Healthcare worker infected with Middle East Respiratory Syndrome during cardiopulmonary resuscitation in Korea, 2015
Identifieur interne : 000D71 ( Main/Exploration ); précédent : 000D70; suivant : 000D72Healthcare worker infected with Middle East Respiratory Syndrome during cardiopulmonary resuscitation in Korea, 2015
Auteurs : Hae-Sung Nam [Corée du Sud] ; Mi-Yeon Yeon [Corée du Sud] ; Jung Wan Park [Corée du Sud] ; Jee-Young Hong [Corée du Sud] ; Ji Woong Son [Corée du Sud]Source :
- Epidemiology and Health [ 2092-7193 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Femelle, Flambées de maladies, Humains, Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Infirmières et infirmiers, Mâle, Réanimation cardiopulmonaire (effets indésirables), Réanimation cardiopulmonaire (soins infirmiers), République de Corée (épidémiologie), Sujet âgé de 80 ans ou plus, Transmission de maladie infectieuse du patient au professionnel de santé.
- MESH :
- effets indésirables : Réanimation cardiopulmonaire.
- soins infirmiers : Réanimation cardiopulmonaire.
- épidémiologie : Infections à coronavirus, République de Corée.
- Adulte, Femelle, Flambées de maladies, Humains, Infirmières et infirmiers, Mâle, Sujet âgé de 80 ans ou plus, Transmission de maladie infectieuse du patient au professionnel de santé.
English descriptors
- KwdEn :
- Adult, Aged, 80 and over, Cardiopulmonary Resuscitation (adverse effects), Cardiopulmonary Resuscitation (nursing), Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Disease Outbreaks, Female, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Nurses, Republic of Korea (epidemiology).
- MESH :
- adverse effects : Cardiopulmonary Resuscitation.
- epidemiology : Coronavirus Infections, Republic of Korea.
- nursing : Cardiopulmonary Resuscitation.
- transmission : Coronavirus Infections.
- Adult, Aged, 80 and over, Disease Outbreaks, Female, Humans, Infectious Disease Transmission, Patient-to-Professional, Male, Nurses.
Abstract
During the outbreak of the Middle East Respiratory Syndrome (MERS) in Korea in 2015, the Korea Centers for Disease Control and Prevention (KCDC) confirmed a case of MERS in a healthcare worker in Daejeon, South Korea. To verify the precise route of infection for the case, we conducted an in-depth epidemiological investigation in cooperation with the KCDC.
We reviewed the MERS outbreak investigation report of the KCDC, and interviewed the healthcare worker who had recovered from MERS. Using the media interview data, we reaffirmed and supplemented the nature of the exposure.
The healthcare worker, a nurse, was infected while performing cardiopulmonary resuscitation (CPR) for a MERS patient in an isolation room. During the CPR which lasted for an hour, a large amount of body fluid was splashed. The nurse was presumed to have touched the mask to adjust its position during the CPR. She suggested that she was contaminated with the MERS patient’s body fluids by wiping away the sweat from her face during the CPR.
The possible routes of infection may include the following: respiratory invasion of aerosols contaminated with MERS-coronavirus (MERS-CoV) through a gap between the face and mask; mucosal exposure to sweat contaminated with MERS-CoV; and contamination during doffing of personal protective equipment. The MERS guidelines should reflect this case to decrease the risk of infection during CPR.
Url:
DOI: 10.4178/epih.e2017052
PubMed: 29129042
PubMed Central: 5733382
Affiliations:
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Le document en format XML
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<term>Aged, 80 and over</term>
<term>Cardiopulmonary Resuscitation (adverse effects)</term>
<term>Cardiopulmonary Resuscitation (nursing)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Humans</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Male</term>
<term>Nurses</term>
<term>Republic of Korea (epidemiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Humains</term>
<term>Infections à coronavirus (transmission)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Infirmières et infirmiers</term>
<term>Mâle</term>
<term>Réanimation cardiopulmonaire (effets indésirables)</term>
<term>Réanimation cardiopulmonaire (soins infirmiers)</term>
<term>République de Corée (épidémiologie)</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Réanimation cardiopulmonaire</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Republic of Korea</term>
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<keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Cardiopulmonary Resuscitation</term>
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<keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Réanimation cardiopulmonaire</term>
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<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>République de Corée</term>
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<term>Flambées de maladies</term>
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<term>Infirmières et infirmiers</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVES</title>
<p>During the outbreak of the Middle East Respiratory Syndrome (MERS) in Korea in 2015, the Korea Centers for Disease Control and Prevention (KCDC) confirmed a case of MERS in a healthcare worker in Daejeon, South Korea. To verify the precise route of infection for the case, we conducted an in-depth epidemiological investigation in cooperation with the KCDC.</p>
</sec>
<sec><title>METHODS</title>
<p>We reviewed the MERS outbreak investigation report of the KCDC, and interviewed the healthcare worker who had recovered from MERS. Using the media interview data, we reaffirmed and supplemented the nature of the exposure.</p>
</sec>
<sec><title>RESULTS</title>
<p>The healthcare worker, a nurse, was infected while performing cardiopulmonary resuscitation (CPR) for a MERS patient in an isolation room. During the CPR which lasted for an hour, a large amount of body fluid was splashed. The nurse was presumed to have touched the mask to adjust its position during the CPR. She suggested that she was contaminated with the MERS patient’s body fluids by wiping away the sweat from her face during the CPR.</p>
</sec>
<sec><title>CONCLUSIONS</title>
<p>The possible routes of infection may include the following: respiratory invasion of aerosols contaminated with MERS-coronavirus (MERS-CoV) through a gap between the face and mask; mucosal exposure to sweat contaminated with MERS-CoV; and contamination during doffing of personal protective equipment. The MERS guidelines should reflect this case to decrease the risk of infection during CPR.</p>
</sec>
</div>
</front>
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