发现麻风病例：对巴塞罗那（西班牙）北部大都会地区初级医疗检测计划的评估

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2024-09-24 DOI:10.1016/j.aprim.2024.103089

Andrés Martínez-Arias , Lluís Valerio , Xavier Vallès , Sílvia Roure Díez , Laura Soldevila Langa , Primary Health Mpox Study Group, Èlia Fernandez Pedregal , Àgueda Hernàndez Rodríguez , Mar Isnard-Blanchard , Josep Maria Bonet Simó , Núria Prat Gil , Anna Cirera , Bonaventura Clotet , Emili Gené Tous

{"title":"发现麻风病例：对巴塞罗那（西班牙）北部大都会地区初级医疗检测计划的评估","authors":"Andrés Martínez-Arias , Lluís Valerio , Xavier Vallès , Sílvia Roure Díez , Laura Soldevila Langa , Primary Health Mpox Study Group, Èlia Fernandez Pedregal , Àgueda Hernàndez Rodríguez , Mar Isnard-Blanchard , Josep Maria Bonet Simó , Núria Prat Gil , Anna Cirera , Bonaventura Clotet , Emili Gené Tous","doi":"10.1016/j.aprim.2024.103089","DOIUrl":null,"url":null,"abstract":"<div><h3>Main aim</h3><div>In July 2022, an extensive outbreak of Mpox (monkeypox) was considered by WHO as a Public Health Emergency. The objective of this study is to describe the obtained results from a Mpox case detection program in a semi-urban healthcare area where approximately 420 Primary Care physicians work.</div></div><div><h3>Design</h3><div>An observational prospective study performed between June 01, 2022 and December 31, 2023.</div></div><div><h3>Setting</h3><div>The Northern Metropolitan area of Barcelona, with 1400.000hab (Catalonia, Spain).</div></div><div><h3>Methods</h3><div>An unified Mpox management procedure was agreed, including a prior online training of Primary Care professionals, to individually assess all Mpox suspected cases from a clinical and epidemiological perspective.</div></div><div><h3>Participants</h3><div>All patients who met clinical and/or epidemiological criteria of Mpox.</div></div><div><h3>Data collection</h3><div>Age, gender, risk classification (suspected/probable), cluster-linked (yes/no), high-risk sexual contact (yes/no), general symptoms, genital lesion and final diagnostic.</div></div><div><h3>Results</h3><div>A total of 68 suspected Mpox cases were included, from which 16 (26.6%) were Mpox confirmed by PCR. Up to 13 (81.2%) were male and, among them, 12 (75%) men who have sex with men (MSM). The series, however, included two minors and three women. Among MSM, 3 (18.7%) were HIV positive and 3 had no regular access to the Public Healthcare system. Among discarded patients, any infectious disease was diagnosed in 55% of cases.</div></div><div><h3>Conclusions</h3><div>In spite of the short series, this Primary Care community-based study identified a sub-population group showing a different profile of Mpox cases compared to other published series (lower HIV prevalence, higher representativeness of heterosexual transmission and hard to reach population).</div></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 3","pages":"Article 103089"},"PeriodicalIF":1.8000,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002312/pdfft?md5=b302613c8b22954ea4e8da7ffb49be64&pid=1-s2.0-S0212656724002312-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Mpox cases finding: Evaluation of a Primary Care detection program in the Northern Metropolitan area from Barcelona (Spain)\",\"authors\":\"Andrés Martínez-Arias , Lluís Valerio , Xavier Vallès , Sílvia Roure Díez , Laura Soldevila Langa , Primary Health Mpox Study Group, Èlia Fernandez Pedregal , Àgueda Hernàndez Rodríguez , Mar Isnard-Blanchard , Josep Maria Bonet Simó , Núria Prat Gil , Anna Cirera , Bonaventura Clotet , Emili Gené Tous\",\"doi\":\"10.1016/j.aprim.2024.103089\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Main aim</h3><div>In July 2022, an extensive outbreak of Mpox (monkeypox) was considered by WHO as a Public Health Emergency. The objective of this study is to describe the obtained results from a Mpox case detection program in a semi-urban healthcare area where approximately 420 Primary Care physicians work.</div></div><div><h3>Design</h3><div>An observational prospective study performed between June 01, 2022 and December 31, 2023.</div></div><div><h3>Setting</h3><div>The Northern Metropolitan area of Barcelona, with 1400.000hab (Catalonia, Spain).</div></div><div><h3>Methods</h3><div>An unified Mpox management procedure was agreed, including a prior online training of Primary Care professionals, to individually assess all Mpox suspected cases from a clinical and epidemiological perspective.</div></div><div><h3>Participants</h3><div>All patients who met clinical and/or epidemiological criteria of Mpox.</div></div><div><h3>Data collection</h3><div>Age, gender, risk classification (suspected/probable), cluster-linked (yes/no), high-risk sexual contact (yes/no), general symptoms, genital lesion and final diagnostic.</div></div><div><h3>Results</h3><div>A total of 68 suspected Mpox cases were included, from which 16 (26.6%) were Mpox confirmed by PCR. Up to 13 (81.2%) were male and, among them, 12 (75%) men who have sex with men (MSM). The series, however, included two minors and three women. Among MSM, 3 (18.7%) were HIV positive and 3 had no regular access to the Public Healthcare system. Among discarded patients, any infectious disease was diagnosed in 55% of cases.</div></div><div><h3>Conclusions</h3><div>In spite of the short series, this Primary Care community-based study identified a sub-population group showing a different profile of Mpox cases compared to other published series (lower HIV prevalence, higher representativeness of heterosexual transmission and hard to reach population).</div></div>\",\"PeriodicalId\":55435,\"journal\":{\"name\":\"Atencion Primaria\",\"volume\":\"57 3\",\"pages\":\"Article 103089\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0212656724002312/pdfft?md5=b302613c8b22954ea4e8da7ffb49be64&pid=1-s2.0-S0212656724002312-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Atencion Primaria\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0212656724002312\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Atencion Primaria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0212656724002312","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

