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. 2024 Sep 18;11(9):ofae512. doi: 10.1093/ofid/ofae512

Table 2.

Elements of Care Performed as Part of mpox Evaluation by Clinical Site

All Patients Patients With Positive mpox Test
Diagnosis Site Diagnosis Site
Total ID PCP ED P value Total ID PCP ED P value
N 276 51 (18.5%) 52 (18.8%) 173 (62.7%) 73 26 (35.6%) 8 (11.0%) 39 (53.4%)
Sexual history performed <.001 .091
 Yes 211 (76.4%) 50 (98.0%) 42 (80.8%) 119 (68.8%) 66 (90.4%) 26 (100.0%) 7 (87.5%) 33 (84.6%)
 No 65 (23.6%) 1 (2.0%) 10 (19.2%) 54 (31.2%) 7 (9.6%) 0 (0.0%) 1 (12.5%) 6 (15.4%)
Anogenital examination performeda <.001 .136
 Yes 140 (50.7%) 42 (82.4%) 21 (40.4%) 77 (44.5%) 55 (75.3%) 22 (84.6%) 4 (50.0%) 29 (74.4%)
 No 136 (49.3%) 9 (17.6%) 31 (59.6%) 96 (55.5%) 18 (24.7%) 4 (15.4%) 4 (50.0%) 10 (25.6%)
Any STI test performedb <.001 .716
 Yes 154 (55.8%) 41 (80.4%) 20 (38.5%) 93 (53.8%) 54 (74.0%) 20 (76.9%) 5 (62.5%) 29 (74.4%)
 No 122 (44.2%) 10 (19.6%) 32 (61.5%) 80 (46.2%) 19 (26.0%) 6 (23.1%) 3 (37.5%) 10 (25.6%)
Any gonorrhea test <.001 .223
 Yes 105 (38.0%) 37 (72.5%) 12 (23.1%) 56 (32.4%) 47 (64.4%) 20 (76.9%) 4 (50.0%) 23 (59.0%)
 No 171 (62.0%) 14 (27.5%) 40 (76.9%) 117 (67.6%) 26 (35.6%) 6 (23.1%) 4 (50.0%) 16 (41.0%)
Any chlamydia test <.001 .268
 Yes 105 (38.0%) 36 (70.6%) 12 (23.1%) 57 (32.9%) 48 (65.8%) 20 (76.9%) 4 (50.0%) 24 (61.5%)
 No 171 (62.0%) 15 (29.4%) 40 (76.9%) 116 (67.1%) 25 (34.2%) 6 (23.1%) 4 (50.0%) 15 (38.5%)
Extragenital gonorrhea test <.001 <.001
 Yes 52 (18.8%) 34 (66.7%) 6 (11.5%) 12 (6.9%) 28 (38.4%) 18 (69.2%) 3 (37.5%) 7 (17.9%)
 No 224 (81.2%) 17 (33.3%) 46 (88.5%) 161 (93.1%) 45 (61.6%) 8 (30.8%) 5 (62.5%) 32 (82.1%)
Extragenital chlamydia test <.001 <.001
 Yes 52 (18.8%) 33 (64.7%) 6 (11.5%) 13 (7.5%) 29 (39.7%) 18 (69.2%) 3 (37.5%) 8 (20.5%)
 No 224 (81.2%) 18 (35.3%) 46 (88.5%) 160 (92.5%) 44 (60.3%) 8 (30.8%) 5 (62.5%) 31 (79.5%)
Syphilis testing performed .011 .107
 Yes 110 (39.9%) 26 (51.0%) 12 (23.1%) 72 (41.6%) 40 (54.8%) 13 (50.0%) 2 (25.0%) 25 (64.1%)
 No 166 (60.1%) 25 (49.0%) 40 (76.9%) 101 (58.4%) 33 (45.2%) 13 (50.0%) 6 (75.0%) 14 (35.9%)
HIV test performedc .208 .966
 Yes 77 (36.7%) 4 (66.7%) 15 (30.6%) 58 (37.4%) 17 (47.2%) 1 (50.0%) 3 (42.9%) 13 (48.1%)
 No 133 (63.3%) 2 (33.3%) 34 (69.4%) 97 (62.6%) 19 (52.8%) 1 (50.0%) 4 (57.1%) 14 (51.9%)
Combined outcomed <.001 .038
 Yes 95 (34.4%) 33 (64.7%) 12 (23.1%) 50 (28.9%) 40 (54.8%) 16 (61.5%) 1 (12.5%) 23 (59.0%)
 No 181 (65.6%) 18 (35.3%) 40 (76.9%) 123 (71.1%) 33 (45.2%) 10 (38.5%) 7 (87.5%) 16 (41.0%)

Abbreviations: ED, emergency department; ID, infectious diseases; PCP, primary care provider; STI, sexually transmitted infection.

aExamination performed at index visit or immediately before index visit.

bIncludes any person with at least 1 gonorrhea, chlamydia, syphilis, or HIV test.

cAmong persons not known to have HIV infection.

dEvalution included sexual history, anogenital examination, ≥ 1 additional STI test.