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[quote=Anonymous]Doctor and HP here.  Agree with earlier post from 13:03.  Worldwide, HSV1 infection is greater than 90%.  Probably has dropped to 65-70% in Europe and US in recent times due to better hygiene practices.  But very difficult to avoid.  Most of us adults have it.  I treat immunocompromised and have never recommended disowning a family member due to a cold sore.  Au pair needs to see a doctor and the immunocompromised child’s doctor should be called for advice.  Au pair needs strict instruction in hygiene and hand washing protocols for her and the children.  It should be direct and she needs to be able to repeat back.  If the child is immunocompromised, there should always be the standard infection protocols in the house followed by all family members.  Many people, even educated,  have little understanding of infectious disease or illness, so start from the basics, do not assume she knows when to wash hands etc. The child’s doctor or nurse can help with instruction if necessary.  If she is unable/unwilling to comply or understand, then consider rematch. Hope this helps and good luck![/quote]

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