Protocol for clinical management of skin lesions in patients with monkeypox virus infection

Introduction: monkeypox has gained relevance in global health due to its clinical and epidemiological impact. This zoonosis, caused by Orthopoxvirus, has similarities with human smallpox and can present severe complications. In Ecuador, MPOX is a public health concern, especially due to human-animal interaction and the country's tropical environment. Objective: to describe the protocol developed by Omnihospital for the management of skin lesions associated with MPOX, in order to optimize patient care and standardize treatment in cases of this emerging disease. Development: The main symptoms are described and include fever, malaise, headache and a phased rash (macules, papules, vesicles and crusts). Lesions are usually concentrated on the face and extremities, and may affect mucous membranes and organs such as the eyes and genitals. Complications include secondary infections of the skin lesions, treated with topical or systemic antibiotics depending on the severity. The proper use of Personal Protective Equipment (PPE) and hygiene measures is essential to prevent the spread of the virus and protect healthcare personnel. Final considerations: the protocol seeks to provide health professionals with a practical guide for the treatment of patients with MPOX, ranging from the cleaning of lesions to the prevention of complications, thus ensuring an effective and evidence-based response