Health Care Personnel Exposures to Subsequently Laboratory-Confirmed Monkeypox Patients - Colorado, 2022
The risk for monkeypox transmission to health care personnel (HCP) caring for symptomatic patients is thought to be low but has not been thoroughly assessed in the context of the current global outbreak (1). Monkeypox typically spreads through close physical (often skin-to-skin) contact with lesions...
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| Veröffentlicht in: | MMWR. Morbidity and mortality weekly report 2022-09, Vol.71 (38), p.1216-1219 |
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| creator | Marshall, Kristen E Barton, Marlee Nichols, Janell de Perio, Marie A Kuhar, David T Spence-Davizon, Emily Barnes, Meghan Herlihy, Rachel K Czaja, Christopher A |
| description | The risk for monkeypox transmission to health care personnel (HCP) caring for symptomatic patients is thought to be low but has not been thoroughly assessed in the context of the current global outbreak (1). Monkeypox typically spreads through close physical (often skin-to-skin) contact with lesions or scabs, body fluids, or respiratory secretions of a person with an active monkeypox infection. CDC currently recommends that HCP wear a gown, gloves, eye protection, and an N95 (or higher-level) respirator while caring for patients with suspected or confirmed monkeypox to protect themselves from infection
(1,2). The Colorado Department of Public Health and Environment (CDPHE) evaluated HCP exposures and personal protective equipment (PPE) use in health care settings during care of patients who subsequently received a diagnosis of Orthopoxvirus infection (presumptive monkeypox determined by a polymerase chain reaction [PCR] DNA assay) or monkeypox (real-time PCR assay and genetic sequencing performed by CDC). During May 1-July 31, 2022, a total of 313 HCP interacted with patients with subsequently diagnosed monkeypox infections while wearing various combinations of PPE; 23% wore all recommended PPE during their exposures. Twenty-eight percent of exposed HCP were considered to have had high- or intermediate-risk exposures and were therefore eligible to receive postexposure prophylaxis (PEP) with the JYNNEOS vaccine
; among those, 48% (12% of all exposed HCP) received the vaccine. PPE use varied by facility type: HCP in sexually transmitted infection (STI) clinics and community health centers reported the highest adherence to recommended PPE use, and primary and urgent care settings reported the lowest adherence. No HCP developed a monkeypox infection during the 21 days after exposure. These results suggest that the risk for transmission of monkeypox in health care settings is low. Infection prevention training is important in all health care settings, and these findings can guide future updates to PPE recommendations and risk classification in health care settings. |
| doi_str_mv | 10.15585/mmwr.mm7138e2 |
| format | Article |
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(1,2). The Colorado Department of Public Health and Environment (CDPHE) evaluated HCP exposures and personal protective equipment (PPE) use in health care settings during care of patients who subsequently received a diagnosis of Orthopoxvirus infection (presumptive monkeypox determined by a polymerase chain reaction [PCR] DNA assay) or monkeypox (real-time PCR assay and genetic sequencing performed by CDC). During May 1-July 31, 2022, a total of 313 HCP interacted with patients with subsequently diagnosed monkeypox infections while wearing various combinations of PPE; 23% wore all recommended PPE during their exposures. Twenty-eight percent of exposed HCP were considered to have had high- or intermediate-risk exposures and were therefore eligible to receive postexposure prophylaxis (PEP) with the JYNNEOS vaccine
; among those, 48% (12% of all exposed HCP) received the vaccine. PPE use varied by facility type: HCP in sexually transmitted infection (STI) clinics and community health centers reported the highest adherence to recommended PPE use, and primary and urgent care settings reported the lowest adherence. No HCP developed a monkeypox infection during the 21 days after exposure. These results suggest that the risk for transmission of monkeypox in health care settings is low. Infection prevention training is important in all health care settings, and these findings can guide future updates to PPE recommendations and risk classification in health care settings.</description><identifier>ISSN: 0149-2195</identifier><identifier>EISSN: 1545-861X</identifier><identifier>DOI: 10.15585/mmwr.mm7138e2</identifier><identifier>PMID: 36136939</identifier><language>eng</language><publisher>United States: U.S. Government Printing Office</publisher><subject>Aerosols ; Colorado - epidemiology ; Delivery of Health Care ; Exposure ; Eye protection ; Full Report ; Gloves ; Health aspects ; Health care ; Health Personnel ; Human monkeypox ; Humans ; Immunization ; Infection ; Infections ; Infectious Disease Transmission, Patient-to-Professional - prevention & control ; Information systems ; Medical personnel ; Mpox ; Mpox (monkeypox) - diagnosis ; Mpox (monkeypox) - epidemiology ; Patients ; Personal Protective Equipment ; Personnel ; Prophylaxis ; Protective clothing ; Protective equipment ; Public health ; Sexually transmitted diseases ; Skin ; STD ; Vaccination ; Vaccines</subject><ispartof>MMWR. Morbidity and mortality weekly report, 2022-09, Vol.71 (38), p.1216-1219</ispartof><rights>COPYRIGHT 2022 U.S. Government Printing Office</rights><rights>Published 2022. This article is a U.S. Government work and is in the public domain in the USA.