer shorts area, maybe that's where the misunderstanding came in?

3. Vacation scenario again - if someone accidentally uses the same towel as HSV2+ person with active infection or asymptomatic shedding - is there any risk of transmission to non infected person?

We do suggest that people with genital HSV 2 use their own towel.  We've never seen a case of transmission through towels, but that's just to be on the safe side of things

Terri


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1 months ago
Thank you.

So to clarify - if there was an actual outbreak in a “boxer shorts” location, it would be possible for someone to contact HSV2 from
that’s site - but it would have to be genital, oral, anal, eyes or a cut coming into contact? As the virus can’t penetrate skin from other parts of the body? 

 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
1 months ago
The virus from the outbreak would need to come into contact with vulnerable tissue.  That's genitals, mouth, anus or cut, correct.  You've got it!
Terri
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