Outcome of strict implementation of infection prevention control measures during an outbreak of Middle East respiratory syndrome
Identifieur interne : 000C46 ( Main/Exploration ); précédent : 000C45; suivant : 000C47Outcome of strict implementation of infection prevention control measures during an outbreak of Middle East respiratory syndrome
Auteurs : Hassan E. El Bushra [Arabie saoudite] ; Hussain A. Al Arbash [Arabie saoudite] ; Mutaz Mohammed [Arabie saoudite] ; Osman Abdalla [Arabie saoudite] ; Mohamed N. Abdallah [Arabie saoudite] ; Zayid K. Al-Mayahi [Arabie saoudite] ; Abdallah M. Assiri [Arabie saoudite] ; Abdulaziz A. Binsaeed [Arabie saoudite]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Coronavirus Infections (epidemiology), Coronavirus Infections (prevention & control), Cross Infection (prevention & control), Disease Outbreaks, Disease Transmission, Infectious (prevention & control), Humans, Infection Control (methods), Retrospective Studies, Saudi Arabia (epidemiology), Tertiary Care Centers.
- MESH :
- epidemiology : Coronavirus Infections, Saudi Arabia.
- methods : Infection Control.
- prevention & control : Coronavirus Infections, Cross Infection, Disease Transmission, Infectious.
- Disease Outbreaks, Humans, Retrospective Studies, Tertiary Care Centers.
Abstract
The objective of this retrospective cohort study was to assess the impact of implementation of different levels of infection prevention and control (IPC) measures during an outbreak of Middle East respiratory syndrome (MERS) in a large tertiary hospital in Saudi Arabia. The setting was an emergency room (ER) in a large tertiary hospital and included primary and secondary MERS patients.
Rapid response teams conducted repeated assessments of IPC and monitored implementation of corrective measures using a detailed structured checklist. We ascertained the epidemiologic link between patients and calculated the secondary attack rate per 10,000 patients visiting the ER (SAR/10,000) in 3 phases of the outbreak.
In phase I, 6 primary cases gave rise to 48 secondary cases over 4 generations, including a case that resulted in 9 cases in the first generation of secondary cases and 21 cases over a chain of 4 generations. During the second and third phases, the number of secondary cases sharply dropped to 18 cases and 1 case, respectively, from a comparable number of primary cases. The SAR/10,000 dropped from 75 (95% confidence interval [CI], 55-99) in phase I to 29 (95% CI, 17-46) and 3 (95% CI, 0-17) in phases II and III, respectively.
The study demonstrated salient evidence that proper institution of IPC measures during management of an outbreak of MERS could remarkably change the course of the outbreak.
Url:
DOI: 10.1016/j.ajic.2016.12.020
PubMed: 28189413
PubMed Central: 7132728
Affiliations:
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El Bushra</name><affiliation wicri:level="1"><nlm:aff id="af0010">Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Field Epidemiology Training Program, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Al Arbash, Hussain A" sort="Al Arbash, Hussain A" uniqKey="Al Arbash H" first="Hussain A." last="Al Arbash">Hussain A. Al Arbash</name><affiliation wicri:level="1"><nlm:aff id="af0010">Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Field Epidemiology Training Program, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Mohammed, Mutaz" sort="Mohammed, Mutaz" uniqKey="Mohammed M" first="Mutaz" last="Mohammed">Mutaz Mohammed</name><affiliation wicri:level="1"><nlm:aff id="af0015">General Directorate for Control of Communicable Disease, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>General Directorate for Control of Communicable Disease, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Abdalla, Osman" sort="Abdalla, Osman" uniqKey="Abdalla O" first="Osman" last="Abdalla">Osman Abdalla</name><affiliation wicri:level="1"><nlm:aff id="af0015">General Directorate for Control of Communicable Disease, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>General