Epidemiology and predictors of survival of MERS-CoV infections in Riyadh region, 2014–2015
Identifieur interne : 000986 ( Main/Exploration ); précédent : 000985; suivant : 000987Epidemiology and predictors of survival of MERS-CoV infections in Riyadh region, 2014–2015
Auteurs : Fahad S. Al-Jasser [Arabie saoudite] ; Randa M. Nouh [Arabie saoudite] ; Randa M. Youssef [Arabie saoudite]Source :
- Journal of Infection and Public Health [ 1876-0341 ] ; 2018.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Arabie saoudite (épidémiologie), Enfant, Enfant d'âge préscolaire, Excrétion virale, Facteurs de risque, Facteurs temps, Femelle, Humains, Infections à coronavirus (anatomopathologie), Infections à coronavirus (mortalité), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Jeune adulte, Mortalité, Mâle, Nourrisson, Sujet âgé, Sujet âgé de 80 ans ou plus, Transmission de maladie infectieuse.
- MESH :
- anatomopathologie : Infections à coronavirus.
- mortalité : Infections à coronavirus.
- épidémiologie : Arabie saoudite, Infections à coronavirus.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Excrétion virale, Facteurs de risque, Facteurs temps, Femelle, Humains, Jeune adulte, Mortalité, Mâle, Nourrisson, Sujet âgé, Sujet âgé de 80 ans ou plus, Transmission de maladie infectieuse.
- Wicri :
- geographic : Arabie saoudite.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Coronavirus Infections (epidemiology), Coronavirus Infections (mortality), Coronavirus Infections (pathology), Coronavirus Infections (transmission), Disease Transmission, Infectious, Female, Humans, Infant, Male, Middle Aged, Mortality, Risk Factors, Saudi Arabia (epidemiology), Time Factors, Virus Shedding, Young Adult.
- MESH :
- geographic , epidemiology : Saudi Arabia.
- epidemiology : Coronavirus Infections.
- mortality : Coronavirus Infections.
- pathology : Coronavirus Infections.
- transmission : Coronavirus Infections.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Disease Transmission, Infectious, Female, Humans, Infant, Male, Middle Aged, Mortality, Risk Factors, Time Factors, Virus Shedding, Young Adult.
Abstract
MERS-CoV emerged as a zoonotic disease in Saudi Arabia with 1437 cases as of July 2016. This study aimed at describing the epidemiology of MERS-CoV infection, clinical aspects of the disease and the determinants of survival.
The medical records of Prince Mohamed Bin Abdulaziz Hospital were reviewed between April 2014 and December 2015 to identify admission and discharge with MERS-CoV. Patient’s characteristics, epidemiologic and clinical data and laboratory results were extracted and described. Logistic regression analyses were used to model the determinants of the survival of these patients. Significance of the results were judged at the 5% level.
249 confirmed cases were admitted mostly in August (20.48%) and September (14.86%) of the year 2015. A third (39.36%) reported contact with an index case, developed the disease after 6.2 days and continued to shed the virus for 13.17 days on average. The case fatality rate was 20.08%. Independent predictors of being discharged alive among confirmed cases were younger age (ORA = 0.953), breathing ambient air (ORA = 8.981), not being transferred to the ICU (ORA = 24.240) and not receiving renal replacement therapy (ORA = 8.342). These variables explain 63.9% of the variability of patients’ status at discharge.
MERS-CoV spread from human-to-human as community acquired and nosocomial infection. The study identified high risk patients in need for special medical attention in order to improve patients’ outcome.
