Current practices in the diagnosis and management of HSV and CMV reactivation in German ICUs: an exploratory web-based survey - Takeaways - MDSpire

Current practices in the diagnosis and management of HSV and CMV reactivation in German ICUs: an exploratory web-based survey

  • By

  • Stefanie Michel

  • Ivana Radisic

  • Stefan Hagel

  • Nina Pirschtat

  • Thorsten Brenner

  • Simon Dubler

  • June 24, 2026

  • 0 min

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  • 1

    An online survey assessed diagnostic and treatment practices for HSV and CMV reactivation in German ICUs, with a completion rate of 7.5%.

  • 2

    The survey included 123 responses, revealing significant variability in diagnostic and management approaches for HSV and CMV among participating ICUs.

  • 3

    Standard operating procedures for HSV and CMV diagnostics were reported by 33% of institutions for transplant recipients and 24% for non-immunocompromised patients.

  • 4

    Virological testing was generally available several times per week, with a median turnaround time of 2 days for results.

  • 5

    Routine testing for HSV and CMV was more common in immunosuppressed patients, while antiviral therapy in immunocompetent patients was often initiated only upon clinical suspicion.

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