Respiratory viruses in returning Hajj & Umrah pilgrims with acute respiratory illness in 2014-2015
Identifieur interne : 000698 ( Main/Exploration ); précédent : 000697; suivant : 000699Respiratory viruses in returning Hajj & Umrah pilgrims with acute respiratory illness in 2014-2015
Auteurs : Parvaiz A. Koul ; Hyder Mir ; Siddhartha Saha ; Mandeep S. Chadha ; Varsha Potdar ; Marc-Alain Widdowson ; Renu B. Lal ; Anand KrishnanSource :
- The Indian Journal of Medical Research [ 0971-5916 ] ; 2018.
Abstract
Respiratory tract infections are common among Hajj and Umrah pilgrims which pose a public health risk of spread of respiratory infections. Influenza has been reported from Indian Hajj and Umrah returning pilgrims, but data on other respiratory pathogens are sparse in India. Here we report the presence of common respiratory viral pathogens in returning Hajj and Umrah pilgrims suffering from acute respiratory illness (ARI) in 2014-2015.
Respiratory specimens (nasopharyngeal and throat swabs) were collected from 300 consenting pilgrims with ARI in the past one week and tested for influenza and Middle East Respiratory Syndrome coronavirus (MERS-CoV) and other respiratory viruses using in-house standardized quantitative real-time reverse-transcription polymerase chain reaction. Clinical features among the pathogen positive and negative patients were compared. The patients received symptomatic treatment and antivirals where appropriate and were followed telephonically to collect data on illness outcome.
Ninety seven (32.3%) of the 300 participants were tested positive for any virus, most common being influenza viruses (n=33, 11%). Other respiratory viruses that were detected included human coronaviruses [n=26, 8.7%; OC43 (n=19, 6.3%) and C229E (n=7, 2.3%)], rhinovirus (n=20, 6%), adenoviruses (n=8, 2.6%), parainfluenza viruses (n=7, 2.3%), respiratory syncytial virus (n=3, 1%) and bocaviruses (n=2, 0.6%). Clinical features observed in pathogen positive and pathogen negative patients did not differ significantly. Eighteen influenza positive patients were treated with oseltamivir.
Pilgrims returning from mass gatherings are often afflicted with respiratory pathogens with a potential to facilitate transmission of respiratory pathogens across international borders. The study reinforces the need for better infection prevention and control measures such as vaccination, health education on cough etiquette and hand hygiene.
Url:
DOI: 10.4103/ijmr.IJMR_890_17
PubMed: 30425224
PubMed Central: 6251276
Affiliations:
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Koul</name><affiliation><nlm:aff id="aff1"><italic>Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India</italic></nlm:aff></affiliation></author><author><name sortKey="Mir, Hyder" sort="Mir, Hyder" uniqKey="Mir H" first="Hyder" last="Mir">Hyder Mir</name><affiliation><nlm:aff id="aff1"><italic>Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India</italic></nlm:aff></affiliation></author><author><name sortKey="Saha, Siddhartha" sort="Saha, Siddhartha" uniqKey="Saha S" first="Siddhartha" last="Saha">Siddhartha Saha</name><affiliation><nlm:aff id="aff4"><italic>Influenza Division, US Centers for Disease Control & Prevention, Atlanta, Georgia, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Chadha, Mandeep S" sort="Chadha, Mandeep S" uniqKey="Chadha M" first="Mandeep S." last="Chadha">Mandeep S. Chadha</name><affiliation><nlm:aff id="aff2"><italic>Influenza Group, ICMR-National Institute of Virology, Pune, India</italic></nlm:aff></affiliation></author><author><name sortKey="Potdar, Varsha" sort="Potdar, Varsha" uniqKey="Potdar V" first="Varsha" last="Potdar">Varsha Potdar</name><affiliation><nlm:aff id="aff2"><italic>Influenza Group, ICMR-National Institute of Virology, Pune, India</italic></nlm:aff></affiliation></author><author><name sortKey="Widdowson, Marc Alain" sort="Widdowson, Marc Alain" uniqKey="Widdowson M" first="Marc-Alain" last="Widdowson">Marc-Alain