Monkeypox Transmission: Risks in Medical Settings

Q: Monkeypox Transmission: Risks in Medical Settings

Hello： Based on your description, it is indeed possible to contract an infection. <br>If the skin lesions of a previously infected monkeypox patient have ruptured, the monkeypox virus would be released in large quantities, and any objects that come into contact with these lesions

Transmission routes of monkeypox?

Hello doctor, monkeypox is now starting to spread among humans.
I would like to ask about the transmission routes.
If I go to the hospital for an ultrasound examination, and I need to remove my shirt and lie on the bed for the examination, if the previous patient was a confirmed case of monkeypox and I am the next person to use the same bed, could I get infected if I have a wound on my back? Also, if I spray alcohol on the bed, will it kill the virus?

LALA, 30~39 year old female. Ask Date: 2022/06/26

Dr. Lin Zhebin reply Family Medicine

Hello: Based on your description, it is indeed possible to contract an infection.
If the skin lesions of a previously infected monkeypox patient have ruptured, the monkeypox virus would be released in large quantities, and any objects that come into contact with these lesions could retain the virus.
If you then come into contact with these contaminated objects, there is a risk of infection, especially if you have an open wound, which would increase the likelihood of transmission.
Additionally, alcohol can destroy the viral envelope of the monkeypox virus, effectively killing it.
Therefore, maintaining good hygiene and lifestyle habits, as well as avoiding close contact with strangers, is the best way to prevent infection.

Reply Date: 2022/06/26

More Info

Monkeypox, a viral zoonotic disease caused by the monkeypox virus, has garnered attention due to its transmission among humans. Understanding its transmission routes, especially in medical settings, is crucial for preventing infection. The primary transmission routes of monkeypox include direct contact with the bodily fluids or lesions of an infected person, respiratory droplets during prolonged face-to-face contact, and contact with contaminated materials such as bedding or medical equipment.

In the scenario you described, where you are concerned about lying on the same examination table as a confirmed monkeypox patient, there are several factors to consider. Monkeypox can be transmitted through skin lesions, so if you have an open wound or broken skin, there is a potential risk of transmission if the virus is present on the surface of the examination table. The virus can survive on surfaces for a limited time, depending on the material and environmental conditions.
To mitigate the risk of transmission in medical settings, healthcare facilities implement strict infection control protocols. These include thorough cleaning and disinfection of examination tables and equipment between patients. Alcohol-based disinfectants can be effective against many viruses, including monkeypox, but the concentration and contact time are critical for efficacy. Typically, a solution containing at least 70% alcohol is recommended for disinfecting surfaces. However, it is essential to follow the specific guidelines provided by the healthcare facility regarding cleaning protocols.

If you are concerned about potential exposure, it is advisable to communicate with the medical staff. They can provide information on their infection control measures and reassure you about the safety of the environment. Additionally, if you have any open wounds, it is prudent to cover them with a clean, dry bandage before undergoing any medical examination to minimize the risk of infection.

In summary, while there is a theoretical risk of transmission if you have an open wound and come into contact with contaminated surfaces, the risk is significantly reduced by proper cleaning and disinfection practices in healthcare settings. It is always best to err on the side of caution and discuss any concerns with your healthcare provider, who can offer personalized advice based on your specific situation.

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