Healthcare worker exposure to Middle East respiratory syndrome coronavirus (MERS-CoV): Revision of screening strategies urgently needed
Identifieur interne : 000959 ( Main/Exploration ); précédent : 000958; suivant : 000960Healthcare worker exposure to Middle East respiratory syndrome coronavirus (MERS-CoV): Revision of screening strategies urgently needed
Auteurs : Hala Amer [Arabie saoudite, Égypte] ; Abdulrahman S. Alqahtani [Arabie saoudite] ; Faisal Alaklobi [Arabie saoudite] ; Juhaina Altayeb [Arabie saoudite] ; Ziad A. Memish [Arabie saoudite, États-Unis]Source :
- International Journal of Infectious Diseases [ 1201-9712 ] ; 2018.
Descripteurs français
- KwdFr :
- MESH :
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- épidémiologie : Arabie saoudite, Infections à coronavirus.
- Adulte, Exposition professionnelle, Femelle, Flambées de maladies, Humains, Mâle, Personnel de santé.
English descriptors
- KwdEn :
- MESH :
- epidemiology : Coronavirus Infections, Saudi Arabia.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- transmission : Coronavirus Infections.
- Adult, Disease Outbreaks, Female, Health Personnel, Humans, Male, Occupational Exposure.
Abstract
Middle East respiratory syndrome coronavirus (MERS-CoV) continues to cause frequent hospital outbreaks in Saudi Arabia. Super-spreaders have always played a critical role in propagating healthcare facility outbreaks, and more recently asymptomatic healthcare workers (HCWs) have been identified to play a role. Differences do exist between the national and international guidance on handling HCWS exposed to MERS-CoV. Evidence to date supports liberal testing of all HCWs in close contact with MERS-CoV-positive cases, regardless of the significance of contact or presence or absence of symptoms, and the need for repeat testing. There is a need for urgent review of all guidelines regarding the return of asymptomatic MERS-CoV-positive HCWs under investigation to active duty.
Url:
DOI: 10.1016/j.ijid.2018.04.001
PubMed: 29649550
PubMed Central: 7110437
Affiliations:
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Alqahtani</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Medical Affairs, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Medical Affairs, King Saud Medical City, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Alaklobi, Faisal" sort="Alaklobi, Faisal" uniqKey="Alaklobi F" first="Faisal" last="Alaklobi">Faisal Alaklobi</name><affiliation wicri:level="1"><nlm:aff id="aff0020">Department of Pediatric Infectious Disease, King Saud Medical City, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Pediatric Infectious Disease, King Saud Medical City, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Altayeb, Juhaina" sort="Altayeb, Juhaina" uniqKey="Altayeb J" first="Juhaina" last="Altayeb">Juhaina Altayeb</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Infection Control Department, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Infection Control Department, King Saud Medical City, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></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="aff0025">College of Medicine, Alfaisal University and Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>College of Medicine, Alfaisal University and Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff0030">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">International Journal of Infectious Diseases</title><idno type="ISSN">1201-9712</idno><idno type="eISSN">1878-3511</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (transmission)</term><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Male</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>Occupational Exposure</term><term>Saudi Arabia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Arabie saoudite (épidémiologie)</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term><term>Exposition professionnelle</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Infections à coronavirus (transmission)</term><term>Infections à coronavirus (épidémiologie)</term><term>Mâle</term><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Arabie saoudite</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Male</term><term>Occupational Exposure</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Exposition professionnelle</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Mâle</term><term>Personnel de santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Highlights</title><p><list list-type="simple" id="lis0005"><list-item id="lsti0005"><label>•</label><p id="par0005">Middle East respiratory syndrome coronavirus (MERS-CoV) continues to cause frequent hospital outbreaks in Saudi Arabia.</p></list-item><list-item id="lsti0010"><label>•</label><p id="par0010">Super-spreaders have always played a critical role in propagating healthcare facility outbreaks, and more recently asymptomatic healthcare workers (HCWs) have been identified to play a role.