Evidence map›Paper›PMID 38524223›Full record

ArticleOpen forum infectious diseases2024

Clinical and Epidemiological Characteristics of the 2022 Mpox Outbreak in Spain (CEME-22 Study).

G Ramírez-Olivencia, M Velasco Arribas, M M Vera García, J Casabona, M J Martínez, F J Membrillo De Novales, CEME-22 Study Group

Open access · goldAbstract read
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Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. From neglected to notoriety: a review of Mpox clinical features, virology, epidemiology, treatment and prevention strategies.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  3. Relationship dynamics and behavioral adaptations in the control of the 2022 mpox epidemic.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Proctitis and Other Gastrointestinal Manifestations in Mpox Disease: A Systematic Review and Meta-Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 20 institutions in 1 country.

G Ramírez-OlivenciaHospital Central de la Defensa "Gómez Ulla." Infectious Diseases Unit, Madrid, Spain.
M Velasco ArribasGrupo de Estudio de Patología Importada, Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC), Madrid, Spain.
M M Vera GarcíaCentro Sanitario Sandoval, HIV/STI Unit, Madrid, Spain.
J CasabonaGrupo de Estudio de ITS, Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC), Madrid, Spain.
M J MartínezHospital Clinic, Microbiology Department, Barcelona, Spain.
F J Membrillo De NovalesHospital Central de la Defensa "Gómez Ulla." Infectious Diseases Unit, Madrid, Spain.ORCID https://orcid.org/0000-0002-5330-5540
CEME-22 Study Group
Hospital Universitario Fundación Alcorcón · ESHospital Central de la Defensa Gómez Ulla · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario La Paz · ESGeneralitat de Catalunya · ESHospital Can Misses · ESHospital Clínic de Barcelona · ESHospital Jerez Puerta del Sur · ESHospital Reina Sofía de Murcia · ESHospital Rio Carrion · ESHospital Universitario de Fuenlabrada · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario de La Princesa · ESHospital Universitario del Henares · ESHospital Universitario Fundación Jiménez Díaz · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario Virgen de las Nieves · ESHospital Universitari Sant Joan D'Alacant · ESInstituto de Investigación Biosanitaria de Granada · ESUniversidade da Coruña · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We conducted a multicentric national study (SEIMC-CEME-22), to describe the clinical and epidemiological profile of the mpox outbreak in Spain, including the management of the disease. Methods: This was a retrospective national observational study conducted by Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC) and Foundation SEIMC-GESIDA. We included patients with a confirmed mpox diagnosis before 13 July 2022, and attended at the Spanish health network (the early phase of the outbreak). Epidemiological, clinical, and therapeutic data were collected. Results: Of a total of 1472 patients from 52 centers included, 99% of them were cisgender men, mostly middle-aged, and 98.6% were residents in Spain. The main suspected route of transmission was sexual exposure, primarily among MSM. Occupational exposure was reported in 6 patients. Immunosuppression was present in 40% of patients, mainly due to human immunodeficiency virus (HIV). Only 6.5% of patients had been vaccinated against orthopoxvirus. Virus sequencing was performed in 147 patients (all B.1 lineage). Rash was the most frequent symptom (95.7%), followed by fever (48.2%), adenopathies (44.4%) myalgias (20.7%), proctitis (17%), and headache (14.7%). Simultaneously diagnosed sexually transmitted infections included syphilis (n = 129), gonococcal infection (n = 91), HIV (n = 67), chlamydia (n = 56), hepatitis B (n = 14), and hepatitis C (n = 11). No therapy was used in 479 patients (33%). Symptomatic therapies and antibiotics were used in 50% of cases. The most used therapy regimens were systemic corticoids (90 patients), tecovirimat (6 patients), and cidofovir (13 patients). Smallpox immunoglobulins were used in 1 patient. Fifty-eight patients were hospitalized, and 1 patient died. Conclusions: Mpox outbreak in Spain affected primarily middle-aged men who were sexually active and showed a high rate of HIV infection. A range of heterogeneous therapeutics options was performed.

Indexed as

emerging infectionsHIVmpoxSTItecovirimat

Identifiers

PMID38524223
PMCPMC10960598
OpenAlexW4392269125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.