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c553t-a3b2d447704809c6df81cb7b83e6e4ee498dde3a97ececcd68ef9f74c6b98b653</citedby><cites>FETCH-LOGICAL-c553t-a3b2d447704809c6df81cb7b83e6e4ee498dde3a97ececcd68ef9f74c6b98b653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9531564/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9531564/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36136939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marshall, Kristen E</creatorcontrib><creatorcontrib>Barton, Marlee</creatorcontrib><creatorcontrib>Nichols, Janell</creatorcontrib><creatorcontrib>de Perio, Marie A</creatorcontrib><creatorcontrib>Kuhar, David T</creatorcontrib><creatorcontrib>Spence-Davizon, Emily</creatorcontrib><creatorcontrib>Barnes, Meghan</creatorcontrib><creatorcontrib>Herlihy, Rachel K</creatorcontrib><creatorcontrib>Czaja, Christopher A</creatorcontrib><creatorcontrib>Colorado Healthcare Personnel Monitoring Team</creatorcontrib><title>Health Care Personnel Exposures to Subsequently Laboratory-Confirmed Monkeypox Patients - Colorado, 2022</title><title>MMWR. Morbidity and mortality weekly report</title><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><description>The risk for monkeypox transmission to health care personnel (HCP) caring for symptomatic patients is thought to be low but has not been thoroughly assessed in the context of the current global outbreak (1). Monkeypox typically spreads through close physical (often skin-to-skin) contact with lesions or scabs, body fluids, or respiratory secretions of a person with an active monkeypox infection. CDC currently recommends that HCP wear a gown, gloves, eye protection, and an N95 (or higher-level) respirator while caring for patients with suspected or confirmed monkeypox to protect themselves from infection
(1,2). The Colorado Department of Public Health and Environment (CDPHE) evaluated HCP exposures and personal protective equipment (PPE) use in health care settings during care of patients who subsequently received a diagnosis of Orthopoxvirus infection (presumptive monkeypox determined by a polymerase chain reaction [PCR] DNA assay) or monkeypox (real-time PCR assay and genetic sequencing performed by CDC). During May 1-July 31, 2022, a total of 313 HCP interacted with patients with subsequently diagnosed monkeypox infections while wearing various combinations of PPE; 23% wore all recommended PPE during their exposures. Twenty-eight percent of exposed HCP were considered to have had high- or intermediate-risk exposures and were therefore eligible to receive postexposure prophylaxis (PEP) with the JYNNEOS vaccine
; among those, 48% (12% of all exposed HCP) received the vaccine. PPE use varied by facility type: HCP in sexually transmitted infection (STI) clinics and community health centers reported the highest adherence to recommended PPE use, and primary and urgent care settings reported the lowest adherence. No HCP developed a monkeypox infection during the 21 days after exposure. These results suggest that the risk for transmission of monkeypox in health care settings is low. Infection prevention training is important in all health care settings, and these findings can guide future updates to PPE recommendations and risk classification in health care settings.</description><subject>Aerosols</subject><subject>Colorado - epidemiology</subject><subject>Delivery of Health Care</subject><subject>Exposure</subject><subject>Eye protection</subject><subject>Full Report</subject><subject>Gloves</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health Personnel</subject><subject>Human monkeypox</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infection</subject><subject>Infections</subject><subject>Infectious Disease Transmission, Patient-to-Professional - prevention & control</subject><subject>Information systems</subject><subject>Medical personnel</subject><subject>Mpox</subject><subject>Mpox (monkeypox) - diagnosis</subject><subject>Mpox (monkeypox) - epidemiology</subject><subject>Patients</subject><subject>Personal Protective Equipment</subject><subject>Personnel</subject><subject>Prophylaxis</subject><subject>Protective clothing</subject><subject>Protective equipment</subject><subject>Public health</subject><subject>Sexually transmitted diseases</subject><subject>Skin</subject><subject>STD</subject><subject>Vaccination</subject><subject>Vaccines</subject><issn>0149-2195</issn><issn>1545-861X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkt2L1DAUxYso7rj66qMEBfHBjknTfL0Iy7C6wogLKvgW0vR2ppomNWl15783s1_syiQPgeR3T05uTlE8J3hJGJPs3TD8jcthEIRKqB4UC8JqVkpOfjwsFpjUqqyIYkfFk5R-4v2g-HFxRDmhXFG1KLZnYNy0RSsTAZ1DTMF7cOj0YgxpjpDQFNDXuUnwewY_uR1amyZEM4W4K1fBd30coEWfg_8FuzFcoHMz9RlMqESr4DLZhreowlX1tHjUGZfg2fV6XHz_cPptdVauv3z8tDpZl5YxOpWGNlVb10LgWmJledtJYhvRSAocaoBaybYFapQAC9a2XEKnOlFb3ijZcEaPi_dXuuPcZGs2m4nG6TH2g4k7HUyv75_4fqs34Y9WjBLG6yzw8loghvzoNOkIY4hT0pVgnFQcC5mhN_9BQ58sOGc8hHmPEq5qSmmV0VdX6MY40L3vQr7W7nF9IipMOeNCZKo8QG3AQ_YYPHR93r7HLw_webYw9PZgwes7BdvLX0_BzVMffDqobGNIKUJ32zuC9WXm9D5z-iZzueDF3Y7f4jcho_8A7abTGw</recordid><startdate>20220923</startdate><enddate>20220923</enddate><creator>Marshall, Kristen