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Self-sampling monkeypox virus testing in high-risk populations, asymptomatic or with unrecognized Mpox, in Spain

Author

Listed:
  • Cristina Agustí

    (Government of Catalonia
    Instituto de Salud Carlos III
    Campus Can Ruti)

  • Héctor Martínez-Riveros

    (Government of Catalonia
    Campus Can Ruti
    Universitat Autònoma de Barcelona)

  • Àgueda Hernández-Rodríguez

    (Germans Trias i Pujol University Hospital
    Autonomous University of Barcelona)

  • Cristina Casañ

    (Germans Trias i Pujol University Hospital)

  • Yesika Díaz

    (Government of Catalonia)

  • Lucía Alonso

    (Government of Catalonia
    Hospital Germans Trias i Pujol)

  • Elisa Martró

    (Instituto de Salud Carlos III
    Campus Can Ruti
    Germans Trias i Pujol University Hospital
    Autonomous University of Barcelona)

  • Jordana Muñoz-Basagoiti

    (Hospital Germans Trias i Pujol)

  • Marçal Gallemí

    (Hospital Germans Trias i Pujol)

  • Cinta Folch

    (Government of Catalonia
    Instituto de Salud Carlos III
    Campus Can Ruti)

  • Ibrahim Sönmez

    (Government of Catalonia
    Campus Can Ruti)

  • Héctor Adell

    (ONG Stop)

  • Marta Villar

    (ONG Stop)

  • Alexia París de León

    (Germans Trias i Pujol University Hospital)

  • Sandra Martinez-Puchol

    (Campus Can Ruti
    Germans Trias i Pujol University Hospital
    Universitat de Barcelona(UB))

  • A. C. Pelegrin

    (Campus Can Ruti
    Germans Trias i Pujol University Hospital)

  • Daniel Perez-Zsolt

    (Hospital Germans Trias i Pujol)

  • Dàlia Raïch-Regué

    (Hospital Germans Trias i Pujol)

  • Rubén Mora

    (ONG Stop)

  • Luis Villegas

    (ONG Stop)

  • Bonaventura Clotet

    (Campus Can Ruti
    Hospital Germans Trias i Pujol
    Hospital Germans Trias i Pujol
    University of Vic–Central University of Catalonia (uVic-UCC))

  • Nuria Izquierdo-Useros

    (Campus Can Ruti
    Hospital Germans Trias i Pujol
    Instituto de Salud Carlos III)

  • Pere-Joan Cardona

    (Germans Trias i Pujol University Hospital
    Autonomous University of Barcelona
    Instituto de Salud Carlos III)

  • Jordi Casabona

    (Government of Catalonia
    Instituto de Salud Carlos III
    Campus Can Ruti
    Autonomous University of Barcelona)

Abstract

The recent monkeypox virus (MPXV) outbreak was of global concern and has mainly affected gay, bisexual and other men who have sex with men (GBMSM). Here we assess prevalence of MPXV in high-risk populations of GBMSM, trans women (TW) and non-binary people without symptoms or with unrecognized monkeypox (Mpox) symptoms, using a self-sampling strategy. Anal and pharyngeal swabs are tested by MPXV real-time PCR and positive samples are tested for cytopathic effect (CPE) in cell culture. 113 individuals participated in the study, 89 (78.76%) were cis men, 17 (15.04%) were TW. The median age was 35.0 years (IQR: 30.0–43.0), 96 (85.02%) individuals were gay or bisexual and 72 (63.72%) were migrants. Seven participants were MPXV positive (6.19% (95% CI: 1.75%–10.64%)). Five tested positive in pharyngeal swabs, one in anal swab and one in both. Six did not present symptoms recognized as MPXV infection. Three samples were positive for CPE, and showed anti-vaccinia pAb staining by FACS and confocal microscopy. This suggests that unrecognized Mpox cases can shed infectious virus. Restricting testing to individuals reporting Mpox symptoms may not be sufficient to contain outbreaks.

Suggested Citation

  • Cristina Agustí & Héctor Martínez-Riveros & Àgueda Hernández-Rodríguez & Cristina Casañ & Yesika Díaz & Lucía Alonso & Elisa Martró & Jordana Muñoz-Basagoiti & Marçal Gallemí & Cinta Folch & Ibrahim S, 2023. "Self-sampling monkeypox virus testing in high-risk populations, asymptomatic or with unrecognized Mpox, in Spain," Nature Communications, Nature, vol. 14(1), pages 1-11, December.
  • Handle: RePEc:nat:natcom:v:14:y:2023:i:1:d:10.1038_s41467-023-40490-9
    DOI: 10.1038/s41467-023-40490-9
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