Diagnosis and management of monkeypox in primary care

Author:

Rallapalli Smrithi1ORCID,Razai Mohammad S2ORCID,Majeed Azeem3ORCID,Drysdale Simon B45

Affiliation:

1. Institute of Medical and Biomedical Education, St George’s University of London, London, SW17 0RE, UK

2. Population Health Research Institute, St George’s University of London, London, SW17 0RE, UK

3. Department of Primary Care and Public Health, Imperial College London, London, W6 8RP, UK

4. Department of Paediatric Infectious Diseases, St George's University Hospitals NHS Foundation Trust, London, SW17 0QT, UK

5. Centre for Neonatal and Paediatric Infection, St George’s University of London, London, SW17 0RE, UK

Abstract

The monkeypox virus outbreak continues to evolve worldwide. While most people recover without treatment, primary care clinicians may be the first point of contact for those affected. Prompt assessment, diagnosis, isolation, treatment and prophylaxis will reduce the risk of community transmission. The current public health advice is to test suspected cases and monitor close contacts. If individuals test positive for the monkeypox virus, self-isolation at home is recommended for most people with mild symptoms. If patients report severe symptoms, referral and admission to hospital will be needed, where further interventions such as antivirals may be administered. The infection can spread through close contact; therefore, healthcare professionals must take precautions, such as using appropriate personal protective equipment for possible or probable cases.

Publisher

SAGE Publications

Subject

General Medicine

Reference30 articles.

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2. World Health Organization. WHO Director-General’s statement at the press conference following IHR Emergency Committee regarding the multi-country outbreak of monkeypox – 23 July 2022. See www.who.int/director-general/speeches/detail/who-director-general-s-statement-on-the-press-conference-following-IHR-emergency-committee-regarding-the-multi–country-outbreak-of-monkeypox–23-july-2022 (last checked 5 September 2022).

3. Centers for Disease Control and Prevention. 2022 Monkeypox Outbreak Global Map | Monkeypox | Poxvirus. See www.cdc.gov/poxvirus/monkeypox/response/2022/world-map.html (last checked 10 September 2022).

4. Risk factors of postoperative nephropathy in patients undergoing innovative CABG and intraoperative graft angiography

5. World Health Organization. Monkeypox. See www.who.int/news-room/fact-sheets/detail/monkeypox (last checked 19 June 2022).

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