Widdowson</name><affiliation><nlm:aff id="aff4"><italic>Influenza Division, US Centers for Disease Control & Prevention, Atlanta, Georgia, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Lal, Renu B" sort="Lal, Renu B" uniqKey="Lal R" first="Renu B." last="Lal">Renu B. Lal</name><affiliation><nlm:aff id="aff4"><italic>Influenza Division, US Centers for Disease Control & Prevention, Atlanta, Georgia, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Krishnan, Anand" sort="Krishnan, Anand" uniqKey="Krishnan A" first="Anand" last="Krishnan">Anand Krishnan</name><affiliation><nlm:aff id="aff3"><italic>Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, India</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">30425224</idno><idno type="pmc">6251276</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251276</idno><idno type="RBID">PMC:6251276</idno><idno type="doi">10.4103/ijmr.IJMR_890_17</idno><date when="2018">2018</date><idno type="wicri:Area/Pmc/Corpus">000594</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000594</idno><idno type="wicri:Area/Pmc/Curation">000594</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000594</idno><idno type="wicri:Area/Pmc/Checkpoint">000117</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000117</idno><idno type="wicri:Area/Ncbi/Merge">000735</idno><idno type="wicri:Area/Ncbi/Curation">000735</idno><idno type="wicri:Area/Ncbi/Checkpoint">000735</idno><idno type="wicri:doubleKey">0971-5916:2018:Koul P:respiratory:viruses:in</idno><idno type="wicri:Area/Main/Merge">000700</idno><idno type="wicri:Area/Main/Curation">000698</idno><idno type="wicri:Area/Main/Exploration">000698</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Respiratory viruses in returning Hajj & Umrah pilgrims with acute respiratory illness in 2014-2015</title><author><name sortKey="Koul, Parvaiz A" sort="Koul, Parvaiz A" uniqKey="Koul P" first="Parvaiz A." last="Koul">Parvaiz A. Koul</name><affiliation><nlm:aff id="aff1"><italic>Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India</italic></nlm:aff></affiliation></author><author><name sortKey="Mir, Hyder" sort="Mir, Hyder" uniqKey="Mir H" first="Hyder" last="Mir">Hyder Mir</name><affiliation><nlm:aff id="aff1"><italic>Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India</italic></nlm:aff></affiliation></author><author><name sortKey="Saha, Siddhartha" sort="Saha, Siddhartha" uniqKey="Saha S" first="Siddhartha" last="Saha">Siddhartha Saha</name><affiliation><nlm:aff id="aff4"><italic>Influenza Division, US Centers for Disease Control & Prevention, Atlanta, Georgia, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Chadha, Mandeep S" sort="Chadha, Mandeep S" uniqKey="Chadha M" first="Mandeep S." last="Chadha">Mandeep S. Chadha</name><affiliation><nlm:aff id="aff2"><italic>Influenza Group, ICMR-National Institute of Virology, Pune, India</italic></nlm:aff></affiliation></author><author><name sortKey="Potdar, Varsha" sort="Potdar, Varsha" uniqKey="Potdar V" first="Varsha" last="Potdar">Varsha Potdar</name><affiliation><nlm:aff id="aff2"><italic>Influenza Group, ICMR-National Institute of Virology, Pune, India</italic></nlm:aff></affiliation></author><author><name sortKey="Widdowson, Marc Alain" sort="Widdowson, Marc Alain" uniqKey="Widdowson M" first="Marc-Alain" last="Widdowson">Marc-Alain Widdowson</name><affiliation><nlm:aff id="aff4"><italic>Influenza Division, US Centers for Disease Control & Prevention, Atlanta, Georgia, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Lal, Renu B" sort="Lal, Renu B" uniqKey="Lal R" first="Renu B." last="Lal">Renu B. Lal</name><affiliation><nlm:aff id="aff4"><italic>Influenza Division, US Centers for Disease Control & Prevention, Atlanta, Georgia, USA</italic></nlm:aff></affiliation></author><author><name sortKey="Krishnan, Anand" sort="Krishnan, Anand" uniqKey="Krishnan A" first="Anand" last="Krishnan">Anand Krishnan</name><affiliation><nlm:aff