It is considered that in cases of pneumonia, persistent fever or sepsis, patients diagnosed with monkey virus. This is demonstrated by a document published by Minister of Health which includes, among other things, situations where hospital stay is necessary.

Although most cases have mild involvement and do not require inpatient, there are certain complications or risk factors that may require it. It is for this reason that the multidisciplinary team of the scientific community, at the proposal of the Department Carolina Darias has developed a manual with the aim of providing additional information on clinical management and case management of monkeypox in National Health System (SNS).

These documents include more than a dozen assumptions where the patient needs inpatient. In particular, all those diagnosed with symptoms such as pneumoniawith or without respiratory failure; encephalitis or meningitis; signs dehydration; eye pain or visual impairment; or signs sepsis belong to this group.

The same goes for people who have eye injury at risk of losing vision or requiring special antivirals; pharyngeal injury which prevents swallowing of fluids and/or complete or partial obstruction of the airway; severe cellulite with organic compromise or requiring intravenous antibiotic therapy; multiple lesions with pain or itching not controlled by oral medication; one of proctitis require intravenous analgesia and/or complete bed rest.

Health shows that if there is a picture persistent fever in immunosuppressed patients who do not subside with oral antipyretics within 48-72 hours, as well as nutritional problems due to nausea, vomiting or diarrhea, hospitalization is also required.

In addition, indicating that the inclusion of people who do not have the possibility to do isolation measures at home for social problems, “if the service of
Public Health of the relevant Autonomous Community does not have the assistance or other social resources to meet this need.”

The current situation of monkeypox in Spain

Monkeypox has been declared by World Health Organization (WHO) as a public health emergency of international concern. The first cases began last May and, since then, infection rates have followed an increasing trend both in Spain and elsewhere.

According to the latest reports, in our country total 4,942 confirmed cases of monkeypox and two deaths.

Across Europe the number stands at 11,536 cases, making it German (2,839), great Britain (2,672), France (2,239), Dutch (957) and Portugal (633) most affected countries besides Spain.

Outside the old continent, worldwide 10,619 cases have been registered, because United States of America (7.102), Brazil (1,721), Canada (890), Peru (340) and Israel (160) most affected countries.