Universidad Peruana Cayetano Heredia

Epidemiological Situation of Monkeypox Transmission by Possible Sexual Contact: A Systematic Review

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dc.contributor.author León-Figueroa, Darwin A.
dc.contributor.author Barboza, Joshuan J.
dc.contributor.author Garcia-Vasquez, Edwin A.
dc.contributor.author Bonilla-Aldana, D. Katterine
dc.contributor.author Diaz-Torres, Milagros
dc.contributor.author Saldaña-Cumpa, Hortencia M.
dc.contributor.author Diaz-Murillo, Melissa T.
dc.contributor.author Cruz, Olga Campos-Santa
dc.contributor.author Rodriguez-Morales, Alfonso J.
dc.date.accessioned 2022-11-15T23:04:41Z
dc.date.available 2022-11-15T23:04:41Z
dc.date.issued 2022
dc.identifier.uri https://hdl.handle.net/20.500.12866/12588
dc.description.abstract Monkeypox (MPX), a zoonotic infection caused by the monkeypox virus (MPXV), has re-emerged worldwide with numerous confirmed cases with person-to-person transmission through close contacts, including in sexual networks. Therefore, this study aimed to determine the epidemiological situation of monkeypox transmission by possible sexual contact. A systematic literature review was conducted using PubMed, Scopus, Web of Science, and Embase databases until 18 August 2022. The key search terms used were “monkeypox”, “sexual contact”, “sexual intercourse” and “sexual transmission”. A total of 1291 articles were retrieved using the search strategy. After eliminating duplicates (n = 738) and examining by title, abstract, and full text, 28 studies reporting case reports of monkeypox with a detailed description of clinical features, sexually transmitted diseases, method of diagnosis, location and course of skin lesions, and treatment were included. A total of 4222 confirmed cases of monkeypox have been reported, of which 3876 monkeypox cases are the result of transmission by sexual contact distributed in twelve countries: 4152 cases were male with a mean age of 36 years. All confirmed cases of monkeypox were diagnosed by reverse transcriptase-polymerase chain reaction (RT-PCR). The most frequent clinical manifestations were fever, lymphadenopathy, headache, malaise, and painful perianal and genital lesions. The most frequent locations of the lesions were perianal, genital, oral, trunk, upper and lower extremities. Patients were in good clinical condition, with treatment based on analgesics and antipyretics to relieve some symptoms of monkeypox. A high proportion of STIs and frequent anogenital symptoms were found, suggesting transmissibility through local inoculation during close skin-to-skin or mucosal contact during sexual activity. The highest risk of monkeypox transmission occurs in men who have sex with men, and MPXV DNA could be recovered in seminal fluid. It is essential to establish health policies for the early detection and management of patients with monkeypox. en_US
dc.language.iso eng
dc.publisher MDPI
dc.relation.ispartofseries Tropical Medicine and Infectious Disease
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Monkeypox en_US
dc.subject sexual contact en_US
dc.subject orthopoxvirus en_US
dc.subject sex with men en_US
dc.subject monkeypox virus en_US
dc.title Epidemiological Situation of Monkeypox Transmission by Possible Sexual Contact: A Systematic Review en_US
dc.type info:eu-repo/semantics/review
dc.identifier.doi https://doi.org/10.3390/tropicalmed7100267
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.06
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.08
dc.relation.issn 2414-6366


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