Effectiveness of the Middle East respiratory syndrome-coronavirus protocol in enhancing the function of an Emergency Department in Qatar
Identifieur interne : 000961 ( Main/Exploration ); précédent : 000960; suivant : 000962Effectiveness of the Middle East respiratory syndrome-coronavirus protocol in enhancing the function of an Emergency Department in Qatar
Auteurs : Shinu Varughese [Qatar] ; Jennan G. Read [Qatar, États-Unis] ; Abdul L. Al-Khal [Qatar] ; Salem Abo Saleh [Qatar] ; Yasser El Deeb [Qatar] ; Peter A. Cameron [Qatar, Australie]Source :
- European journal of emergency medicine : official journal of the European Society for Emergency Medicine [ 0969-9546 ] ; 2015.
Abstract
This study aimed to investigate the effectiveness of a Middle East respiratory syndrome coronavirs (MERS-CoV) surveillance protocol in the Emergency Department (ED) at Hamad General Hospital. Effectiveness was measured by: (a) reduction in the number of patients admitted into the MERS-CoV tracking system; (b) identification of positive MERS-CoV cases; (c) containment of cross infectivity; and (d) increased efficiency in ED functioning.
A retrospective chart review was carried out of all ED patients suspected of MERS-CoV during the height of the epidemic (August to October 2013). An algorithm was created on the basis of international guidelines to screen and triage suspected MERS-CoV patients. Once identified, patients were isolated, had a chest roentgenogram [chest radiography (CXR)] taken, and a nasopharyngeal swab for PCR was sent with sputum samples for testing. Patients with normal CXR and mild respiratory symptoms were discharged with home isolation instructions until nasopharyngeal and sputum PCR results were available. Patients with fever and acute respiratory distress, with or without abnormal CXR, were treated in the hospital until tests proved negative for MERS-CoV.
The protocol successfully reduced the number of patients who needed to be tested for MERS-CoV from 12 563 to 514, identified seven positive cases, and did not lead to apparent cross infectivity that resulted in serious illness or death. The protocol also increased the efficiency of ED and cut the turnaround time for nasopharyngeal swab and sputum results from 3 days to 1 day.
A highly protocolized surveillance system limited the impact of MERS-CoV on ED functioning by identifying and prioritizing high-risk patients. The emergence of new infectious diseases requires constant monitoring of interventions to reduce the impact of epidemics on population health and health services.
Url:
DOI: 10.1097/MEJ.0000000000000285
PubMed: 26035278
PubMed Central: 5747930
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000534
- to stream Pmc, to step Curation: 000534
- to stream Pmc, to step Checkpoint: 000353
- to stream Ncbi, to step Merge: 000459
- to stream Ncbi, to step Curation: 000459
- to stream Ncbi, to step Checkpoint: 000459
- to stream Main, to step Merge: 000963
- to stream Main, to step Curation: 000961
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effectiveness of the Middle East respiratory syndrome-coronavirus protocol in enhancing the function of an Emergency Department in Qatar</title>
<author><name sortKey="Varughese, Shinu" sort="Varughese, Shinu" uniqKey="Varughese S" first="Shinu" last="Varughese">Shinu Varughese</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Emergency Medicine, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Emergency Medicine, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Read, Jennan G" sort="Read, Jennan G" uniqKey="Read J" first="Jennan G." last="Read">Jennan G. Read</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Health Services Research, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Health Services Research, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A4">Department of Sociology and Global Health, Duke University, Durham, North Carolina, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Sociology and Global Health, Duke University, Durham, North Carolina</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Al Khal, Abdul L" sort="Al Khal, Abdul L" uniqKey="Al Khal A" first="Abdul L." last="Al-Khal">Abdul L. Al-Khal</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Infectious Diseases, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Infectious Diseases, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abo Saleh, Salem" sort="Abo Saleh, Salem" uniqKey="Abo Saleh S" first="Salem" last="Abo Saleh">Salem Abo Saleh</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Emergency Medicine, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Emergency Medicine, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="El Deeb, Yasser" sort="El Deeb, Yasser" uniqKey="El Deeb Y" first="Yasser" last="El Deeb">Yasser El Deeb</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Infectious Diseases, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Infectious Diseases, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cameron, Peter A" sort="Cameron, Peter A" uniqKey="Cameron P" first="Peter A." last="Cameron">Peter A. Cameron</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Emergency Medicine, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Emergency Medicine, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A5">Department of Emergency Medicine, Monash University, Melbourne, Victoria, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Emergency Medicine, Monash University, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26035278</idno>
<idno type="pmc">5747930</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747930</idno>
<idno type="RBID">PMC:5747930</idno>
<idno type="doi">10.1097/MEJ.0000000000000285</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000534</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000534</idno>
<idno type="wicri:Area/Pmc/Curation">000534</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000534</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000353</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000353</idno>
<idno type="wicri:Area/Ncbi/Merge">000459</idno>
<idno type="wicri:Area/Ncbi/Curation">000459</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000459</idno>
<idno type="wicri:doubleKey">0969-9546:2015:Varughese S:effectiveness:of:the</idno>
<idno type="wicri:Area/Main/Merge">000963</idno>
<idno type="wicri:Area/Main/Curation">000961</idno>
<idno type="wicri:Area/Main/Exploration">000961</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effectiveness of the Middle East respiratory syndrome-coronavirus protocol in enhancing the function of an Emergency Department in Qatar</title>
