Influenza is more common than Middle East Respiratory Syndrome Coronavirus (MERS-CoV) among hospitalized adult Saudi patients
Identifieur interne : 000D33 ( Main/Exploration ); précédent : 000D32; suivant : 000D34Influenza is more common than Middle East Respiratory Syndrome Coronavirus (MERS-CoV) among hospitalized adult Saudi patients
Auteurs : Jaffar A. Al-Tawfiq [Arabie saoudite, États-Unis] ; Ali A. Rabaan [Arabie saoudite] ; Kareem Hinedi [Arabie saoudite]Source :
- Travel Medicine and Infectious Disease [ 1477-8939 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Arabie saoudite (épidémiologie), Coronavirus du syndrome respiratoire du Moyen-Orient (physiologie), Diagnostic différentiel, Grippe humaine (diagnostic), Grippe humaine (épidémiologie), Humains, Hôpitaux (), Infections communautaires (virologie), Infections communautaires (épidémiologie), Infections à coronavirus (diagnostic), Infections à coronavirus (épidémiologie), Orthomyxoviridae (physiologie), Pneumopathie virale (diagnostic), Pneumopathie virale (virologie), Pneumopathie virale (épidémiologie), Surveillance de la population.
- MESH :
- diagnostic : Grippe humaine, Infections à coronavirus, Pneumopathie virale.
- physiologie : Coronavirus du syndrome respiratoire du Moyen-Orient, Orthomyxoviridae.
- virologie : Infections communautaires, Pneumopathie virale.
- épidémiologie : Arabie saoudite, Grippe humaine, Infections communautaires, Infections à coronavirus, Pneumopathie virale.
- Adulte, Diagnostic différentiel, Humains, Hôpitaux, Surveillance de la population.
English descriptors
- KwdEn :
- Adult, Community-Acquired Infections (epidemiology), Community-Acquired Infections (virology), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Diagnosis, Differential, Hospitals (statistics & numerical data), Humans, Influenza, Human (diagnosis), Influenza, Human (epidemiology), Middle East Respiratory Syndrome Coronavirus (physiology), Orthomyxoviridae (physiology), Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Pneumonia, Viral (virology), Population Surveillance, Saudi Arabia (epidemiology).
- MESH :
- diagnosis : Coronavirus Infections, Influenza, Human, Pneumonia, Viral.
- epidemiology : Community-Acquired Infections, Coronavirus Infections, Influenza, Human, Pneumonia, Viral, Saudi Arabia.
- physiology : Middle East Respiratory Syndrome Coronavirus, Orthomyxoviridae.
- statistics & numerical data : Hospitals.
- virology : Community-Acquired Infections, Pneumonia, Viral.
- Adult, Diagnosis, Differential, Humans, Population Surveillance.
Abstract
Since the initial description of Middle East Respiratory Syndrome Coronavirus (MERS-CoV), we adopted a systematic process of screening patients admitted with community acquired pneumonia. Here, we report the result of the surveillance activity in a general hospital in Saudi Arabia over a four year period.
All admitted patients with community acquired pneumonia from 2012 to 2016 were tested for MERS-CoV. In addition, testing for influenza viruses was carried out starting April 2015.
During the study period, a total of 2657 patients were screened for MERS-CoV and only 20 (0.74%) tested positive. From January 2015 to December 2016, a total of 1644 patients were tested for both MERS-CoV and influenza. None of the patients tested positive for MERS-CoV and 271 (16.4%) were positive for influenza. The detected influenza viruses were Influenza A (107, 6.5%), pandemic 2009 H1N1 (n = 120, 7.3%), and Influenza B (n = 44, 2.7%). Pandemic H1N1 was the most common influenza in 2015 with a peak in peaked October to December and influenza A other than H1N1 was more common in 2016 with a peak in August and then October to December.
MERS-CoV was a rare cause of community acquired pneumonia and other viral causes including influenza were much more common. Thus, admitted patients are potentially manageable with Oseltamivir or Zanamivir therapy.
