Surveillance of the Middle East respiratory syndrome (MERS) coronavirus (CoV) infection in healthcare workers after contact with confirmed MERS patients: incidence and risk factors of MERS-CoV seropositivity
Identifieur interne : 001729 ( Ncbi/Merge ); précédent : 001728; suivant : 001730Surveillance of the Middle East respiratory syndrome (MERS) coronavirus (CoV) infection in healthcare workers after contact with confirmed MERS patients: incidence and risk factors of MERS-CoV seropositivity
Auteurs : C.-J. Kim ; W. S. Choi ; Y. Jung ; S. Kiem ; H. Y. Seol ; H. J. Woo ; Y. H. Choi ; J. S. Son ; K.-H. Kim ; Y.-S. Kim ; E. S. Kim ; S. H. Park ; J. H. Yoon ; S.-M. Choi ; H. Lee ; W. S. Oh ; S.-Y. Choi ; N.-J. Kim ; J.-P. Choi ; S. Y. Park ; J. Kim ; S. J. Jeong ; K. S. Lee ; H. C. Jang ; J. Y. Rhee ; B.-N. Kim ; J. H. Bang ; J. H. Lee ; S. Park ; H. Y. Kim ; J. K. Choi ; Y.-M. Wi ; H. J. ChoiSource :
- Clinical Microbiology and Infection [ 1198-743X ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Coronavirus du syndrome respiratoire du Moyen-Orient (immunologie), Enquêtes de santé, Femelle, Humains, Incidence, Infections à coronavirus (immunologie), Infections à coronavirus (épidémiologie), Jeune adulte, Mâle, Personnel de santé, Sujet âgé, Surveillance de la population, Transmission de maladie infectieuse du patient au professionnel de santé (), Études séroépidémiologiques.
- MESH :
- immunologie : Coronavirus du syndrome respiratoire du Moyen-Orient, Infections à coronavirus.
- épidémiologie : Infections à coronavirus.
- Adolescent, Adulte, Adulte d'âge moyen, Enquêtes de santé, Femelle, Humains, Incidence, Jeune adulte, Mâle, Personnel de santé, Sujet âgé, Surveillance de la population, Transmission de maladie infectieuse du patient au professionnel de santé, Études séroépidémiologiques.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Coronavirus Infections (epidemiology), Coronavirus Infections (immunology), Female, Health Personnel, Health Surveys, Humans, Incidence, Infectious Disease Transmission, Patient-to-Professional (statistics & numerical data), Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (immunology), Population Surveillance, Seroepidemiologic Studies, Young Adult.
- MESH :
- epidemiology : Coronavirus Infections.
- immunology : Coronavirus Infections, Middle East Respiratory Syndrome Coronavirus.
- statistics & numerical data : Infectious Disease Transmission, Patient-to-Professional.
- Adolescent, Adult, Aged, Female, Health Personnel, Health Surveys, Humans, Incidence, Male, Middle Aged, Population Surveillance, Seroepidemiologic Studies, Young Adult.
Abstract
Given the mode of transmission of Middle East respiratory syndrome (MERS), healthcare workers (HCWs) in contact with MERS patients are expected to be at risk of MERS infections. We evaluated the prevalence of MERS coronavirus (CoV) immunoglobulin (Ig) G in HCWs exposed to MERS patients and calculated the incidence of MERS-affected cases in HCWs. We enrolled HCWs from hospitals where confirmed MERS patients had visited. Serum was collected 4 to 6 weeks after the last contact with a confirmed MERS patient. We performed an enzyme-linked immunosorbent assay (ELISA) to screen for the presence of MERS-CoV IgG and an indirect immunofluorescence test (IIFT) to confirm MERS-CoV IgG. We used a questionnaire to collect information regarding the exposure. We calculated the incidence of MERS-affected cases by dividing the sum of PCR-confirmed and serology-confirmed cases by the number of exposed HCWs in participating hospitals. In total, 1169 HCWs in 31 hospitals had contact with 114 MERS patients, and among the HCWs, 15 were PCR-confirmed MERS cases in study hospitals. Serologic analysis was performed for 737 participants. ELISA was positive in five participants and borderline for seven. IIFT was positive for two (0.3%) of these 12 participants. Among the participants who did not use appropriate personal protective equipment (PPE), seropositivity was 0.7% (2/294) compared to 0% (0/443) in cases with appropriate PPE use. The incidence of MERS infection in HCWs was 1.5% (17/1169). The seroprevalence of MERS-CoV IgG among HCWs was higher among participants who did not use appropriate PPE.