</p></list-item><list-item id="lsti0015"><label>•</label><p id="par0015">Differences do exist between the national and international guidance on handling HCWS exposed to MERS-CoV.</p></list-item><list-item id="lsti0020"><label>•</label><p id="par0020">Evidence to date supports liberal testing of all HCWs in close contact with MERS-CoV-positive cases, regardless of the significance of contact or presence or absence of symptoms, and the need for repeat testing.</p></list-item><list-item id="lsti0025"><label>•</label><p id="par0025">There is a need for urgent review of all guidelines regarding the return of asymptomatic MERS-CoV-positive HCWs under investigation to active duty.</p></list-item></list></p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Alfaraj, S H" uniqKey="Alfaraj S">S.H. Alfaraj</name></author><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. Al-Tawfiq</name></author><author><name sortKey="Altuwaijri, T A" uniqKey="Altuwaijri T">T.A. Altuwaijri</name></author><author><name sortKey="Alanazi, M" uniqKey="Alanazi M">M. Alanazi</name></author><author><name sortKey="Alzahrani, N" uniqKey="Alzahrani N">N. Alzahrani</name></author><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alfaraj, S H" uniqKey="Alfaraj S">S.H. Alfaraj</name></author><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. Al-Tawfiq</name></author><author><name sortKey="Altuwaijri, T A" uniqKey="Altuwaijri T">T.A. Altuwaijri</name></author><author><name sortKey="Alanazi, M" uniqKey="Alanazi M">M. Alanazi</name></author><author><name sortKey="Alzahrani, N" uniqKey="Alzahrani N">N. Alzahrani</name></author><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Amer, H" uniqKey="Amer H">H. Amer</name></author><author><name sortKey="Alqahtani, A S" uniqKey="Alqahtani A">A.S. Alqahtani</name></author><author><name sortKey="Alzoman, H" uniqKey="Alzoman H">H. Alzoman</name></author><author><name sortKey="Aljerian, N" uniqKey="Aljerian N">N. Aljerian</name></author><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anon" uniqKey="Anon">Anon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Assiri, A" uniqKey="Assiri A">A. Assiri</name></author><author><name sortKey="Mcgeer, A" uniqKey="Mcgeer A">A. McGeer</name></author><author><name sortKey="Perl, T M" uniqKey="Perl T">T.M. Perl</name></author><author><name sortKey="Price, C S" uniqKey="Price C">C.S. Price</name></author><author><name sortKey="Al Rabeeah, A A" uniqKey="Al Rabeeah A">A.A. Al Rabeeah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balkhy, H H" uniqKey="Balkhy H">H.H. Balkhy</name></author><author><name sortKey="Alenazi, T H" uniqKey="Alenazi T">T.H. Alenazi</name></author><author><name sortKey="Alshamrani, M M" uniqKey="Alshamrani M">M.M. Alshamrani</name></author><author><name sortKey="Baffoe Bonnie, H" uniqKey="Baffoe Bonnie H">H. Baffoe-Bonnie</name></author><author><name sortKey="Arabi, Y" uniqKey="Arabi Y">Y. Arabi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cdc" uniqKey="Cdc">CDC</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Command And Control Center Ministry Of Health Kingdom Of Saudi Arabia Scientific Advisory Board" uniqKey="Command And Control Center Ministry Of Health Kingdom Of Saudi Arabia Scientific Advisory Board">Command and Control Center Ministry of Health Kingdom of Saudi Arabia Scientific Advisory Board</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ghazal, H S" uniqKey="Ghazal H">H.S. Ghazal</name></author><author><name sortKey="Ghazal, S" uniqKey="Ghazal S">S. Ghazal</name></author><author><name sortKey="Alharbi, T M" uniqKey="Alharbi T">T.M. Alharbi</name></author><author><name sortKey="Al Nujaidi, M" uniqKey="Al Nujaidi M">M. Al Nujaidi</name></author><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. Al-Tawfiq</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Who" uniqKey="Who">WHO</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Who" uniqKey="Who">WHO</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Who" uniqKey="Who">WHO</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li><li>Égypte</li><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li></region></list><tree><country name="Arabie saoudite"><noRegion><name sortKey="Amer, Hala" sort="Amer, Hala" uniqKey="Amer H" first="Hala" last="Amer">Hala Amer</name></noRegion><name sortKey="Alaklobi, Faisal" sort="Alaklobi, Faisal" uniqKey="Alaklobi F" first="Faisal" last="Alaklobi">Faisal Alaklobi</name><name sortKey="Alqahtani, Abdulrahman S" sort="Alqahtani, Abdulrahman S" uniqKey="Alqahtani A" first="Abdulrahman S." last="Alqahtani">Abdulrahman S. Alqahtani</name><name sortKey="Altayeb, Juhaina" sort="Altayeb, Juhaina" uniqKey="Altayeb J" first="Juhaina" last="Altayeb">Juhaina Altayeb</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="Égypte"><noRegion><name sortKey="Amer, Hala" sort="Amer, Hala" uniqKey="Amer H" first="Hala" last="Amer">Hala Amer</name></noRegion></country><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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