Implementation was evaluated as the fidelity to completing all key components
of our care protocol. Specifically, this was defined as (1) completion of an
assessment visit by an infectious disease provider after receiving a
positive orthopox test result and (2) assessment for other STIs including
HIV; herpes simplex virus (HSV); syphilis; and urine, rectal, and pharyngeal
chlamydia and gonorrhea. Assessment for other STIs was deemed important
because of the high prevalence of coinfections in published cohorts with
monkeypox.9 (link)