Outbreak of Middle East respiratory syndrome coronavirus in Saudi Arabia: a retrospective study
Identifieur interne : 000E76 ( Main/Exploration ); précédent : 000E75; suivant : 000E77Outbreak of Middle East respiratory syndrome coronavirus in Saudi Arabia: a retrospective study
Auteurs : Fadilah Sfouq Aleanizy [Arabie saoudite] ; Nahla Mohmed [Arabie saoudite] ; Fulwah Y. Alqahtani [Arabie saoudite] ; Rania Ali El Hadi Mohamed [Arabie saoudite, Soudan]Source :
- BMC Infectious Diseases [ 1471-2334 ] ; 2017.
Abstract
The Middle East respiratory syndrome (MERS) is proposed to be a zoonotic disease. Dromedary camels have been implicated due to reports that some confirmed cases were exposed to camels. Risk factors for MERS coronavirus (MERS-CoV) infections in humans are incompletely understood. This study aimed to describe the demographic characteristics, mortality rate, clinical manifestations and comorbidities with confirmed cases of MERS-CoV.
Retrospective chart review were performed to identify all laboratory-confirmed cases of MERS-CoV in Saudi Arabia who reported to the Ministry of Health (MOH) of Saudi Arabia and WHO between April 23, 2014 and August 31, 2015. Patients’ charts were also reviewed for demographic information, mortality, comorbidities, clinical presentations, health care facility and presented with descriptive and comparative statistics using non parametric binomial test and Chi-square test.
Confirmed cases of male patients (61.1%) exceeded those of female patients (38.9%). Infections among Saudi patients (62.6%) exceeded those among non-Saudi patients (37.4%;
MERS-CoV is considered an epidemic in Saudi Arabia. The results of the present study showed that the frequency of cases is higher among men than women, in Saudi patients than non-Saudi, and those between 21 to 60 years are most affected. Further studies are required to improve the surveillance associated with MERS-CoV to get definite and clear answers and better understanding of the MERS-CoV outbreak as well the source, and route of infection transmission in Saudi Arabia.
Url:
DOI: 10.1186/s12879-016-2137-3
PubMed: 28056850
PubMed Central: 5217314
Affiliations:
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Alqahtani</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.56302.32</institution-id><institution-id institution-id-type="ISNI">0000000417735396</institution-id><institution>College of Pharmacy, Department of Pharmaceutics,</institution><institution>King Saud University,</institution></institution-wrap>22452, Riyadh, 11495 Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>22452, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="El Hadi Mohamed, Rania Ali" sort="El Hadi Mohamed, Rania Ali" uniqKey="El Hadi Mohamed R" first="Rania Ali" last="El Hadi Mohamed">Rania Ali El Hadi Mohamed</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.449346.8</institution-id><institution-id institution-id-type="ISNI">0000000405017602</institution-id><institution>College of Science,</institution><institution>Princess Nourah Bint Abdulrahman University,</institution></institution-wrap>Riyadh, 12484 Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Riyadh</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.414827.c</institution-id><institution>Scientific research,</institution><institution>Federal Ministry of Health,</institution></institution-wrap>Khartoum, 303 Sudan</nlm:aff><country xml:lang="fr">Soudan</country><wicri:regionArea>Khartoum</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">The Middle East respiratory syndrome (MERS) is proposed to be a zoonotic disease. Dromedary camels have been implicated due to reports that some confirmed cases were exposed to camels. Risk factors for MERS coronavirus (MERS-CoV) infections in humans are incompletely understood. This study aimed to describe the demographic characteristics, mortality rate, clinical manifestations and comorbidities with confirmed cases of MERS-CoV.</p></sec><sec><title>Methods</title><p id="Par2">Retrospective chart review were performed to identify all laboratory-confirmed cases of MERS-CoV in Saudi Arabia who reported to the Ministry of Health (MOH) of Saudi Arabia and WHO between April 23, 2014 and August 31, 2015. Patients’ charts were also reviewed for demographic information, mortality, comorbidities, clinical presentations, health care facility and presented with descriptive and comparative statistics using non parametric binomial test and Chi-square test.