Url:
DOI: 10.1016/j.cmi.2016.07.017
PubMed: 27475739
PubMed Central: 7128923
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Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, W S" sort="Choi, W S" uniqKey="Choi W" first="W. S." last="Choi">W. S. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jung, Y" sort="Jung, Y" uniqKey="Jung Y" first="Y." last="Jung">Y. Jung</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kiem, S" sort="Kiem, S" uniqKey="Kiem S" first="S." last="Kiem">S. Kiem</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Seol, H Y" sort="Seol, H Y" uniqKey="Seol H" first="H. Y." last="Seol">H. Y. Seol</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Woo, H J" sort="Woo, H J" uniqKey="Woo H" first="H. J." last="Woo">H. J. Woo</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, Y H" sort="Choi, Y H" uniqKey="Choi Y" first="Y. H." last="Choi">Y. H. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Son, J S" sort="Son, J S" uniqKey="Son J" first="J. S." last="Son">J. S. Son</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, K H" sort="Kim, K H" uniqKey="Kim K" first="K.-H." last="Kim">K.-H. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y.-S." last="Kim">Y.-S. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, E S" sort="Kim, E S" uniqKey="Kim E" first="E. S." last="Kim">E. S. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S H" sort="Park, S H" uniqKey="Park S" first="S. H." last="Park">S. H. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Yoon, J H" sort="Yoon, J H" uniqKey="Yoon J" first="J. H." last="Yoon">J. H. 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Y." last="Rhee">J. Y. Rhee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, B N" sort="Kim, B N" uniqKey="Kim B" first="B.-N." last="Kim">B.-N. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Bang, J H" sort="Bang, J H" uniqKey="Bang J" first="J. H." last="Bang">J. H. Bang</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, J H" sort="Lee, J H" uniqKey="Lee J" first="J. H." last="Lee">J. H. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S" sort="Park, S" uniqKey="Park S" first="S." last="Park">S. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, H Y" sort="Kim, H Y" uniqKey="Kim H" first="H. Y." last="Kim">H. Y. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, J K" sort="Choi, J K" uniqKey="Choi J" first="J. K." last="Choi">J. K. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Wi, Y M" sort="Wi, Y M" uniqKey="Wi Y" first="Y.-M." last="Wi">Y.-M. Wi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, H J" sort="Choi, H J" uniqKey="Choi H" first="H. J." last="Choi">H. J. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">Clinical Microbiology and Infection</title><idno type="ISSN">1198-743X</idno><idno type="eISSN">1469-0691</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (immunology)</term><term>Female</term><term>Health Personnel</term><term>Health Surveys</term><term>Humans</term><term>Incidence</term><term>Infectious Disease Transmission, Patient-to-Professional (statistics & numerical data)</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus (immunology)</term><term>Population Surveillance</term><term>Seroepidemiologic Studies</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (immunologie)</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Infections à coronavirus (immunologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Surveillance de la population</term><term>Transmission de maladie infectieuse du patient au professionnel de santé ()</term><term>Études séroépidémiologiques</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Coronavirus Infections</term><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Infectious Disease Transmission, Patient-to-Professional</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Health Personnel</term><term>Health Surveys</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Population Surveillance</term><term>Seroepidemiologic Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Surveillance de la