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Mpox patients' experience from infection to treatment and implications for prevention and control: A multicenter qualitative study in China.
Zhang, Weijie; Qi, Xiao; Yang, Liuqing; Meng, Xiaojun; Xu, Guangyong; Luo, Sitong; Wu, Ke; Tang, Jiapeng; Wang, Bingyi; Fu, Leiwen; Han, Baihui; He, Jinbo; Zhang, Ye; Wang, Fuxiang; Lin, Yuanlong; Cao, Wanxian; Liu, Siyang; He, Longtao; Gao, Yong; Lv, Fan; Lu, Hongzhou; Qian, Jun; Zou, Huachun.
Afiliación
  • Zhang W; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
  • Qi X; Beijing Chaoyang District Center for Disease Prevention and Control, Beijing, China.
  • Yang L; National Clinical Research Centre for Infectious Diseases, The Third People's Hospital of Shenzhen and The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, China.
  • Meng X; Wuxi Center for Disease Control and Prevention, Wuxi, China.
  • Xu G; Department of Dermatology, Qingdao Sixth People's Hospital, Qingdao, Shandong, China.
  • Luo S; Vanke School of Public Health, Tsinghua University, Beijing, China.
  • Wu K; Beijing Chaoyang District Center for Disease Prevention and Control, Beijing, China.
  • Tang J; Xiangya School of Public Health, Central South University, Changsha, China.
  • Wang B; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
  • Fu L; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
  • Han B; Beijing Chaoyang District Center for Disease Prevention and Control, Beijing, China.
  • He J; Beijing Chaoyang District Center for Disease Prevention and Control, Beijing, China.
  • Zhang Y; Beijing Chaoyang District Center for Disease Prevention and Control, Beijing, China.
  • Wang F; National Clinical Research Centre for Infectious Diseases, The Third People's Hospital of Shenzhen and The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, China.
  • Lin Y; National Clinical Research Centre for Infectious Diseases, The Third People's Hospital of Shenzhen and The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, China.
  • Cao W; Division of Life Sciences and Medicine, The First Affiliated Hospital of the University of Science and Technology of China, Hefei, Anhui, China.
  • Liu S; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
  • He L; Research Institute of Social Development, Southwestern University of Finance and Economics, Chengdu, China.
  • Gao Y; Division of Life Sciences and Medicine, The First Affiliated Hospital of the University of Science and Technology of China, Hefei, Anhui, China.
  • Lv F; National Center for AIDS/Sexually Transmitted Disease Control and Prevention, The Chinese Center for Disease Control and Prevention, Beijing, China.
  • Lu H; National Clinical Research Centre for Infectious Diseases, The Third People's Hospital of Shenzhen and The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, China.
  • Qian J; School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
  • Zou H; School of Public Health, Fudan University, Shanghai, China.
J Med Virol ; 96(1): e29338, 2024 01.
Article en En | MEDLINE | ID: mdl-38163280
ABSTRACT
Monkeypox (mpox), a viral zoonotic disease, is spreading worldwide. However, evidence that informs prevention and control strategies in the Asia Pacific Region is very limited. Our study aims to investigate the experiences of mpox patients from infection to treatment to provide scientific basis for the prevention and control. A multicenter qualitative design was used. A total of 15 mpox patients were recruited between July 6 and July 25, 2023, from six cities in China. Semistructured interviews were conducted by telephone and analyzed using the thematic analysis. The interview was divided into two sections patients' experiences (prediagnosis experience, treatment-seeking experience, and quarantine experience) and advice. Prediagnosis experience was summarized into three themes symptoms, possible routes of infection, and knowledge of mpox. Treatment-seeking experience was summarized into three themes time of visit to hospital, diagnostic difficulties, and attitude toward diagnosis. Quarantine experience was summarized into three themes body and mind reactions, reluctance to self-disclose infection status, and factors facilitating recovery. Themes identified from patients' advice were as follows (1) Increase in testing channels and methods, (2) Development and introduction of vaccines, (3) Adjustment of quarantine program, (4) Improvement of treatment measures, and (5) Improvement of publicity and education. To effectively curb the mpox epidemic, structured measures are urgently needed to address the mpox-related stigma and discrimination. Targeted health education should be provided to MSM, focusing on the prevention, detection, and treatment services. Hospitals should enhance the training of clinicians in key departments including infectious disease and dermatology, to improve diagnostic capability and sensitivity. Furthermore, given the absence of specific antiviral medications, supervised home quarantine may be a good option.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mpox Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Revista: J Med Virol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Mpox Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Límite: Humans País/Región como asunto: Asia Idioma: En Revista: J Med Virol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos