Middle East respiratory syndrome coronavirus (MERS-CoV): what lessons can we learn?
Identifieur interne : 001673 ( Main/Exploration ); précédent : 001672; suivant : 001674Middle East respiratory syndrome coronavirus (MERS-CoV): what lessons can we learn?
Auteurs : A. S. Omrani [Arabie saoudite] ; S. Shalhoub [Arabie saoudite]Source :
- The Journal of Hospital Infection [ 0195-6701 ] ; 2015.
Descripteurs français
- KwdFr :
- Animaux, Chameaux, Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Humains, Infection croisée (anatomopathologie), Infection croisée (diagnostic), Infection croisée (transmission), Infection croisée (épidémiologie), Infections à coronavirus (anatomopathologie), Infections à coronavirus (diagnostic), Infections à coronavirus (transmission), Infections à coronavirus (épidémiologie), Lutte contre l'infection (), Santé mondiale, Transmission de maladie infectieuse, Zoonoses (transmission), Zoonoses (épidémiologie).
- MESH :
- anatomopathologie : Infection croisée, Infections à coronavirus.
- diagnostic : Infection croisée, Infections à coronavirus.
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- épidémiologie : Infection croisée, Infections à coronavirus, Zoonoses.
- Animaux, Chameaux, Humains, Lutte contre l'infection, Santé mondiale, Transmission de maladie infectieuse.
English descriptors
- KwdEn :
- Animals, Camelus, Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Coronavirus Infections (pathology), Coronavirus Infections (transmission), Cross Infection (diagnosis), Cross Infection (epidemiology), Cross Infection (pathology), Cross Infection (transmission), Disease Transmission, Infectious, Global Health, Humans, Infection Control (methods), Middle East Respiratory Syndrome Coronavirus (isolation & purification), Zoonoses (epidemiology), Zoonoses (transmission).
- MESH :
- diagnosis : Coronavirus Infections, Cross Infection.
- epidemiology : Coronavirus Infections, Cross Infection, Zoonoses.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- methods : Infection Control.
- pathology : Coronavirus Infections, Cross Infection.
- transmission : Coronavirus Infections, Cross Infection, Zoonoses.
- Animals, Camelus, Disease Transmission, Infectious, Global Health, Humans.
Abstract
The Middle East Respiratory Coronavirus (MERS-CoV) was first isolated from a patient who died with severe pneumonia in June 2012. As of 19 June 2015, a total of 1,338 MERS-CoV infections have been notified to the World Health Organization (WHO). Clinical illness associated with MERS-CoV ranges from mild upper respiratory symptoms to rapidly progressive pneumonia and multi-organ failure. A significant proportion of patients present with non-respiratory symptoms such as headache, myalgia, vomiting and diarrhoea. A few potential therapeutic agents have been identified but none have been conclusively shown to be clinically effective. Human to human transmission is well documented, but the epidemic potential of MERS-CoV remains limited at present. Healthcare-associated clusters of MERS-CoV have been responsible for the majority of reported cases. The largest outbreaks have been driven by delayed diagnosis, overcrowding and poor infection control practices. However, chains of MERS-CoV transmission can be readily interrupted with implementation of appropriate control measures. As with any emerging infectious disease, guidelines for MERS-CoV case identification and surveillance evolved as new data became available. Sound clinical judgment is required to identify unusual presentations and trigger appropriate control precautions.
Evidence from multiple sources implicates dromedary camels as natural hosts of MERS-CoV. Camel to human transmission has been demonstrated, but the exact mechanism of infection remains uncertain. The ubiquitously available social media have facilitated communication and networking amongst healthcare professionals and eventually proved to be important channels for presenting the public with factual material, timely updates and relevant advice.
Url:
DOI: 10.1016/j.jhin.2015.08.002
PubMed: 26452615
PubMed Central: 7114843
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en"><title>Summary</title>
<p>The Middle East Respiratory Coronavirus (MERS-CoV) was first isolated from a patient who died with severe pneumonia in June 2012. As of 19 June 2015, a total of 1,338 MERS-CoV infections have been notified to the World Health Organization (WHO). Clinical illness associated with MERS-CoV ranges from mild upper respiratory symptoms to rapidly progressive pneumonia and multi-organ failure. A significant proportion of patients present with non-respiratory symptoms such as headache, myalgia, vomiting and diarrhoea. A few potential therapeutic agents have been identified but none have been conclusively shown to be clinically effective. Human to human transmission is well documented, but the epidemic potential of MERS-CoV remains limited at present. Healthcare-associated clusters of MERS-CoV have been responsible for the majority of reported cases. The largest outbreaks have been driven by delayed diagnosis, overcrowding and poor infection control practices. However, chains of MERS-CoV transmission can be readily interrupted with implementation of appropriate control measures. As with any emerging infectious disease, guidelines for MERS-CoV case identification and surveillance evolved as new data became available. Sound clinical judgment is required to identify unusual presentations and trigger appropriate control precautions.</p>
<p>Evidence from multiple sources implicates dromedary camels as natural hosts of MERS-CoV. Camel to human transmission has been demonstrated, but the exact mechanism of infection remains uncertain. The ubiquitously available social media have facilitated communication and networking amongst healthcare professionals and eventually proved to be important channels for presenting the public with factual material, timely updates and relevant advice.</p>
</div>
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