HAS has simply printed “Fast Responses”

France – Whereas 3,646 biologically confirmed circumstances of monkey pox (Monkeypox) have been recorded in France on 1^is September, the Excessive Authority for Well being (HAS) has simply printed Fast Responses ^[1] with a view to help well being professionals within the care of symptomatic individuals or contact circumstances.

A primarily medical prognosis

On this doc, the HAS remembers that the prognosis of Monkeypox is above all medical, primarily based on the interrogation and the context during which the signs appeared. Organic prognosis by PCR check (sampling of lesions) is simply helpful in case of doubt and is presently not indicated for asymptomatic individuals, even when they’re contact circumstances.

A scientific evaluation of sexually transmitted infections (STIs)

The mode of transmission of Monkeypox being primarily sexual, the HAS recommends finishing up instantly and systematically, in sufferers, an STI evaluation: blood exams (HIV, HBV, HCV, Syphilis serologies) and PCR Gonococcal and Chlamydia on first draft urinary.

Isolation for a minimum of 21 days

The HAS gives an replace on all of the measures to be carried out within the occasion of a prognosis of Monkeypox and remembers that the affected person should isolate himself as quickly because the signs seem and till the lesions are utterly healed, for at least 21 days.

NSAIDs and corticosteroids to be prevented

There may be not but any particular remedy for the easy types of the illness, however the HAS reminds us of the helpful symptomatic remedies, particularly the administration of pores and skin lesions, ache and the attainable prescription of antibiotic remedy within the occasion of superinfection. . The prescription of anti-inflammatories or corticosteroids must be prevented. The standards for hospitalization are specified within the doc.

Vaccination earlier than and after publicity

Vaccination is indicated for pre-exposure in individuals at very excessive danger of publicity and post-exposure for contact individuals vulnerable to contamination. The vaccination schedule and the strategies are recalled in a sensible sheet. ^[2]

3 vaccines^th era (Imvanex^® /Jynnéos^®) will be administered concurrently with every other vaccine within the immunization schedule. In case of stay attenuated vaccine, it must be given both on the identical day because the monkeypox vaccine or 4 weeks aside.

Well being professionals have an necessary position to play in limiting this epidemic by figuring out of their sufferers the individuals most in danger with a view to supply them vaccination and inform them concerning the strategies of transmission and the signs to be careful for.

A compulsory declaration

HAS insists on the necessity to instantly report any opposed impact suspected of being as a result of one of many vaccines and remembers that this an infection is a notifiable illness.

To complement these Fast Responses, HAS additionally publishes 3 sensible sheets (affected person care, care of at-risk contact individuals and vaccination) and can quickly be organizing a webinar for healthcare professionals.

This text was initially printed on Univadis.fr, member of the Medscape community

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