E</creator><creator>Barton, Marlee</creator><creator>Nichols, Janell</creator><creator>de Perio, Marie A</creator><creator>Kuhar, David T</creator><creator>Spence-Davizon, Emily</creator><creator>Barnes, Meghan</creator><creator>Herlihy, Rachel K</creator><creator>Czaja, Christopher A</creator><general>U.S. Government Printing Office</general><general>U.S. Center for Disease Control</general><general>Centers for Disease Control and Prevention</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>0-V</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88F</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2O</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>5PM</scope></search><sort><creationdate>20220923</creationdate><title>Health Care Personnel Exposures to Subsequently Laboratory-Confirmed Monkeypox Patients - 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Morbidity and mortality weekly report</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marshall, Kristen E</au><au>Barton, Marlee</au><au>Nichols, Janell</au><au>de Perio, Marie A</au><au>Kuhar, David T</au><au>Spence-Davizon, Emily</au><au>Barnes, Meghan</au><au>Herlihy, Rachel K</au><au>Czaja, Christopher A</au><aucorp>Colorado Healthcare Personnel Monitoring Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Care Personnel Exposures to Subsequently Laboratory-Confirmed Monkeypox Patients - Colorado, 2022</atitle><jtitle>MMWR. Morbidity and mortality weekly report</jtitle><addtitle>MMWR Morb Mortal Wkly Rep</addtitle><date>2022-09-23</date><risdate>2022</risdate><volume>71</volume><issue>38</issue><spage>1216</spage><epage>1219</epage><pages>1216-1219</pages><issn>0149-2195</issn><eissn>1545-861X</eissn><abstract>The risk for monkeypox transmission to health care personnel (HCP) caring for symptomatic patients is thought to be low but has not been thoroughly assessed in the context of the current global outbreak (1). Monkeypox typically spreads through close physical (often skin-to-skin) contact with lesions or scabs, body fluids, or respiratory secretions of a person with an active monkeypox infection. CDC currently recommends that HCP wear a gown, gloves, eye protection, and an N95 (or higher-level) respirator while caring for patients with suspected or confirmed monkeypox to protect themselves from infection
(1,2). The Colorado Department of Public Health and Environment (CDPHE) evaluated HCP exposures and personal protective equipment (PPE) use in health care settings during care of patients who subsequently received a diagnosis of Orthopoxvirus infection (presumptive monkeypox determined by a polymerase chain reaction [PCR] DNA assay) or monkeypox (real-time PCR assay and genetic sequencing performed by CDC). During May 1-July 31, 2022, a total of 313 HCP interacted with patients with subsequently diagnosed monkeypox infections while wearing various combinations of PPE; 23% wore all recommended PPE during their exposures. Twenty-eight percent of exposed HCP were considered to have had high- or intermediate-risk exposures and were therefore eligible to receive postexposure prophylaxis (PEP) with the JYNNEOS vaccine
; among those, 48% (12% of all exposed HCP) received the vaccine. PPE use varied by facility type: HCP in sexually transmitted infection (STI) clinics and community health centers reported the highest adherence to recommended PPE use, and primary and urgent care settings reported the lowest adherence. No HCP developed a monkeypox infection during the 21 days after exposure. These results suggest that the risk for transmission of monkeypox in health care settings is low. Infection prevention training is important in all health care settings, and these findings can guide future updates to PPE recommendations and risk classification in health care settings.</abstract><cop>United States</cop><pub>U.S. Government Printing Office</pub><pmid>36136939</pmid><doi>10.15585/mmwr.mm7138e2</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0149-2195 |
| ispartof | MMWR. Morbidity and mortality weekly report, 2022-09, Vol.71 (38), p.1216-1219 |
| issn | 0149-2195 1545-861X |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Aerosols Colorado - epidemiology Delivery of Health Care Exposure Eye protection Full Report Gloves Health aspects Health care Health Personnel Human monkeypox Humans Immunization Infection Infections Infectious Disease Transmission, Patient-to-Professional - prevention & control Information systems Medical personnel Mpox Mpox (monkeypox) - diagnosis Mpox (monkeypox) - epidemiology Patients Personal Protective Equipment Personnel Prophylaxis Protective clothing Protective equipment Public health Sexually transmitted diseases Skin STD Vaccination Vaccines |
| title | Health Care Personnel Exposures to Subsequently Laboratory-Confirmed Monkeypox Patients - Colorado, 2022 |
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