Serveur d'exploration MERS

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Middle East Respiratory Syndrome Coronavirus: A Case-Control Study of Hospitalized Patients

Identifieur interne : 001E46 ( Main/Exploration ); précédent : 001E45; suivant : 001E47

Middle East Respiratory Syndrome Coronavirus: A Case-Control Study of Hospitalized Patients

Auteurs : Jaffar A. Al-Tawfiq [Arabie saoudite, États-Unis] ; Kareem Hinedi [Arabie saoudite] ; Jihad Ghandour [Arabie saoudite] ; Hanan Khairalla [Arabie saoudite] ; Samir Musleh [Arabie saoudite] ; Alaa Ujayli [Arabie saoudite] ; Ziad A. Memish [Arabie saoudite]

Source :

RBID : Pascal:14-0183590

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English descriptors

Abstract

Background. There is a paucity of data regarding the differentiating characteristics of patients with laboratory-confirmed and those negative for Middle East respiratory syndrome coronavirus (MERS-CoV). Methods. This is a hospital-based case-control study comparing MERS-CoV-positive patients (cases) with MERS-CoV-negative controls. Results. A total of 17 case patients and 82 controls with a mean age of 60.7 years and 57 years, respectively (P = .553), were included. No statistical differences were observed in relation to sex, the presence of a fever or cough, and the presence of a single or multilobar infiltrate on chest radiography. The case patients were more likely to be overweight than the control group (mean body mass index, 32 vs 27.8; P = .035), to have diabetes mellitus (87% vs 47%; odds ratio [OR], 7.24; P = .015), and to have end-stage renal disease (33% vs 7%; OR, 7; P = .012). At the time of admission, tachypnea (27% vs 60%; OR, 0.24; P=.031) and respiratory distress (15% vs 51%; OR, 0.15; P = .012) were less frequent among case patients. MERS-CoV patients were more likely to have a normal white blood cell count than the control group (82% vs 52%; OR, 4.33; P = .029). Admission chest radiography with interstitial infiltrates was more frequent in case patients than in controls (67% vs 20%; OR, 8.13; P=.001). Case patients were more likely to be admitted to the intensive care unit (53% vs 20%; OR, 4.65; P = .025) and to have a high mortality rate (76% vs 15%; OR, 18.96; P < .001). Conclusions. Few clinical predictors could enhance the ability to predict which patients with pneumonia would have MERS-CoV. However, further prospective analysis and matched case-control studies may shed light on other predictors of infection.

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<term>Coronavirus Infections</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Case-Control Studies</term>
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<term>Child, Preschool</term>
<term>Diagnosis, Differential</term>
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<term>Humans</term>
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<front>
<div type="abstract" xml:lang="en">Background. There is a paucity of data regarding the differentiating characteristics of patients with laboratory-confirmed and those negative for Middle East respiratory syndrome coronavirus (MERS-CoV). Methods. This is a hospital-based case-control study comparing MERS-CoV-positive patients (cases) with MERS-CoV-negative controls. Results. A total of 17 case patients and 82 controls with a mean age of 60.7 years and 57 years, respectively (P = .553), were included. No statistical differences were observed in relation to sex, the presence of a fever or cough, and the presence of a single or multilobar infiltrate on chest radiography. The case patients were more likely to be overweight than the control group (mean body mass index, 32 vs 27.8; P = .035), to have diabetes mellitus (87% vs 47%; odds ratio [OR], 7.24; P = .015), and to have end-stage renal disease (33% vs 7%; OR, 7; P = .012). At the time of admission, tachypnea (27% vs 60%; OR, 0.24; P=.031) and respiratory distress (15% vs 51%; OR, 0.15; P = .012) were less frequent among case patients. MERS-CoV patients were more likely to have a normal white blood cell count than the control group (82% vs 52%; OR, 4.33; P = .029). Admission chest radiography with interstitial infiltrates was more frequent in case patients than in controls (67% vs 20%; OR, 8.13; P=.001). Case patients were more likely to be admitted to the intensive care unit (53% vs 20%; OR, 4.65; P = .025) and to have a high mortality rate (76% vs 15%; OR, 18.96; P < .001). Conclusions. Few clinical predictors could enhance the ability to predict which patients with pneumonia would have MERS-CoV. However, further prospective analysis and matched case-control studies may shed light on other predictors of infection.</div>
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<name sortKey="Khairalla, Hanan" sort="Khairalla, Hanan" uniqKey="Khairalla H" first="Hanan" last="Khairalla">Hanan Khairalla</name>
<name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A." last="Memish">Ziad A. Memish</name>
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<name sortKey="Musleh, Samir" sort="Musleh, Samir" uniqKey="Musleh S" first="Samir" last="Musleh">Samir Musleh</name>
<name sortKey="Ujayli, Alaa" sort="Ujayli, Alaa" uniqKey="Ujayli A" first="Alaa" last="Ujayli">Alaa Ujayli</name>
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