Krankenhaushygiene up2date,
Год журнала:
2024,
Номер
19(01), С. 45 - 58
Опубликована: Март 1, 2024
Nachdem
im
Mai
2022
in
Großbritannien
bei
einem
Reiserückkehrer
aus
Nigeria
erstmals
eine
Infektion
mit
Mpox
(vormals
Affenpocken,
Monkeypox)
diagnostiziert
wurde,
wurden
wenig
zeitversetzt
auch
die
ersten
Fälle
Deutschland
gemeldet.
In
den
folgenden
Monaten
wurde
ein
starker
Anstieg
der
Fallzahlen
beobachtet,
insbesondere
Nord-/Südamerika
und
Europa.
gehörte
zu
am
stärksten
betroffenen
Länder
weltweit.
Dieser
Beitrag
gibt
einen
Überblick
über
Erreger,
das
klinische
Bild
sowie
Präventions-
Therapieoptionen.
Pathogens,
Год журнала:
2023,
Номер
12(1), С. 146 - 146
Опубликована: Янв. 15, 2023
Since
May
2022,
large
numbers
of
human
mpox
(previously
known
as
monkeypox)
cases
have
been
reported
in
non-endemic
regions.
We
conducted
a
systematic
review
and
meta-analysis
to
elucidate
clinical
characteristics
the
current
outbreak.
Our
were
undertaken
according
PRISMA
MOOSE
guidelines.
searched
PubMed,
EMBASE,
Web
Science
for
publications
between
1
January
11
November
2022.
Random-effects
models
used
pool
results.
Heterogeneity
was
assessed
using
I2.
This
study
is
registered
with
PROSPERO,
CRD42022355590.
Skin
lesions
(95.2%,
95%
CI
[93.3–96.9%]),
fever
(58.4%,
[54.9–61.8%])
lymphadenopathy
(53.0%,
[48.7–57.3%])
most
common
symptoms.
The
dermatological
manifestations
anogenital
(65.7%,
[57.8–73.0%]),
inguinal
(46.8%,
[40.6–53.0%]).
There
no
differences
symptoms
including
malaise,
fever,
headache,
genital,
anal,
oropharyngeal
HIV
infection
status.
Median
age
patients
varied
from
15
57.5
years
(median,
35
years).
median
proportion
men
who
had
sex
(MSM)
100.0%
(20.6–100.0%).
recent
sexual
exposure
99.2%
(14.3–100.0%).
PLHIV
42.2%
(0.0–100.0%).
lesions,
lymphadenopathy,
Existing
guidelines
should
be
updated
reflect
these
groups
at
highest
risk
infection,
MSM
particular.
Vaccines,
Год журнала:
2023,
Номер
11(2), С. 246 - 246
Опубликована: Янв. 22, 2023
The
most
recent
monkeypox
(Mpox)
outbreak
is
mostly
affecting
men
who
have
sex
with
(MSM)
participate
in
high-risk
sexual
behaviors,
which
typically
the
case
among
human
immunodeficiency
virus
(HIV)
carriers,
according
to
clinical
and
epidemiological
statistics.
objective
of
this
research
determine
situation
HIV
smallpox
co-infection.
Until
1
October
2022,
a
thorough
evaluation
literature
was
conducted
utilizing
databases
PubMed,
Embase,
Scopus,
Web
Science.
Studies
were
evaluated
based
on
criteria
for
selection.
Fifty-three
studies
met
selection
criteria.
A
total
6345
confirmed
cases
recorded,
40.32%
(n
=
2558)
these
also
had
In
addition,
51.36%
3259)
(91.44%;
n
5802),
whose
ages
ranged
from
18
71
years,
exhibited
MSM-specific
behaviors.
Co-infection
two
viruses
can
be
especially
dangerous
because
it
exacerbate
symptoms
both
diseases
make
them
more
difficult
treat.
People
are
vulnerable
certain
infections,
including
monkeypox,
their
immune
systems
weakened.
