Evidence map›Paper›PMID 39057822›Full record

ReviewPathogens (Basel, Switzerland)2024

Herpes Zoster and Post-Herpetic Neuralgia-Diagnosis, Treatment, and Vaccination Strategies.

Delwyn Zhi Jie Lim, Hong Liang Tey, Brenda Mae Alferez Salada, Jolene Ee Ling Oon, Ee-Jin Darren Seah, Nisha Suyien Chandran, Jiun Yit Pan

Abstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  19. [StagingZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Delwyn Zhi Jie LimNational Skin Centre, Singapore 308205, Singapore.ORCID 0000-0003-2894-4508
Hong Liang TeyNational Skin Centre, Singapore 308205, Singapore.ORCID 0000-0001-8894-6711
Brenda Mae Alferez SaladaDivision of Infectious Diseases, University Medicine Cluster, National University Health System, Singapore 119228, Singapore.
Jolene Ee Ling OonYong Loo Lin School of Medicine, National University of Singapore, Singapore 169857, Singapore.
Ee-Jin Darren SeahNational Healthcare Group Polyclinics, Singapore 308433, Singapore.
Nisha Suyien ChandranYong Loo Lin School of Medicine, National University of Singapore, Singapore 169857, Singapore.
Jiun Yit PanNational Skin Centre, Singapore 308205, Singapore.

Funding

GlaxoSmithKline Singapore Educational Grant
6 · The paper itself

Abstract

introductionHerpes zoster is caused by the reactivation of latent varicella infection within the sensory ganglia, caused by the varicella-zoster virus (VZV). The disease is classically characterized by a painful unilateral vesicular eruption. Complications of the disease include herpes zoster ophthalmicus, Ramsay Hunt syndrome, acute retinal necrosis, and post-herpetic neuralgia. In this paper, we discuss the epidemiology, pathogenesis, clinical features, diagnosis, management, and vaccination strategies of herpes zoster and post-herpetic neuralgia.

methodThis paper was developed with input from specialists from Singapore's public sectors-dermatologists, family physicians, and infectious diseases specialists.

resultsThe diagnosis of herpes zoster is clinical and can be aided with laboratory investigations. Early initiation of antivirals, within 72 h of onset, can reduce the severity and duration of the condition and decrease the intensity of pain. In patients with a high risk of post-herpetic neuralgia, early initiation of anticonvulsants or tricyclic antidepressants can be considered. Herpes zoster is highly preventable, with the advent of the recombinant zoster vaccine (RZV) providing an overall vaccine efficacy of 97.2%. Procedures such as epidural blocks and subcutaneous or intracutaneous injections of local anesthetics and steroids can be considered for patients with a high risk of post-herpetic neuralgia to reduce its incidence.

conclusionThis article serves as a guideline for clinicians in the diagnosis, investigations, management, and prevention of herpes zoster. With the majority of adults in Singapore currently at risk of developing herpes zoster due to varicella immunization being only introduced in 2020, it is important for clinicians to recognize and manage herpes zoster appropriately.

Indexed as

Antiviral AgentsHerpesvirus 3, HumanHerpes ZosterHerpes Zoster VaccineNeuralgia, PostherpeticHumansSingaporeVaccinationAntiviral AgentsHerpes Zoster Vaccineherpes zosterpost-herpetic neuralgia

Identifiers

PMID39057822
PMCPMC11280284

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.