population</term><term>Transmission de maladie infectieuse du patient au professionnel de santé</term><term>Études séroépidémiologiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Given the mode of transmission of Middle East respiratory syndrome (MERS), healthcare workers (HCWs) in contact with MERS patients are expected to be at risk of MERS infections. We evaluated the prevalence of MERS coronavirus (CoV) immunoglobulin (Ig) G in HCWs exposed to MERS patients and calculated the incidence of MERS-affected cases in HCWs. We enrolled HCWs from hospitals where confirmed MERS patients had visited. Serum was collected 4 to 6 weeks after the last contact with a confirmed MERS patient. We performed an enzyme-linked immunosorbent assay (ELISA) to screen for the presence of MERS-CoV IgG and an indirect immunofluorescence test (IIFT) to confirm MERS-CoV IgG. We used a questionnaire to collect information regarding the exposure. We calculated the incidence of MERS-affected cases by dividing the sum of PCR-confirmed and serology-confirmed cases by the number of exposed HCWs in participating hospitals. In total, 1169 HCWs in 31 hospitals had contact with 114 MERS patients, and among the HCWs, 15 were PCR-confirmed MERS cases in study hospitals. Serologic analysis was performed for 737 participants. ELISA was positive in five participants and borderline for seven. IIFT was positive for two (0.3%) of these 12 participants. Among the participants who did not use appropriate personal protective equipment (PPE), seropositivity was 0.7% (2/294) compared to 0% (0/443) in cases with appropriate PPE use. The incidence of MERS infection in HCWs was 1.5% (17/1169). The seroprevalence of MERS-CoV IgG among HCWs was higher among participants who did not use appropriate PPE.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author><author><name sortKey="Zumla, A I" uniqKey="Zumla A">A.I. Zumla</name></author><author><name sortKey="Al Hakeem, R F" uniqKey="Al Hakeem R">R.F. Al-Hakeem</name></author><author><name sortKey="Al Rabeeah, A A" uniqKey="Al Rabeeah A">A.A. Al-Rabeeah</name></author><author><name sortKey="Stephens, G M" uniqKey="Stephens G">G.M. Stephens</name></author></analytic></biblStruct><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" uniqKey="Osterhaus A">A.D. Osterhaus</name></author><author><name sortKey="Fouchier, R A" uniqKey="Fouchier R">R.A. Fouchier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oboho, I K" uniqKey="Oboho I">I.K. Oboho</name></author><author><name sortKey="Tomczyk, S M" uniqKey="Tomczyk S">S.M. Tomczyk</name></author><author><name sortKey="Al Asmari, A M" uniqKey="Al Asmari A">A.M. Al-Asmari</name></author><author><name sortKey="Banjar, A A" uniqKey="Banjar A">A.A. Banjar</name></author><author><name sortKey="Al Mugti, H" uniqKey="Al Mugti H">H. Al-Mugti</name></author><author><name sortKey="Aloraini, M S" uniqKey="Aloraini M">M.S. Aloraini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bermingham, A" uniqKey="Bermingham A">A. Bermingham</name></author><author><name sortKey="Chand, M A" uniqKey="Chand M">M.A. Chand</name></author><author><name sortKey="Brown, C S" uniqKey="Brown C">C.S. Brown</name></author><author><name sortKey="Aarons, E" uniqKey="Aarons E">E. Aarons</name></author><author><name sortKey="Tong, C" uniqKey="Tong C">C. Tong</name></author><author><name sortKey="Langrish, C" uniqKey="Langrish C">C. Langrish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bialek, S R" uniqKey="Bialek S">S.R. Bialek</name></author><author><name sortKey="Allen, D" uniqKey="Allen D">D. Allen</name></author><author><name sortKey="Alvarado Ramy, F" uniqKey="Alvarado Ramy F">F. Alvarado-Ramy</name></author><author><name sortKey="Arthur, R" uniqKey="Arthur R">R. Arthur</name></author><author><name sortKey="Balajee, A" uniqKey="Balajee A">A. Balajee</name></author><author><name sortKey="Bell, D" uniqKey="Bell D">D. Bell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sridhar, S" uniqKey="Sridhar S">S. Sridhar</name></author><author><name sortKey="Brouqui, P" uniqKey="Brouqui