Middle East respiratory syndrome coronavirus in the last two years: Health care workers still at risk
Identifieur interne : 000465 ( Main/Exploration ); précédent : 000464; suivant : 000466Middle East respiratory syndrome coronavirus in the last two years: Health care workers still at risk
Auteurs : Jaffar A. Al-Tawfiq [Arabie saoudite, États-Unis] ; Ziad A. Memish [Arabie saoudite, États-Unis]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2019.
Abstract
An important emerging respiratory virus is the Middle East respiratory syndrome coronavirus (MERS-CoV). MERS-CoV had been associated with a high case fatality rate especially among severe cases.
This is a retrospective analysis of reported MERS-CoV cases between December 2016 and January 2019, as retrieved from the World Health Organization. The aim of this study is to examine the epidemiology of reported cases and quantify the percentage of health care workers (HCWs) among reported cases.
There were 403 reported cases with a majority being men (n = 300; 74.4%). These cases were reported from Lebanon, Malaysia, Oman, Qatar, Saudi Arabia, and United Arab Emirates. HCWs represented 26% and comorbidities were reported among 71% of non-HCWs and 1.9% among HCWs (
MERS-CoV infection continues to have a high case fatality rate and a large proportion of patients were HCWs. Further understanding of the disease transmission and prevention mainly in health care settings are needed.
Url:
DOI: 10.1016/j.ajic.2019.04.007
PubMed: 31128983
PubMed Central: 7115296
Affiliations:
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Al-Tawfiq</name><affiliation wicri:level="1"><nlm:aff id="aff0001">Specialty Internal Medicine Unit, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Specialty Internal Medicine Unit, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0002">Quality and Patient Safety Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Quality and Patient Safety Department, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0003">Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Indiana University School of Medicine, Indianapolis, IN</wicri:regionArea><placeName><region type="state">Indiana</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0004">Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD</wicri:regionArea><placeName><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name><affiliation wicri:level="1"><nlm:aff id="aff0005">College of Medicine, Alfaisal University, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>College of Medicine, Alfaisal University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0006">Infectious Diseases Division, Department of Medicine, Prince Mohamed Bin Abdulaziz Hospital (“PMAH”), Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Infectious Diseases Division, Department of Medicine, Prince Mohamed Bin Abdulaziz Hospital (“PMAH”), Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0007">Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author></analytic><series><title level="j">American Journal of Infection Control</title><idno type="ISSN">0196-6553</idno><idno type="eISSN">1527-3296</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>An important emerging respiratory virus is the Middle East respiratory syndrome coronavirus (MERS-CoV). MERS-CoV had been associated with a high case fatality rate especially among severe cases.</p></sec><sec><title>Methods</title><p>This is a retrospective analysis of reported MERS-CoV cases between December 2016 and January 2019, as retrieved from the World Health Organization. The aim of this study is to examine the epidemiology of reported cases and quantify the percentage of health care workers (HCWs) among reported cases.</p></sec><sec><title>Results</title><p>There were 403 reported cases with a majority being men (n = 300; 74.4%). These cases were reported from Lebanon, Malaysia, Oman, Qatar, Saudi Arabia, and United Arab Emirates. HCWs represented 26% and comorbidities were reported among 71% of non-HCWs and 1.9% among HCWs (<italic>P</italic> < .0001). Camel exposure and camel milk ingestion were reported in 64% each, and the majority (97.8%) of those with camel exposures had camel milk ingestion. There were 58% primary cases and 42% were secondary cases. The case fatality rate was 16% among HCWs compared with 34% among other patients (<italic>P</italic> = .001). The mean age ± SD was 47.65 ± 16.28 for HCWs versus 54.23 ± 17.34 for non-HCWs (<italic>P</italic> = .001).</p></sec><sec><title>Conclusions</title><p>MERS-CoV infection continues to have a high case fatality rate and a large proportion of patients were HCWs. 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Al-Tawfiq</name></author><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Liu, S" uniqKey="Liu S">S Liu</name></author><author><name sortKey="Chan, T C" uniqKey="Chan T">T-C Chan</name></author><author><name sortKey="Chu, Y T" uniqKey="Chu Y">Y-T Chu</name></author><author><name sortKey="Wu, Jt S" uniqKey="Wu J">JT-S Wu</name></author><author><name sortKey="Geng, X" uniqKey="Geng X">X Geng</name></author><author><name sortKey="Zhao, N" uniqKey="Zhao N">N Zhao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Conzade, R" uniqKey="Conzade R">R Conzade</name></author><author><name sortKey="Grant, R" uniqKey="Grant R">R Grant</name></author><author><name sortKey="Malik, Mr" uniqKey="Malik M">MR Malik</name></author><author><name sortKey="Elkholy, A" uniqKey="Elkholy A">A Elkholy</name></author><author><name sortKey="Elhakim, M" uniqKey="Elhakim M">M Elhakim</name></author><author><name sortKey="Samhouri, D" uniqKey="Samhouri D">D Samhouri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khalafalla, Ai" uniqKey="Khalafalla A">AI Khalafalla</name></author><author><name sortKey="Lu, X" uniqKey="Lu X">X Lu</name></author><author><name sortKey="Al Mubarak, Ai" uniqKey="Al Mubarak A">AI Al-Mubarak</name></author><author><name sortKey="Dalab, Ah" uniqKey="Dalab A">AH Dalab</name></author><author><name sortKey="Al Busadah, Ka" uniqKey="Al Busadah K">KA Al-Busadah</name></author><author><name sortKey="Erdman, Dd" uniqKey="Erdman D">DD Erdman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gossner, C" uniqKey="Gossner C">C Gossner</name></author><author><name sortKey="Danielson, N" uniqKey="Danielson N">N Danielson</name></author><author><name sortKey="Gervelmeyer, A" uniqKey="Gervelmeyer A">A Gervelmeyer</name></author><author><name sortKey="Berthe, F" uniqKey="Berthe F">F Berthe</name></author><author><name sortKey="Faye, B" uniqKey="Faye B">B Faye</name></author><author><name sortKey="Kaasik Aaslav, K" uniqKey="Kaasik Aaslav K">K Kaasik Aaslav</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hemida, Mg" uniqKey="Hemida M">MG Hemida</name></author><author><name sortKey="Perera, Ra" uniqKey="Perera R">RA Perera</name></author><author><name sortKey="Wang, P" uniqKey="Wang P">P Wang</name></author><author><name sortKey="Alhammadi, Ma" uniqKey="Alhammadi M">MA Alhammadi</name></author><author><name sortKey="Siu, Ly" uniqKey="Siu L">LY Siu</name></author><author><name sortKey="Li, M" uniqKey="Li M">M Li</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kasem, S" uniqKey="Kasem S">S Kasem</name></author><author><name sortKey="Qasim, I" uniqKey="Qasim I">I Qasim</name></author><author><name sortKey="Al Doweriej, A" uniqKey="Al Doweriej A">A Al-Doweriej</name></author><author><name sortKey="Hashim, O" uniqKey="Hashim O">O Hashim</name></author><author><name sortKey="Alkarar, A" uniqKey="Alkarar A">A Alkarar</name></author><author><name sortKey="Abu Obeida, A" uniqKey="Abu Obeida A">A Abu-Obeida</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>Indiana</li><li>Maryland</li></region></list><tree><country name="Arabie saoudite"><noRegion><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></noRegion><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name></country><country name="États-Unis"><region name="Indiana"><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name></region><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A." last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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