Clinical and epidemiological features of mpox in a Brazilian reference center for HIV and sexually transmitted infections: A cross-sectional study
The 2022 mpox outbreak has affected disproportionately people living with HIV (PLWH) and pre-exposure prophylaxis (PrEP) users. We conducted a cross-sectional study to evaluate factors associated with laboratory diagnosis of mpox among suspected cases, and access differences between PrEP users and P...
Saved in:
Published in | IJID regions Vol. 10; pp. 114 - 122 |
---|---|
Main Authors | , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
Elsevier Ltd
01.03.2024
Elsevier |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Summary: | The 2022 mpox outbreak has affected disproportionately people living with HIV (PLWH) and pre-exposure prophylaxis (PrEP) users.
We conducted a cross-sectional study to evaluate factors associated with laboratory diagnosis of mpox among suspected cases, and access differences between PrEP users and PLWH with confirmed diagnostic.
394 mpox suspected cases were analyzed, 309 (78.4%) confirmed. Most patients with mpox were PLWH (54.4%) and 99 (32%) PrEP users. Mpox cases were likely to be between 25 and 39 years old (aOR=2.8; p=0.042), men who have sex with men/bisexual or transgender women (aOR=17.2; p< 0.001) and to have fever (aOR=4.7; p< 0.001), adenomegaly (aOR=7.2; p< 0.001) and multiple vesicular lesions (aOR=4.2; p< 0.001). Comparing PrEP users to PLWH with confirmed mpox, PrEP users had lesions predominantly with exclusive genital involvement (p=0.016); while PLWH had higher extragenital involvement (p=0.018).
PrEP users and PLWHA were the main epidemiological groups in our cohort. Recognizing the differences between vulnerable populations can contribute to the development public policies to control mpox in settings with reduced access to vaccines |
---|---|
Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Rua Santa Cruz, 81 – Vila Mariana. São Paulo (SP), Brazil. CEP: 04121-000. Av. Dr. Arnaldo, 351, 6os andar – Pacaembu. São Paulo (SP), Brazil. CEP: 01246-000. Av. Dr. Arnaldo, 355 – Pacaembu. São Paulo (SP), Brazil. CEP: 01246-000. Av. Dr. Enéas Carvalho de Aguiar, 255 – Cerqueira César. São Paulo (SP), Brazil. CEP: 05403-000. Collaborators: Mpox-CRT working group: Adriana Balduíno de Azevedo, Ana Caroline Coutinho Iglessias, Ana Paola Castagnari, Ana Paula Volpato Kuga, Andreia Monteiro Lobato Gobbato, Anita Sevzatian Terzian Ariane de Castro Coelho, Camila de Albuquerque Moraes, Camila Rodrigues, Camilla Ferreira Santos, Cintia Dellaqua, Clara Vidaurre Mendes, Cristiano Melo Gamba, Cristina Langkammer Martins, Daniel Mitio Kaieda, Daniel Gleison Carvalho, Danilo Chiaradia Finamor, Dyemison Pinheiro da Silva, Edna Pereira de Oliveira, Eduardo Prevelato Athayde Filho, Elenice de Almeida, Eliana Aparecida Lopes Barboza, Erika Maria do Nascimento Kalmar, Fabio Luis Nascimento Nogui, Fabrício Ferreira Neves, Felipe Augusto Souza Gualberto, Fernando Luiz Miranda Nunes, Gabriela Guizi Pereira, Hanriete Mendes dos Santos, Herculano Duarte Ramos de Alencar, Israel Icaro de Oliveira Melo, Ivelise Giarolla, Ivelise Maria Moreira, João Luiz Grandi, João Paulo dos Santos Gouveia, Joaquim do Prado Spagnuolo, Katia Waleska Trindade, Layana Guedes Carvalhal, Lídia Maria Reis, Luciene Marcelina Teixeira, Lucas Teixeira Vieira, Maria Felipe Faustino de Medeiros, Mariangela Alavarez Yamin, Marli Sasaki, Matheus Ettori Cardoso, Meire Akemi Ichibachi, Patrícia Megume Nakamura, Patricia Rady Muller, Silvia Aparecida Costa da Piedade, Solange Aparecida da Silva Costa Lopes, Sumire Sakabe, and Tatiany Viviany Gonçalves Souza. |
ISSN: | 2772-7076 2772-7076 |
DOI: | 10.1016/j.ijregi.2023.11.017 |