Resource impact of managing suspected Middle East respiratory syndrome patients in a UK teaching hospital
Identifieur interne : 001041 ( Main/Exploration ); précédent : 001040; suivant : 001042Resource impact of managing suspected Middle East respiratory syndrome patients in a UK teaching hospital
Auteurs : J. Veater [Royaume-Uni] ; N. Wong [Royaume-Uni] ; I. Stephenson [Royaume-Uni] ; H. Kirk-Granger [Royaume-Uni] ; L. F. Baxter [Royaume-Uni] ; R. Cannon [Royaume-Uni] ; S. Wilson [Royaume-Uni] ; S. Atabani [Royaume-Uni] ; A. Sahota [Royaume-Uni] ; D. Bell [Royaume-Uni] ; M. Wiselka [Royaume-Uni] ; J. W. Tang [Royaume-Uni]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Coûts hospitaliers, Femelle, Humains, Hôpitaux d'enseignement, Infections à coronavirus (), Infections à coronavirus (diagnostic), Mâle, Prise en charge personnalisée du patient (normes), Prise en charge personnalisée du patient (économie), Ressources en santé, Royaume-Uni, Voyage.
- MESH :
- diagnostic : Infections à coronavirus.
- normes : Prise en charge personnalisée du patient.
- économie : Prise en charge personnalisée du patient.
- Adulte, Adulte d'âge moyen, Coûts hospitaliers, Femelle, Humains, Hôpitaux d'enseignement, Infections à coronavirus, Mâle, Ressources en santé, Royaume-Uni, Voyage.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Coronavirus Infections.
- economics : Case Management.
- standards : Case Management.
- therapy : Coronavirus Infections.
- Adult, Female, Health Resources, Hospital Costs, Hospitals, Teaching, Humans, Male, Middle Aged, Travel, United Kingdom.
Abstract
Clinical challenges exist in the management of hospitalized patients returning to the UK with potential Middle East respiratory syndrome coronavirus (MERS-CoV) infection, particularly with its clinical overlap with influenza, as demonstrated in this case-series and cost-analysis review of returning Hajj pilgrims. These patients were hospitalized with acute febrile respiratory illness, initially managed as potential MERS-CoV infections, but were eventually diagnosed with influenza. Additional costs were small, yet enhanced infection prevention measures created significant burdens on isolation rooms and staff time. Planning for predictable events such as Hajj is important for resource management. Here, in-house MERS-CoV diagnostic testing would have facilitated earlier diagnosis and discharge.
Url:
DOI: 10.1016/j.jhin.2016.12.010
PubMed: 28131646
PubMed Central: 7132460
Affiliations:
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Le document en format XML
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Veater</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Wong, N" sort="Wong, N" uniqKey="Wong N" first="N." last="Wong">N. Wong</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Stephenson, I" sort="Stephenson, I" uniqKey="Stephenson I" first="I." last="Stephenson">I. Stephenson</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection, Immunity and Inflammation, University of Leicester, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Kirk Granger, H" sort="Kirk Granger, H" uniqKey="Kirk Granger H" first="H." last="Kirk-Granger">H. Kirk-Granger</name><affiliation wicri:level="1"><nlm:aff id="aff2">Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Baxter, L F" sort="Baxter, L F" uniqKey="Baxter L" first="L. F." last="Baxter">L. F. Baxter</name><affiliation wicri:level="1"><nlm:aff id="aff2">Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Cannon, R" sort="Cannon, R" uniqKey="Cannon R" first="R." last="Cannon">R. Cannon</name><affiliation wicri:level="1"><nlm:aff id="aff2">Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Wilson, S" sort="Wilson, S" uniqKey="Wilson S" first="S." last="Wilson">S. Wilson</name><affiliation wicri:level="3"><nlm:aff id="aff4">Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Atabani, S" sort="Atabani, S" uniqKey="Atabani S" first="S." last="Atabani">S. Atabani</name><affiliation wicri:level="3"><nlm:aff id="aff4">Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham</wicri:regionArea><placeName><settlement type="city">Birmingham</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Midlands de l'Ouest</region></placeName></affiliation></author><author><name sortKey="Sahota, A" sort="Sahota, A" uniqKey="Sahota A" first="A." last="Sahota">A. Sahota</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection, Immunity and Inflammation, University of Leicester, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Bell, D" sort="Bell, D" uniqKey="Bell D" first="D." last="Bell">D. Bell</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection, Immunity and Inflammation, University of Leicester, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Wiselka, M" sort="Wiselka, M" uniqKey="Wiselka M" first="M." last="Wiselka">M. Wiselka</name><affiliation wicri:level="1"><nlm:aff id="aff1">Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection, Immunity and Inflammation, University of Leicester, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author><author><name sortKey="Tang, J W" sort="Tang, J W" uniqKey="Tang J" first="J. W." last="Tang">J. W. Tang</name><affiliation wicri:level="1"><nlm:aff id="aff2">Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Infection, Immunity and Inflammation, University of Leicester, Leicester</wicri:regionArea><wicri:noRegion>Leicester</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Journal of Hospital Infection</title><idno type="ISSN">0195-6701</idno><idno type="eISSN">1532-2939</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Case Management (economics)</term><term>Case Management (standards)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (therapy)</term><term>Female</term><term>Health Resources</term><term>Hospital Costs</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Travel</term><term>United Kingdom</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coûts hospitaliers</term><term>Femelle</term><term>Humains</term><term>Hôpitaux