{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:02:50Z","timestamp":1790809370292,"version":"4.1.0"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2022,8]]},"abstract":"Abstract<\/jats:title>\n \n Objectives:<\/jats:title>\n Public health authorities recommend symptom monitoring of healthcare personnel (HCP) after defined exposures to monkeypox. We report on the rapid development and implementation of mobile responsive survey solutions for notification of possible exposure, exposure risk assessment and stratification, and symptom monitoring.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n An academic health center in Boston, Massachusetts, after admission of first diagnosed case of monkeypox in the United States during the current global outbreak.<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n Research Electronic Data Capture (REDCap) design and programmers, infection control, occupational health, and emergency preparedness specialists, and HCP with possible exposure to monkeypox.<\/jats:p>\n <\/jats:sec>\n \n Interventions:<\/jats:title>\n Design and deployment of REDCap tools to identify HCP with possible exposure to monkeypox, to perform exposure risk assessment and stratification for postexposure prophylaxis (PEP), and to conduct symptom monitoring during the exposure window. Project enhancements included dashboards for HCP tracking and short message service (SMS text) reminders for symptom monitoring.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Tools to support the contact tracing and exposure investigation were deployed within 24 hours of identification of a patient with suspected monkeypox, with the full suite in production within 4 days of confirmation of the monkeypox diagnosis. Clinical follow-up of HCP was integrated into the design, and real-time versioning allowed for improvements in HCP symptom monitoring compliance and enhanced tracking.<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n During the current monkeypox outbreak, timely and comprehensive evaluation of potential HCP exposures is necessary but presents logistical challenges. Rapid development of monkeypox-specific solutions using REDCap facilitated flexibility in design and approach, and integration of targeted clinical support enhanced functionality.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/ice.2022.167","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T04:09:29Z","timestamp":1657512569000},"page":"963-967","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["Development and deployment of tools for rapid response notification of Monkeypox exposure, exposure risk assessment and stratification, and symptom monitoring"],"prefix":"10.1017","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4487-7547","authenticated-orcid":false,"given":"Lynn A.","family":"Simpson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlin","family":"Macdonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen F.","family":"Searle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Shearer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9073-1653","authenticated-orcid":false,"given":"Dimitar","family":"Dimitrov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Foley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Morales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8086-1123","authenticated-orcid":false,"given":"Erica S.","family":"Shenoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,7,11]]},"reference":[{"key":"S0899823X22001672_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"S0899823X22001672_ref1","unstructured":"1. Multicountry monkeypox outbreak in nonendemic countries: update. World Health Organization website. https:\/\/www.who.int\/emergencies\/disease-outbreak-news\/item\/2022-DON388. Accessed June 2, 2022."},{"key":"S0899823X22001672_ref2","unstructured":"2. Monkeypox contact tracing guidance: classification of contacts and advice for vaccination and follow-up, May 20, 2022. UK Health Security Agency website. https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1079483\/20220527_monkeypox-contact-tracing-classification-and-vaccination-matrix_v6.7.pdf. Accessed May 29, 2022."},{"key":"S0899823X22001672_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2021.449"},{"key":"S0899823X22001672_ref3","unstructured":"3. Monitoring people who have been exposed. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/clinicians\/monitoring.html. Updated May May 22, 2022. Accessed May 29, 2022."},{"key":"S0899823X22001672_ref6","doi-asserted-by":"publisher","DOI":"10.2196\/19533"},{"key":"S0899823X22001672_ref9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2102131"},{"key":"S0899823X22001672_ref5","unstructured":"5. Monkeypox and smallpox vaccine guidance. Centers for Disease Control and Prevention website. https:\/\/www.cdc.gov\/poxvirus\/monkeypox\/clinicians\/smallpox-vaccine.html. Accessed May 30, 2022."},{"key":"S0899823X22001672_ref4","unstructured":"4. Surveillance, case investigation, and contact tracing for monkeypox, interim guidance, May 22, 2022. World Health Organization website. https:\/\/apps.who.int\/iris\/rest\/bitstreams\/1425004\/retrieve. Accessed May 30, 2022."},{"key":"S0899823X22001672_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"S0899823X22001672_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.3976"}],"container-title":["Infection Control & Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X22001672","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T05:20:53Z","timestamp":1659417653000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X22001672\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,11]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["S0899823X22001672"],"URL":"https:\/\/doi.org\/10.1017\/ice.2022.167","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2022.06.12.22275974","asserted-by":"object"}]},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2022. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}