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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Some time ago&#44; we published a brief review of treatments available or in development that could be of use in the control of the then incipient outbreak of monkeypox&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> In that review&#44; we highlighted the role of tecovirimat as the only antiviral drug approved by the European Medicines Agency &#40;EMA&#41; for the virus&#44; given its good safety profile and proven efficacy in reducing mortality in animal models&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In response to that publication&#44; Dr Sookaromdee and Dr Wiwanitkit published a letter entitled <span class="elsevierStyleItalic">Treatments for Monkeypox</span>&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> in which they shared their opinion on the use of tecovirimat and mentioned intravenous immunoglobulin as another potentially effective treatment for monkeypox&#44; now declared a <span class="elsevierStyleItalic">Public Health Emergency of International Concern</span> by the World Health Organization &#40;WHO&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">One of the affirmations by Dr Sookaromdee and Dr Wiwanitkit is that&#44; although tecovirimat has demonstrated efficacy&#44; it is not a widely used drug in countries in which the <span class="elsevierStyleItalic">Monkeypox virus</span> has traditionally been considered endemic&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> A possible reason for the limited use of tecovirimat in those countries is that their healthcare resources and structure are not comparable to those in European countries&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> In addition&#44; we should add that approval by the EMA<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> is not applicable in Africa&#44; and to date&#44; it is the only health agency to have approved the drug for the indication of monkeypox&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The second aspect that we wanted to comment on is the possibility of using intravenously-administered anti-<span class="elsevierStyleItalic">Vaccinia</span> immunoglobulin&#44; proposed by Sookaromdee and Wiwanitkit&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> This immunoglobulin is indicated only for the treatment of certain complications such as <span class="elsevierStyleItalic">eczema vaccinatum</span>&#44; progressive <span class="elsevierStyleItalic">Vaccinia</span>&#44; and severe generalized <span class="elsevierStyleItalic">Vaccinia</span> caused by administration of the vaccine derived from the <span class="elsevierStyleItalic">Vaccinia virus</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> The regimen administered is 6000<span class="elsevierStyleHsp" style=""></span>U&#47;kg as soon as possible after onset of the first symptoms of the disease&#44; with possible dose repetitions according to the severity of the condition and response to the initial dose &#40;doses can be increased to 9000<span class="elsevierStyleHsp" style=""></span>U&#47;kg if the patient has not responded to the first dose&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Although there are factors to support its use against monkeypox&#44; such as the similarity of <span class="elsevierStyleItalic">Orthopoxvirus</span> genomes&#44;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> to date&#44; there have been no human trials on its use in this indication&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Finally&#44; it is necessary to highlight the use of the <span class="elsevierStyleItalic">Vaccinia</span>-based vaccine as post-exposure prophylaxis&#46; The WHO currently recommends administration of a second- or third-generation vaccine for case contacts in the first 4 days after exposure&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> It is estimated that the vaccine could provide cross-immunity against the <span class="elsevierStyleItalic">Monkeypox virus</span> with an efficacy of approximately 80&#37;&#8211;85&#37;&#44;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> given the aforementioned genomic similarity among <span class="elsevierStyleItalic">Orthopoxvirus</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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                            3 => "P&#46;F&#46; Safronov"
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                        "volumen" => "509"
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                        "link" => array:1 [
                          0 => array:2 [
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                        "paginaFinal" => "16267"
                        "link" => array:1 [
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Letter to the Editor
Anti-Vaccinia Immunoglobulin and Post-exposure Prophylaxis with Vaccinia-based Vaccine for Management of the Monkeypox Outbreak
Inmunoglobulina anti-Vaccinia y profilaxis postexposición mediante vacuna basada en Vaccinia para el control del brote de viruela símica (Monkeypox)
F.J. Rodríguez-Cuadradoa,
Corresponding author
, E.L. Pinto-Pulidob, M. Fernández-Parradoc
a Servicio de Dermatología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain
b Servicio de Dermatología, Hospital Universitario Príncipe de Asturias, Madrid, Spain
c Servicio de Dermatología, Hospital Universitario de Navarra, Pamplona, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Some time ago&#44; we published a brief review of treatments available or in development that could be of use in the control of the then incipient outbreak of monkeypox&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> In that review&#44; we highlighted the role of tecovirimat as the only antiviral drug approved by the European Medicines Agency &#40;EMA&#41; for the virus&#44; given its good safety profile and proven efficacy in reducing mortality in animal models&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In response to that publication&#44; Dr Sookaromdee and Dr Wiwanitkit published a letter entitled <span class="elsevierStyleItalic">Treatments for Monkeypox</span>&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> in which they shared their opinion on the use of tecovirimat and mentioned intravenous immunoglobulin as another potentially effective treatment for monkeypox&#44; now declared a <span class="elsevierStyleItalic">Public Health Emergency of International Concern</span> by the World Health Organization &#40;WHO&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">One of the affirmations by Dr Sookaromdee and Dr Wiwanitkit is that&#44; although tecovirimat has demonstrated efficacy&#44; it is not a widely used drug in countries in which the <span class="elsevierStyleItalic">Monkeypox virus</span> has traditionally been considered endemic&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> A possible reason for the limited use of tecovirimat in those countries is that their healthcare resources and structure are not comparable to those in European countries&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> In addition&#44; we should add that approval by the EMA<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> is not applicable in Africa&#44; and to date&#44; it is the only health agency to have approved the drug for the indication of monkeypox&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The second aspect that we wanted to comment on is the