</p></sec><sec><title>Results</title><p id="Par3">Confirmed cases of male patients (61.1%) exceeded those of female patients (38.9%). Infections among Saudi patients (62.6%) exceeded those among non-Saudi patients (37.4%; <italic>P</italic> = 0.001). The majority of the patients were aged 21–40 years (37.4%) or 41–60 years (35.8%); 43 (22.6%) were aged >61 years, and (8) 4.2% were aged 0–20 years. There was a difference in mortality between confirmed MERS-CoV cases (63.7% alive versus 36.3% dead cases, respectively). Furthermore, fever with cough and shortness of breath (SOB) (<italic>n</italic> = 39; 20.5%), fever with cough (<italic>n</italic> = 29; 15.3%), fever (<italic>n</italic> = 18; 9.5%), and fever with SOB (<italic>n</italic> = 13; 6.8%), were the most common clinical manifestations associated with confirmed MERS-CoV cases.</p></sec><sec><title>Conclusion</title><p id="Par4">MERS-CoV is considered an epidemic in Saudi Arabia. The results of the present study showed that the frequency of cases is higher among men than women, in Saudi patients than non-Saudi, and those between 21 to 60 years are most affected. Further studies are required to improve the surveillance associated with MERS-CoV to get definite and clear answers and better understanding of the MERS-CoV outbreak as well the source, and route of infection transmission in Saudi Arabia.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bermingham, A" uniqKey="Bermingham A">A Bermingham</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="De Groot, Rj" uniqKey="De Groot R">RJ De Groot</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Durai, P" uniqKey="Durai P">P Durai</name></author><author><name sortKey="Batool, M" uniqKey="Batool M">M Batool</name></author><author><name sortKey="Shah, M" uniqKey="Shah M">M Shah</name></author><author><name sortKey="Choi, S" uniqKey="Choi S">S Choi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kayali, G" 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M">MM Al-Abdallat</name></author><author><name sortKey="Payne, Dc" uniqKey="Payne D">DC Payne</name></author><author><name sortKey="Alqasrawi, S" uniqKey="Alqasrawi S">S Alqasrawi</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Khalid, M" uniqKey="Khalid M">M Khalid</name></author><author><name sortKey="Khan, B" uniqKey="Khan B">B Khan</name></author><author><name sortKey="Al Rabiah, F" uniqKey="Al Rabiah F">F Al Rabiah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petersen, E" uniqKey="Petersen E">E Petersen</name></author><author><name sortKey="Pollack, Mm" uniqKey="Pollack M">MM Pollack</name></author><author><name sortKey="Madoff, Lc" uniqKey="Madoff L">LC Madoff</name></author></analytic></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></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fitzpatrick, F" uniqKey="Fitzpatrick F">F Fitzpatrick</name></author><author><name sortKey="Roche, F" uniqKey="Roche F">F Roche</name></author><author><name sortKey="Cunney, R" uniqKey="Cunney R">R Cunney</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li><li>Soudan</li></country></list><tree><country name="Arabie saoudite"><noRegion><name sortKey="Aleanizy, Fadilah Sfouq" sort="Aleanizy, Fadilah Sfouq" uniqKey="Aleanizy F" first="Fadilah Sfouq" last="Aleanizy">Fadilah Sfouq Aleanizy</name></noRegion><name sortKey="Alqahtani, Fulwah Y" sort="Alqahtani, Fulwah Y" uniqKey="Alqahtani F" first="Fulwah Y." last="Alqahtani">Fulwah Y. Alqahtani</name><name sortKey="El Hadi Mohamed, Rania Ali" sort="El Hadi Mohamed, Rania Ali" uniqKey="El Hadi Mohamed R" first="Rania Ali" last="El Hadi Mohamed">Rania Ali El Hadi Mohamed</name><name sortKey="Mohmed, Nahla" sort="Mohmed, Nahla" uniqKey="Mohmed N" first="Nahla" last="Mohmed">Nahla Mohmed</name></country><country name="Soudan"><noRegion><name sortKey="El Hadi Mohamed, Rania Ali" sort="El Hadi Mohamed, Rania Ali" uniqKey="El Hadi Mohamed R" first="Rania Ali" last="El Hadi Mohamed">Rania Ali El Hadi Mohamed</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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