MGH Infection Control Unit 5 MGH Infection Control Unit 6 MGH Exposure and Contact Tracing Investigation • Identification of potentially exposed • Risk stratification of exposure • Counseling regarding post-exposure prophylaxis (PEP) with MVA vaccine MGH Infection Control Unit 7 Monkeypox: By the Numbers MGH Infection Control Unit 8 Current State of the Outbreak: Global Outlook 57,995 total cases. [...] MGH Infection Control Unit 17 Monkeypox Transmission MGH Infection Control Unit Transmission • Close, personal, skin-to-skin contact • with the rash, scabs, or body fluids from a person with monkeypox • Contact with objects, fabrics (clothing, bedding, towels), and surfaces that have been contaminated with fluid from lesions, scabs, body fluids from a person with monkeypox • Contact with respirato. [...] MGH Infection Control Unit 31 MPX Exposures in Healthcare Settings • Imperative to follow identify/isolate/inform: our infection control protocols are protective • Exposures can occur when there is a delay to identification of a patient as an MPX suspect • A review of the literature from 2000 through the current outbreak identified a single case of transmission from patient to healthcare personnel. [...] MGH Infection Control Unit 38 Experience since that time • Modifications to the “grid” to aide in ease of application • Based on experience in working up a series of exposures with slightly different scenarios • Supported through build in REDCap with simplified approach combining eligibility and risk assessment survey into one MGH Infection Control Unit 39 Pause: Importance of Hand Hygiene, and St. [...] DOI: MGH Infection Control Unit 43 Summary Summary points • Cases and Trends • Epidemiological curve in the US has plateaued/started to decline • As cases decline, consideration of what this means for access to testing, treatment, and possible shifts in vaccination strategies • Transmission • Correct consistent implementation of Standard Precautions is esse.
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