Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/57799 |
Resumo: | INI-Fiocruz Mpox study group: André Miguel Japiassu, Marcel Trepow, Italo Guariz Ferreira, Larissa Villela, Rafael Teixeira Fraga, Mariah Castro de Souza Pires, Rodrigo Otavio da Silva Escada, Leonardo Paiva de Sousa, Gabriela Lisseth Umaña Robleda, Desirée Vieira Santos, Luiz Ricardo Siqueira Camacho, Pedro Amparo, João Victor Jaegger de França, Felipe de Oliveira Heluy Correa, Bruno Ivanovinsky Costa de Sousa, Bernardo Vicari do Valle, João Paulo Bortot Soares, Livia Cristina Fonseca Ferreira, Pedro da Silva Martins, Maira Braga Mesquita, José Ricardo Hildebrant Coutinho, Raissa de Moraes Perlingeiro, Priscila Peixoto de Castro Oliveira, Hugo Perazzo Pedroso Barbosa, André Figueiredo Accetta, Marcelo Cunha, Rosangela Vieira Eiras, Ticiana Martins dos Santos, Wladmyr Davila da Silva, Monique do Vale Silveira, Tania de Souza Brum, Guilherme Amaral Calvet, Rodrigo Caldas Menezes, Sandro Antônio Pereira. |
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Silva, Mayara Secco TorresCoutinho, CarolinaTorres, Thiago SilvaPeixoto, EduardoIsmério, RonaldoLessa, FlaviaNunes, Estevão PortelaHoagland, BrendaEcheverria Guevara, Amanda DoloresBastos, Matheus OliveiraTavares, Isabel Cristina FerreiraRibeiro, Maria Pia DinizRamos, Maria Roberta Meneguetti SeravalliAndrade, Hugo BoechatSantana, Ana Paula LovetroSantini-Oliveira, MariliaSantos Netto, Juliana BarbosaReges, PaulaMagalhães, Monica AvelarRosadas, Leonardo Azevedo SilvaNazer, SandroVelasque, LucianeCardoso, Sandra WagnerSilva, Edson Elias daVeloso, Valdiléa G.Wakimoto, Mayumi DuarteGrinsztejn, Beatriz2023-04-14T23:45:08Z2023-04-14T23:45:08Z2023SILVA, Mayara Secco Torres et al. Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil. Lancet Regional Health. Americas, v. 17, p. 1-15, Jan. 2023.0140-6736https://www.arca.fiocruz.br/handle/icict/5779910.1016/j.lana.2022.1004062667-193XINI-Fiocruz Mpox study group: André Miguel Japiassu, Marcel Trepow, Italo Guariz Ferreira, Larissa Villela, Rafael Teixeira Fraga, Mariah Castro de Souza Pires, Rodrigo Otavio da Silva Escada, Leonardo Paiva de Sousa, Gabriela Lisseth Umaña Robleda, Desirée Vieira Santos, Luiz Ricardo Siqueira Camacho, Pedro Amparo, João Victor Jaegger de França, Felipe de Oliveira Heluy Correa, Bruno Ivanovinsky Costa de Sousa, Bernardo Vicari do Valle, João Paulo Bortot Soares, Livia Cristina Fonseca Ferreira, Pedro da Silva Martins, Maira Braga Mesquita, José Ricardo Hildebrant Coutinho, Raissa de Moraes Perlingeiro, Priscila Peixoto de Castro Oliveira, Hugo Perazzo Pedroso Barbosa, André Figueiredo Accetta, Marcelo Cunha, Rosangela Vieira Eiras, Ticiana Martins dos Santos, Wladmyr Davila da Silva, Monique do Vale Silveira, Tania de Souza Brum, Guilherme Amaral Calvet, Rodrigo Caldas Menezes, Sandro Antônio Pereira.Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz).Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Universidade Federal do Estado do Rio de Janeiro. Departamento de Matemática e Estatística. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brazil.Background: By October 30, 2022, 76,871 cases of mpox were reported worldwide, with 20,614 cases in Latin America. This study reports characteristics of a case series of suspected and confirmed mpox cases at a referral infectious diseases center in Rio de Janeiro, Brazil. Methods: This was a single-center, prospective, observational cohort study that enrolled all patients with suspected mpox between June 12 and August 19, 2022. Mpox was confirmed by a PCR test. We compared characteristics of confirmed and non-confirmed cases, and among confirmed cases according to HIV status