Knowledge of human monkeypox viral infection among general practitioners: a cross-sectional study in Indonesia

Harapan, Harapan; Setiawan, Abdul Malik; Yufika, Amanda; Anwar, Samsul; Wahyuni, Sri; Asrizal, Febrivan Wahyu; Sufri, Muhammad R.; Putra, Reza P.; Wijayanti, Nanda Putri; Salwiyadi, Salwiyadi; Maulana, Razi; Khusna, Afriyani; Nusrina, Ina; Shidiq, Muhammad; Fitriani, Devi; Muharrir, Muharrir; Husna, Cut Asmaul; Yusri, Fitria; Maulana, Reza; Andalas, Mohd; Wagner, Abram L.; Mudatsir, Mudatsir

doi:10.1080/20477724.2020.1743037

Cited by 129 publications

(242 citation statements)

References 27 publications

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“…18,19 Second, our data indicate that knowledge of monkeypox is not associated with willingness to be vaccinated (Tables 1 and 2), and a previous analysis found that the level of knowledge of monkeypox did not differ by gender. 20 Interestingly, the present study found that knowledge of monkeypox is not associated with willingness to be vaccinated. Previously, some studies demonstrated that a good knowledge of a certain disease is associated with vaccine acceptance, 17,21,22 but other studies found no such discernible relationship.…”

Section: Discussioncontrasting

confidence: 59%

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Physicians’ willingness to be vaccinated with a smallpox vaccine to prevent monkeypox viral infection: A cross-sectional study in Indonesia

Harapan

Setiawan

Yufika

et al. 2020

Clinical Epidemiology and Global Health

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Background: Although there is no licensed vaccine for monkeypox, smallpox vaccine has been shown to be 85% effective in preventing the monkeypox. This study was conducted to assess the willingness of frontline healthcare providers to be vaccinated with smallpox vaccine to prevent monkeypox. Methods: A cross-sectional study was conducted in Indonesia. The willingness was assessed under two scenarios: fully subsidized and non-subsidized vaccine. Explanatory variables such as sociodemographic profile, workplace and professional characteristics, and knowledge of monkeypox were collected. A logistic regression assessed the influence of these explanatory variables on participants' willingness. Results: Out of 510 received participants' responses, 407 (79.8%) were analyzed. With a fully subsidized vaccine scenario, 381 (93.6%) of the participants were willing to be vaccinated and in an unadjusted analysis, gender, education, monthly income, and type of workplace were associated with willingness. With a non-subsidized vaccine (i.e. the vaccine price was US$ 17.9), the proportion who were willing to be vaccinated decreased to 71.9%. In adjusted analyses for both scenarios, gender was the only independent predictor for willingness; men

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Section: Discussioncontrasting

confidence: 59%

“…Finally, sampling bias might exist in this study in which healthcare workers from less developed regions with poor internet connection might be less well represented, as reported previously. 20,27…”

Section: Discussionmentioning

confidence: 99%

Physicians’ willingness to be vaccinated with a smallpox vaccine to prevent monkeypox viral infection: A cross-sectional study in Indonesia

Harapan

Setiawan

Yufika

et al. 2020

Clinical Epidemiology and Global Health

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“…According to UNESCO Indonesia, the literacy rate of adults (aged 15 and above) was 95.98% (42) and previous studies using community samples found that at least 96% of the community graduated from primary school (26,43). As reported in other online studies in Indonesia (44)(45)(46)(47), selection bias could also be related to the sampling technique and differential access to internet infrastructure across the country, as some regions have better internet access than others. Finally, acceptance was assessed using a hypothetical vaccine, which may differ from the respondents' revealed preferences in a reallife situation.…”

