Serveur d'exploration MERS

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Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea

Identifieur interne : 001560 ( Main/Exploration ); précédent : 001559; suivant : 001561

Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea

Auteurs : Mi-Kyung Lee [Corée du Sud] ; Sinyoung Kim [Corée du Sud] ; Mi-Na Kim [Corée du Sud] ; Oh Joo Kweon [Corée du Sud] ; Yong Kwan Lim [Corée du Sud] ; Chang-Seok Ki [Corée du Sud] ; Jae-Seok Kim [Corée du Sud] ; Moon-Woo Seong [Corée du Sud] ; Heungsup Sung [Corée du Sud] ; Dongeun Yong [Corée du Sud] ; Hyukmin Lee [Corée du Sud] ; Jong-Rak Choi [Corée du Sud] ; Jeong-Ho Kim [Corée du Sud]

Source :

RBID : PMC:4713849

Descripteurs français

English descriptors

Abstract

Background

It is crucial to understand the current status of clinical laboratory practices for the largest outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infections in the Republic of Korea to be well prepared for future emerging infectious diseases.

Methods

We conducted a survey of 49 clinical laboratories in medical institutions and referral medical laboratories. A short questionnaire to survey clinical laboratory practices relating to MERS-CoV diagnostic testing was sent by email to the directors and clinical pathologists in charge of the clinical laboratories performing MERS-CoV testing. The survey focused on testing volume, reporting of results, resources, and laboratory safety.

Results

A total of 40 clinical laboratories responded to the survey. A total of 27,009 MERS-CoV real-time reverse transcription PCR (rRT-PCR) tests were performed. Most of the specimens were sputum (73.5%). The median turnaround time (TAT) was 5.29 hr (first and third quartile, 4.11 and 7.48 hr) in 26 medical institutions. The median TAT of more than a half of the laboratories (57.7%) was less than 6 hr. Many laboratories were able to perform tests throughout the whole week. Laboratory biosafety preparedness included class II biosafety cabinets (100%); separated pre-PCR, PCR, and post-PCR rooms (88.6%); negative pressure pretreatment rooms (48.6%); and negative pressure sputum collection rooms (20.0%).

Conclusions

Clinical laboratories were able to quickly expand their diagnostic capacity in response to the 2015 MERS-CoV outbreak. Our results show that clinical laboratories play an important role in the maintenance and enhancement of laboratory response in preparation for future emerging infections.


Url:
DOI: 10.3343/alm.2016.36.2.154
PubMed: 26709263
PubMed Central: 4713849


Affiliations:


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<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (virology)</term>
<term>Disease Outbreaks</term>
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<term>Republic of Korea</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="génétique" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Clinical Laboratory Techniques</term>
</keywords>
<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr">
<term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Clinical Laboratory Techniques</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr">
<term>Services de laboratoire d'analyses médicales</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Clinical Laboratory Services</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr">
<term>Expectoration</term>
<term>Infections à coronavirus</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en">
<term>Coronavirus Infections</term>
<term>Sputum</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Infections à coronavirus</term>
<term>République de Corée</term>
<term>Techniques de laboratoire clinique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Disease Outbreaks</term>
<term>Humans</term>
<term>Real-Time Polymerase Chain Reaction</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Enquêtes et questionnaires</term>
<term>Flambées de maladies</term>
<term>Humains</term>
<term>Réaction de polymérisation en chaine en temps réel</term>
<term>Techniques de laboratoire clinique</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>It is crucial to understand the current status of clinical laboratory practices for the largest outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infections in the Republic of Korea to be well prepared for future emerging infectious diseases.</p>
</sec>
<sec>
<title>Methods</title>
<p>We conducted a survey of 49 clinical laboratories in medical institutions and referral medical laboratories. A short questionnaire to survey clinical laboratory practices relating to MERS-CoV diagnostic testing was sent by email to the directors and clinical pathologists in charge of the clinical laboratories performing MERS-CoV testing. The survey focused on testing volume, reporting of results, resources, and laboratory safety.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 40 clinical laboratories responded to the survey. A total of 27,009 MERS-CoV real-time reverse transcription PCR (rRT-PCR) tests were performed. Most of the specimens were sputum (73.5%). The median turnaround time (TAT) was 5.29 hr (first and third quartile, 4.11 and 7.48 hr) in 26 medical institutions. The median TAT of more than a half of the laboratories (57.7%) was less than 6 hr. Many laboratories were able to perform tests throughout the whole week. Laboratory biosafety preparedness included class II biosafety cabinets (100%); separated pre-PCR, PCR, and post-PCR rooms (88.6%); negative pressure pretreatment rooms (48.6%); and negative pressure sputum collection rooms (20.0%).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Clinical laboratories were able to quickly expand their diagnostic capacity in response to the 2015 MERS-CoV outbreak. Our results show that clinical laboratories play an important role in the maintenance and enhancement of laboratory response in preparation for future emerging infections.</p>
</sec>
</div>
</front>
<back>
<div1 type="bibliography">
<listBibl>
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</author>
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<author>
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</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>Corée du Sud</li>
</country>
<region>
<li>Région capitale de Séoul</li>
</region>
<settlement>
<li>Séoul</li>
</settlement>
</list>
<tree>
<country name="Corée du Sud">
<region name="Région capitale de Séoul">
<name sortKey="Lee, Mi Kyung" sort="Lee, Mi Kyung" uniqKey="Lee M" first="Mi-Kyung" last="Lee">Mi-Kyung Lee</name>
</region>
<name sortKey="Choi, Jong Rak" sort="Choi, Jong Rak" uniqKey="Choi J" first="Jong-Rak" last="Choi">Jong-Rak Choi</name>
<name sortKey="Ki, Chang Seok" sort="Ki, Chang Seok" uniqKey="Ki C" first="Chang-Seok" last="Ki">Chang-Seok Ki</name>
<name sortKey="Kim, Jae Seok" sort="Kim, Jae Seok" uniqKey="Kim J" first="Jae-Seok" last="Kim">Jae-Seok Kim</name>
<name sortKey="Kim, Jeong Ho" sort="Kim, Jeong Ho" uniqKey="Kim J" first="Jeong-Ho" last="Kim">Jeong-Ho Kim</name>
<name sortKey="Kim, Mi Na" sort="Kim, Mi Na" uniqKey="Kim M" first="Mi-Na" last="Kim">Mi-Na Kim</name>
<name sortKey="Kim, Sinyoung" sort="Kim, Sinyoung" uniqKey="Kim S" first="Sinyoung" last="Kim">Sinyoung Kim</name>
<name sortKey="Kweon, Oh Joo" sort="Kweon, Oh Joo" uniqKey="Kweon O" first="Oh Joo" last="Kweon">Oh Joo Kweon</name>
<name sortKey="Lee, Hyukmin" sort="Lee, Hyukmin" uniqKey="Lee H" first="Hyukmin" last="Lee">Hyukmin Lee</name>
<name sortKey="Lim, Yong Kwan" sort="Lim, Yong Kwan" uniqKey="Lim Y" first="Yong Kwan" last="Lim">Yong Kwan Lim</name>
<name sortKey="Seong, Moon Woo" sort="Seong, Moon Woo" uniqKey="Seong M" first="Moon-Woo" last="Seong">Moon-Woo Seong</name>
<name sortKey="Sung, Heungsup" sort="Sung, Heungsup" uniqKey="Sung H" first="Heungsup" last="Sung">Heungsup Sung</name>
<name sortKey="Yong, Dongeun" sort="Yong, Dongeun" uniqKey="Yong D" first="Dongeun" last="Yong">Dongeun Yong</name>
</country>
</tree>
</affiliations>
</record>

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