Patients, contact cases, suspected cases: what are the rules for isolation in the face of monkeypox?

Patients, contact cases, suspected cases: what are the rules for isolation in the face of monkeypox?
Written by madishthestylebar

Cases of monkey pox are increasing in France and around the world, even if doctors remain calm. A protocol for patients or those who have been in contact with monkeypox is in place, so as to avoid a real epidemic.

A disease that continues to spread. Monkeypox has been making more and more people sick in recent weeks, and health authorities are taking measures to avoid an exponential increase in contamination. For the time being, seven cases have been identified in France. Public Health France updated this Wednesday the various recommendations in the face of the disease, in particular in terms of isolation, for the various scenarios.

• Confirmed cases

For all confirmed cases, whether by qPCR or RT-PCR test result, home isolation is mandatory for a period of 3 weeks from the onset of symptoms. You must not share living space with the other inhabitants of the accommodation, nor clothing, household linen, bedding or crockery. You must also wear a surgical mask.

Patients are contacted at least twice a week to “verify compliance with isolation”, but also to refer them to the SAMU in the event of aggravation of the disease.

Waste, such as scabs from pustules, should be disposed of in dedicated trash bags. Finally, once the isolation is over, a careful cleaning of the home, bedding, clothes and dishes must be carried out.

• Suspicious cases

People who show symptoms, but who have not been officially in recent contact with the disease and who have not yet had screening, are considered “suspected cases”.

In this case, patients must remain isolated, or be hospitalized in the event of a serious case. Isolation should continue until the test result is obtained.

• Probable cases

A probable case is a suspected case, therefore one who has symptoms, but who has been exposed to the disease, whether through contact with a patient, a trip to an endemic area, multiple or anonymous sexual relations or even if the patient is a man who has sex with men.

Probable cases who have been at risk contacts of a confirmed case do not need to be screened, unlike others.

As with confirmed cases, they must self-isolate for 3 weeks from the onset of symptoms. All the rules of this isolation are the same as those mentioned above.

• Contact case

A patient is a contact case if he has had direct unprotected physical contact with damaged skin or biological fluids of a probable or confirmed case, or if he has had unprotected contact within 2 meters and during 3 hours with a probable or confirmed case. In these cases, vaccination with a 3rd generation vaccine must be offered, “ideally within 4 days after the risky contact and at most 14 days later” according to Public Health France.

Contact cases must also monitor their temperature for three weeks, “the fever signing the onset of contagiousness and being earlier than the eruption” according to Public Health France. In case of symptoms, patients should call the SAMU, and not go to the emergency room themselves.

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