Section: Discussionmentioning

confidence: 93%

Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia

Harapan

Wagner

Yufika

et al. 2020

Front. Public Health

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558

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Introduction: Several vaccine candidates are being clinically tested in response to the 2019 coronavirus disease (COVID-19) pandemic. This study was conducted to assess the acceptance of a 50 or 95% effective COVID-19 vaccine, when it becomes available in southeast Asia, among the general population in Indonesia. Methods: A cross-sectional online survey was conducted between March 25 and April 6, 2020. Participants were asked if they would accept a free vaccine which was 95 or 50% effective. Using a logistic regression model, we assessed the associations between sociodemographic characteristics, exposure to COVID-19 information, or perceived risk of infection with acceptance of a hypothetical COVID-19 vaccine. Results: Among 1,359 respondents, 93.3% of respondents (1,268/1,359) would like to be vaccinated for a 95% effective vaccine, but this acceptance decreased to 67.0% (911/1,359) for a vaccine with 50% effectiveness. For a 95% effective vaccine, being a healthcare worker and having a higher perceived risk of COVID-19 infection were associated with higher acceptance, adjusted odds ratio (aOR): 2.01; 95%CI: 1.01, 4.00 and aOR: 2.21; 95%CI: 1.07, 4.59, respectively; compared to civil servants, being retired was associated with less acceptance (aOR: 0.15; 95%CI: 0.04, 0.63). For a 50% effective vaccine, being a healthcare worker was also associated with greater acceptance, aOR: 1.57; 95%CI: 1.12, 2.20. Conclusion: Acceptance of a COVID-19 vaccine was highly influenced by the baseline effectiveness of the vaccine. Preparing the general population to accept a vaccine with relatively low effectiveness may be difficult.

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“…7 A study in the Democratic Republic of Congo (formerly Zaire) showed that among 730 patients diagnosed as cases of chickenpox, 3.3% had monkeypox by diagnostic testing. 8 The first human case of monkeypox was recorded in 1970 in the Democratic Republic of the Congo during a period of intensified effort to eliminate smallpox. 6 Since 2010, monkeypox has expanded to cause outbreaks among humans in seven additional African countries: Cameroon, Central African Republic, Republic of the Congo, Liberia, Nigeria, Sierra Leone, and South Sudan.…”

Section: Introductionmentioning

confidence: 99%

“…The case patient was a 38 years old Nigerian man who arrived in Singapore on April 2019. 8 Considering that Singapore is located near to Indonesia and the mobility of travelers between these countries is high, awareness about the possibility of an outbreak in Indonesia should be raised. Hence, a careful diagnostic approach becomes important to distinguish chickenpox from monkeypox and vice versa.…”

Section: Introductionmentioning

confidence: 99%

Chickenpox Mimicking Monkeypox in Adult with Diabetes Mellitus and Acute Kidney Injury: Diagnosis and Management

Wardiana¹,

Rahmadewi²,

Murtiastutik³

et al. 2021

BIKK

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Background: Chickenpox caused by the varicella-zoster virus (VZV) in diabetes mellitus patients might exhibit similar clinical features with monkeypox, caused by monkeypox virus (MPXV). In May 2019, Singapore notified World Health Organization (WHO) of one laboratory-confirmed case of monkeypox. Considering Singapore is located near Indonesia, awareness about the possibility of an outbreak in Indonesia should be raised. Purpose: To report a case of chickenpox mimicking monkeypox in an adult with diabetes mellitus and acute kidney injury. Case: A 51-year-old male with poorly controlled diabetes mellitus was suspected to have a chickenpox differential diagnosis with monkeypox. His chief complaint was multiple blisters on his body and vomiting. There was a history of feeding a monkey. From dermatological status on facial, trunk, and extremities there were multiple pleomorphic vesicles. Laboratory results showed elevated renal function. Polymerase chain reaction (PCR) examination using VZV as primer revealed a positive result in the range of 810 bp. He was treated with intravenous acyclovir for 3 days and oral acyclovir for 7 days then discharged with improvement in skin lesions and normal renal function. Discussion: Chickenpox in adult and diabetes mellitus patients can give severe clinical manifestation mimicking monkeypox. PCR has a significant role especially when diagnosis could not be established from the physical examination. Acyclovir can be given as the therapy. Conclusion: Adult and poorly controlled diabetes mellitus are important risk factors associated with the severity and complication of chickenpox. A careful diagnostic approach and management are needed.

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Knowledge of human monkeypox viral infection among general practitioners: a cross-sectional study in Indonesia

Cited by 129 publications

References 27 publications

Physicians’ willingness to be vaccinated with a smallpox vaccine to prevent monkeypox viral infection: A cross-sectional study in Indonesia

Physicians’ willingness to be vaccinated with a smallpox vaccine to prevent monkeypox viral infection: A cross-sectional study in Indonesia

Acceptance of a COVID-19 Vaccine in Southeast Asia: A Cross-Sectional Study in Indonesia

Chickenpox Mimicking Monkeypox in Adult with Diabetes Mellitus and Acute Kidney Injury: Diagnosis and Management

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