using distribution tests. Kernel estimation was used for exploratory spatial analysis. Findings: Of 342 individuals with suspected mpox, 208 (60.8%) were confirmed cases. Compared to non-confirmed cases, confirmed cases were more frequent among individuals aged 30-39 years, cisgender men (96.2% vs. 66.4%; p < 0.0001), reporting recent sexual intercourse (95.0% vs. 69.4%; p < 0.0001) and using PrEP (31.6% vs. 10.1%; p < 0.0001). HIV (53.2% vs. 20.2%; p < 0.0001), HCV (9.8% vs. 1.1%; p = 0.0046), syphilis (21.2% vs. 16.3%; p = 0.43) and other STIs (33.0% vs. 21.6%; p = 0.042) were more frequent among confirmed mpox cases. Confirmed cases presented more genital (77.3% vs. 39.8%; p < 0.0001) and anal lesions (33.1% vs. 11.5%; p < 0.0001), proctitis (37.1% vs. 13.3%; p < 0.0001) and systemic signs and symptoms (83.2% vs. 64.5%; p = 0.0003) than non-confirmed cases. Compared to confirmed mpox HIV-negative, HIV-positive individuals were older, had more HCV coinfection (15.2% vs. 3.7%; p = 0.011), anal lesions (45.7% vs. 20.5%; p < 0.001) and clinical features of proctitis (45.2% vs. 29.3%; p = 0.058). Interpretation: Mpox transmission in Rio de Janeiro, Brazil, rapidly evolved into a local epidemic, with sexual contact playing a crucial role in its dynamics and high rates of coinfections with other STI. Preventive measures must address stigma and social vulnerabilities.engElsevierAmbulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleHIVLatin AmericaMen who have sex with menMpoxOutbreaksPre-exposure prophylaxis (PrEP)Public healthSTIinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/57799/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALve_Silva_Mayara_etal_INI_ICICT_IOC_2023.pdfve_Silva_Mayara_etal_INI_ICICT_IOC_2023.pdfapplication/pdf2027576https://www.arca.fiocruz.br/bitstream/icict/57799/2/ve_Silva_Mayara_etal_INI_ICICT_IOC_2023.pdf0f5e4cbd92862dc54555ce9bc999ad94MD52icict/577992023-10-27 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| dc.title.en_US.fl_str_mv |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| title |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| spellingShingle |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil Silva, Mayara Secco Torres HIV Latin America Men who have sex with men Mpox Outbreaks Pre-exposure prophylaxis (PrEP) Public health STI |
| title_short |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| title_full |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| title_fullStr |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| title_full_unstemmed |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| title_sort |
Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil |
| author |
Silva, Mayara Secco Torres |
| author_facet |
Silva, Mayara Secco Torres Coutinho, Carolina Torres, Thiago Silva Peixoto, Eduardo Ismério, Ronaldo Lessa, Flavia Nunes, Estevão Portela Hoagland, Brenda Echeverria Guevara, Amanda Dolores Bastos, Matheus Oliveira Tavares, Isabel Cristina Ferreira Ribeiro, Maria Pia Diniz Ramos, Maria Roberta Meneguetti Seravalli Andrade, Hugo Boechat Santana, Ana Paula Lovetro Santini-Oliveira, Marilia Santos Netto, Juliana Barbosa Reges, Paula Magalhães, Monica Avelar Rosadas, Leonardo Azevedo Silva Nazer, Sandro Velasque, Luciane Cardoso, Sandra Wagner Silva, Edson Elias da Veloso, Valdiléa G. Wakimoto, Mayumi Duarte Grinsztejn, Beatriz |
| author_role |
author |
| author2 |