P">P. Brouqui</name></author><author><name sortKey="Parola, P" uniqKey="Parola P">P. Parola</name></author><author><name sortKey="Gautret, P" uniqKey="Gautret P">P. Gautret</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choi, J Y" uniqKey="Choi J">J.Y. Choi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. Al-Tawfiq</name></author><author><name sortKey="Perl, T M" uniqKey="Perl T">T.M. Perl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Assiri, A" uniqKey="Assiri A">A. Assiri</name></author><author><name sortKey="Mcgeer, A" uniqKey="Mcgeer A">A. McGeer</name></author><author><name sortKey="Perl, T M" uniqKey="Perl T">T.M. Perl</name></author><author><name sortKey="Price, C S" uniqKey="Price C">C.S. Price</name></author><author><name sortKey="Al Rabeeah, A A" uniqKey="Al Rabeeah A">A.A. Al Rabeeah</name></author><author><name sortKey="Cummings, D A" uniqKey="Cummings D">D.A. Cummings</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Korea Centers For Disease Control And Prevention" uniqKey="Korea Centers For Disease Control And Prevention">Korea Centers for Disease Control and Prevention</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, J Y" uniqKey="Kim J">J.Y. Kim</name></author><author><name sortKey="Song, J Y" uniqKey="Song J">J.Y. Song</name></author><author><name sortKey="Yoon, Y K" uniqKey="Yoon Y">Y.K. Yoon</name></author><author><name sortKey="Choi, S H" uniqKey="Choi S">S.-H. Choi</name></author><author><name sortKey="Song, Y G" uniqKey="Song Y">Y.G. Song</name></author><author><name sortKey="Kim, S R" uniqKey="Kim S">S.-R. Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Breakwell, L" uniqKey="Breakwell L">L. Breakwell</name></author><author><name sortKey="Pringle, K" uniqKey="Pringle K">K. Pringle</name></author><author><name sortKey="Chea, N" uniqKey="Chea N">N. Chea</name></author><author><name sortKey="Allen, D" uniqKey="Allen D">D. Allen</name></author><author><name sortKey="Allen, S" uniqKey="Allen S">S. Allen</name></author><author><name sortKey="Richards, S" uniqKey="Richards S">S. Richards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Korea Ministry Of Health And Welfare Korea Centers For Disease Control And Prevention" uniqKey="Korea Ministry Of Health And Welfare Korea Centers For Disease Control And Prevention">Korea Ministry of Health and Welfare; Korea Centers for Disease Control and Prevention</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Muller, M A" uniqKey="Muller M">M.A. Muller</name></author><author><name sortKey="Meyer, B" uniqKey="Meyer B">B. Meyer</name></author><author><name sortKey="Corman, V M" uniqKey="Corman V">V.M. Corman</name></author><author><name sortKey="Al Masri, M" uniqKey="Al Masri M">M. Al-Masri</name></author><author><name sortKey="Turkestani, A" uniqKey="Turkestani A">A. Turkestani</name></author><author><name sortKey="Ritz, D" uniqKey="Ritz D">D. Ritz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leung, G M" uniqKey="Leung G">G.M. Leung</name></author><author><name sortKey="Lim, W W" uniqKey="Lim W">W.W. Lim</name></author><author><name sortKey="Ho, L M" uniqKey="Ho L">L.M. Ho</name></author><author><name sortKey="Lam, T H" uniqKey="Lam T">T.H. Lam</name></author><author><name sortKey="Ghani, A C" uniqKey="Ghani A">A.C. Ghani</name></author><author><name sortKey="Donnelly, C A" uniqKey="Donnelly C">C.A. Donnelly</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Siegel, J D" uniqKey="Siegel J">J.D. Siegel</name></author><author><name sortKey="Rhinehart, E" uniqKey="Rhinehart E">E. Rhinehart</name></author><author><name sortKey="Jackson, M" uniqKey="Jackson M">M. Jackson</name></author><author><name sortKey="Chiarello, L" uniqKey="Chiarello L">L. Chiarello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Abdallat, M M" uniqKey="Al Abdallat M">M.M. Al-Abdallat</name></author><author><name sortKey="Payne, D C" uniqKey="Payne D">D.C. Payne</name></author><author><name sortKey="Alqasrawi, S" uniqKey="Alqasrawi S">S. Alqasrawi</name></author><author><name sortKey="Rha, B" uniqKey="Rha B">B. Rha</name></author><author><name sortKey="Tohme, R