Screening for Middle East respiratory syndrome coronavirus infection in hospital patients and their healthcare worker and family contacts: a prospective descriptive study
Identifieur interne : 001B00 ( Main/Merge ); précédent : 001A99; suivant : 001B01Screening for Middle East respiratory syndrome coronavirus infection in hospital patients and their healthcare worker and family contacts: a prospective descriptive study
Auteurs : Z. A. Memish ; J. A. Al-Tawfiq ; H. Q. Makhdoom ; A. A. Al-Rabeeah ; A. Assiri ; R. F. Alhakeem ; F. A. Alrabiah ; S. Al Hajjar ; A. Albarrak ; H. Flemban ; H. Balkhy ; M. Barry ; S. Alhassan ; S. Alsubaie ; A. ZumlaSource :
- Clinical Microbiology and Infection [ 1198-743X ] ; 2014.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Arabie saoudite (épidémiologie), Coronavirus du syndrome respiratoire du Moyen-Orient (génétique), Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Dépistage systématique, Facteurs sexuels, Famille, Femelle, Humains, Infection croisée (diagnostic), Infection croisée (épidémiologie), Infections à coronavirus (diagnostic), Infections à coronavirus (épidémiologie), Jeune adulte, Mâle, Personnel de santé (), Réaction de polymérisation en chaine en temps réel, Surveillance de la population.
- MESH :
- diagnostic : Infection croisée, Infections à coronavirus.
- génétique : Coronavirus du syndrome respiratoire du Moyen-Orient.
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- épidémiologie : Arabie saoudite, Infection croisée, Infections à coronavirus.
- Adolescent, Adulte, Dépistage systématique, Facteurs sexuels, Famille, Femelle, Humains, Jeune adulte, Mâle, Personnel de santé, Réaction de polymérisation en chaine en temps réel, Surveillance de la population.
- Wicri :
- geographic : Arabie saoudite.
English descriptors
- KwdEn :
- Adolescent, Adult, Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Cross Infection (diagnosis), Cross Infection (epidemiology), Family, Female, Health Personnel (statistics & numerical data), Humans, Male, Mass Screening, Middle East Respiratory Syndrome Coronavirus (genetics), Middle East Respiratory Syndrome Coronavirus (isolation & purification), Population Surveillance, Real-Time Polymerase Chain Reaction, Saudi Arabia (epidemiology), Sex Factors, Young Adult.
- MESH :
- geographic , epidemiology : Saudi Arabia.
- diagnosis : Coronavirus Infections, Cross Infection.
- epidemiology : Coronavirus Infections, Cross Infection.
- genetics : Middle East Respiratory Syndrome Coronavirus.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- statistics & numerical data : Health Personnel.
- Adolescent, Adult, Family, Female, Humans, Male, Mass Screening, Population Surveillance, Real-Time Polymerase Chain Reaction, Sex Factors, Young Adult.
Abstract
The
Url:
DOI: 10.1111/1469-0691.12562
PubMed: 24460984
PubMed Central: 7128421
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PMC:7128421Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Cross Infection (diagnosis)</term>
<term>Cross Infection (epidemiology)</term>
<term>Family</term>
<term>Female</term>
<term>Health Personnel (statistics & numerical data)</term>
<term>Humans</term>
<term>Male</term>
<term>Mass Screening</term>
<term>Middle East Respiratory Syndrome Coronavirus (genetics)</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
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<term>Young Adult</term>
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<term>Adulte</term>
<term>Arabie saoudite (épidémiologie)</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (génétique)</term>
<term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term>
<term>Dépistage systématique</term>
<term>Facteurs sexuels</term>
<term>Famille</term>
<term>Femelle</term>
<term>Humains</term>
<term>Infection croisée (diagnostic)</term>
<term>Infection croisée (épidémiologie)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Personnel de santé ()</term>
<term>Réaction de polymérisation en chaine en temps réel</term>
<term>Surveillance de la population</term>
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<term>Cross Infection</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infection croisée</term>
<term>Infections à coronavirus</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term>
<term>Cross Infection</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>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term>
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<keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Personnel</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Arabie saoudite</term>
<term>Infection croisée</term>
<term>Infections à coronavirus</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Family</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Mass Screening</term>
<term>Population Surveillance</term>
<term>Real-Time Polymerase Chain Reaction</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Dépistage systématique</term>
<term>Facteurs sexuels</term>
<term>Famille</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
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<term>Réaction de polymérisation en chaine en temps réel</term>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>The <styled-content style="fixed-case" toggle="no">S</styled-content>
audi <styled-content style="fixed-case" toggle="no">A</styled-content>
rabian <styled-content style="fixed-case" toggle="no">M</styled-content>
inistry of <styled-content style="fixed-case" toggle="no">H</styled-content>
ealth implemented a pro‐active surveillance programme for Middle East respiratory syndrome (<styled-content style="fixed-case" toggle="no">MERS</styled-content>
) coronavirus (<styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
). We report <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
data from 5065 Kingdom of Saudi Arabia individuals who were screened for <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
over a 12‐month period. From 1 <styled-content style="fixed-case" toggle="no">O</styled-content>
ctober 2012 to 30 <styled-content style="fixed-case" toggle="no">S</styled-content>
eptember 2013, demographic and clinical data were prospectively collected from all laboratory forms received at the <styled-content style="fixed-case" toggle="no">S</styled-content>
audi <styled-content style="fixed-case" toggle="no">A</styled-content>
rabian <styled-content style="fixed-case" toggle="no">V</styled-content>
irology reference laboratory. Data were analysed by referral type, age, gender, and <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
real‐time <styled-content style="fixed-case" toggle="no">PCR</styled-content>
test results. Five thousand and 65 individuals were screened for <styled-content style="fixed-case" toggle="no">MER</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
: hospitalized patients with suspected <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
infection (<italic>n</italic>
= 2908, 57.4%), healthcare worker (<styled-content style="fixed-case" toggle="no">HCW</styled-content>
) contacts (<italic>n</italic>
= 1695; 33.5%), and family contacts of laboratory‐confirmed <styled-content style="fixed-case" toggle="no">MERS</styled-content>
cases (<italic>n </italic>
=<italic> </italic>
462; 9.1%). Eleven per cent of persons tested were children (<17 years of age). There were 108 cases (99 adults and nine children) of <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
infection detected during the 12‐month period (108/5065, 2% case detection rate). Of 108 cases, 45 were females (six children and 39 adults) and 63 were males (three children and 60 adults). Of the 99 adults with <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
infection, 70 were hospitalized patients, 19 were <styled-content style="fixed-case" toggle="no">HCW</styled-content>
contacts, and ten were family contacts. There were no significant increases in <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
detection rates over the 12‐month period: 2.6% (19/731) in <styled-content style="fixed-case" toggle="no">J</styled-content>
uly 2013, 1.7% (19/1100) in <styled-content style="fixed-case" toggle="no">A</styled-content>
ugust 2013, and 1.69% (21/1238) in <styled-content style="fixed-case" toggle="no">S</styled-content>
eptember 2013. Male patients had a significantly higher <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
infection rate (63/2318, 2.7%) than females (45/2747, 1.6%) (p 0.013). <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
rates remain at low levels, with no significant increase over time. Pro‐active surveillance for <styled-content style="fixed-case" toggle="no">MERS</styled-content>
‐<styled-content style="fixed-case" toggle="no">C</styled-content>
o<styled-content style="fixed-case" toggle="no">V</styled-content>
in newly diagnosed patients and their contacts will continue.</p>
</div>
</front>
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