Directorate for Control of Communicable Disease, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Abdallah, Mohamed N" sort="Abdallah, Mohamed N" uniqKey="Abdallah M" first="Mohamed N." last="Abdallah">Mohamed N. Abdallah</name><affiliation wicri:level="1"><nlm:aff id="af0010">Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Field Epidemiology Training Program, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Al Mayahi, Zayid K" sort="Al Mayahi, Zayid K" uniqKey="Al Mayahi Z" first="Zayid K." last="Al-Mayahi">Zayid K. Al-Mayahi</name><affiliation wicri:level="1"><nlm:aff id="af0010">Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Field Epidemiology Training Program, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Assiri, Abdallah M" sort="Assiri, Abdallah M" uniqKey="Assiri A" first="Abdallah M." last="Assiri">Abdallah M. Assiri</name><affiliation wicri:level="1"><nlm:aff id="af0020">Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Deputyship for Public Health, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation></author><author><name sortKey="Binsaeed, Abdulaziz A" sort="Binsaeed, Abdulaziz A" uniqKey="Binsaeed A" first="Abdulaziz A." last="Binsaeed">Abdulaziz A. Binsaeed</name><affiliation wicri:level="1"><nlm:aff id="af0020">Deputyship for Public Health, Ministry of Health, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Deputyship for Public Health, Ministry of Health, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af0025">King Saud University, Riyadh, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Saud University, Riyadh</wicri:regionArea><wicri:noRegion>Riyadh</wicri:noRegion></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="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (prevention & control)</term><term>Cross Infection (prevention & control)</term><term>Disease Outbreaks</term><term>Disease Transmission, Infectious (prevention & control)</term><term>Humans</term><term>Infection Control (methods)</term><term>Retrospective Studies</term><term>Saudi Arabia (epidemiology)</term><term>Tertiary Care Centers</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Arabie saoudite (épidémiologie)</term><term>Centres de soins tertiaires</term><term>Flambées de maladies</term><term>Humains</term><term>Infection croisée ()</term><term>Infections à coronavirus ()</term><term>Infections à coronavirus (épidémiologie)</term><term>Lutte contre l'infection ()</term><term>Transmission de maladie infectieuse ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term><term>Cross Infection</term><term>Disease Transmission, Infectious</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>Disease Outbreaks</term><term>Humans</term><term>Retrospective Studies</term><term>Tertiary Care Centers</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Centres de soins tertiaires</term><term>Flambées de maladies</term><term>Humains</term><term>Infection croisée</term><term>Infections à coronavirus</term><term>Lutte contre l'infection</term><term>Transmission de maladie infectieuse</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The objective of this retrospective cohort study was to assess the impact of implementation of different levels of infection prevention and control (IPC) measures during an outbreak of Middle East respiratory syndrome (MERS) in a large tertiary hospital in Saudi Arabia. The setting was an emergency room (ER) in a large tertiary hospital and included primary and secondary MERS patients.</p></sec><sec><title>Methods</title><p>Rapid response teams conducted repeated assessments of IPC and monitored implementation of corrective measures using a detailed structured checklist. We ascertained the epidemiologic link between patients and calculated the secondary attack rate per 10,000 patients visiting the ER (SAR/10,000) in 3 phases of the outbreak.