Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022.
Monkeypox outbreak predominantly affecting men who have sex with men, Madrid, Spain, 26 April to 16 June 2022.
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2022年4月26日至6月16日，西班牙马德里爆发猴痘，主要影响男男性行为者。
DOI：
10.2807/1560-7917.es.2022.27.27.2200471
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发表时间：
2022-07
期刊：
影响因子：
19
通讯作者：
Arce Arnaez, Araceli
中科院分区：
文献类型：
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作者：
Inigo Martinez, Jesus;Gil Montalban, Elisa;Jimenez Bueno, Susana;Martin Martinez, Fernando;Nieto Julia, Alba;Sanchez Diaz, Jesus;Garcia Marin, Natividad;Cordoba Deorador, Esther;Nunziata Forte, Antonio;Alonso Garcia, Marcos;Humanes Navarro, Ana Maria;Montero Morales, Laura;Dominguez Rodriguez, Maria Jose;Carbajo Ariza, Manuel;Diaz Garcia, Luis Miguel;Mata Pariente, Nelva;Rumayor Zarzuelo, Mercedes;Velasco Rodriguez, Manuel Jose;Aragon Pena, Andres;Rodriguez Baena, Elena;Miguel Benito, Angel;Perez Meixeira, Ana;Ordobas Gavin, Maria;Lopaz Perez, Maria Angeles;Arce Arnaez, Araceli
截至2022年6月22日，西班牙马德里地区报告了508例猴痘确诊病例，99%为男性(n = 503)，中位年龄35岁(范围：18-67岁)。在这次持续的暴发中，427例(84.1%)报告了在症状出现前21天内无避孕套性行为或与多个伴侣发生性行为，这些人主要是男男性行为者(n = 397%；93%)。皮疹的位置，主要在肛门和会阴区域，以及腹股沟淋巴结病的存在，都表明在性行为期间密切的身体接触在传播中发挥了关键作用。据报告，有几起案件是在马德里的桑拿浴(n = 34)或在西班牙大加那利岛举行的群众活动(n = 27)中进行的，这些活动可能代表了MPX病毒传播的有利环境，许多私人聚会也发挥了重要作用。由于马德里迅速实施了MPX监测，因此确定了非洲以外报告的最大疫情之一。为了最大限度地减少传播，我们继续积极与LGBTIQ+ 团体和协会合作，目的是提高高危人群的认识，并鼓励他们采取预防措施。
Up to 22 June 2022, 508 confirmed cases of monkeypox (MPX) have been reported in the Madrid region of Spain, 99% are men (n = 503) with a median age of 35 years (range: 18–67). In this ongoing outbreak, 427 cases (84.1%) reported condomless sex or sex with multiple partners within the 21 days before onset of symptoms, who were predominantly men who have sex with men (MSM) (n = 397; 93%). Both the location of the rash, mainly in the anogenital and perineal area, as well as the presence of inguinal lymphadenopathy suggest that close physical contact during sexual activity played a key role in transmission. Several cases reported being at a sauna in the city of Madrid (n = 34) or a mass event held on the Spanish island of Gran Canaria (n = 27), activities which may represent a conducive environment for MPX virus spread, with many private parties also playing an important role. Because of the rapid implementation of MPX surveillance in Madrid, one of the largest outbreaks reported outside Africa was identified. To minimise transmission, we continue to actively work with LGBTIQ+ groups and associations, with the aim of raising awareness among people at risk and encouraging them to adopt preventive measures.