摘要

主要目的2022年7月，世界卫生组织将一次大范围的猴痘疫情视为公共卫生紧急事件。本研究的目的是描述在一个约有 420 名初级保健医生工作的半城市医疗保健地区开展的天花病例检测计划所取得的成果。研究地点巴塞罗那北部大都会区，人口 1400.000（西班牙加泰罗尼亚）。研究方法商定了一个统一的天花管理程序，包括事先对初级保健专业人员进行在线培训，以便从临床和流行病学角度单独评估所有天花疑似病例。数据收集年龄、性别、风险分类（疑似/可能）、群集关联（是/否）、高危性接触（是/否）、一般症状、生殖器病变和最终诊断结果共纳入 68 例疑似人痘病例，其中 16 例（26.6%）通过 PCR 证实为人痘。多达 13 例（81.2%）为男性，其中 12 例（75%）为男男性行为者（MSM）。不过，该系列中还包括两名未成年人和三名女性。在男男性行为者中，有 3 人（18.7%）艾滋病毒呈阳性，3 人无法正常使用公共医疗系统。结论尽管该系列研究时间不长，但这项以社区为基础的初级保健研究发现了一个亚人群群体，与其他已发表的系列研究相比，该群体的麻风病例呈现出不同的特征（HIV 感染率较低、异性传播的代表性较高以及难以接触到的人群）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Mpox cases finding: Evaluation of a Primary Care detection program in the Northern Metropolitan area from Barcelona (Spain)

Main aim

In July 2022, an extensive outbreak of Mpox (monkeypox) was considered by WHO as a Public Health Emergency. The objective of this study is to describe the obtained results from a Mpox case detection program in a semi-urban healthcare area where approximately 420 Primary Care physicians work.

Design

An observational prospective study performed between June 01, 2022 and December 31, 2023.

Setting

The Northern Metropolitan area of Barcelona, with 1400.000 hab (Catalonia, Spain).

Methods

An unified Mpox management procedure was agreed, including a prior online training of Primary Care professionals, to individually assess all Mpox suspected cases from a clinical and epidemiological perspective.

Participants

All patients who met clinical and/or epidemiological criteria of Mpox.

Data collection

Age, gender, risk classification (suspected/probable), cluster-linked (yes/no), high-risk sexual contact (yes/no), general symptoms, genital lesion and final diagnostic.

Results

A total of 68 suspected Mpox cases were included, from which 16 (26.6%) were Mpox confirmed by PCR. Up to 13 (81.2%) were male and, among them, 12 (75%) men who have sex with men (MSM). The series, however, included two minors and three women. Among MSM, 3 (18.7%) were HIV positive and 3 had no regular access to the Public Healthcare system. Among discarded patients, any infectious disease was diagnosed in 55% of cases.

Conclusions

In spite of the short series, this Primary Care community-based study identified a sub-population group showing a different profile of Mpox cases compared to other published series (lower HIV prevalence, higher representativeness of heterosexual transmission and hard to reach population).

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.