MersV1, Main, Exploration, bibRecord, 001332

Comparative Epidemiology of Human Infections with Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome Coronaviruses among Healthcare Personnel

Identifieur interne : 001332 ( Main/Exploration ); précédent : 001331; suivant : 001333

Comparative Epidemiology of Human Infections with Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome Coronaviruses among Healthcare Personnel

Auteurs : Shelan Liu [République populaire de Chine] ; Ta-Chien Chan [Taïwan] ; Yu-Tseng Chu [Taïwan] ; Joseph Tsung-Shu Wu [Taïwan, Malawi] ; Xingyi Geng [République populaire de Chine] ; Na Zhao [République populaire de Chine] ; Wei Cheng [République populaire de Chine] ; Enfu Chen [République populaire de Chine] ; Chwan-Chuen King [Taïwan]

Source :

PLoS ONE [ 1932-6203 ] ; 2016.

RBID : PMC:4773072

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Coronavirus du syndrome respiratoire du Moyen-Orient (physiologie), Femelle, Flambées de maladies, Humains, Infections à coronavirus (mortalité), Infections à coronavirus (virologie), Infections à coronavirus (épidémiologie), Jeune adulte, Mâle, Personnel de santé (), Sujet âgé, Syndrome respiratoire aigu sévère (mortalité), Syndrome respiratoire aigu sévère (virologie), Syndrome respiratoire aigu sévère (épidémiologie), Taux de survie, Taïwan (épidémiologie), Virus du SRAS (isolement et purification), Virus du SRAS (physiologie).
MESH :
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient, Virus du SRAS.
- mortalité : Infections à coronavirus, Syndrome respiratoire aigu sévère.
- physiologie : Coronavirus du syndrome respiratoire du Moyen-Orient, Virus du SRAS.
- virologie : Infections à coronavirus, Syndrome respiratoire aigu sévère.
- épidémiologie : Infections à coronavirus, Syndrome respiratoire aigu sévère, Taïwan.
- Adulte, Adulte d'âge moyen, Femelle, Flambées de maladies, Humains, Jeune adulte, Mâle, Personnel de santé, Sujet âgé, Taux de survie.
Wicri :
- geographic : Taïwan.

English descriptors

KwdEn :
- Adult, Aged, Coronavirus Infections (epidemiology), Coronavirus Infections (mortality), Coronavirus Infections (virology), Disease Outbreaks, Female, Health Personnel (statistics & numerical data), Humans, Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Middle East Respiratory Syndrome Coronavirus (physiology), SARS Virus (isolation & purification), SARS Virus (physiology), Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (mortality), Severe Acute Respiratory Syndrome (virology), Survival Rate, Taiwan (epidemiology), Young Adult.
MESH :
- geographic , epidemiology : Taiwan.
- epidemiology : Coronavirus Infections, Severe Acute Respiratory Syndrome.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus, SARS Virus.
- mortality : Coronavirus Infections, Severe Acute Respiratory Syndrome.
- physiology : Middle East Respiratory Syndrome Coronavirus, SARS Virus.
- statistics & numerical data : Health Personnel.
- virology : Coronavirus Infections, Severe Acute Respiratory Syndrome.
- Adult, Aged, Disease Outbreaks, Female, Humans, Male, Middle Aged, Survival Rate, Young Adult.

Abstract

The largest nosocomial outbreak of Middle East respiratory syndrome (MERS) occurred in South Korea in 2015. Health Care Personnel (HCP) are at high risk of acquiring MERS-Coronavirus (MERS-CoV) infections, similar to the severe acute respiratory syndrome (SARS)-Coronavirus (SARS-CoV) infections first identified in 2003. This study described the similarities and differences in epidemiological and clinical characteristics of 183 confirmed global MERS cases and 98 SARS cases in Taiwan associated with HCP. The epidemiological findings showed that the mean age of MERS-HCP and total MERS cases were 40 (24~74) and 49 (2~90) years, respectively, much older than those in SARS [SARS-HCP: 35 (21~68) years, p = 0.006; total SARS: 42 (0~94) years, p = 0.0002]. The case fatality rates (CFR) was much lower in MERS-HCP [7.03% (9/128)] or SARS-HCP [12.24% (12/98)] than the MERS-non-HCP [36.96% (34/92), p<0.001] or SARS-non-HCP [24.50% (61/249), p<0.001], however, no difference was found between MERS-HCP and SARS-HCP [p = 0.181]. In terms of clinical period, the days from onset to death [13 (4~17) vs 14.5 (0~52), p = 0.045] and to discharge [11 (5~24) vs 24 (0~74), p = 0.010] and be hospitalized days [9.5 (3~22) vs 22 (0~69), p = 0.040] were much shorter in MERS-HCP than SARS-HCP. Similarly, days from onset to confirmation were shorter in MERS-HCP than MERS-non-HCP [6 (1~14) vs 10 (1~21), p = 0.044]. In conclusion, the severity of MERS-HCP and SARS-HCP was lower than that of MERS-non-HCP and SARS-non-HCP due to younger age and early confirmation in HCP groups. However, no statistical difference was found in MERS-HCP and SARS-HCP. Thus, prevention of nosocomial infections involving both novel Coronavirus is crucially important to protect HCP.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4773072

