2022 年 5 月至 2024 年 4 月军队卫生系统受益人中确诊的麻风病例特征

Q3 Medicine
MSMR Pub Date : 2024-09-20
Maura Metcalf-Kelly, Matthew Garrison, Ralph Stidham
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引用次数: 0

摘要

2022 年 5 月,天花病例出现在中非和西非的历史流行区之外,主要影响男男性行为者 (MSM),并通过性网络传播。在这次全球疫情爆发期间,麻风病的新型临床和流行病学特征在平民群体中得到了详尽的记录,但军事卫生系统(MHS)群体(包括受益者)的可比数据却未见报道。军事卫生系统的病例是通过各种数据来源确定的,包括疾病报告系统互联网(DRSi)和对 ICD-10-CM(国际疾病分类第十版临床修正版)病例代码的定制查询。对武装部队健康纵向技术应用系统 (AHLTA) 和 MHS GENESIS 中的患者电子健康记录进行了同期病历审查,以确定病例的特征。从 2022 年 5 月到 2024 年 4 月,共发现 146 例确诊和疑似 MHS 病例。大多数病例发生在男男性行为者中,其中大多数人出现典型的前驱症状,部分人出现肛门生殖器和泌尿系统症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of mpox cases diagnosed in Military Health System beneficiaries, May 2022-April 2024

In May 2022, cases of mpox emerged beyond its historically endemic parts of Central and West Africa, primarily affecting men who have sex with men (MSM), and spreading via sexual networks. During this global outbreak the novel clinical and epidemiological characteristics of mpox disease were thoroughly documented in civilian populations but comparable data have not been reported for Military Health System (MHS) populations including beneficiaries. MHS cases were identified through a variety of data sources, including the Disease Reporting System internet (DRSi) and a customized query of ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) encounter codes. Contemporaneous chart reviews of patients' electronic health records in the Armed Forces Health Longitudinal Technology Application (AHLTA) and MHS GENESIS were performed to characterize cases. A total of 146 confirmed and probable MHS cases were identified from May 2022 through April 2024. Most cases occurred among MSM, with the majority developing classic prodromal symptoms and some experiencing anogenital and urinary symptoms.

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来源期刊
MSMR
MSMR Medicine-Public Health, Environmental and Occupational Health
CiteScore
2.30
自引率
0.00%
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0
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