d'enseignement</term><term>Infections à coronavirus ()</term><term>Infections à coronavirus (diagnostic)</term><term>Mâle</term><term>Prise en charge personnalisée du patient (normes)</term><term>Prise en charge personnalisée du patient (économie)</term><term>Ressources en santé</term><term>Royaume-Uni</term><term>Voyage</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Case Management</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Prise en charge personnalisée du patient</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Case Management</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Prise en charge personnalisée du patient</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Health Resources</term><term>Hospital Costs</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Travel</term><term>United Kingdom</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coûts hospitaliers</term><term>Femelle</term><term>Humains</term><term>Hôpitaux d'enseignement</term><term>Infections à coronavirus</term><term>Mâle</term><term>Ressources en santé</term><term>Royaume-Uni</term><term>Voyage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><p>Clinical challenges exist in the management of hospitalized patients returning to the UK with potential Middle East respiratory syndrome coronavirus (MERS-CoV) infection, particularly with its clinical overlap with influenza, as demonstrated in this case-series and cost-analysis review of returning Hajj pilgrims. These patients were hospitalized with acute febrile respiratory illness, initially managed as potential MERS-CoV infections, but were eventually diagnosed with influenza. Additional costs were small, yet enhanced infection prevention measures created significant burdens on isolation rooms and staff time. Planning for predictable events such as Hajj is important for resource management. Here, in-house MERS-CoV diagnostic testing would have facilitated earlier diagnosis and discharge.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="World Health Organization" uniqKey="World Health Organization">World Health Organization</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="World Health Organization" uniqKey="World Health Organization">World Health Organization</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Public Health England" uniqKey="Public Health England">Public Health England</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Centers For Disease Control And Prevention" uniqKey="Centers For Disease Control And Prevention">Centers for Disease Control and Prevention</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Public Health England" uniqKey="Public Health England">Public Health England</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Public Health England" uniqKey="Public Health England">Public Health England</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="German, M" uniqKey="German M">M. 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Gunson</name></author><author><name sortKey="Collins, T C" uniqKey="Collins T">T.C. Collins</name></author><author><name sortKey="Carman, W F" uniqKey="Carman W">W.F. Carman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Corman, V M" uniqKey="Corman V">V.M. Corman</name></author><author><name sortKey="Eckerle, I" uniqKey="Eckerle I">I. Eckerle</name></author><author><name sortKey="Bleicker, T" uniqKey="Bleicker T">T. Bleicker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Atabani, S F" uniqKey="Atabani S">S.F. Atabani</name></author><author><name sortKey="Wilson, S" uniqKey="Wilson S">S. Wilson</name></author><author><name sortKey="Overton Lewis, C" uniqKey="Overton Lewis C">C. Overton-Lewis</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Centers For Disease Control And Prevention" uniqKey="Centers For Disease Control And Prevention">Centers for Disease Control and Prevention</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Midlands de l'Ouest</li></region><settlement><li>Birmingham</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Veater, J" sort="Veater, J" uniqKey="Veater J" first="J." last="Veater">J. Veater</name></noRegion><name sortKey="Atabani, S" sort="Atabani, S" uniqKey="Atabani S" first="S." last="Atabani">S. Atabani</name><name sortKey="Baxter, L F" sort="Baxter, L F" uniqKey="Baxter L" first="L. F." last="Baxter">L. F. Baxter</name><name sortKey="Bell, D" sort="Bell, D" uniqKey="Bell D" first="D." last="Bell">D. Bell</name><name sortKey="Bell, D" sort="Bell, D" uniqKey="Bell D" first="D." last="Bell">D. Bell</name><name sortKey="Cannon, R" sort="Cannon, R" uniqKey="Cannon R" first="R." last="Cannon">R. Cannon</name><name sortKey="Kirk Granger, H" sort="Kirk Granger, H" uniqKey="Kirk Granger H" first="H." last="Kirk-Granger">H. Kirk-Granger</name><name sortKey="Sahota, A" sort="Sahota, A" uniqKey="Sahota A" first="A." last="Sahota">A. Sahota</name><name sortKey="Sahota, A" sort="Sahota, A" uniqKey="Sahota A" first="A." last="Sahota">A. Sahota</name><name sortKey="Stephenson, I" sort="Stephenson, I" uniqKey="Stephenson I" first="I." last="Stephenson">I. Stephenson</name><name sortKey="Stephenson, I" sort="Stephenson, I" uniqKey="Stephenson I" first="I." last="Stephenson">I. Stephenson</name><name sortKey="Tang, J W" sort="Tang, J W" uniqKey="Tang J" first="J. W." last="Tang">J. W. Tang</name><name sortKey="Tang, J W" sort="Tang, J W" uniqKey="Tang J" first="J. W." last="Tang">J. W. Tang</name><name sortKey="Wilson, S" sort="Wilson, S" uniqKey="Wilson S" first="S." last="Wilson">S. Wilson</name><name sortKey="Wiselka, M" sort="Wiselka, M" uniqKey="Wiselka M" first="M." last="Wiselka">M. Wiselka</name><name sortKey="Wiselka, M" sort="Wiselka, M" uniqKey="Wiselka M" first="M." last="Wiselka">M. Wiselka</name><name sortKey="Wong, N" sort="Wong, N" uniqKey="Wong N" first="N." last="Wong">N. Wong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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