巴西里约热内卢市猴痘病例通报：2022 年描述性研究。
Notified cases of mpox in the city of Rio de Janeiro, Brazil: a descriptive study, 2022.
机构信息
Secretaria de Vigilância em Saúde do Rio de Janeiro, Coordenação de Informações Estratégicas de Vigilância em Saúde, Rio de Janeiro, RJ, Brazil.
Ministério da Saúde, Departamento de Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis, Brasília, DF, Brazil.
出版信息
Epidemiol Serv Saude. 2024 Apr 15;33:e2023899. doi: 10.1590/S2237-96222024v33e2023899.en. eCollection 2024.
OBJECTIVE
To describe the profile of cases of mpox in the city of Rio de Janeiro between June and November 2022.
METHODS
This was a descriptive study of secondary data obtained from mpox notification forms. Socioeconomic, clinical and spatial data were analyzed.
RESULTS
Of the 928 cases, 93.7% were male, 85.0% cisgender male, 65.6% homosexual, 41.8% between 30 and 39 years old, and 41.0% were of White race/skin color. A total of 34.5% had immunosuppression due to illness, and 41.9% reported their HIV status as being positive. The most prevalent signs and symptoms were: skin lesions (96.6%), especially with multiple manifestations (67.8%) in the genital region (46.1%), in addition to fever (58.3%), adenomegaly (43.3%) and headache (38.7%). Most notifications occurred in public services (81.3%) and in hospital care (51.3%).
CONCLUSION
The study revealed high incidence of mpox, especially among young, cisgender and homosexual men. Most cases were mild, with genital lesions, progressing to cure without hospitalization. Person-to-person transmission was predominant.
目的
描述 2022 年 6 月至 11 月期间里约热内卢市猴痘病例的特征。
方法
这是一项从猴痘报告表中获取的次要数据的描述性研究。对社会经济、临床和空间数据进行了分析。
结果
在 928 例病例中，93.7%为男性，85.0%为顺性别男性，65.6%为同性恋，41.8%年龄在 30 至 39 岁之间，41.0%为白种人/白肤色。共有 34.5%因疾病而存在免疫抑制，41.9%报告其 HIV 状况为阳性。最常见的体征和症状是：皮肤损伤（96.6%），特别是生殖器区域（46.1%）有多种表现（67.8%），此外还有发热（58.3%）、淋巴结肿大（43.3%）和头痛（38.7%）。大多数通知发生在公共服务机构（81.3%）和医院护理（51.3%）。
结论
研究表明，猴痘发病率很高，尤其是在年轻、顺性别和同性恋男性中。大多数病例为轻症，生殖器损伤，无需住院即可治愈。人际传播为主。
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