<author><name sortKey="Varughese, Shinu" sort="Varughese, Shinu" uniqKey="Varughese S" first="Shinu" last="Varughese">Shinu Varughese</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Emergency Medicine, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Emergency Medicine, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Read, Jennan G" sort="Read, Jennan G" uniqKey="Read J" first="Jennan G." last="Read">Jennan G. Read</name>
<affiliation wicri:level="1"><nlm:aff id="A2">Health Services Research, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Health Services Research, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="A4">Department of Sociology and Global Health, Duke University, Durham, North Carolina, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Sociology and Global Health, Duke University, Durham, North Carolina</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Al Khal, Abdul L" sort="Al Khal, Abdul L" uniqKey="Al Khal A" first="Abdul L." last="Al-Khal">Abdul L. Al-Khal</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Infectious Diseases, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Infectious Diseases, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Abo Saleh, Salem" sort="Abo Saleh, Salem" uniqKey="Abo Saleh S" first="Salem" last="Abo Saleh">Salem Abo Saleh</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Emergency Medicine, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Emergency Medicine, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="El Deeb, Yasser" sort="El Deeb, Yasser" uniqKey="El Deeb Y" first="Yasser" last="El Deeb">Yasser El Deeb</name>
<affiliation wicri:level="1"><nlm:aff id="A3">Infectious Diseases, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Infectious Diseases, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cameron, Peter A" sort="Cameron, Peter A" uniqKey="Cameron P" first="Peter A." last="Cameron">Peter A. Cameron</name>
<affiliation wicri:level="1"><nlm:aff id="A1">Emergency Medicine, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
<country xml:lang="fr">Qatar</country>
<wicri:regionArea>Emergency Medicine, Hamad Medical Corporation, Doha</wicri:regionArea>
<wicri:noRegion>Doha</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="A5">Department of Emergency Medicine, Monash University, Melbourne, Victoria, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Department of Emergency Medicine, Monash University, Melbourne, Victoria</wicri:regionArea>
<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">European journal of emergency medicine : official journal of the European Society for Emergency Medicine</title>
<idno type="ISSN">0969-9546</idno>
<idno type="eISSN">1473-5695</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">This study aimed to investigate the effectiveness of a Middle East respiratory syndrome coronavirs (MERS-CoV) surveillance protocol in the Emergency Department (ED) at Hamad General Hospital. Effectiveness was measured by: (a) reduction in the number of patients admitted into the MERS-CoV tracking system; (b) identification of positive MERS-CoV cases; (c) containment of cross infectivity; and (d) increased efficiency in ED functioning.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">A retrospective chart review was carried out of all ED patients suspected of MERS-CoV during the height of the epidemic (August to October 2013). An algorithm was created on the basis of international guidelines to screen and triage suspected MERS-CoV patients. Once identified, patients were isolated, had a chest roentgenogram [chest radiography (CXR)] taken, and a nasopharyngeal swab for PCR was sent with sputum samples for testing. Patients with normal CXR and mild respiratory symptoms were discharged with home isolation instructions until nasopharyngeal and sputum PCR results were available. Patients with fever and acute respiratory distress, with or without abnormal CXR, were treated in the hospital until tests proved negative for MERS-CoV.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">The protocol successfully reduced the number of patients who needed to be tested for MERS-CoV from 12 563 to 514, identified seven positive cases, and did not lead to apparent cross infectivity that resulted in serious illness or death. The protocol also increased the efficiency of ED and cut the turnaround time for nasopharyngeal swab and sputum results from 3 days to 1 day.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">A highly protocolized surveillance system limited the impact of MERS-CoV on ED functioning by identifying and prioritizing high-risk patients. The emergence of new infectious diseases requires constant monitoring of interventions to reduce the impact of epidemics on population health and health services.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Australie</li>
<li>Qatar</li>
<li>États-Unis</li>
</country>
<region><li>Caroline du Nord</li>
</region>
</list>
<tree><country name="Qatar"><noRegion><name sortKey="Varughese, Shinu" sort="Varughese, Shinu" uniqKey="Varughese S" first="Shinu" last="Varughese">Shinu Varughese</name>
</noRegion>
<name sortKey="Abo Saleh, Salem" sort="Abo Saleh, Salem" uniqKey="Abo Saleh S" first="Salem" last="Abo Saleh">Salem Abo Saleh</name>
<name sortKey="Al Khal, Abdul L" sort="Al Khal, Abdul L" uniqKey="Al Khal A" first="Abdul L." last="Al-Khal">Abdul L. Al-Khal</name>
<name sortKey="Cameron, Peter A" sort="Cameron, Peter A" uniqKey="Cameron P" first="Peter A." last="Cameron">Peter A. Cameron</name>
<name sortKey="El Deeb, Yasser" sort="El Deeb, Yasser" uniqKey="El Deeb Y" first="Yasser" last="El Deeb">Yasser El Deeb</name>
<name sortKey="Read, Jennan G" sort="Read, Jennan G" uniqKey="Read J" first="Jennan G." last="Read">Jennan G. Read</name>
</country>
<country name="États-Unis"><region name="Caroline du Nord"><name sortKey="Read, Jennan G" sort="Read, Jennan G" uniqKey="Read J" first="Jennan G." last="Read">Jennan G. Read</name>
</region>
</country>
<country name="Australie"><noRegion><name sortKey="Cameron, Peter A" sort="Cameron, Peter A" uniqKey="Cameron P" first="Peter A." last="Cameron">Peter A. Cameron</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/CovidV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000961 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000961 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= CovidV1 |flux= Main |étape= Exploration |type= RBID |clé= PMC:5747930 |texte= Effectiveness of the Middle East respiratory syndrome-coronavirus protocol in enhancing the function of an Emergency Department in Qatar }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:26035278" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a CovidV1
This area was generated with Dilib version V0.6.33. |