Therefore,
important
that
they
take
measures
prevent
infection,
such
as
avoiding
contact
infected
animals,
risky
maintaining
good
hygiene.
Biomedicines,
Год журнала:
2023,
Номер
11(3), С. 957 - 957
Опубликована: Март 20, 2023
(1)
Background:
In
early
May
2022,
an
increasing
number
of
human
monkeypox
(mpox)
cases
were
reported
in
non-endemic
disparate
regions
the
world,
which
raised
concerns.
Here,
we
provide
a
systematic
review
and
meta-analysis
mpox-confirmed
patients
presented
peer-reviewed
publications
over
10
years
before
during
2022
outbreak
from
demographic,
epidemiological,
clinical
perspectives.
(2)
Methods:
A
search
was
performed
for
relevant
studies
published
Pubmed/Medline,
Embase,
Scopus,
Google
Scholar
1
January
2012
up
to
15
February
2023.
Pooled
frequencies
with
95%
confidence
intervals
(CIs)
assessed
using
random
or
fixed
effect
model
due
estimated
heterogeneity
true
sizes.
(3)
Results:
Out
10,163
articles,
67
met
inclusion
criteria,
31
cross-sectional
included
meta-analysis.
Animal-to-human
transmission
dominant
pre-2022
(61.64%),
but
almost
all
post-2022
had
history
contact,
especially
sexual
contact.
The
pooled
frequency
MSM
individuals
93.5%
(95%
CI
91.0-95.4,
I2:
86.60%)
only
studies.
male
gender
predominant
both
pre-
outbreaks,
mean
age
confirmed
29.92
(5.77-41,
SD:
9.38).
most
common
manifestations
rash,
fever,
lymphadenopathy,
malaise/fatigue.
Proctalgia/proctitis
(16.6%,
10.3-25.6,
97.76)
anal/perianal
lesions
(39.8%,
30.4-49.9,
98.10)
unprecedented
outbreak,
not
described
before.
Genitalia
involvement
more
mpox
(55.6%,
51.7-59.4,
88.11).
(4)
Conclusions:
There
are
speculations
about
possibility
changes
pathogenic
properties
virus.
It
seems
that
experience
milder
disease
fewer
rashes
lower
mortality
rates.
Moreover,
vast
majority
managed
on
outpatient
basis.
Our
study
could
serve
as
basis
ongoing
investigations
identify
different
aspects
previous
outbreaks
compare
them
current
ones.
Abstract
Background
Many
European
countries
experienced
outbreaks
of
mpox
in
2022,
and
there
was
an
outbreak
2023
the
Democratic
Republic
Congo.
There
were
many
apparent
differences
between
these
previous
mpox;
recent
observed
men
who
have
sex
with
after
sexual
encounters
at
common
events,
whereas
earlier
a
wider
population
no
identifiable
link
to
contacts.
These
meant
that
data
from
could
not
reliably
be
used
parametrise
infectious
disease
models
during
2022
outbreaks,
modelling
efforts
hampered
by
uncertainty
around
key
transmission
immunity
parameters.
Methods
We
developed
stochastic,
discrete-time
metapopulation
model
for
allowed
non-sexual
implementation
non-pharmaceutical
interventions,
specifically
contact
tracing
pre-
post-exposure
vaccinations.
calibrated
case
Berlin
Sobol
sensitivity
analysis
identify
parameters
is
especially
sensitive
to.
also
briefly
analysed
effectiveness
interventions
various
efficacy
Results
found
variance
probabilities
due
both
had
large
effect
on
model,
as
did
level
conferred
smallpox
vaccination.
Furthermore,
number
pre-exposure
vaccinations
offered
dominant
contributor
dynamics
men.
If
available,
accuracy
timeliness
impact
model.
Conclusions
Our
results
are
valuable
guiding
epidemiological
studies
parameter
ascertainment
identifying
factors
success
interventions.
