Epidemiologic features of the first MERS outbreak in Korea: focus on Pyeongtaek St. Mary’s Hospital
Identifieur interne : 001810 ( Main/Exploration ); précédent : 001809; suivant : 001811Epidemiologic features of the first MERS outbreak in Korea: focus on Pyeongtaek St. Mary’s Hospital
Auteurs : Kyung Min Kim [Corée du Sud] ; Moran Ki [Corée du Sud] ; Sung-Il Cho [Corée du Sud] ; Minki Sung [Corée du Sud] ; Jin Kwan Hong [Corée du Sud] ; Hae-Kwan Cheong [Corée du Sud] ; Jong-Hun Kim [Corée du Sud] ; Sang-Eun Lee [Corée du Sud] ; Changhwan Lee [Corée du Sud] ; Keon-Joo Lee [Corée du Sud] ; Yong-Shik Park [Corée du Sud] ; Seung Woo Kim [Corée du Sud] ; Bo Youl Choi [Corée du Sud]Source :
- Epidemiology and Health [ 2092-7193 ] ; 2015.
Abstract
This study investigated the epidemiologic features of the confirmed cases of Middle East Respiratory Syndrome (MERS) in Pyeongtaek St. Mary’s Hospital, where the outbreak first began, in order to identify lessons relevant for the prevention and control of future outbreaks.
The patients’ clinical symptoms and test results were collected from their medical records. The caregivers of patients were identified by phone calls.
After patient zero (case #1) was admitted to Pyeongtaek St. Mary’s Hospital (May 15-May 17), an outbreak occurred, with 36 cases between May 18 and June 4, 2015. Six patients died (fatality rate, 16.7%). Twenty-six cases occurred in the first-generation, and 10 in the second-generation. The median incubation period was five days, while the median period from symptom onset to death was 12.5 days. While the total attack rate was 3.9%, the attack rate among inpatients was 7.6%, and the inpatients on the eighth floor, where patient zero was hospitalized, had an 18.6% attack rate. In contrast, caregivers and medical staff showed attack rates of 3.3% and 1.1%, respectively.
The attack rates were higher than those of the previous outbreaks in other countries. The outbreak spread beyond Pyeongtaek St. Mary’s Hospital when four of the patients were moved to other hospitals without appropriate quarantine. The best method of preventing future outbreaks is to overcome the vulnerabilities observed in this outbreak, such as ward crowding, patient migration without appropriate data sharing, and the lack of an initial broad quarantine.
Url:
DOI: 10.4178/epih/e2015041
PubMed: 26725225
PubMed Central: 4652064
Affiliations:
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Le document en format XML
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<author><name sortKey="Park, Yong Shik" sort="Park, Yong Shik" uniqKey="Park Y" first="Yong-Shik" last="Park">Yong-Shik Park</name>
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<author><name sortKey="Kim, Seung Woo" sort="Kim, Seung Woo" uniqKey="Kim S" first="Seung Woo" last="Kim">Seung Woo Kim</name>
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<front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVES:</title>
<p>This study investigated the epidemiologic features of the confirmed cases of Middle East Respiratory Syndrome (MERS) in Pyeongtaek St. Mary’s Hospital, where the outbreak first began, in order to identify lessons relevant for the prevention and control of future outbreaks.</p>
</sec>
<sec><title>METHODS:</title>
<p>The patients’ clinical symptoms and test results were collected from their medical records. The caregivers of patients were identified by phone calls.</p>
</sec>
<sec><title>RESULTS:</title>