Coutinho, Carolina Torres, Thiago Silva Peixoto, Eduardo Ismério, Ronaldo Lessa, Flavia Nunes, Estevão Portela Hoagland, Brenda Echeverria Guevara, Amanda Dolores Bastos, Matheus Oliveira Tavares, Isabel Cristina Ferreira Ribeiro, Maria Pia Diniz Ramos, Maria Roberta Meneguetti Seravalli Andrade, Hugo Boechat Santana, Ana Paula Lovetro Santini-Oliveira, Marilia Santos Netto, Juliana Barbosa Reges, Paula Magalhães, Monica Avelar Rosadas, Leonardo Azevedo Silva Nazer, Sandro Velasque, Luciane Cardoso, Sandra Wagner Silva, Edson Elias da Veloso, Valdiléa G. Wakimoto, Mayumi Duarte Grinsztejn, Beatriz |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Silva, Mayara Secco Torres Coutinho, Carolina Torres, Thiago Silva Peixoto, Eduardo Ismério, Ronaldo Lessa, Flavia Nunes, Estevão Portela Hoagland, Brenda Echeverria Guevara, Amanda Dolores Bastos, Matheus Oliveira Tavares, Isabel Cristina Ferreira Ribeiro, Maria Pia Diniz Ramos, Maria Roberta Meneguetti Seravalli Andrade, Hugo Boechat Santana, Ana Paula Lovetro Santini-Oliveira, Marilia Santos Netto, Juliana Barbosa Reges, Paula Magalhães, Monica Avelar Rosadas, Leonardo Azevedo Silva Nazer, Sandro Velasque, Luciane Cardoso, Sandra Wagner Silva, Edson Elias da Veloso, Valdiléa G. Wakimoto, Mayumi Duarte Grinsztejn, Beatriz |
| dc.subject.en.en_US.fl_str_mv |
HIV Latin America Men who have sex with men Mpox Outbreaks Pre-exposure prophylaxis (PrEP) Public health STI |
| topic |
HIV Latin America Men who have sex with men Mpox Outbreaks Pre-exposure prophylaxis (PrEP) Public health STI |
| description |
INI-Fiocruz Mpox study group: André Miguel Japiassu, Marcel Trepow, Italo Guariz Ferreira, Larissa Villela, Rafael Teixeira Fraga, Mariah Castro de Souza Pires, Rodrigo Otavio da Silva Escada, Leonardo Paiva de Sousa, Gabriela Lisseth Umaña Robleda, Desirée Vieira Santos, Luiz Ricardo Siqueira Camacho, Pedro Amparo, João Victor Jaegger de França, Felipe de Oliveira Heluy Correa, Bruno Ivanovinsky Costa de Sousa, Bernardo Vicari do Valle, João Paulo Bortot Soares, Livia Cristina Fonseca Ferreira, Pedro da Silva Martins, Maira Braga Mesquita, José Ricardo Hildebrant Coutinho, Raissa de Moraes Perlingeiro, Priscila Peixoto de Castro Oliveira, Hugo Perazzo Pedroso Barbosa, André Figueiredo Accetta, Marcelo Cunha, Rosangela Vieira Eiras, Ticiana Martins dos Santos, Wladmyr Davila da Silva, Monique do Vale Silveira, Tania de Souza Brum, Guilherme Amaral Calvet, Rodrigo Caldas Menezes, Sandro Antônio Pereira. |
| publishDate |
2023 |
| dc.date.accessioned.fl_str_mv |
2023-04-14T23:45:08Z |
| dc.date.available.fl_str_mv |
2023-04-14T23:45:08Z |
| dc.date.issued.fl_str_mv |
2023 |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.citation.fl_str_mv |
SILVA, Mayara Secco Torres et al. Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil. Lancet Regional Health. Americas, v. 17, p. 1-15, Jan. 2023. |
| dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/57799 |
| dc.identifier.issn.en_US.fl_str_mv |
0140-6736 |
| dc.identifier.doi.none.fl_str_mv |
10.1016/j.lana.2022.100406 |
| dc.identifier.eissn.none.fl_str_mv |
2667-193X |
| identifier_str_mv |
SILVA, Mayara Secco Torres et al. Ambulatory and hospitalized patients with suspected and confirmed mpox: an observational cohort study from Brazil. Lancet Regional Health. Americas, v. 17, p. 1-15, Jan. 2023. 0140-6736 10.1016/j.lana.2022.100406 2667-193X |
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https://www.arca.fiocruz.br/handle/icict/57799 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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openAccess |
| dc.publisher.none.fl_str_mv |
Elsevier |
| publisher.none.fl_str_mv |
Elsevier |
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reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ) |
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repositorio.arca@fiocruz.br |
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