Middle East respiratory syndrome coronavirus: Implications for health care facilities
Identifieur interne : 001E59 ( Main/Merge ); précédent : 001E58; suivant : 001E60Middle East respiratory syndrome coronavirus: Implications for health care facilities
Auteurs : Helena C. Maltezou [Grèce] ; Sotirios Tsiodras [Grèce]Source :
- American journal of infection control [ 0196-6553 ] ; 2014.
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- Pascal (Inist)
English descriptors
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Abstract
Background: Middle East respiratory syndrome coronavirus (MERS-CoV) is a novel coronavirus that causes a severe respiratory disease with high case fatality rate. Starting in March 2014, a dramatic increase of cases has occurred in the Arabian Peninsula, many of which were acquired in health care settings. As of May 9, 2014, 536 laboratory-confirmed cases and 145 deaths have been reported globally. Methods: Review of publicly available data about MERS-CoV health care-associated transmission. Results: We identified 11 events of possible or confirmed health care-associated transmission with high morbidity and mortality, mainly among patients with comorbidities. Health care workers are also frequently affected; however, they tend to have milder symptoms and better prognosis. Gaps in infection control were noted in all events. Currently, health care-associated outbreaks are playing a pivotal role in the evolution of the MERS-CoV epidemic in countries in the Arabian Peninsula. Conclusion: There is a need to increase infection control capacity in affected areas and areas at increased risk of being affected to prevent transmission in health care settings. Vaccines and antiviral agents are urgently needed. Overall, our knowledge about the epidemiologic characteristics of MERS-CoV that impact health care transmission is very limited. As the MERS-CoV epidemic continues to evolve, issues concerning best infection control measures will arise, and studies to better define their effectiveness in real life are needed.
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Maltezou</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention</s1><s2>Athens</s2><s3>GRC</s3><sZ>1 aut.</sZ></inist:fA14><country>Grèce</country><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Tsiodras, Sotirios" sort="Tsiodras, Sotirios" uniqKey="Tsiodras S" first="Sotirios" last="Tsiodras">Sotirios Tsiodras</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Fourth Department of Internal Medicine, University of Athens Medical School, Attikon University Hospital</s1><s2>Athens</s2><s3>GRC</s3><sZ>2 aut.</sZ></inist:fA14><country>Grèce</country><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">15-0016726</idno><date when="2014">2014</date><idno type="stanalyst">PASCAL 15-0016726 INIST</idno><idno type="RBID">Pascal:15-0016726</idno><idno type="wicri:Area/PascalFrancis/Corpus">000000</idno><idno type="wicri:Area/PascalFrancis/Curation">000094</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000012</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000012</idno><idno type="wicri:doubleKey">0196-6553:2014:Maltezou H:middle:east:respiratory</idno><idno type="wicri:Area/Main/Merge">001E59</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Middle East respiratory syndrome coronavirus: Implications for health care facilities</title><author><name sortKey="Maltezou, Helena C" sort="Maltezou, Helena C" uniqKey="Maltezou H" first="Helena C." last="Maltezou">Helena C. Maltezou</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department for Interventions in Health-Care Facilities, Hellenic Center for Disease Control and Prevention</s1><s2>Athens</s2><s3>GRC</s3><sZ>1 aut.</sZ></inist:fA14><country>Grèce</country><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Tsiodras, Sotirios" sort="Tsiodras, Sotirios" uniqKey="Tsiodras S" first="Sotirios" last="Tsiodras">Sotirios Tsiodras</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Fourth Department of Internal Medicine, University of Athens Medical School, Attikon University Hospital</s1><s2>Athens</s2><s3>GRC</s3><sZ>2 aut.</sZ></inist:fA14><country>Grèce</country><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author></analytic><series><title level="j" type="main">American journal of infection control</title><title level="j" type="abbreviated">Am. j. infect. control</title><idno type="ISSN">0196-6553</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">American journal of infection control</title><title level="j" type="abbreviated">Am. j. infect. control</title><idno type="ISSN">0196-6553</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Check</term><term>Coronavirus</term><term>Epidemic</term><term>Health care staff</term><term>Hospital</term><term>Infection</term><term>Middle East respiratory syndrome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Hôpital</term><term>Epidémie</term><term>Equipe soignante</term><term>Coronavirus</term><term>Infection</term><term>Contrôle</term><term>Secteur médicalisé</term><term>Syndrome respiratoire du Moyen-Orient</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Middle East respiratory syndrome coronavirus (MERS-CoV) is a novel coronavirus that causes a severe respiratory disease with high case fatality rate. Starting in March 2014, a dramatic increase of cases has occurred in the Arabian Peninsula, many of which were acquired in health care settings. As of May 9, 2014, 536 laboratory-confirmed cases and 145 deaths have been reported globally. Methods: Review of publicly available data about MERS-CoV health care-associated transmission. Results: We identified 11 events of possible or confirmed health care-associated transmission with high morbidity and mortality, mainly among patients with comorbidities. Health care workers are also frequently affected; however, they tend to have milder symptoms and better prognosis. Gaps in infection control were noted in all events. Currently, health care-associated outbreaks are playing a pivotal role in the evolution of the MERS-CoV epidemic in countries in the Arabian Peninsula. Conclusion: There is a need to increase infection control capacity in affected areas and areas at increased risk of being affected to prevent transmission in health care settings. Vaccines and antiviral agents are urgently needed. Overall, our knowledge about the epidemiologic characteristics of MERS-CoV that impact health care transmission is very limited. As the MERS-CoV epidemic continues to evolve, issues concerning best infection control measures will arise, and studies to better define their effectiveness in real life are needed.</div></front></TEI><affiliations><list><country><li>Grèce</li></country><region><li>Attique (région)</li></region><settlement><li>Athènes</li></settlement></list><tree><country name="Grèce"><region name="Attique (région)"><name sortKey="Maltezou, Helena C" sort="Maltezou, Helena C" uniqKey="Maltezou H" first="Helena C." last="Maltezou">Helena C. Maltezou</name></region><name sortKey="Tsiodras, Sotirios" sort="Tsiodras, Sotirios" uniqKey="Tsiodras S" first="Sotirios" last="Tsiodras">Sotirios Tsiodras</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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