Asymptomatic Middle East Respiratory Syndrome coronavirus infection using a serologic survey in Korea
Identifieur interne : 000A58 ( Main/Exploration ); précédent : 000A57; suivant : 000A59Asymptomatic Middle East Respiratory Syndrome coronavirus infection using a serologic survey in Korea
Auteurs : Yeong-Jun Song [Corée du Sud] ; Jeong-Sun Yang [Corée du Sud] ; Hee Jung Yoon [Corée du Sud] ; Hae-Sung Nam [Corée du Sud] ; Soon Young Lee [Corée du Sud] ; Hae-Kwan Cheong [Corée du Sud] ; Woo-Jung Park [Corée du Sud] ; Sung Han Park [Corée du Sud] ; Bo Youl Choi [Corée du Sud] ; Sung Soon Kim [Corée du Sud] ; Moran Ki [Corée du Sud]Source :
- Epidemiology and Health [ 2092-7193 ] ; 2018.
Descripteurs français
- KwdFr :
- Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Flambées de maladies, Humains, Infection croisée (épidémiologie), Infections à coronavirus (épidémiologie), Maladies asymptomatiques (épidémiologie), Personnel de santé (), République de Corée (épidémiologie), Test ELISA, Études séroépidémiologiques.
- MESH :
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- épidémiologie : Infection croisée, Infections à coronavirus, Maladies asymptomatiques, République de Corée.
- Flambées de maladies, Humains, Personnel de santé, Test ELISA, Études séroépidémiologiques.
English descriptors
- KwdEn :
- Asymptomatic Diseases (epidemiology), Coronavirus Infections (epidemiology), Cross Infection (epidemiology), Disease Outbreaks, Enzyme-Linked Immunosorbent Assay, Health Personnel (statistics & numerical data), Humans, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Republic of Korea (epidemiology), Seroepidemiologic Studies.
- MESH :
- epidemiology : Asymptomatic Diseases, Coronavirus Infections, Cross Infection, Republic of Korea.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- statistics & numerical data : Health Personnel.
- Disease Outbreaks, Enzyme-Linked Immunosorbent Assay, Humans, Seroepidemiologic Studies.
Abstract
The rates of asymptomatic infection with Middle East Respiratory Syndrome (MERS) coronavirus vary. A serologic study was conducted to determine the asymptomatic MERS infection rate in healthcare workers and non-healthcare workers by exposure status.
Study participants were selected from contacts of MERS patients based on a priority system in 4 regions strongly affected by the 2015 MERS outbreak. A sero-epidemiological survey was performed in 1,610 contacts (average duration from exposure to test, 4.8 months), and the collected sera were tested using an enzyme-linked immunespecific assay (ELISA), immunofluorescence assay (IFA), and plaque reduction neutralization antibody test (PRNT). Among the 1,610 contacts, there were 7 ELISA-positive cases, of which 1 exhibited positive IFA and PRNT results.
The asymptomatic infection rate was 0.060% (95% confidence interval, 0.002 to 0.346). The asymptomatic MERS case was a patient who had been hospitalized with patient zero on the same floor of the hospital at the same time. The case was quarantined at home for 2 weeks after discharge, and had underlying diseases, including hypertension, angina, and degenerative arthritis.
The asymptomatic infection was acquired via healthcare-associated transmission. Thus, it is necessary to extend serologic studies to include inpatient contacts who have no symptoms.