</p></sec><sec><title>Results</title><p>In phase I, 6 primary cases gave rise to 48 secondary cases over 4 generations, including a case that resulted in 9 cases in the first generation of secondary cases and 21 cases over a chain of 4 generations. During the second and third phases, the number of secondary cases sharply dropped to 18 cases and 1 case, respectively, from a comparable number of primary cases. The SAR/10,000 dropped from 75 (95% confidence interval [CI], 55-99) in phase I to 29 (95% CI, 17-46) and 3 (95% CI, 0-17) in phases II and III, respectively.</p></sec><sec><title>Conclusions</title><p>The study demonstrated salient evidence that proper institution of IPC measures during management of an outbreak of MERS could remarkably change the course of the outbreak.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Arabi, Y M" uniqKey="Arabi Y">Y.M. Arabi</name></author><author><name sortKey="Arifi, A A" uniqKey="Arifi A">A.A. Arifi</name></author><author><name sortKey="Balkhy, H H" uniqKey="Balkhy H">H.H. Balkhy</name></author><author><name sortKey="Najm, H" uniqKey="Najm H">H. Najm</name></author><author><name sortKey="Aldawood, A S" uniqKey="Aldawood A">A.S. Aldawood</name></author><author><name sortKey="Ghabashi, A" uniqKey="Ghabashi A">A. 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Makhdoom</name></author><author><name sortKey="Assiri, A" uniqKey="Assiri A">A. Assiri</name></author><author><name sortKey="Alhakeem, R F" uniqKey="Alhakeem R">R.F. Alhakeem</name></author><author><name sortKey="Albarrak, A" uniqKey="Albarrak A">A. Albarrak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, H Y" uniqKey="Park H">H.Y. Park</name></author><author><name sortKey="Lee, E J" uniqKey="Lee E">E.J. Lee</name></author><author><name sortKey="Ryu, Y W" uniqKey="Ryu Y">Y.W. Ryu</name></author><author><name sortKey="Kim, Y" uniqKey="Kim Y">Y. Kim</name></author><author><name sortKey="Kim, H" uniqKey="Kim H">H. Kim</name></author><author><name sortKey="Lee, H" uniqKey="Lee H">H. Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="European Centre For Disease Prevention And Control" uniqKey="European Centre For Disease Prevention And Control">European Centre for Disease Prevention and Control</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcdonald, C" uniqKey="Mcdonald C">C. McDonald</name></author><author><name sortKey="Simor, A E" uniqKey="Simor A">A.E. Simor</name></author><author><name sortKey="Su, I J" uniqKey="Su I">I.-J. Su</name></author><author><name sortKey="Maloney, S" uniqKey="Maloney S">S. Maloney</name></author><author><name sortKey="Ofner, M" uniqKey="Ofner M">M. Ofner</name></author><author><name sortKey="Chen, K T" uniqKey="Chen K">K.T. Chen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Arabie saoudite</li></country></list><tree><country name="Arabie saoudite"><noRegion><name sortKey="El Bushra, Hassan E" sort="El Bushra, Hassan E" uniqKey="El Bushra H" first="Hassan E." last="El Bushra">Hassan E. El Bushra</name></noRegion><name sortKey="Abdalla, Osman" sort="Abdalla, Osman" uniqKey="Abdalla O" first="Osman" last="Abdalla">Osman Abdalla</name><name sortKey="Abdallah, Mohamed N" sort="Abdallah, Mohamed N" uniqKey="Abdallah M" first="Mohamed N." last="Abdallah">Mohamed N. Abdallah</name><name sortKey="Al Arbash, Hussain A" sort="Al Arbash, Hussain A" uniqKey="Al Arbash H" first="Hussain A." last="Al Arbash">Hussain A. Al Arbash</name><name sortKey="Al Mayahi, Zayid K" sort="Al Mayahi, Zayid K" uniqKey="Al Mayahi Z" first="Zayid K." last="Al-Mayahi">Zayid K. Al-Mayahi</name><name sortKey="Assiri, Abdallah M" sort="Assiri, Abdallah M" uniqKey="Assiri A" first="Abdallah M." last="Assiri">Abdallah M. Assiri</name><name sortKey="Binsaeed, Abdulaziz A" sort="Binsaeed, Abdulaziz A" uniqKey="Binsaeed A" first="Abdulaziz A." last="Binsaeed">Abdulaziz A. Binsaeed</name><name sortKey="Binsaeed, Abdulaziz A" sort="Binsaeed, Abdulaziz A" uniqKey="Binsaeed A" first="Abdulaziz A." last="Binsaeed">Abdulaziz A. Binsaeed</name><name sortKey="Mohammed, Mutaz" sort="Mohammed, Mutaz" uniqKey="Mohammed M" first="Mutaz" last="Mohammed">Mutaz Mohammed</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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