Asymptomatic Middle East Respiratory Syndrome coronavirus infection using a serologic survey in Korea
Identifieur interne : 001E00 ( Ncbi/Checkpoint ); précédent : 001D99; suivant : 001E01Asymptomatic Middle East Respiratory Syndrome coronavirus infection using a serologic survey in Korea
Auteurs : Yeong-Jun Song [Corée du Sud] ; Jeong-Sun Yang [Corée du Sud] ; Hee Jung Yoon [Corée du Sud] ; Hae-Sung Nam [Corée du Sud] ; Soon Young Lee [Corée du Sud] ; Hae-Kwan Cheong [Corée du Sud] ; Woo-Jung Park [Corée du Sud] ; Sung Han Park [Corée du Sud] ; Bo Youl Choi [Corée du Sud] ; Sung Soon Kim [Corée du Sud] ; Moran Ki [Corée du Sud]Source :
- Epidemiology and Health [ 2092-7193 ] ; 2018.
Descripteurs français
- KwdFr :
- Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Flambées de maladies, Humains, Infection croisée (épidémiologie), Infections à coronavirus (épidémiologie), Maladies asymptomatiques (épidémiologie), Personnel de santé (), République de Corée (épidémiologie), Test ELISA, Études séroépidémiologiques.
- MESH :
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- épidémiologie : Infection croisée, Infections à coronavirus, Maladies asymptomatiques, République de Corée.
- Flambées de maladies, Humains, Personnel de santé, Test ELISA, Études séroépidémiologiques.
English descriptors
- KwdEn :
- Asymptomatic Diseases (epidemiology), Coronavirus Infections (epidemiology), Cross Infection (epidemiology), Disease Outbreaks, Enzyme-Linked Immunosorbent Assay, Health Personnel (statistics & numerical data), Humans, Middle East Respiratory Syndrome Coronavirus (isolation & purification), Republic of Korea (epidemiology), Seroepidemiologic Studies.
- MESH :
- epidemiology : Asymptomatic Diseases, Coronavirus Infections, Cross Infection, Republic of Korea.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- statistics & numerical data : Health Personnel.
- Disease Outbreaks, Enzyme-Linked Immunosorbent Assay, Humans, Seroepidemiologic Studies.
Abstract
The rates of asymptomatic infection with Middle East Respiratory Syndrome (MERS) coronavirus vary. A serologic study was conducted to determine the asymptomatic MERS infection rate in healthcare workers and non-healthcare workers by exposure status.
Study participants were selected from contacts of MERS patients based on a priority system in 4 regions strongly affected by the 2015 MERS outbreak. A sero-epidemiological survey was performed in 1,610 contacts (average duration from exposure to test, 4.8 months), and the collected sera were tested using an enzyme-linked immunespecific assay (ELISA), immunofluorescence assay (IFA), and plaque reduction neutralization antibody test (PRNT). Among the 1,610 contacts, there were 7 ELISA-positive cases, of which 1 exhibited positive IFA and PRNT results.
The asymptomatic infection rate was 0.060% (95% confidence interval, 0.002 to 0.346). The asymptomatic MERS case was a patient who had been hospitalized with patient zero on the same floor of the hospital at the same time. The case was quarantined at home for 2 weeks after discharge, and had underlying diseases, including hypertension, angina, and degenerative arthritis.
The asymptomatic infection was acquired via healthcare-associated transmission. Thus, it is necessary to extend serologic studies to include inpatient contacts who have no symptoms.
Url:
DOI: 10.4178/epih.e2018014
PubMed: 29656631
PubMed Central: 5968208
Affiliations:
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PMC:5968208Le document en format XML
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<term>Cross Infection (epidemiology)</term>
<term>Disease Outbreaks</term>
<term>Enzyme-Linked Immunosorbent Assay</term>
<term>Health Personnel (statistics & numerical data)</term>
<term>Humans</term>
<term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term>
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<term>Humains</term>
<term>Infection croisée (épidémiologie)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Maladies asymptomatiques (épidémiologie)</term>
<term>Personnel de santé ()</term>
<term>République de Corée (épidémiologie)</term>
<term>Test ELISA</term>
<term>Études séroépidémiologiques</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Asymptomatic Diseases</term>
<term>Coronavirus Infections</term>
<term>Cross Infection</term>
<term>Republic of Korea</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term>
</keywords>
<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>Infection croisée</term>
<term>Infections à coronavirus</term>
<term>Maladies asymptomatiques</term>
<term>République de Corée</term>
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<term>Enzyme-Linked Immunosorbent Assay</term>
<term>Humans</term>
<term>Seroepidemiologic Studies</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Flambées de maladies</term>
<term>Humains</term>
<term>Personnel de santé</term>
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<front><div type="abstract" xml:lang="en"><sec><title>OBJECTIVES</title>
<p>The rates of asymptomatic infection with Middle East Respiratory Syndrome (MERS) coronavirus vary. A serologic study was conducted to determine the asymptomatic MERS infection rate in healthcare workers and non-healthcare workers by exposure status.</p>
</sec>
<sec><title>METHODS</title>
<p>Study participants were selected from contacts of MERS patients based on a priority system in 4 regions strongly affected by the 2015 MERS outbreak. A sero-epidemiological survey was performed in 1,610 contacts (average duration from exposure to test, 4.8 months), and the collected sera were tested using an enzyme-linked immunespecific assay (ELISA), immunofluorescence assay (IFA), and plaque reduction neutralization antibody test (PRNT). Among the 1,610 contacts, there were 7 ELISA-positive cases, of which 1 exhibited positive IFA and PRNT results.</p>
</sec>
<sec><title>RESULTS</title>
<p>The asymptomatic infection rate was 0.060% (95% confidence interval, 0.002 to 0.346). The asymptomatic MERS case was a patient who had been hospitalized with patient zero on the same floor of the hospital at the same time. The case was quarantined at home for 2 weeks after discharge, and had underlying diseases, including hypertension, angina, and degenerative arthritis.</p>
</sec>
<sec><title>CONCLUSIONS</title>
<p>The asymptomatic infection was acquired via healthcare-associated transmission. Thus, it is necessary to extend serologic studies to include inpatient contacts who have no symptoms.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Corée du Sud</li>
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<name sortKey="Cheong, Hae Kwan" sort="Cheong, Hae Kwan" uniqKey="Cheong H" first="Hae-Kwan" last="Cheong">Hae-Kwan Cheong</name>
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<name sortKey="Yoon, Hee Jung" sort="Yoon, Hee Jung" uniqKey="Yoon H" first="Hee Jung" last="Yoon">Hee Jung Yoon</name>
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