Url:
DOI: 10.4178/epih.e2018014
PubMed: 29656631
PubMed Central: 5968208
Affiliations:
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Le document en format XML
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strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Soon Young" sort="Lee, Soon Young" uniqKey="Lee S" first="Soon Young" last="Lee">Soon Young Lee</name><affiliation wicri:level="1"><nlm:aff id="af5-epih-40-e2018014">Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cheong, Hae Kwan" sort="Cheong, Hae Kwan" uniqKey="Cheong H" first="Hae-Kwan" last="Cheong">Hae-Kwan Cheong</name><affiliation wicri:level="1"><nlm:aff id="af6-epih-40-e2018014">Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine, Suwon,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Park, Woo 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Choi</name><affiliation wicri:level="1"><nlm:aff id="af7-epih-40-e2018014">Department of Preventive Medicine, Hanyang University College of Medicine, Seoul,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Sung Soon" sort="Kim, Sung Soon" uniqKey="Kim S" first="Sung Soon" last="Kim">Sung Soon Kim</name><affiliation wicri:level="1"><nlm:aff id="af2-epih-40-e2018014">Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Cheongju,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><affiliation wicri:level="1"><nlm:aff id="af1-epih-40-e2018014">Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">29656631</idno><idno type="pmc">5968208</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968208</idno><idno type="RBID">PMC:5968208</idno><idno type="doi">10.4178/epih.e2018014</idno><date when="2018">2018</date><idno type="wicri:Area/Pmc/Corpus">000C49</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C49</idno><idno type="wicri:Area/Pmc/Curation">000C49</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C49</idno><idno type="wicri:Area/Pmc/Checkpoint">000633</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000633</idno><idno 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survey in Korea</title><author><name sortKey="Song, Yeong Jun" sort="Song, Yeong Jun" uniqKey="Song Y" first="Yeong-Jun" last="Song">Yeong-Jun Song</name><affiliation wicri:level="1"><nlm:aff id="af1-epih-40-e2018014">Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Jeong Sun" sort="Yang, Jeong Sun" uniqKey="Yang J" first="Jeong-Sun" last="Yang">Jeong-Sun Yang</name><affiliation wicri:level="1"><nlm:aff id="af2-epih-40-e2018014">Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Cheongju,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Yoon, Hee Jung" sort="Yoon, Hee Jung" uniqKey="Yoon H" first="Hee Jung" last="Yoon">Hee Jung Yoon</name><affiliation wicri:level="1"><nlm:aff id="af3-epih-40-e2018014">Korean Society of Infectious Diseases, Seoul,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Nam, Hae Sung" sort="Nam, Hae Sung" uniqKey="Nam H" first="Hae-Sung" last="Nam">Hae-Sung Nam</name><affiliation wicri:level="1"><nlm:aff id="af4-epih-40-e2018014">Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine, Daejeon,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Soon Young" sort="Lee, Soon Young" uniqKey="Lee S" first="Soon Young" last="Lee">Soon Young Lee</name><affiliation wicri:level="1"><nlm:aff id="af5-epih-40-e2018014">Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Cheong, Hae Kwan" sort="Cheong, Hae Kwan" uniqKey="Cheong H" first="Hae-Kwan" last="Cheong">Hae-Kwan Cheong</name><affiliation wicri:level="1"><nlm:aff id="af6-epih-40-e2018014">Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine, Suwon,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Park, Woo Jung" sort="Park, Woo Jung" uniqKey="Park W" first="Woo-Jung" last="Park">Woo-Jung Park</name><affiliation wicri:level="1"><nlm:aff id="af2-epih-40-e2018014">Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Cheongju,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Park, Sung Han" sort="Park, Sung Han" uniqKey="Park S" first="Sung Han" last="Park">Sung Han Park</name><affiliation wicri:level="1"><nlm:aff id="af2-epih-40-e2018014">Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Cheongju,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Choi, Bo Youl" sort="Choi, Bo Youl" uniqKey="Choi B" first="Bo Youl" last="Choi">Bo Youl Choi</name><affiliation wicri:level="1"><nlm:aff id="af7-epih-40-e2018014">Department of Preventive Medicine, Hanyang University College of Medicine, Seoul,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Sung Soon" sort="Kim, Sung Soon" uniqKey="Kim S" first="Sung Soon" last="Kim">Sung Soon Kim</name><affiliation wicri:level="1"><nlm:aff id="af2-epih-40-e2018014">Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Cheongju,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><affiliation wicri:level="1"><nlm:aff id="af1-epih-40-e2018014">Department of Cancer Control and Population Health, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Epidemiology