Epidemiologia e Serviços de Saúde,
Год журнала:
2022,
Номер
31(3)
Опубликована: Янв. 1, 2022
to
describe
epidemiological
and
clinical
characteristics
of
monkeypox
(MPX)
in
Brazil,
from
the
identification
first
case,
on
June
7,
2022,
Epidemiological
Week
(EW)
39,
ending
October
1,
2022.this
was
a
descriptive
study
cases
notified
Ministry
Health;
trends
were
analyzed
based
number
confirmed
probable
per
EW;
also
described
according
demographic
variables.out
31,513
notifications,
23.8%
confirmed;
91.8%
male;
70.6%
cis
men;
median
age
32
years.
Fever
(58.0%),
adenomegaly
(42.4%),
headache
(39.9%)
rash
(37.0%)
most
frequent
symptoms;
27.5%
reported
being
immunosuppressed,
34.6%
living
with
HIV
10.5%
had
sexually
transmitted
infection;
three
deaths
recorded.the
MPX
case
profile
similar
that
other
countries;
surveillance
actions
must
be
strengthened
control
outbreak.descrever
características
epidemiológicas
e
clínicas
da
no
Brasil
desde
identificação
do
primeiro
caso,
em
7
de
junho
até
semana
epidemiológica
(SE)
encerrada
1º
outubro
2022.estudo
descritivo
dos
casos
notificados
ao
Ministério
Saúde;
as
tendências
foram
analisadas
sobre
o
número
confirmados
prováveis,
por
SE;
os
descritos
segundo
variáveis
demográficas
clínicas.das
33.513
notificações,
23,8%
confirmadas,
91,8%
eram
sexo
masculino
70,6%
homens
com
idade
mediana
anos;
febre
(58,0%),
adenomegalia
(42,4%),
cefaleia
(39,9%)
erupções
(37,0%)
sintomas
mais
frequentes;
27,5%
declararam
ser
imunossuprimidos,
34,6%
viviam
10,5%
possuíam
infecção
sexualmente
transmissível;
três
óbitos
registrados.o
perfil
foi
semelhante
outros
países;
ações
vigilância
devem
reforçadas
para
controle
surto.Describir
las
y
la
viruela
del
mono
en
Brasil,
identificación
primer
el
junio
hasta
finalizando
1°
octubre
2022.Las
tendencias
los
al
Ministerio
Salud
se
analizaron
como
probables,
SE.
Los
describieron
según
variables
clínicas.se
confirmaron
notificaciones
un
23,8%;
masculino;
hombres
cis;
con
edad
promedio
años.
Fiebre
cefalea
exantema
fueron
síntomas
más
frecuentes.
Un
declaró
estar
inmunodeprimido,
vivía
VIH
tenía
alguna
infección
transmisión
sexual.
Se
registraron
3
muertes.El
fue
otros
países.
deben
reforzar
acciones
vigilancia
controlar
brote.
Medicina,
Год журнала:
2023,
Номер
59(6), С. 1096 - 1096
Опубликована: Июнь 6, 2023
Monkeypox
(Mpox)
is
a
zoonotic
disease
caused
by
the
Orthopoxvirus
monkeypox
virus
(MPXV).
Since
1970,
outbreaks
of
MPXV
have
occurred
in
several
Sub-Saharan
African
countries.
However,
from
May
2022
to
April
2023,
recent
Mpox
countries
outside
Africa,
and
these
cases
quickly
spread
over
100
non-endemic
on
all
continents.
Most
were
found
region
Americas
Europe
region.
In
Latin
America,
highest
all-age
rates
per
million
inhabitants
Peru,
Colombia,
Chile,
Brazil.
Given
its
global
impact,
was
declared
as
an
international
Public
Health
Emergency
WHO
July
2022.
infection
disproportionately
affects
men
who
sex
with
members
HIV-infected
population.
Vaccination
current
strategy
for
controlling
preventing
high-risk
groups.
this
context,
Peru
has
fourth-highest
number
America
faces
significant
challenges
control.
Because
this,
review,
we
discuss
epidemiology,
public
health
indicators,
prevention
outbreak
so
that
authorities
can
join
forces
control
transmission.