Fatality risks for nosocomial outbreaks of Middle East respiratory syndrome coronavirus in the Middle East and South Korea
Identifieur interne : 000F84 ( Main/Exploration ); précédent : 000F83; suivant : 000F85Fatality risks for nosocomial outbreaks of Middle East respiratory syndrome coronavirus in the Middle East and South Korea
Auteurs : Jianping Sha [République populaire de Chine] ; Yuan Li [République populaire de Chine] ; Xiaowen Chen [République populaire de Chine] ; Yan Hu [République populaire de Chine] ; Yajin Ren [République populaire de Chine] ; Xingyi Geng ; Zhiruo Zhang [République populaire de Chine] ; Shelan LiuSource :
- Archives of Virology [ 0304-8608 ] ; 2016.
Abstract
Middle East respiratory syndrome coronavirus (MERS-CoV) was first isolated in 2012. The largest known outbreak outside the Middle East occurred in South Korea in 2015. As of 29 June 2016, 1769 laboratory-confirmed cases (630 deaths; 35.6 % case fatality rate [CFR]) had been reported from 26 countries, particularly in the Middle East. However, the CFR for hospital outbreaks was higher than that of family clusters in the Middle East and Korea. Here, we compared the mortality rates for 51 nosocomial outbreaks in the Middle East and one outbreak of MERS-CoV in South Korea. Our findings showed the CFR in the Middle East was much higher than that in South Korea (25.9 % [56/216] vs. 13.8 % [24/174],
The online version of this article (doi:10.1007/s00705-016-3062-x) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1007/s00705-016-3062-x
PubMed: 27664026
PubMed Central: 7087023
Affiliations:
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type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Hu, Yan" sort="Hu, Yan" uniqKey="Hu Y" first="Yan" last="Hu">Yan Hu</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Endocrinology, The 421 Hospital of Chinese People’s Liberation Army, Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Endocrinology, The 421 Hospital of Chinese People’s Liberation Army, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Ren, Yajin" sort="Ren, Yajin" uniqKey="Ren Y" first="Yajin" last="Ren">Yajin Ren</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Endocrinology, The 421 Hospital of Chinese People’s Liberation Army, Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de 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Medicine,</institution></institution-wrap>227 Chongqing South Road, Shanghai, 200025 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>227 Chongqing South Road, Shanghai</wicri:regionArea><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Liu, Shelan" sort="Liu, Shelan" uniqKey="Liu S" first="Shelan" last="Liu">Shelan Liu</name><affiliation><nlm:aff id="Aff6"><institution-wrap><institution-id institution-id-type="GRID">grid.198530.6</institution-id><institution-id institution-id-type="ISNI">0000000088032373</institution-id><institution>Department of Infectious Diseases,</institution><institution>Zhejiang Provincial Centre for Disease Control and Prevention,</institution></institution-wrap>3399 Binsheng Road, Binjiang District, Hangzhou, 310051 Zhejiang Province China</nlm:aff><wicri:noCountry code="subfield">310051 Zhejiang Province China</wicri:noCountry></affiliation></author></analytic><series><title level="j">Archives of Virology</title><idno type="ISSN">0304-8608</idno><idno type="eISSN">1432-8798</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="Par1">Middle East respiratory syndrome coronavirus (MERS-CoV) was first isolated in 2012. The largest known outbreak outside the Middle East occurred in South Korea in 2015. As of 29 June 2016, 1769 laboratory-confirmed cases (630 deaths; 35.6 % case fatality rate [CFR]) had been reported from 26 countries, particularly in the Middle East. However, the CFR for hospital outbreaks was higher than that of family clusters in the Middle East and Korea. Here, we compared the mortality rates