and Health</title><idno type="eISSN">2092-7193</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Asymptomatic Diseases (epidemiology)</term><term>Coronavirus Infections (epidemiology)</term><term>Cross Infection (epidemiology)</term><term>Disease Outbreaks</term><term>Enzyme-Linked Immunosorbent Assay</term><term>Health Personnel (statistics & numerical data)</term><term>Humans</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>Republic of Korea (epidemiology)</term><term>Seroepidemiologic Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term><term>Flambées de maladies</term><term>Humains</term><term>Infection croisée (épidémiologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Maladies asymptomatiques (épidémiologie)</term><term>Personnel de santé ()</term><term>République de Corée (épidémiologie)</term><term>Test ELISA</term><term>Études séroépidémiologiques</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Asymptomatic Diseases</term><term>Coronavirus Infections</term><term>Cross Infection</term><term>Republic of Korea</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="statistics & numerical data" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infection croisée</term><term>Infections à coronavirus</term><term>Maladies asymptomatiques</term><term>République de Corée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Disease Outbreaks</term><term>Enzyme-Linked Immunosorbent Assay</term><term>Humans</term><term>Seroepidemiologic Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Flambées de maladies</term><term>Humains</term><term>Personnel de santé</term><term>Test ELISA</term><term>Études séroépidémiologiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVES</title><p>The rates of asymptomatic infection with Middle East Respiratory Syndrome (MERS) coronavirus vary. A serologic study was conducted to determine the asymptomatic MERS infection rate in healthcare workers and non-healthcare workers by exposure status.</p></sec><sec><title>METHODS</title><p>Study participants were selected from contacts of MERS patients based on a priority system in 4 regions strongly affected by the 2015 MERS outbreak. A sero-epidemiological survey was performed in 1,610 contacts (average duration from exposure to test, 4.8 months), and the collected sera were tested using an enzyme-linked immunespecific assay (ELISA), immunofluorescence assay (IFA), and plaque reduction neutralization antibody test (PRNT). Among the 1,610 contacts, there were 7 ELISA-positive cases, of which 1 exhibited positive IFA and PRNT results.</p></sec><sec><title>RESULTS</title><p>The asymptomatic infection rate was 0.060% (95% confidence interval, 0.002 to 0.346). The asymptomatic MERS case was a patient who had been hospitalized with patient zero on the same floor of the hospital at the same time. The case was quarantined at home for 2 weeks after discharge, and had underlying diseases, including hypertension, angina, and degenerative arthritis.</p></sec><sec><title>CONCLUSIONS</title><p>The asymptomatic infection was acquired via healthcare-associated transmission. 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Nsour</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cao, Wc" uniqKey="Cao W">WC Cao</name></author><author><name sortKey="Liu, W" uniqKey="Liu W">W Liu</name></author><author><name sortKey="Zhang, Ph" uniqKey="Zhang P">PH Zhang</name></author><author><name sortKey="Zhang, F" uniqKey="Zhang F">F Zhang</name></author><author><name sortKey="Richardus, Jh" uniqKey="Richardus J">JH Richardus</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Song, Yeong Jun" sort="Song, Yeong Jun" uniqKey="Song Y" first="Yeong-Jun" last="Song">Yeong-Jun Song</name></noRegion><name sortKey="Cheong, Hae Kwan" sort="Cheong, Hae Kwan" uniqKey="Cheong H" first="Hae-Kwan" last="Cheong">Hae-Kwan Cheong</name><name sortKey="Choi, Bo Youl" sort="Choi, Bo Youl" uniqKey="Choi B" first="Bo Youl" last="Choi">Bo Youl Choi</name><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><name sortKey="Kim, Sung Soon" sort="Kim, Sung Soon" uniqKey="Kim S" first="Sung Soon" last="Kim">Sung Soon Kim</name><name sortKey="Lee, Soon Young" sort="Lee, Soon Young" uniqKey="Lee S" first="Soon Young" last="Lee">Soon Young Lee</name><name sortKey="Nam, Hae Sung" sort="Nam, Hae Sung" uniqKey="Nam H" first="Hae-Sung" last="Nam">Hae-Sung Nam</name><name sortKey="Park, Sung Han" sort="Park, Sung Han" uniqKey="Park S" first="Sung Han" last="Park">Sung Han Park</name><name sortKey="Park, Woo Jung" sort="Park, Woo Jung" uniqKey="Park W" first="Woo-Jung" last="Park">Woo-Jung Park</name><name sortKey="Yang, Jeong Sun" sort="Yang, Jeong Sun" uniqKey="Yang J" first="Jeong-Sun" last="Yang">Jeong-Sun Yang</name><name sortKey="Yoon, Hee Jung" sort="Yoon, Hee Jung" uniqKey="Yoon H" first="Hee Jung" last="Yoon">Hee Jung Yoon</name></country></tree></affiliations></record>Pour manipuler ce document sous 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