Patterns of Human Respiratory Viruses and Lack of MERS-Coronavirus in Patients with Acute Upper Respiratory Tract Infections in Southwestern Province of Saudi Arabia
Identifieur interne : 000C41 ( Main/Exploration ); précédent : 000C40; suivant : 000C42Patterns of Human Respiratory Viruses and Lack of MERS-Coronavirus in Patients with Acute Upper Respiratory Tract Infections in Southwestern Province of Saudi Arabia
Auteurs : Ahmed A. Abdulhaq [Arabie saoudite] ; Vinod Kumar Basode [Arabie saoudite] ; Anwar M. Hashem [Arabie saoudite] ; Ahmed S. Alshrari [Arabie saoudite] ; Nassrin A. Badroon [Arabie saoudite] ; Ahmed M. Hassan [Arabie saoudite] ; Tagreed L. Alsubhi [Arabie saoudite] ; Yahia Solan [Arabie saoudite] ; Saleh Ejeeli [Arabie saoudite] ; Esam I. Azhar [Arabie saoudite]Source :
- Advances in Virology [ 1687-8639 ] ; 2017.
Abstract
We undertook enhanced surveillance of those presenting with respiratory symptoms at five healthcare centers by testing all symptomatic outpatients between November 2013 and January 2014 (winter time). Nasal swabs were collected from 182 patients and screened for MERS-CoV as well as other respiratory viruses using RT-PCR and multiplex microarray. A total of 75 (41.2%) of these patients had positive viral infection. MERS-CoV was not detected in any of the samples. Human rhinovirus (hRV) was the most detected pathogen (40.9%) followed by non-MERS-CoV human coronaviruses (19.3%), influenza (Flu) viruses (15.9%), and human respiratory syncytial virus (hRSV) (13.6%). Viruses differed markedly depending on age in which hRV, Flu A, and hCoV-OC43 were more prevalent in adults and RSV, hCoV-HKU1, and hCoV-NL63 were mostly restricted to children under the age of 15. Moreover, coinfection was not uncommon in this study, in which 17.3% of the infected patients had dual infections due to several combinations of viruses. Dual infections decreased with age and completely disappeared in people older than 45 years. Our study confirms that MERS-CoV is not common in the southwestern region of Saudi Arabia and shows high diversity and prevalence of other common respiratory viruses. This study also highlights the importance and contribution of enhanced surveillance systems for better infection control.
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DOI: 10.1155/2017/4247853
PubMed: 28348590
PubMed Central: 5350310
Affiliations:
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Hashem</name><affiliation wicri:level="1"><nlm:aff id="I3">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah</wicri:regionArea><wicri:noRegion>Jeddah</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">Department of Medical Microbiology and Parasitology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Medical Microbiology and Parasitology, Faculty of Medicine, King Abdulaziz University, Jeddah</wicri:regionArea><wicri:noRegion>Jeddah</wicri:noRegion></affiliation></author><author><name sortKey="Alshrari, Ahmed S" sort="Alshrari, Ahmed S" uniqKey="Alshrari A" first="Ahmed S." last="Alshrari">Ahmed S. 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Badroon</name><affiliation wicri:level="1"><nlm:aff id="I3">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah</wicri:regionArea><wicri:noRegion>Jeddah</wicri:noRegion></affiliation></author><author><name sortKey="Hassan, Ahmed M" sort="Hassan, Ahmed M" uniqKey="Hassan A" first="Ahmed M." last="Hassan">Ahmed M. 