Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients
Identifieur interne : 000979 ( Main/Exploration ); précédent : 000978; suivant : 000980Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients
Auteurs : S. H. Alfaraj ; J. A. Al-Tawfiq ; P. Gautret ; M. G. Alenazi ; A. Y. Asiri ; Z. A. MemishSource :
- New Microbes and New Infections [ 2052-2975 ] ; 2018.
Abstract
The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non–MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.
Url:
DOI: 10.1016/j.nmni.2018.08.008
PubMed: 30224971
PubMed Central: 6138856
Affiliations:
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H." last="Alfaraj">S. H. Alfaraj</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Al Tawfiq, J A" sort="Al Tawfiq, J A" uniqKey="Al Tawfiq J" first="J. A." last="Al-Tawfiq">J. A. Al-Tawfiq</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Gautret, P" sort="Gautret, P" uniqKey="Gautret P" first="P." last="Gautret">P. Gautret</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Alenazi, M G" sort="Alenazi, M G" uniqKey="Alenazi M" first="M. G." last="Alenazi">M. G. Alenazi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Asiri, A Y" sort="Asiri, A Y" uniqKey="Asiri A" first="A. Y." last="Asiri">A. Y. Asiri</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Memish, Z A" sort="Memish, Z A" uniqKey="Memish Z" first="Z. A." last="Memish">Z. A. Memish</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">New Microbes and New Infections</title><idno type="eISSN">2052-2975</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non–MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.</p></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 M E" uniqKey="Osterhaus A">A.D.M.E. Osterhaus</name></author><author><name sortKey="Fouchier, R A M" uniqKey="Fouchier R">R.A.M. Fouchier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. 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Kim</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Al Tawfiq, J A" sort="Al Tawfiq, J A" uniqKey="Al Tawfiq J" first="J. A." last="Al-Tawfiq">J. A. Al-Tawfiq</name><name sortKey="Alenazi, M G" sort="Alenazi, M G" uniqKey="Alenazi M" first="M. G." last="Alenazi">M. G. Alenazi</name><name sortKey="Alfaraj, S H" sort="Alfaraj, S H" uniqKey="Alfaraj S" first="S. H." last="Alfaraj">S. H. Alfaraj</name><name sortKey="Asiri, A Y" sort="Asiri, A Y" uniqKey="Asiri A" first="A. Y." last="Asiri">A. Y. Asiri</name><name sortKey="Gautret, P" sort="Gautret, P" uniqKey="Gautret P" first="P." last="Gautret">P. Gautret</name><name sortKey="Memish, Z A" sort="Memish, Z A" uniqKey="Memish Z" first="Z. A." last="Memish">Z. A. Memish</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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