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Infection with herpes simplex virus type 1 (HSV-1) is common and is thought to be acquired early in childhood through exposure to oral secretions. However, sexual transmission — previously associated with herpes simplex virus type 2 (HSV-2) — has been increasing. To further examine the epidemiology of HSV infections, researchers prospectively followed healthy women aged 18 to 30 who were seronegative for both HSV-1 and HSV-2. The study was conducted between 2003 and 2007 and was partially funded by industry.
Of the 3438 participants, 183 (5.3%) became infected with HSV during 20 months of follow-up — 127 (3.7%) with HSV-1 and 56 (1.6%) with HSV-2. The rate of infection per 100 person-years was 2.5 cases for HSV-1 compared with 1.1 cases for …