Url:
DOI: 10.1016/j.tmaid.2017.10.004
PubMed: 29031867
PubMed Central: 7110697
Affiliations:
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Le document en format XML
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Al-Tawfiq</name><affiliation wicri:level="1"><nlm:aff id="aff1">Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="aff2">Indiana University School of Medicine, Indianapolis, IN, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Indiana University School of Medicine, Indianapolis, IN</wicri:regionArea><placeName><region type="state">Indiana</region></placeName></affiliation></author><author><name sortKey="Rabaan, Ali A" sort="Rabaan, Ali A" uniqKey="Rabaan A" first="Ali A." last="Rabaan">Ali A. Rabaan</name><affiliation wicri:level="1"><nlm:aff id="aff3">Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation></author><author><name sortKey="Hinedi, Kareem" sort="Hinedi, Kareem" uniqKey="Hinedi K" first="Kareem" last="Hinedi">Kareem Hinedi</name><affiliation wicri:level="1"><nlm:aff id="aff4">Division of Hospital Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>Division of Hospital Medicine, Johns Hopkins Aramco Healthcare, Dhahran</wicri:regionArea><wicri:noRegion>Dhahran</wicri:noRegion></affiliation></author></analytic><series><title level="j">Travel Medicine and Infectious Disease</title><idno type="ISSN">1477-8939</idno><idno type="eISSN">1873-0442</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Community-Acquired Infections (epidemiology)</term><term>Community-Acquired Infections (virology)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (epidemiology)</term><term>Diagnosis, Differential</term><term>Hospitals (statistics & numerical data)</term><term>Humans</term><term>Influenza, Human (diagnosis)</term><term>Influenza, Human (epidemiology)</term><term>Middle East Respiratory Syndrome Coronavirus (physiology)</term><term>Orthomyxoviridae (physiology)</term><term>Pneumonia, Viral (diagnosis)</term><term>Pneumonia, Viral (epidemiology)</term><term>Pneumonia, Viral (virology)</term><term>Population Surveillance</term><term>Saudi Arabia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Arabie saoudite (épidémiologie)</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (physiologie)</term><term>Diagnostic différentiel</term><term>Grippe humaine (diagnostic)</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Hôpitaux ()</term><term>Infections communautaires (virologie)</term><term>Infections communautaires (épidémiologie)</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (épidémiologie)</term><term>Orthomyxoviridae (physiologie)</term><term>Pneumopathie virale (diagnostic)</term><term>Pneumopathie virale (virologie)</term><term>Pneumopathie virale (épidémiologie)</term><term>Surveillance de la population</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term><term>Influenza, Human</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Grippe humaine</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Community-Acquired Infections</term><term>Coronavirus Infections</term><term>Influenza, Human</term><term>Pneumonia, Viral</term><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Orthomyxoviridae</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term><term>Orthomyxoviridae</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Hospitals</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections communautaires</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Community-Acquired Infections</term><term>Pneumonia, Viral</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Arabie saoudite</term><term>Grippe humaine</term><term>Infections communautaires</term><term>Infections à coronavirus</term><term>Pneumopathie virale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Diagnosis, Differential</term><term>Humans</term><term>Population Surveillance</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Diagnostic différentiel</term><term>Humains</term><term>Hôpitaux</term><term>Surveillance de la population</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Since the initial description of Middle East Respiratory Syndrome Coronavirus (MERS-CoV), we adopted a systematic process of screening patients admitted with community acquired pneumonia. Here, we report the result of the surveillance activity in a general hospital in Saudi Arabia over a four year period.</p></sec><sec><title>Materials and methods</title><p>All admitted patients with community acquired pneumonia from 2012 to 2016 were tested for MERS-CoV. In addition, testing for influenza viruses was carried out starting April 2015.</p></sec><sec><title>Results</title><p>During the study period, a total of 2657 patients were screened for MERS-CoV and only 20 (0.74%) tested positive. From January 2015 to December 2016, a total of 1644 patients were tested for both MERS-CoV and influenza. None of the patients tested positive for MERS-CoV and 271 (16.4%) were positive for influenza. The detected influenza viruses were Influenza A (107, 6.5%), pandemic 2009 H1N1 (n = 120, 7.3%), and Influenza B (n = 44, 2.7%). Pandemic H1N1 was the most common influenza in 2015 with a peak in peaked October to December and influenza A other than H1N1 was more common in 2016 with a peak in August and then October to December.</p></sec><sec><title>Conclusions</title><p>MERS-CoV was a rare cause of community acquired pneumonia and other viral causes including influenza were much more common. Thus, admitted patients are potentially manageable with Oseltamivir or Zanamivir therapy.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zaki, A M" uniqKey="Zaki A">A.M. Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S. van Boheemen</name></author><author><name sortKey="Bestebroer, T M" uniqKey="Bestebroer T">T.M. Bestebroer</name></author><author><name sortKey="Osterhaus, A D M E" uniqKey="Osterhaus A">A.D.M.E. Osterhaus</name></author><author><name sortKey="Fouchier, R A M" uniqKey="Fouchier R">R.A.M. 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