DOI: 10.1371/journal.pone.0149988
PubMed: 26930074
PubMed Central: 4773072

Affiliations:

Le document en format XML

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<term>Jeune adulte</term>
<term>Mâle</term>
<term>Personnel de santé</term>
<term>Sujet âgé</term>
<term>Taux de survie</term>
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<front><div type="abstract" xml:lang="en"><p>The largest nosocomial outbreak of Middle East respiratory syndrome (MERS) occurred in South Korea in 2015. Health Care Personnel (HCP) are at high risk of acquiring MERS-Coronavirus (MERS-CoV) infections, similar to the severe acute respiratory syndrome (SARS)-Coronavirus (SARS-CoV) infections first identified in 2003. This study described the similarities and differences in epidemiological and clinical characteristics of 183 confirmed global MERS cases and 98 SARS cases in Taiwan associated with HCP. The epidemiological findings showed that the mean age of MERS-HCP and total MERS cases were 40 (24~74) and 49 (2~90) years, respectively, much older than those in SARS [SARS-HCP: 35 (21~68) years, <italic>p =</italic>
 0.006; total SARS: 42 (0~94) years, <italic>p =</italic>
 0.0002]. The case fatality rates (CFR) was much lower in MERS-HCP [7.03% (9/128)] or SARS-HCP [12.24% (12/98)] than the MERS-non-HCP [36.96% (34/92), <italic>p<0</italic>
.<italic>001</italic>
] or SARS-non-HCP [24.50% (61/249), <italic>p<0</italic>
.<italic>001</italic>
], however, no difference was found between MERS-HCP and SARS-HCP [<italic>p = 0</italic>
.<italic>181</italic>
]. In terms of clinical period, the days from onset to death [13 (4~17) vs 14.5 (0~52), <italic>p</italic>
 = 0.045] and to discharge [11 (5~24) vs 24 (0~74), <italic>p =</italic>
 0.010] and be hospitalized days [9.5 (3~22) vs 22 (0~69), <italic>p</italic>
 = 0.040] were much shorter in MERS-HCP than SARS-HCP. Similarly, days from onset to confirmation were shorter in MERS-HCP than MERS-non-HCP [6 (1~14) vs 10 (1~21), <italic>p =</italic>
 0.044]. In conclusion, the severity of MERS-HCP and SARS-HCP was lower than that of MERS-non-HCP and SARS-non-HCP due to younger age and early confirmation in HCP groups. However, no statistical difference was found in MERS-HCP and SARS-HCP. Thus, prevention of nosocomial infections involving both novel Coronavirus is crucially important to protect HCP.</p>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Malawi</li>
<li>République populaire de Chine</li>
<li>Taïwan</li>
</country>
<settlement><li>Pékin</li>
</settlement>
</list>
<tree><country name="République populaire de Chine"><noRegion><name sortKey="Liu, Shelan" sort="Liu, Shelan" uniqKey="Liu S" first="Shelan" last="Liu">Shelan Liu</name>
</noRegion>
<name sortKey="Chen, Enfu" sort="Chen, Enfu" uniqKey="Chen E" first="Enfu" last="Chen">Enfu Chen</name>
<name sortKey="Cheng, Wei" sort="Cheng, Wei" uniqKey="Cheng W" first="Wei" last="Cheng">Wei Cheng</name>
<name sortKey="Geng, Xingyi" sort="Geng, Xingyi" uniqKey="Geng X" first="Xingyi" last="Geng">Xingyi Geng</name>
<name sortKey="Zhao, Na" sort="Zhao, Na" uniqKey="Zhao N" first="Na" last="Zhao">Na Zhao</name>
</country>
<country name="Taïwan"><noRegion><name sortKey="Chan, Ta Chien" sort="Chan, Ta Chien" uniqKey="Chan T" first="Ta-Chien" last="Chan">Ta-Chien Chan</name>
</noRegion>
<name sortKey="Chu, Yu Tseng" sort="Chu, Yu Tseng" uniqKey="Chu Y" first="Yu-Tseng" last="Chu">Yu-Tseng Chu</name>
<name sortKey="Chu, Yu Tseng" sort="Chu, Yu Tseng" uniqKey="Chu Y" first="Yu-Tseng" last="Chu">Yu-Tseng Chu</name>
<name sortKey="King, Chwan Chuen" sort="King, Chwan Chuen" uniqKey="King C" first="Chwan-Chuen" last="King">Chwan-Chuen King</name>
<name sortKey="Wu, Joseph Tsung Shu" sort="Wu, Joseph Tsung Shu" uniqKey="Wu J" first="Joseph Tsung-Shu" last="Wu">Joseph Tsung-Shu Wu</name>
</country>
<country name="Malawi"><noRegion><name sortKey="Wu, Joseph Tsung Shu" sort="Wu, Joseph Tsung Shu" uniqKey="Wu J" first="Joseph Tsung-Shu" last="Wu">Joseph Tsung-Shu Wu</name>
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</affiliations>
</record>

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Serveur d'exploration MERS

Comparative Epidemiology of Human Infections with Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome Coronaviruses among Healthcare Personnel

Comparative Epidemiology of Human Infections with Middle East Respiratory Syndrome and Severe Acute Respiratory Syndrome Coronaviruses among Healthcare Personnel

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