possibility of using intravenously-administered anti-<span class="elsevierStyleItalic">Vaccinia</span> immunoglobulin&#44; proposed by Sookaromdee and Wiwanitkit&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> This immunoglobulin is indicated only for the treatment of certain complications such as <span class="elsevierStyleItalic">eczema vaccinatum</span>&#44; progressive <span class="elsevierStyleItalic">Vaccinia</span>&#44; and severe generalized <span class="elsevierStyleItalic">Vaccinia</span> caused by administration of the vaccine derived from the <span class="elsevierStyleItalic">Vaccinia virus</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> The regimen administered is 6000<span class="elsevierStyleHsp" style=""></span>U&#47;kg as soon as possible after onset of the first symptoms of the disease&#44; with possible dose repetitions according to the severity of the condition and response to the initial dose &#40;doses can be increased to 9000<span class="elsevierStyleHsp" style=""></span>U&#47;kg if the patient has not responded to the first dose&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Although there are factors to support its use against monkeypox&#44; such as the similarity of <span class="elsevierStyleItalic">Orthopoxvirus</span> genomes&#44;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> to date&#44; there have been no human trials on its use in this indication&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Finally&#44; it is necessary to highlight the use of the <span class="elsevierStyleItalic">Vaccinia</span>-based vaccine as post-exposure prophylaxis&#46; The WHO currently recommends administration of a second- or third-generation vaccine for case contacts in the first 4 days after exposure&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> It is estimated that the vaccine could provide cross-immunity against the <span class="elsevierStyleItalic">Monkeypox virus</span> with an efficacy of approximately 80&#37;&#8211;85&#37;&#44;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> given the aforementioned genomic similarity among <span class="elsevierStyleItalic">Orthopoxvirus</span>&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
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                            0 => "F&#46;J&#46; Rodr&#237;guez-Cuadrado"
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                      "titulo" => "Tecovirimat SIGA &#40;tecovirimat&#41;&#58; an overview of tecovirimat SIGA and why it is authorised in the EU"
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                    0 => array:2 [
                      "titulo" => "Combating the global spread of poverty-related Monkeypox outbreaks and beyond"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Tambo"
                            1 => "A&#46;M&#46; Al-Nazawi"
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                        ]
                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1186/s40249-022-01004-9"
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                        "tituloSerie" => "Infect Dis Poverty"
                        "fecha" => "2022"
                        "volumen" => "11"
                        "paginaInicial" => "80"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35794644"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0080"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vaccinia immune globulin&#58; current policies&#44; preparedness&#44; and product safety and efficacy"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                      ]
                    ]
                  ]
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                    0 => array:2 [
                      "doi" => "10.1016/j.ijid.2005.12.001"
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                        "tituloSerie" => "Int J Infect Dis"
                        "fecha" => "2006"
                        "volumen" => "10"
                        "paginaInicial" => "193"
                        "paginaFinal" => "201"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16564720"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "etiqueta" => "7"
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                    0 => array:2 [
                      "titulo" => "Prevention and treatment of monkeypox"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;G&#46; Rizk"
                            1 => "G&#46; Lippi"
                            2 => "B&#46;M&#46; Henry"
                            3 => "D&#46;N&#46; Forthal"
                            4 => "Y&#46; Rizk"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s40265-022-01742-y"
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                        "fecha" => "2022"
                        "volumen" => "82"
                        "paginaInicial" => "957"
                        "paginaFinal" => "963"
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                    ]
                  ]
                ]
              ]
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              "etiqueta" => "8"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Human monkeypox and smallpox viruses&#58; genomic comparison"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46;N&#46; Shchelkunov"
                            1 => "A&#46;V&#46; Totmenin"
                            2 => "I&#46;V&#46; Babkin"
                            3 => "P&#46;F&#46; Safronov"
                            4 => "O&#46;I&#46; Ryazankina"
                            5 => "N&#46;A&#46; Petrov"
                          ]
                        ]
                      ]
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                    0 => array:2 [
                      "doi" => "10.1016/s0014-5793(01)03144-1"
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                        "tituloSerie" => "FEBS Lett"
                        "fecha" => "2001"
                        "volumen" => "509"
                        "paginaInicial" => "66"
                        "paginaFinal" => "70"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11734207"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:2 [
                        "tituloSerie" => "Vaccines and immunization for monkeypox&#58; Interim guidance"
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                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Major increase in human monkeypox incidence 30 years after smallpox vaccination campaigns cease in the Democratic Republic of Congo"
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                          "etal" => true
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                            3 => "J&#46;O&#46; Lloyd Smith"
                            4 => "N&#46;K&#46; Kisalu"
                            5 => "T&#46;L&#46; Kinkela"
                          ]
                        ]
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                    ]
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                        "tituloSerie" => "Proc Natl Acad Sci U S A"
                        "fecha" => "2010"
                        "volumen" => "107"
                        "paginaInicial" => "16262"
                        "paginaFinal" => "16267"
                        "link" => array:1 [
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ISSN: 00017310
Original language: English
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