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Hospitalization determinants in patients with Mpox disease: The CEME-22 Project
G Ramírez Olivencia1, M M Vera García2, M Velasco Arribas3
1Hospital Militar Central Gómez Ulla, Spain.
Heliyon
|May 17, 2024
Summary
Mpox hospitalization in Spain was influenced by immunosuppression and severe symptoms affecting the gut, ENT, and respiratory systems. These factors are key for determining patient care during outbreaks.
Area of Science:
- Infectious Diseases
- Public Health
Background:
- The 2022 Mpox outbreak presented a novel public health challenge.
- Understanding hospitalization drivers is crucial for resource allocation and patient management.
Purpose of the Study:
- To identify factors influencing hospitalization in Mpox patients during the early 2022 outbreak in Spain.
- To characterize the clinical profile of hospitalized Mpox cases.
Main Methods:
- Retrospective, multicenter study.
- Non-probabilistic convenience sampling of Monkeypox virus cases in Spanish healthcare facilities.
Main Results:
- 4.2% of Mpox cases required hospitalization, with one ICU admission and fatality.
- Hospitalization was linked to immunosuppression and severe symptoms (gastrointestinal, neurological, ENT, respiratory).
- Hemoglobin levels at diagnosis showed significant analytical differences.
Conclusions:
- Immunosuppression and extracutaneous symptoms (GI, ENT, respiratory) are critical factors for Mpox hospitalization decisions.
- Clinical presentation and patient immune status guide the need for inpatient care.
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