for 51 nosocomial outbreaks in the Middle East and one outbreak of MERS-CoV in South Korea. Our findings showed the CFR in the Middle East was much higher than that in South Korea (25.9 % [56/216] vs. 13.8 % [24/174], <italic>p</italic> = 0.003). Infected individuals who died were, on average, older than those who survived in both the Middle East (64 years [25–98] vs. 46 years [2–85], <italic>p</italic> = 0.000) and South Korea (68 years [49–82] vs. 53.5 years [16–87], <italic>p</italic> = 0.000). Similarly, the co-morbidity rates for the fatal cases were statistically higher than for the nonfatal cases in both the Middle East (64.3 % [36/56] vs. 28.1 % [45/160], <italic>p</italic> = 0.000) and South Korea (45.8 % [11/24] vs. 12.0 % [18/150], <italic>p</italic> = 0.000). The median number of days from onset to confirmation of infection in the fatal cases was longer than that for survivors from the Middle East (8 days [1–47] vs. 4 days [0–14], <italic>p</italic> = 0.009). Thus, older age, pre-existing concurrent diseases, and delayed confirmation increase the odds of a fatal outcome in nosocomial MERS-CoV outbreaks in the Middle East and South Korea.</p><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1007/s00705-016-3062-x) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Al Abdallat, Mm" uniqKey="Al Abdallat 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><author><name sortKey="Rha, B" uniqKey="Rha B">B Rha</name></author><author><name sortKey="Tohme, Ra" uniqKey="Tohme R">RA Tohme</name></author><author><name sortKey="Abedi, Gr" uniqKey="Abedi G">GR Abedi</name></author><author><name sortKey="Al Nsour, M" uniqKey="Al Nsour 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Wu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Yang, L" uniqKey="Yang L">L Yang</name></author><author><name sortKey="Wu, Z" uniqKey="Wu Z">Z Wu</name></author><author><name sortKey="Ren, X" uniqKey="Ren X">X Ren</name></author><author><name sortKey="Yang, F" uniqKey="Yang F">F Yang</name></author><author><name sortKey="Zhang, J" uniqKey="Zhang J">J Zhang</name></author><author><name sortKey="He, G" uniqKey="He G">G He</name></author><author><name sortKey="Dong, J" uniqKey="Dong J">J Dong</name></author><author><name sortKey="Sun, L" uniqKey="Sun L">L Sun</name></author><author><name sortKey="Zhu, Y" uniqKey="Zhu Y">Y Zhu</name></author><author><name sortKey="Zhang, S" uniqKey="Zhang S">S Zhang</name></author><author><name sortKey="Jin, Q" uniqKey="Jin Q">Q Jin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zumla, A" uniqKey="Zumla A">A Zumla</name></author><author><name sortKey="Hui, Ds" uniqKey="Hui D">DS Hui</name></author><author><name sortKey="Perlman, S" uniqKey="Perlman S">S Perlman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country><region><li>Guangdong</li></region><settlement><li>Jiangmen</li><li>Shenzhen</li></settlement></list><tree><noCountry><name sortKey="Geng, Xingyi" sort="Geng, Xingyi" uniqKey="Geng X" first="Xingyi" last="Geng">Xingyi Geng</name><name sortKey="Liu, Shelan" sort="Liu, Shelan" uniqKey="Liu S" first="Shelan" last="Liu">Shelan Liu</name></noCountry><country name="République populaire de Chine"><region name="Guangdong"><name sortKey="Sha, Jianping" sort="Sha, Jianping" uniqKey="Sha J" first="Jianping" last="Sha">Jianping Sha</name></region><name sortKey="Chen, Xiaowen" sort="Chen, Xiaowen" uniqKey="Chen X" first="Xiaowen" last="Chen">Xiaowen Chen</name><name sortKey="Hu, Yan" sort="Hu, Yan" uniqKey="Hu Y" first="Yan" last="Hu">Yan Hu</name><name sortKey="Li, Yuan" sort="Li, Yuan" uniqKey="Li Y" first="Yuan" last="Li">Yuan Li</name><name sortKey="Ren, Yajin" sort="Ren, Yajin" uniqKey="Ren Y" first="Yajin" last="Ren">Yajin Ren</name><name sortKey="Zhang, Zhiruo" sort="Zhang, Zhiruo" uniqKey="Zhang Z" first="Zhiruo" last="Zhang">Zhiruo Zhang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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