Nosocomial amplification of MERS-coronavirus in South Korea, 2015
Identifieur interne : 000C58 ( Main/Exploration ); précédent : 000C57; suivant : 000C59Nosocomial amplification of MERS-coronavirus in South Korea, 2015
Auteurs : Maimuna S. Majumder [États-Unis] ; John S. Brownstein [États-Unis] ; Stan N. Finkelstein [États-Unis] ; Richard C. Larson [États-Unis] ; Lydia Bourouiba [États-Unis]Source :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 0035-9203 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Co-infection (transmission), Co-infection (virologie), Co-infection (étiologie), Coronavirus du syndrome respiratoire du Moyen-Orient, Environnement, Femelle, Flambées de maladies, Humains, Hôpitaux, Infection croisée (virologie), Infections à coronavirus (mortalité), Infections à coronavirus (transmission), Infections à coronavirus (virologie), Infections à coronavirus (étiologie), Mâle, République de Corée (épidémiologie), Sujet âgé, Ventilation.
- MESH :
- mortalité : Infections à coronavirus.
- virologie : Co-infection, Infection croisée, Infections à coronavirus.
- épidémiologie : Co-infection, Infections à coronavirus, République de Corée.
- étiologie : Co-infection, Infections à coronavirus.
- Adulte, Adulte d'âge moyen, Coronavirus du syndrome respiratoire du Moyen-Orient, Environnement, Femelle, Flambées de maladies, Humains, Hôpitaux, Mâle, Sujet âgé, Ventilation.
English descriptors
- KwdEn :
- Adult, Aged, Coinfection (etiology), Coinfection (transmission), Coinfection (virology), Coronavirus Infections (etiology), Coronavirus Infections (mortality), Coronavirus Infections (transmission), Coronavirus Infections (virology), Cross Infection (virology), Disease Outbreaks, Environment, Female, Hospitals, Humans, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus, Republic of Korea (epidemiology), Ventilation.
- MESH :
- epidemiology : Republic of Korea.
- etiology : Coinfection, Coronavirus Infections.
- mortality : Coronavirus Infections.
- transmission : Coinfection, Coronavirus Infections.
- virology : Coinfection, Coronavirus Infections, Cross Infection.
- Adult, Aged, Disease Outbreaks, Environment, Female, Hospitals, Humans, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus, Ventilation.
Abstract
Nosocomial amplification resulted in nearly 200 cases of Middle East respiratory syndrome (MERS) during the 2015 South Korean MERS-coronavirus outbreak. It remains unclear whether certain types of cases were more likely to cause secondary infections than others, and if so, why.
Publicly available demographic and transmission network data for all cases were collected from the Ministry of Health and Welfare. Statistical analyses were conducted to determine the relationship between demographic characteristics and the likelihood of human-to-human transmission. Findings from the statistical analyses were used to inform a hypothesis-directed literature review, through which mechanistic explanations for nosocomial amplification were developed.
Cases that failed to recover from MERS were more likely to cause secondary infections than those that did. Increased probability of direct, human-to-human transmission due to clinical manifestations associated with death, as well as indirect transmission via environmental contamination (e.g., fomites and indoor ventilation systems), may serve as mechanistic explanations for nosocomial amplification of MERS-coronavirus in South Korea.
In addition to closely monitoring contacts of MERS cases that fail to recover during future nosocomial outbreaks, potential fomites with which they may have had contact should be sanitized. Furthermore, indoor ventilation systems that minimize recirculation of pathogen-bearing droplets should be implemented whenever possible.
Url:
DOI: 10.1093/trstmh/trx046
PubMed: 29044371
PubMed Central: 6257029
Affiliations:
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Le document en format XML
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Majumder</name><affiliation wicri:level="2"><nlm:aff id="trx046af1"><addr-line>Institute for Data, Systems, and Society</addr-line>,<addr-line>Massachusetts Institute of Technology</addr-line>,<addr-line>Cambridge, MA, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cambridge, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="trx046af2"><addr-line>Computational Epidemiology Group</addr-line>,<addr-line>Boston Children's Hospital</addr-line>,<addr-line>Boston, MA, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Boston, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Brownstein, John S" sort="Brownstein, John S" uniqKey="Brownstein J" first="John S" last="Brownstein">John S. 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Larson</name><affiliation wicri:level="2"><nlm:aff id="trx046af1"><addr-line>Institute for Data, Systems, and Society</addr-line>,<addr-line>Massachusetts Institute of Technology</addr-line>,<addr-line>Cambridge, MA, USA</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Cambridge, MA</wicri:regionArea><placeName><region type="state">Massachusetts</region></placeName></affiliation></author><author><name sortKey="Bourouiba, Lydia" sort="Bourouiba, Lydia" uniqKey="Bourouiba L" first="Lydia" last="Bourouiba">Lydia Bourouiba</name><affiliation wicri:level="1"><nlm:aff id="trx046af5"><addr-line>The Fluid Dynamics of Disease Transmission Laboratory</addr-line>,<addr-line>Massachusetts Institute of Technology</addr-line>,<addr-line>Cambridge, MA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><idno type="ISSN">0035-9203</idno><idno type="eISSN">1878-3503</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Coinfection (etiology)</term><term>Coinfection (transmission)</term><term>Coinfection (virology)</term><term>Coronavirus Infections (etiology)</term><term>Coronavirus Infections (mortality)</term><term>Coronavirus Infections (transmission)</term><term>Coronavirus Infections (virology)</term><term>Cross Infection (virology)</term><term>Disease Outbreaks</term><term>Environment</term><term>Female</term><term>Hospitals</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus</term><term>Republic of Korea (epidemiology)</term><term>Ventilation</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Co-infection (transmission)</term><term>Co-infection (virologie)</term><term>Co-infection (étiologie)</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Environnement</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux</term><term>Infection croisée (virologie)</term><term>Infections à coronavirus (mortalité)</term><term>Infections à coronavirus (transmission)</term><term>Infections à coronavirus (virologie)</term><term>Infections à coronavirus (étiologie)</term><term>Mâle</term><term>République de Corée (épidémiologie)</term><term>Sujet âgé</term><term>Ventilation</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Republic of Korea</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Coinfection</term><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="transmission" xml:lang="en"><term>Coinfection</term><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Co-infection</term><term>Infection croisée</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coinfection</term><term>Coronavirus Infections</term><term>Cross Infection</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Co-infection</term><term>Infections à coronavirus</term><term>République de Corée</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Co-infection</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Disease Outbreaks</term><term>Environment</term><term>Female</term><term>Hospitals</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus</term><term>Ventilation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Environnement</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Hôpitaux</term><term>Mâle</term><term>Sujet âgé</term><term>Ventilation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec id="trx046s1"><title>Background</title><p>Nosocomial amplification resulted in nearly 200 cases of Middle East respiratory syndrome (MERS) during the 2015 South Korean MERS-coronavirus outbreak. It remains unclear whether certain types of cases were more likely to cause secondary infections than others, and if so, why.</p></sec><sec id="trx046s2" sec-type="methods"><title>Methods</title><p>Publicly available demographic and transmission network data for all cases were collected from the Ministry of Health and Welfare. Statistical analyses were conducted to determine the relationship between demographic characteristics and the likelihood of human-to-human transmission. Findings from the statistical analyses were used to inform a hypothesis-directed literature review, through which mechanistic explanations for nosocomial amplification were developed.</p></sec><sec id="trx046s3" sec-type="results"><title>Results</title><p>Cases that failed to recover from MERS were more likely to cause secondary infections than those that did. Increased probability of direct, human-to-human transmission due to clinical manifestations associated with death, as well as indirect transmission via environmental contamination (e.g., fomites and indoor ventilation systems), may serve as mechanistic explanations for nosocomial amplification of MERS-coronavirus in South Korea.</p></sec><sec id="trx046s4" sec-type="conclusions"><title>Conclusions</title><p>In addition to closely monitoring contacts of MERS cases that fail to recover during future nosocomial outbreaks, potential fomites with which they may have had contact should be sanitized. Furthermore, indoor ventilation systems that minimize recirculation of pathogen-bearing droplets should be implemented whenever possible.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author><author><name sortKey="Cotton, M" uniqKey="Cotton M">M Cotton</name></author><author><name sortKey="Meyer, B" uniqKey="Meyer B">B Meyer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raj, Vs" uniqKey="Raj V">VS Raj</name></author><author><name sortKey="Osterhaus, Ad" uniqKey="Osterhaus A">AD Osterhaus</name></author><author><name sortKey="Fouchier, Ra" uniqKey="Fouchier R">RA Fouchier</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chu, Kh" uniqKey="Chu K">KH Chu</name></author><author><name sortKey="Tsang, Wk" 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S. Majumder</name></region><name sortKey="Bourouiba, Lydia" sort="Bourouiba, Lydia" uniqKey="Bourouiba L" first="Lydia" last="Bourouiba">Lydia Bourouiba</name><name sortKey="Brownstein, John S" sort="Brownstein, John S" uniqKey="Brownstein J" first="John S" last="Brownstein">John S. Brownstein</name><name sortKey="Brownstein, John S" sort="Brownstein, John S" uniqKey="Brownstein J" first="John S" last="Brownstein">John S. Brownstein</name><name sortKey="Finkelstein, Stan N" sort="Finkelstein, Stan N" uniqKey="Finkelstein S" first="Stan N" last="Finkelstein">Stan N. Finkelstein</name><name sortKey="Finkelstein, Stan N" sort="Finkelstein, Stan N" uniqKey="Finkelstein S" first="Stan N" last="Finkelstein">Stan N. Finkelstein</name><name sortKey="Larson, Richard C" sort="Larson, Richard C" uniqKey="Larson R" first="Richard C" last="Larson">Richard C. Larson</name><name sortKey="Majumder, Maimuna S" sort="Majumder, Maimuna S" uniqKey="Majumder M" first="Maimuna S" last="Majumder">Maimuna S. 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