Wear Gloves & Wash Your Hands!!!
There have been >100 patients identified as having Monkeypox in the UK during the current outbreak. Most of these cases have been amongst men who have sex with men.
Reports have suggested that although lesions occur any where including palms and soles. Genital lessons and lymphadenopathy are very common
- Monkeypox Virus enters through mucosal membranes (Reps/GIT/Mouth/Eye), or wounds
- Animal contact (Rodent and Bush meat) is the most common source
- Human-Human transmission is rare but possible
- Contact with clothing/bed linen
- Contact with lesions
- Cough/Sneeze if patient has lesions
- Sexual transmission
- Incubation 5-21 days
- Phase 1: General viral illness (fever, headaches, myalgia, lethargy, lymphadenopathy)
- Phase 2: Rash: initially Maculopapular starting face > extremities, turning into vesicles and pustules later. Phase 1 symptoms often deminish
- Recovery: normally this is self limiting over 3 weeks (but deaths have occurred
Remember: Consider Malaria or Typhoid.if presenting with recent travel to west africa
- Isolate patient
- Use gloves and strict hand hygiene: Contact with lesions is the highest risk
- Discuss with Microbiologist: If they agree they will contact the IFS (Imported Fever Service) to arrange further assessment and investigation.
- Do not use cubicle: contact HPT (health Protection Team) for cleaning advice