Primary herpes simplex infection following mouth-to-mouth resuscitation

Part 12: Education, implementation, and teams

“…There are only a very few cases reported (LOE 5) where performing CPR has been implicated in disease transmission. Salmonella infantis, 251 panton-valentine leucocidin staphylococcus aureus, 252 severe acute respiratory syndrome (SARS), 253 meningococcal meningitis, 254 helicobacter pylori, 255 herpes simplex virus, 256,257 cutaneous tuberculosis, 258 stomatitis, 259 tracheitis, 260 shigella, 261 and streptococcus pyogenes 262 have been implicated. One report described herpes simplex virus infection as a result of training in CPR (LOE 5) 263 .…”

Transmission of Panton-Valentine Leukocidin-Producing Staphylococcus aureus to a Physician during Resuscitation of a Child

“…This report describes the transmission of a PVL-producing S. aureus strain from a patient to a health care worker during resuscitation. Previous studies have reported transmission of different pathogens during mouth-to-mouth resuscitation: Salmonella [5], Herpes simplex [6], Helicobacter pylori [7], and more recently, severe acute respiratory syndrome coronavirus [8]. In the present case, it is likely that transmission was related to the events leading up to intubation, and contact, droplet, or airborne transmission might have occurred.…”

Herpes genualius

“…1 Hospital personnel providing mouth to mouth resuscitation have contracted oral herpes by direct inoculation. 2 Here we describe two nurses who, possibly as a result of their work, developed herpetic lesions at an unusual site, the knee. Case 1 -A nurse on the adolescent ward noted onset of a cluster of vesicles over her right patella within several days after placing her knee on a patient's bed so as to stabilize herself for a dressing change.…”