<p>After patient zero (case #1) was admitted to Pyeongtaek St. Mary’s Hospital (May 15-May 17), an outbreak occurred, with 36 cases between May 18 and June 4, 2015. Six patients died (fatality rate, 16.7%). Twenty-six cases occurred in the first-generation, and 10 in the second-generation. The median incubation period was five days, while the median period from symptom onset to death was 12.5 days. While the total attack rate was 3.9%, the attack rate among inpatients was 7.6%, and the inpatients on the eighth floor, where patient zero was hospitalized, had an 18.6% attack rate. In contrast, caregivers and medical staff showed attack rates of 3.3% and 1.1%, respectively.</p>
</sec>
<sec><title>CONCLUSIONS:</title>
<p>The attack rates were higher than those of the previous outbreaks in other countries. The outbreak spread beyond Pyeongtaek St. Mary’s Hospital when four of the patients were moved to other hospitals without appropriate quarantine. The best method of preventing future outbreaks is to overcome the vulnerabilities observed in this outbreak, such as ward crowding, patient migration without appropriate data sharing, and the lack of an initial broad quarantine.</p>
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<author><name sortKey="Al Rabeeah, Aa" uniqKey="Al Rabeeah A">AA Al-Rabeeah</name>
</author>
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</author>
<author><name sortKey="Corman, Vm" uniqKey="Corman V">VM Corman</name>
</author>
<author><name sortKey="Al Masri, M" uniqKey="Al Masri M">M Al-Masri</name>
</author>
<author><name sortKey="Hossain, R" uniqKey="Hossain R">R Hossain</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name>
</author>
<author><name sortKey="Zumla, Ai" uniqKey="Zumla A">AI Zumla</name>
</author>
<author><name sortKey="Assiri, A" uniqKey="Assiri A">A Assiri</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Al Tawfiq, Ja" uniqKey="Al Tawfiq J">JA Al-Tawfiq</name>
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<affiliations><list><country><li>Corée du Sud</li>
</country>
</list>
<tree><country name="Corée du Sud"><noRegion><name sortKey="Kim, Kyung Min" sort="Kim, Kyung Min" uniqKey="Kim K" first="Kyung Min" last="Kim">Kyung Min Kim</name>
</noRegion>
<name sortKey="Cheong, Hae Kwan" sort="Cheong, Hae Kwan" uniqKey="Cheong H" first="Hae-Kwan" last="Cheong">Hae-Kwan Cheong</name>
<name sortKey="Cho, Sung Il" sort="Cho, Sung Il" uniqKey="Cho S" first="Sung-Il" last="Cho">Sung-Il Cho</name>
<name sortKey="Choi, Bo Youl" sort="Choi, Bo Youl" uniqKey="Choi B" first="Bo Youl" last="Choi">Bo Youl Choi</name>
<name sortKey="Hong, Jin Kwan" sort="Hong, Jin Kwan" uniqKey="Hong J" first="Jin Kwan" last="Hong">Jin Kwan Hong</name>
<name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name>
<name sortKey="Kim, Jong Hun" sort="Kim, Jong Hun" uniqKey="Kim J" first="Jong-Hun" last="Kim">Jong-Hun Kim</name>
<name sortKey="Kim, Seung Woo" sort="Kim, Seung Woo" uniqKey="Kim S" first="Seung Woo" last="Kim">Seung Woo Kim</name>
<name sortKey="Lee, Changhwan" sort="Lee, Changhwan" uniqKey="Lee C" first="Changhwan" last="Lee">Changhwan Lee</name>
<name sortKey="Lee, Keon Joo" sort="Lee, Keon Joo" uniqKey="Lee K" first="Keon-Joo" last="Lee">Keon-Joo Lee</name>
<name sortKey="Lee, Sang Eun" sort="Lee, Sang Eun" uniqKey="Lee S" first="Sang-Eun" last="Lee">Sang-Eun Lee</name>
<name sortKey="Park, Yong Shik" sort="Park, Yong Shik" uniqKey="Park Y" first="Yong-Shik" last="Park">Yong-Shik Park</name>
<name sortKey="Sung, Minki" sort="Sung, Minki" uniqKey="Sung M" first="Minki" last="Sung">Minki Sung</name>
</country>
</tree>
</affiliations>
</record>
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