TABLE. Health care personnel exposures to monkeypox patients, by facility type — Colorado, May 1–July 31, 2022.
| Exposure | No. (subsection %) |
|||
|---|---|---|---|---|
| Total | Community health and STI | Hospitals and EDs | Urgent or primary care | |
|
Total
|
313 (100)
|
25 (100)
|
175 (100)
|
113 (100)
|
|
Risk classification*
| ||||
| High† |
20 (6)
|
2 (8) |
8 (5) |
10 (9) |
| Intermediate |
67 (21)
|
4 (16) |
33 (19) |
30 (27) |
| Low or uncertain |
226 (72)
|
19 (76) |
134 (77) |
73 (65) |
|
Aerosol-generating procedure§
performed |
7 (2)
|
0 (—) |
7 (4) |
0 (—) |
| N95 respirator use during aerosol-generating procedure |
3 (43)
|
NA |
3 (43) |
NA |
|
Lesions present during patient encounter
|
273 (87)
|
25 (100) |
159 (91) |
89 (79) |
|
Touched patient when lesions were present
|
161 (59)
|
12 (48) |
102 (64) |
47 (53) |
| Glove use |
125 (78)
|
9 (75) |
85 (83) |
31 (66) |
| No glove use |
30 (19)
|
3 (25) |
12 (12) |
15 (32) |
| Unknown glove use |
6 (4)
|
0 (—) |
5 (5) |
1 (2) |
|
Handled linens
|
26 (8)
|
0 (—) |
23 (13) |
3 (3) |
| Glove use |
23 (88)
|
NA |
22 (96) |
1 (33) |
| No glove use |
3 (12)
|
NA |
1 (4) |
2 (67) |
| Unknown glove use |
0 (—)
|
NA |
0 (—) |
0 (—) |
|
Duration of exposure
| ||||
| <5 mins |
22 (7)
|
1 (4) |
12 (7) |
9 (8) |
| 5–30 mins |
215 (69)
|
14 (56) |
106 (61) |
95 (84) |
| >30 mins–3 hrs |
53 (17)
|
6 (24) |
42 (24) |
5 (4) |
| >3 hrs¶ | 1 (0) | 0 (—) | 1 (1) | 0 (—) |
Abbreviations: ED = emergency department; NA = not applicable; STI = sexually transmitted infection.
* Risk classification determined by CDC Health Care Worker Exposure Criteria. http://web.archive.org/web/20220615195256/https:/www.cdc.gov/poxvirus/monkeypox/clinicians/monitoring.html
† One needlestick injury occurred in a community health and STI facility during phlebotomy and was considered a “high-risk” exposure; this health care worker received postexposure prophylaxis vaccination and did not develop monkeypox.
§ Aerosol-generating procedures included intubation and endoscopy.
¶ The health care worker with >3 hours of exposure wore an N95 respirator during their entire period of potential exposure.