id="aff3"><italic>Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, India</italic></nlm:aff></affiliation></author></analytic><series><title level="j">The Indian Journal of Medical Research</title><idno type="ISSN">0971-5916</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background & objectives:</title><p>Respiratory tract infections are common among Hajj and Umrah pilgrims which pose a public health risk of spread of respiratory infections. Influenza has been reported from Indian Hajj and Umrah returning pilgrims, but data on other respiratory pathogens are sparse in India. Here we report the presence of common respiratory viral pathogens in returning Hajj and Umrah pilgrims suffering from acute respiratory illness (ARI) in 2014-2015.</p></sec><sec id="st2"><title>Methods:</title><p>Respiratory specimens (nasopharyngeal and throat swabs) were collected from 300 consenting pilgrims with ARI in the past one week and tested for influenza and Middle East Respiratory Syndrome coronavirus (MERS-CoV) and other respiratory viruses using in-house standardized quantitative real-time reverse-transcription polymerase chain reaction. Clinical features among the pathogen positive and negative patients were compared. The patients received symptomatic treatment and antivirals where appropriate and were followed telephonically to collect data on illness outcome.</p></sec><sec id="st3"><title>Results:</title><p>Ninety seven (32.3%) of the 300 participants were tested positive for any virus, most common being influenza viruses (n=33, 11%). Other respiratory viruses that were detected included human coronaviruses [n=26, 8.7%; OC43 (n=19, 6.3%) and C229E (n=7, 2.3%)], rhinovirus (n=20, 6%), adenoviruses (n=8, 2.6%), parainfluenza viruses (n=7, 2.3%), respiratory syncytial virus (n=3, 1%) and bocaviruses (n=2, 0.6%). Clinical features observed in pathogen positive and pathogen negative patients did not differ significantly. Eighteen influenza positive patients were treated with oseltamivir.</p></sec><sec id="st4"><title>Interpretation & conclusions:</title><p>Pilgrims returning from mass gatherings are often afflicted with respiratory pathogens with a potential to facilitate transmission of respiratory pathogens across international borders. 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uniqKey="Shaw M">M Shaw</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Guery, B" uniqKey="Guery B">B Guery</name></author><author><name sortKey="Poissy, J" uniqKey="Poissy J">J Poissy</name></author><author><name sortKey="El Mansouf, L" uniqKey="El Mansouf L">L el Mansouf</name></author><author><name sortKey="Sejourne, C" uniqKey="Sejourne C">C Séjourné</name></author><author><name sortKey="Ettahar, N" uniqKey="Ettahar N">N Ettahar</name></author><author><name sortKey="Lemaire, X" uniqKey="Lemaire X">X Lemaire</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chadha, Mandeep S" sort="Chadha, Mandeep S" uniqKey="Chadha M" first="Mandeep S." last="Chadha">Mandeep S. Chadha</name><name sortKey="Koul, Parvaiz A" sort="Koul, Parvaiz A" uniqKey="Koul P" first="Parvaiz A." last="Koul">Parvaiz A. Koul</name><name sortKey="Krishnan, Anand" sort="Krishnan, Anand" uniqKey="Krishnan A" first="Anand" last="Krishnan">Anand Krishnan</name><name sortKey="Lal, Renu B" sort="Lal, Renu B" uniqKey="Lal R" first="Renu B." last="Lal">Renu B. Lal</name><name sortKey="Mir, Hyder" sort="Mir, Hyder" uniqKey="Mir H" first="Hyder" last="Mir">Hyder Mir</name><name sortKey="Potdar, Varsha" sort="Potdar, Varsha" uniqKey="Potdar V" first="Varsha" last="Potdar">Varsha Potdar</name><name sortKey="Saha, Siddhartha" sort="Saha, Siddhartha" uniqKey="Saha S" first="Siddhartha" last="Saha">Siddhartha Saha</name><name sortKey="Widdowson, Marc Alain" sort="Widdowson, Marc Alain" uniqKey="Widdowson M" first="Marc-Alain" last="Widdowson">Marc-Alain Widdowson</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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