紧急部门的Mpox:一个案例系列
Michael Musharbash1, Madeline DiLorenzo2, Nicholas Genes1
1New York University School of Medicine, Department of Emergency Medicine, New York.
Clinical practice and cases in emergency medicine
|February 14, 2024
概括
马波克斯 (以前的麻疹) 主要影响的是西斯性别男性,许多人同时感染了艾滋病毒. 虽然大多数患者都从急诊室出院了,但有些人经历了回访,突出了2022年疫情期间的管理挑战.
科学领域:
- 流行病学 流行病学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 2022年mopox (以前的麻疹) 疫情对医疗保健系统提出了独特的挑战.
- 了解MPOX患者向急诊室呈现的临床特征和结果至关重要.
研究的目的:
- 描述患有mopox感染的患者的人口特征,临床表现和结果.
- 为了分析急诊室 (ED) 停留时间和测试 mpox.
主要方法:
- 在2022年5月1日至8月1日期间对mopox进行测试的患者进行回顾性队列研究.
- 分析人口统计数据,临床特征,艾滋病毒状况,ED访问细节和治疗结果.
主要成果:
- 在145名测试的患者中,79人呈Mopox阳性;所有人都是西斯性别男性,92%是与男性发生性关系的男性.
- 39%的mopox患者同时感染了艾滋病毒. 停留的ED长度不同 (平均4小时),测试周转时间 (平均4天).
- 95%的患者从ED出院,但22%的患者在30天内再次访问,28%的患者接受了tecovirimat.
结论:
- 在ED中的Mpox患者与2022年爆发期间在其他环境中的患者具有人口和临床相似之处.
- 他们注意到了运营方面的挑战,包括可变的ED停留时间和频繁的回访.
- 尽管面临挑战,但大多数mopox患者可以安全地从急诊室出院.
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