{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:55:42Z","timestamp":1790128542858,"version":"4.0.1"},"reference-count":21,"publisher":"Korean Society of Epidemiology","license":[{"start":{"date-parts":[[2024,11,24]],"date-time":"2024-11-24T00:00:00Z","timestamp":1732406400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-epih.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol Health"],"abstract":"<jats:p>OBJECTIVES: This study investigated the general characteristics of laboratory-confirmed mpox patients in the Capital Region of Korea, as well as the risk factors for mpox infection, particularly focusing on the characteristics of polymerase chain reaction (PCR)-positive and PCR-negative cases.METHODS: We investigated 160 adults, excluding 4 minors, from 164 suspected mpox patients reported in Seoul, Gyeonggi, Incheon, and Gangwon from June 21, 2022 to October 31, 2023. Data were collected via telephone and face-to-face interviews. A statistical analysis of the general characteristics of the infection was conducted using frequency analysis and logistic regression.RESULTS: Of the 160 suspected cases of mpox, 59.3% (n=95) tested positive via mpox-PCR. Among the confirmed cases, 97.9% (n=93) were male. PCR-positive patients typically presented with genital and anal skin rashes or mucosal lesions, accompanied by pain. Additionally, 35.5% (n=33) of the male patients had human immunodeficiency virus (HIV) infections. Most confirmed cases (94.7%, 90\/95) were believed to have contracted mpox through sexual contact during the maximal incubation period of 21 days prior to symptom onset, with a significant number reporting same-sex or casual contact. The most commonly collected and highest-yielding specimens from PCR-positive patients were from skin or mucosal lesions, whereas blood samples demonstrated the lowest percent positivity.CONCLUSIONS: In the Capital Region, most PCR-positive cases were male patients in their 30s who had sexual contacts and exhibited symptoms, aligning with findings from previous studies. These results provide a foundation for the differential diagnosis concerning mpox infection and the selection of PCR-test samples in clinical settings.<\/jats:p>","DOI":"10.4178\/epih.e2024092","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T01:35:37Z","timestamp":1732844137000},"page":"e2024092","update-policy":"https:\/\/doi.org\/10.4178\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Epidemiological characteristics and risk factors of suspected and confirmed mpox cases during the 2022-2023 epidemic in the Capital Region, Korea"],"prefix":"10.4178","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7356-9264","authenticated-orcid":true,"given":"Mingyeol","family":"Shim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1904-3177","authenticated-orcid":true,"given":"Soo Hyeon","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8650-5591","authenticated-orcid":true,"given":"Seung Eun","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1588-9263","authenticated-orcid":true,"given":"Taeyoung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2679","published-online":{"date-parts":[[2024,11,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0007791"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa143"},{"key":"ref3","volume-title":"","year":"2022"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2022.106703"},{"key":"ref5","volume-title":""},{"key":"ref6","volume-title":"","year":"2023"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2023040"},{"key":"ref8","volume-title":"A case of mpox infection through ocular mucosal contact","author":"Ryu"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2024.39.e19"},{"key":"ref10","first-page":"21","volume-title":"","year":"2023"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.56786\/PHWR.2024.17.20.3"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2024.102719"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1080\/23744235.2023.2214609"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.28713"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7136a1"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1002\/jmv.28230"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3947\/ic.2022.0104"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2022-072410"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2024.105692"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3947\/ic.2023.0007"},{"key":"ref21","volume-title":"","year":"2023"}],"container-title":["Epidemiology and Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-epih.org\/upload\/pdf\/epih-46-e2024092.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-epih.org\/journal\/view.php?doi=10.4178\/epih.e2024092","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-epih.org\/upload\/pdf\/epih-46-e2024092.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:36:54Z","timestamp":1739407014000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-epih.org\/journal\/view.php?doi=10.4178\/epih.e2024092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,24]]},"references-count":21,"URL":"https:\/\/doi.org\/10.4178\/epih.e2024092","relation":{},"ISSN":["2092-7193"],"issn-type":[{"value":"2092-7193","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,24]]},"assertion":[{"value":"2024-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-24","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}}]}}