Middle East respiratory syndrome coronavirus in Al-Madinah City, Saudi Arabia: Demographic, clinical and survival data
Identifieur interne : 001121 ( Main/Exploration ); précédent : 001120; suivant : 001122Middle East respiratory syndrome coronavirus in Al-Madinah City, Saudi Arabia: Demographic, clinical and survival data
Auteurs : Nahid Sherbini [Arabie saoudite] ; Ayman Iskandrani [Arabie saoudite] ; Ayman Kharaba [Arabie saoudite] ; Ghalilah Khalid [Arabie saoudite] ; Mohammed Abduljawad [Arabie saoudite] ; Hamdan Al-Jahdali [Arabie saoudite]Source :
- Journal of Epidemiology and Global Health [ 2210-6006 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- epidemiology : Coronavirus Infections, Saudi Arabia.
- statistics & numerical data : Demography.
- Adult, Comorbidity, Female, Humans, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus, Retrospective Studies, Survival Analysis.
Abstract
Middle East respiratory syndrome coronavirus (MERS-CoV), is an emerging virus respiratory infection. It has a high mortality rate and a wide spectrum of clinical features. This study describes the clinical characteristics and outcome of MERS infected patients.
A retrospective study was conducted of all confirmed MERS-CoV infections from March 2014 to May 2014 at two tertiary care hospitals in Al-Madinah region (Saudi Arabia). We gathered data about demographic, clinical presentation, and factors associated with severity and mortality.
A total of 29 cases were identified; 20 males (69%) and nine females (31%), age 45 ± 12 years. The death rate was higher for men (52%) than for women (23%). Initial presentation was fever in 22 (75%) cases, cough in 20 (69%) cases, and shortness of breath in 20 (69%) cases. Associated comorbidities were diabetes mellitus in nine (31%) patients and chronic kidney disease (CKD) in eight (27%) patients. Duration of symptoms before hospitalization ranged from 2.9 days to 5 days. Elevated liver enzymes were present in 14 (50%) patients and impaired renal profile present in eight (27%) patients. We also describe in this study radiological patterns and factors associated with mortality.
MERS-CoV infection transmission continues to occur as clusters in healthcare facilities. The frequency of cases and deaths is higher among men than women and among patients with comorbidities.
Url:
DOI: 10.1016/j.jegh.2016.05.002
PubMed: 27302882
PubMed Central: 7104069
Affiliations:
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type="wicri:Area/Main/Curation">001121</idno><idno type="wicri:Area/Main/Exploration">001121</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Middle East respiratory syndrome coronavirus in Al-Madinah City, Saudi Arabia: Demographic, clinical and survival data</title><author><name sortKey="Sherbini, Nahid" sort="Sherbini, Nahid" uniqKey="Sherbini N" first="Nahid" last="Sherbini">Nahid Sherbini</name><affiliation wicri:level="1"><nlm:aff id="af005">King Abdulaziz Medical City – Riyadh, Department of Medicine – Pulmonary Division, King Saud University for Health Sciences, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Abdulaziz Medical City – Riyadh, Department of Medicine – Pulmonary Division, King Saud University for Health Sciences</wicri:regionArea><wicri:noRegion>King Saud University for Health Sciences</wicri:noRegion></affiliation></author><author><name sortKey="Iskandrani, Ayman" sort="Iskandrani, Ayman" uniqKey="Iskandrani A" first="Ayman" last="Iskandrani">Ayman Iskandrani</name><affiliation wicri:level="1"><nlm:aff id="af010">King Fahad Hospital, Internal Medicine – Al-Madinah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Fahad Hospital, Internal Medicine – Al-Madinah</wicri:regionArea><wicri:noRegion>Internal Medicine – Al-Madinah</wicri:noRegion></affiliation></author><author><name sortKey="Kharaba, Ayman" sort="Kharaba, Ayman" uniqKey="Kharaba A" first="Ayman" last="Kharaba">Ayman Kharaba</name><affiliation wicri:level="1"><nlm:aff id="af010">King Fahad Hospital, Internal Medicine – Al-Madinah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Fahad Hospital, Internal Medicine – Al-Madinah</wicri:regionArea><wicri:noRegion>Internal Medicine – Al-Madinah</wicri:noRegion></affiliation></author><author><name sortKey="Khalid, Ghalilah" sort="Khalid, Ghalilah" uniqKey="Khalid G" first="Ghalilah" last="Khalid">Ghalilah Khalid</name><affiliation wicri:level="1"><nlm:aff id="af010">King Fahad Hospital, Internal Medicine – Al-Madinah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Fahad Hospital, Internal Medicine – Al-Madinah</wicri:regionArea><wicri:noRegion>Internal Medicine – Al-Madinah</wicri:noRegion></affiliation></author><author><name sortKey="Abduljawad, Mohammed" sort="Abduljawad, Mohammed" uniqKey="Abduljawad M" first="Mohammed" last="Abduljawad">Mohammed Abduljawad</name><affiliation wicri:level="1"><nlm:aff id="af010">King Fahad Hospital, Internal Medicine – Al-Madinah, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Fahad Hospital, Internal Medicine – Al-Madinah</wicri:regionArea><wicri:noRegion>Internal Medicine – Al-Madinah</wicri:noRegion></affiliation></author><author><name sortKey="Al Jahdali, Hamdan" sort="Al Jahdali, Hamdan" uniqKey="Al Jahdali H" first="Hamdan" last="Al-Jahdali">Hamdan Al-Jahdali</name><affiliation wicri:level="1"><nlm:aff id="af005">King Abdulaziz Medical City – Riyadh, Department of Medicine – Pulmonary Division, King Saud University for Health Sciences, Saudi Arabia</nlm:aff><country xml:lang="fr">Arabie saoudite</country><wicri:regionArea>King Abdulaziz Medical City – Riyadh, Department of Medicine – Pulmonary Division, King Saud University for Health Sciences</wicri:regionArea><wicri:noRegion>King Saud University for Health Sciences</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Epidemiology and Global Health</title><idno type="ISSN">2210-6006</idno><idno type="eISSN">2210-6014</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Comorbidity</term><term>Coronavirus Infections (epidemiology)</term><term>Demography (statistics & numerical data)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus</term><term>Retrospective Studies</term><term>Saudi Arabia (epidemiology)</term><term>Survival Analysis</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Arabie saoudite (épidémiologie)</term><term>Comorbidité</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Démographie ()</term><term>Femelle</term><term>Humains</term><term>Infections à coronavirus (épidémiologie)</term><term>Mâle</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="statistics & numerical data" xml:lang="en"><term>Demography</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>Adult</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus</term><term>Retrospective Studies</term><term>Survival Analysis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Comorbidité</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Démographie</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Middle East respiratory syndrome coronavirus (MERS-CoV), is an emerging virus respiratory infection. It has a high mortality rate and a wide spectrum of clinical features. This study describes the clinical characteristics and outcome of MERS infected patients.</p></sec><sec><title>Methods</title><p>A retrospective study was conducted of all confirmed MERS-CoV infections from March 2014 to May 2014 at two tertiary care hospitals in Al-Madinah region (Saudi Arabia). We gathered data about demographic, clinical presentation, and factors associated with severity and mortality.</p></sec><sec><title>Results</title><p>A total of 29 cases were identified; 20 males (69%) and nine females (31%), age 45 ± 12 years. The death rate was higher for men (52%) than for women (23%). Initial presentation was fever in 22 (75%) cases, cough in 20 (69%) cases, and shortness of breath in 20 (69%) cases. Associated comorbidities were diabetes mellitus in nine (31%) patients and chronic kidney disease (CKD) in eight (27%) patients. Duration of symptoms before hospitalization ranged from 2.9 days to 5 days. Elevated liver enzymes were present in 14 (50%) patients and impaired renal profile present in eight (27%) patients. We also describe in this study radiological patterns and factors associated with mortality.</p></sec><sec><title>Conclusion</title><p>MERS-CoV infection transmission continues to occur as clusters in healthcare facilities. The frequency of cases and deaths is higher among men than women and among patients with comorbidities.</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" uniqKey="Osterhaus A">A.D. Osterhaus</name></author><author><name sortKey="Fouchier, R A" uniqKey="Fouchier R">R.A. 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Aldawood</name></author><author><name sortKey="Ghabashi, A" uniqKey="Ghabashi A">A. Ghabashi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, N" uniqKey="Lee N">N. Lee</name></author><author><name sortKey="Hui, D" uniqKey="Hui D">D. Hui</name></author><author><name sortKey="Wu, A" uniqKey="Wu A">A. Wu</name></author><author><name sortKey="Chan, P" uniqKey="Chan P">P. Chan</name></author><author><name sortKey="Cameron, P" uniqKey="Cameron P">P. Cameron</name></author><author><name sortKey="Joynt, G M" uniqKey="Joynt G">G.M. Joynt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fan, C K" uniqKey="Fan C">C.K. Fan</name></author><author><name sortKey="Yieh, K M" uniqKey="Yieh K">K.M. Yieh</name></author><author><name sortKey="Peng, M Y" uniqKey="Peng M">M.Y. Peng</name></author><author><name sortKey="Lin, J C" uniqKey="Lin J">J.C. Lin</name></author><author><name sortKey="Wang, N C" uniqKey="Wang N">N.C. Wang</name></author><author><name sortKey="Chang, F Y" uniqKey="Chang F">F.Y. Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ajlan, A M" uniqKey="Ajlan A">A.M. Ajlan</name></author><author><name sortKey="Ahyad, R A" uniqKey="Ahyad R">R.A. Ahyad</name></author><author><name sortKey="Jamjoom, L G" uniqKey="Jamjoom L">L.G. Jamjoom</name></author><author><name sortKey="Alharthy, A" uniqKey="Alharthy A">A. Alharthy</name></author><author><name sortKey="Madani, T A" uniqKey="Madani T">T.A. Madani</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="Sherbini, Nahid" sort="Sherbini, Nahid" uniqKey="Sherbini N" first="Nahid" last="Sherbini">Nahid Sherbini</name></noRegion><name sortKey="Abduljawad, Mohammed" sort="Abduljawad, Mohammed" uniqKey="Abduljawad M" first="Mohammed" last="Abduljawad">Mohammed Abduljawad</name><name sortKey="Al Jahdali, Hamdan" sort="Al Jahdali, Hamdan" uniqKey="Al Jahdali H" first="Hamdan" last="Al-Jahdali">Hamdan Al-Jahdali</name><name sortKey="Iskandrani, Ayman" sort="Iskandrani, Ayman" uniqKey="Iskandrani A" first="Ayman" last="Iskandrani">Ayman Iskandrani</name><name sortKey="Khalid, Ghalilah" sort="Khalid, Ghalilah" uniqKey="Khalid G" first="Ghalilah" last="Khalid">Ghalilah Khalid</name><name sortKey="Kharaba, Ayman" sort="Kharaba, Ayman" uniqKey="Kharaba A" first="Ayman" last="Kharaba">Ayman Kharaba</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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