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Azhar</name><affiliation wicri:level="1"><nlm:aff id="I3">Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Special Infectious Agents Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah</wicri:regionArea><wicri:noRegion>Jeddah</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I7">Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Department of Medical Laboratory Technology, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah</wicri:regionArea><wicri:noRegion>Jeddah</wicri:noRegion></affiliation></author></analytic><series><title level="j">Advances in Virology</title><idno type="ISSN">1687-8639</idno><idno type="eISSN">1687-8647</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>We undertook enhanced surveillance of those presenting with respiratory symptoms at five healthcare centers by testing all symptomatic outpatients between November 2013 and January 2014 (winter time). Nasal swabs were collected from 182 patients and screened for MERS-CoV as well as other respiratory viruses using RT-PCR and multiplex microarray. A total of 75 (41.2%) of these patients had positive viral infection. MERS-CoV was not detected in any of the samples. Human rhinovirus (hRV) was the most detected pathogen (40.9%) followed by non-MERS-CoV human coronaviruses (19.3%), influenza (Flu) viruses (15.9%), and human respiratory syncytial virus (hRSV) (13.6%). Viruses differed markedly depending on age in which hRV, Flu A, and hCoV-OC43 were more prevalent in adults and RSV, hCoV-HKU1, and hCoV-NL63 were mostly restricted to children under the age of 15. Moreover, coinfection was not uncommon in this study, in which 17.3% of the infected patients had dual infections due to several combinations of viruses. Dual infections decreased with age and completely disappeared in people older than 45 years. Our study confirms that MERS-CoV is not common in the southwestern region of Saudi Arabia and shows high diversity and prevalence of other common respiratory viruses. This study also highlights the importance and contribution of enhanced surveillance systems for better infection control.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kesson, A M" uniqKey="Kesson A">A. M. Kesson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Black, R E" uniqKey="Black R">R. E. Black</name></author><author><name sortKey="Cousens, S" uniqKey="Cousens S">S. Cousens</name></author><author><name sortKey="Johnson, H L" uniqKey="Johnson H">H. L. Johnson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khor, C S" uniqKey="Khor C">C.-S. Khor</name></author><author><name sortKey="Sam, I C" uniqKey="Sam I">I.-C. Sam</name></author><author><name sortKey="Hooi, P S" uniqKey="Hooi P">P.-S. 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Abdulhaq</name></noRegion><name sortKey="Abdulhaq, Ahmed A" sort="Abdulhaq, Ahmed A" uniqKey="Abdulhaq A" first="Ahmed A." last="Abdulhaq">Ahmed A. Abdulhaq</name><name sortKey="Alshrari, Ahmed S" sort="Alshrari, Ahmed S" uniqKey="Alshrari A" first="Ahmed S." last="Alshrari">Ahmed S. Alshrari</name><name sortKey="Alsubhi, Tagreed L" sort="Alsubhi, Tagreed L" uniqKey="Alsubhi T" first="Tagreed L." last="Alsubhi">Tagreed L. Alsubhi</name><name sortKey="Azhar, Esam I" sort="Azhar, Esam I" uniqKey="Azhar E" first="Esam I." last="Azhar">Esam I. Azhar</name><name sortKey="Azhar, Esam I" sort="Azhar, Esam I" uniqKey="Azhar E" first="Esam I." last="Azhar">Esam I. Azhar</name><name sortKey="Badroon, Nassrin A" sort="Badroon, Nassrin A" uniqKey="Badroon N" first="Nassrin A." last="Badroon">Nassrin A. Badroon</name><name sortKey="Basode, Vinod Kumar" sort="Basode, Vinod Kumar" uniqKey="Basode V" first="Vinod Kumar" last="Basode">Vinod Kumar Basode</name><name sortKey="Ejeeli, Saleh" sort="Ejeeli, Saleh" uniqKey="Ejeeli S" first="Saleh" last="Ejeeli">Saleh Ejeeli</name><name sortKey="Hashem, Anwar M" sort="Hashem, Anwar M" uniqKey="Hashem A" first="Anwar M." last="Hashem">Anwar M. Hashem</name><name sortKey="Hashem, Anwar M" sort="Hashem, Anwar M" uniqKey="Hashem A" first="Anwar M." last="Hashem">Anwar M. Hashem</name><name sortKey="Hassan, Ahmed M" sort="Hassan, Ahmed M" uniqKey="Hassan A" first="Ahmed M." last="Hassan">Ahmed M. Hassan</name><name sortKey="Solan, Yahia" sort="Solan, Yahia" uniqKey="Solan Y" first="Yahia" last="Solan">Yahia Solan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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