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- W4381332392 abstract "<h3>Introduction</h3> The Mpox epidemic placed unprecedented strain on sexual health services: 9% of patients locally required hospitalisation, and the remainder required a daily welfare check by telephone. Remote monitoring systems (RMS) offer effective management of patients within their own homes, affording an opportunity for the management of Mpox. <h3>Methods</h3> An existing RMS, in operation in our hospital network, was repurposed to facilitate Mpox management. Mpox training was provided for the RMS nursing team. A bespoke module was developed within Luscii (a GDPR-compliant smartphone app) to support the service. We wished to evaluate the clinical utility of the app in supporting the RMS. <h3>Results</h3> 729 patients were referred to the RMS. 221 individuals (30.3%) onboarded with the app, of whom eight later de-registered. The remainder (508/729; 69.7%) elected for daily telephone contact. Overall, 3646 virtual reviews were performed by telephone and/or the app. At least one trigger was generated by 180/213 app-registered individuals (84.5%). 51/180 (28.3%) required escalation to the on-call sexual health clinician. The remainder were managed by RMS staff by telephone. Of the 51 individuals requiring intervention, 41/51 (80.4%) attended sexual health services for face-to-face review. Most escalation alerts (46/51; 90.2%) related to complications of Mpox lesions, of which 38/46 (82.6%) were ano-genital. Other escalations resulted from reports via the app of back pain (1/51; 1.9%), headache (1/51; 1.9%), and low mood (2/51; 3.9%). Overall, three of the onboarded cohort (3/213 (1.4%) were admitted for inpatient care. <h3>Conclusion</h3> The RMS, underpinned by the Luscii app, proved an effective intervention for managing Mpox in an outpatient setting." @default.
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- W4381332392 date "2023-06-01" @default.
- W4381332392 modified "2023-09-27" @default.
- W4381332392 title "O13 Managing Mpox: a novel technological solution for a neglected infection" @default.
- W4381332392 doi "https://doi.org/10.1136/sextrans-bashh-2023.13" @default.
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