Nosocomial transmission of MPOX virus to health care workers –an emerging occupational hazard: A case report and review of the literature

Challenges and Counteracting Strategies Including Optimum Health Service Practices for Frontline Nurses During the Mpox Outbreak and Futuristic Vision

“…For instance, a nurse giving medications is likely at a lower risk of contracting an aerosolized virus than a nurse shaking the bed linens of a patient who is infected with MPXV ( Palmore & Henderson, 2022 ). Therefore, standard precautions, additional infection control precautions should be implemented if a patient seeking care is suspected of having a mpox virus infection ( Ahmed, Rashad, et al, 2022 ; Decousser et al, 2023 ; Lo Piccolo et al, 2023 ; Raccagni et al, 2023 ; Safir et al, 2023 ; Zachary et al, 2023 ). Infection prevention and control personnel should be notified immediately.…”

Lack of monkeypox virus (MPXV) transmission despite occupational exposure of a large number of health care workers

“…Nevertheless, Mpox should be considered early in high-risk patients with vesicular lesions to implement infection control measures and postexposure vaccination without delay to prevent further MPXV transmission. 13,14 AUTHOR CONTRIBUTIONS Wolfgang Wetsch, Hendrik Drinhaus, Bernd Böttiger, Remco Overbeek, Clara Lehmann, Gerd Fätkenheuer, Norma Jung, and Julia…”

“…9 Nevertheless, occupational MPXV-transmission in health care settings is a rare event primarily associated with needlestick injuries or violation of hygiene rules, both of which did not occur in our setting. [10][11][12][13] In the literature, only three nosocomial transmission events through fomite exposure have been reported during the large 2022 Mpox outbreak. [10][11][12][13] Given the rarity of nosocomial transmission as reported in the literature, [10][11][12][13] and the absence of transmission despite extensive exposure of a large number of HCW in our setting, it seems justified to dispense quarantine of HCW in case of non-percutaneous exposure and instead perform close active surveillance.…”

“…[10][11][12][13] In the literature, only three nosocomial transmission events through fomite exposure have been reported during the large 2022 Mpox outbreak. [10][11][12][13] Given the rarity of nosocomial transmission as reported in the literature, [10][11][12][13] and the absence of transmission despite extensive exposure of a large number of HCW in our setting, it seems justified to dispense quarantine of HCW in case of non-percutaneous exposure and instead perform close active surveillance. Nevertheless, Mpox should be considered early in high-risk patients with vesicular lesions to implement infection control measures and postexposure vaccination without delay to prevent further MPXV transmission.…”