Url:
DOI: 10.1016/j.jiph.2018.09.008
PubMed: 30340964
PubMed Central: 7102824
Affiliations:
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Al-Jasser</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Prevention and Control of Infection Administration, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Prevention and Control of Infection Administration, King Saud Medical City, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Family & Community Medicine, College of Medicine and King Khaled Hospital, King Saud University, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Family & Community Medicine, College of Medicine and King Khaled Hospital, King Saud University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Nouh, Randa M" sort="Nouh, Randa M" uniqKey="Nouh R" first="Randa M." last="Nouh">Randa M. 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Al-Jasser</name><affiliation wicri:level="1"><nlm:aff id="aff0005">Prevention and Control of Infection Administration, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Prevention and Control of Infection Administration, King Saud Medical City, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Family & Community Medicine, College of Medicine and King Khaled Hospital, King Saud University, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Family & Community Medicine, College of Medicine and King Khaled Hospital, King Saud University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Nouh, Randa M" sort="Nouh, Randa M" uniqKey="Nouh R" first="Randa M." last="Nouh">Randa M. Nouh</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Field Epidemiology Training Program (FETP), Department of Public Health, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Field Epidemiology Training Program (FETP), Department of Public Health, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Youssef, Randa M" sort="Youssef, Randa M" uniqKey="Youssef R" first="Randa M." last="Youssef">Randa M. Youssef</name><affiliation wicri:level="1"><nlm:aff id="aff0010">Department of Family & Community Medicine, College of Medicine and King Khaled Hospital, King Saud University, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Family & Community Medicine, College of Medicine and King Khaled Hospital, King Saud University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff0020">Prince Sattam Chair for Epidemiology and Public Health Research, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Prince Sattam Chair for Epidemiology and Public Health Research, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Infection and Public Health</title><idno type="ISSN">1876-0341</idno><idno type="eISSN">1876-035X</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (mortality)</term><term>Coronavirus Infections (pathology)</term><term>Coronavirus Infections (transmission)</term><term>Disease Transmission, Infectious</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Mortality</term><term>Risk Factors</term><term>Saudi Arabia (epidemiology)</term><term>Time Factors</term><term>Virus Shedding</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Arabie saoudite (épidémiologie)</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Excrétion virale</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Infections à coronavirus (anatomopathologie)</term><term>Infections à coronavirus (mortalité)</term><term>Infections à coronavirus (transmission)</term><term>Infections à coronavirus (épidémiologie)</term><term>Jeune adulte</term><term>Mortalité</term><term>Mâle</term><term>Nourrisson</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transmission de maladie infectieuse</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Coronavirus Infections</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>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Child</term><term>Child, Preschool</term><term>Disease Transmission, Infectious</term><term>Female</term><term>Humans</term><term>Infant</term><term>Male</term><term>Middle Aged</term><term>Mortality</term><term>Risk Factors</term><term>Time Factors</term><term>Virus Shedding</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enfant</term><term>Enfant d'âge préscolaire</term><term>Excrétion virale</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mortalité</term><term>Mâle</term><term>Nourrisson</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Transmission de maladie infectieuse</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Arabie saoudite</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>MERS-CoV emerged as a zoonotic disease in Saudi Arabia with 1437 cases as of July 2016. This study aimed at describing the epidemiology of MERS-CoV infection, clinical aspects of the disease and the determinants of survival.</p></sec><sec><title>Methods</title><p>The medical records of Prince Mohamed Bin Abdulaziz Hospital were reviewed between April 2014 and December 2015 to identify admission and discharge with MERS-CoV. Patient’s characteristics, epidemiologic and clinical data and laboratory results were extracted and described. Logistic regression analyses were used to model the determinants of the survival of these patients. Significance of the results were judged at the 5% level.</p></sec><sec><title>Results</title><p>249 confirmed cases were admitted mostly in August (20.48%) and September (14.86%) of the year 2015. A third (39.36%) reported contact with an index case, developed the disease after 6.2 days and continued to shed the virus for 13.17 days on average. The case fatality rate was 20.08%. Independent predictors of being discharged alive among confirmed cases were younger age (OR<sub>A</sub> = 0.953), breathing ambient air (OR<sub>A</sub> = 8.981), not being transferred to the ICU (OR<sub>A</sub> = 24.240) and not receiving renal replacement therapy (OR<sub>A</sub> = 8.342). These variables explain 63.9% of the variability of patients’ status at discharge.</p></sec><sec><title>Conclusion</title><p>MERS-CoV spread from human-to-human as community acquired and nosocomial infection. The study identified high risk patients in need for special medical attention in order to improve patients’ outcome.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="World Health Organization" uniqKey="World Health Organization">World Health Organization</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Han, H J" uniqKey="Han H">H.J. Han</name></author><author><name sortKey="Yu, H" uniqKey="Yu H">H. 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Al-Jasser</name></noRegion><name sortKey="Al Jasser, Fahad S" sort="Al Jasser, Fahad S" uniqKey="Al Jasser F" first="Fahad S." last="Al-Jasser">Fahad S. Al-Jasser</name><name sortKey="Nouh, Randa M" sort="Nouh, Randa M" uniqKey="Nouh R" first="Randa M." last="Nouh">Randa M. Nouh</name><name sortKey="Youssef, Randa M" sort="Youssef, Randa M" uniqKey="Youssef R" first="Randa M." last="Youssef">Randa M. Youssef</name><name sortKey="Youssef, Randa M" sort="Youssef, Randa M" uniqKey="Youssef R" first="Randa M." last="Youssef">Randa M. Youssef</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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