A" uniqKey="Tohme R">R.A. Tohme</name></author><author><name sortKey="Abedi, G R" uniqKey="Abedi G">G.R. Abedi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, S" uniqKey="Park S">S. Park</name></author><author><name sortKey="Perera, R" uniqKey="Perera R">R. Perera</name></author><author><name sortKey="Choe, P" uniqKey="Choe P">P. Choe</name></author><author><name sortKey="Lau, E" uniqKey="Lau E">E. Lau</name></author><author><name sortKey="Choi, S" uniqKey="Choi S">S. Choi</name></author><author><name sortKey="Chun, J" uniqKey="Chun J">J. Chun</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, W B" uniqKey="Park W">W.B. Park</name></author><author><name sortKey="Perera, R" uniqKey="Perera R">R. Perera</name></author><author><name sortKey="Choe, P G" uniqKey="Choe P">P.G. Choe</name></author><author><name sortKey="Lau, E" uniqKey="Lau E">E. Lau</name></author><author><name sortKey="Choi, S J" uniqKey="Choi S">S.J. Choi</name></author><author><name sortKey="Chun, J Y" uniqKey="Chun J">J.Y. Chun</name></author></analytic></biblStruct></listBibl></div1></back></TEI><double pmid="27475739"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surveillance of the Middle East respiratory syndrome (MERS) coronavirus (CoV) infection in healthcare workers after contact with confirmed MERS patients: incidence and risk factors of MERS-CoV seropositivity</title><author><name sortKey="Kim, C J" sort="Kim, C J" uniqKey="Kim C" first="C.-J." last="Kim">C.-J. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, W S" sort="Choi, W S" uniqKey="Choi W" first="W. S." last="Choi">W. S. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jung, Y" sort="Jung, Y" uniqKey="Jung Y" first="Y." last="Jung">Y. Jung</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kiem, S" sort="Kiem, S" uniqKey="Kiem S" first="S." last="Kiem">S. Kiem</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Seol, H Y" sort="Seol, H Y" uniqKey="Seol H" first="H. Y." last="Seol">H. Y. Seol</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Woo, H J" sort="Woo, H J" uniqKey="Woo H" first="H. J." last="Woo">H. J. Woo</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, Y H" sort="Choi, Y H" uniqKey="Choi Y" first="Y. H." last="Choi">Y. H. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Son, J S" sort="Son, J S" uniqKey="Son J" first="J. S." last="Son">J. S. Son</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, K H" sort="Kim, K H" uniqKey="Kim K" first="K.-H." last="Kim">K.-H. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y.-S." last="Kim">Y.-S. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, E S" sort="Kim, E S" uniqKey="Kim E" first="E. S." last="Kim">E. S. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S H" sort="Park, S H" uniqKey="Park S" first="S. H." last="Park">S. H. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Yoon, J H" sort="Yoon, J H" uniqKey="Yoon J" first="J. H." last="Yoon">J. H. Yoon</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, S M" sort="Choi, S M" uniqKey="Choi S" first="S.-M." last="Choi">S.-M. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, H" sort="Lee, H" uniqKey="Lee H" first="H." last="Lee">H. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Oh, W S" sort="Oh, W S" uniqKey="Oh W" first="W. S." last="Oh">W. S. Oh</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, S Y" sort="Choi, S Y" uniqKey="Choi S" first="S.-Y." last="Choi">S.-Y. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, N J" sort="Kim, N J" uniqKey="Kim N" first="N.-J." last="Kim">N.-J. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, J P" sort="Choi, J P" uniqKey="Choi J" first="J.-P." last="Choi">J.-P. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S Y" sort="Park, S Y" uniqKey="Park S" first="S. Y." last="Park">S. Y. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, J" sort="Kim, J" uniqKey="Kim J" first="J." last="Kim">J. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jeong, S J" sort="Jeong, S J" uniqKey="Jeong S" first="S. J." last="Jeong">S. J. Jeong</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, K S" sort="Lee, K S" uniqKey="Lee K" first="K. S." last="Lee">K. S. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jang, H C" sort="Jang, H C" uniqKey="Jang H" first="H. C." last="Jang">H. C. Jang</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Rhee, J Y" sort="Rhee, J Y" uniqKey="Rhee J" first="J. Y." last="Rhee">J. Y. Rhee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, B N" sort="Kim, B N" uniqKey="Kim B" first="B.-N." last="Kim">B.-N. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Bang, J H" sort="Bang, J H" uniqKey="Bang J" first="J. H." last="Bang">J. H. Bang</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, J H" sort="Lee, J H" uniqKey="Lee J" first="J. H." last="Lee">J. H. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S" sort="Park, S" uniqKey="Park S" first="S." last="Park">S. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, H Y" sort="Kim, H Y" uniqKey="Kim H" first="H. Y." last="Kim">H. Y. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, J K" sort="Choi, J K" uniqKey="Choi J" first="J. K." last="Choi">J. K. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Wi, Y M" sort="Wi, Y M" uniqKey="Wi Y" first="Y.-M." last="Wi">Y.-M. Wi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, H J" sort="Choi, H J" uniqKey="Choi H" first="H. J." last="Choi">H. J. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27475739</idno><idno type="pmc">7128923</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7128923</idno><idno type="RBID">PMC:7128923</idno><idno type="doi">10.1016/j.cmi.2016.07.017</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000B86</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B86</idno><idno type="wicri:Area/Pmc/Curation">000B86</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000B86</idno><idno type="wicri:Area/Pmc/Checkpoint">000996</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000996</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Surveillance of the Middle East respiratory syndrome (MERS) coronavirus (CoV) infection in healthcare workers after contact with confirmed MERS patients: incidence and risk factors of MERS-CoV seropositivity</title><author><name sortKey="Kim, C J" sort="Kim, C J" uniqKey="Kim C" first="C.-J." last="Kim">C.-J. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, W S" sort="Choi, W S" uniqKey="Choi W" first="W. S." last="Choi">W. S. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jung, Y" sort="Jung, Y" uniqKey="Jung Y" first="Y." last="Jung">Y. Jung</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kiem, S" sort="Kiem, S" uniqKey="Kiem S" first="S." last="Kiem">S. Kiem</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Seol, H Y" sort="Seol, H Y" uniqKey="Seol H" first="H. Y." last="Seol">H. Y. Seol</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Woo, H J" sort="Woo, H J" uniqKey="Woo H" first="H. J." last="Woo">H. J. Woo</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, Y H" sort="Choi, Y H" uniqKey="Choi Y" first="Y. H." last="Choi">Y. H. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Son, J S" sort="Son, J S" uniqKey="Son J" first="J. S." last="Son">J. S. Son</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, K H" sort="Kim, K H" uniqKey="Kim K" first="K.-H." last="Kim">K.-H. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y.-S." last="Kim">Y.-S. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, E S" sort="Kim, E S" uniqKey="Kim E" first="E. S." last="Kim">E. S. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S H" sort="Park, S H" uniqKey="Park S" first="S. H." last="Park">S. H. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Yoon, J H" sort="Yoon, J H" uniqKey="Yoon J" first="J. H." last="Yoon">J. H. Yoon</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, S M" sort="Choi, S M" uniqKey="Choi S" first="S.-M." last="Choi">S.-M. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, H" sort="Lee, H" uniqKey="Lee H" first="H." last="Lee">H. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Oh, W S" sort="Oh, W S" uniqKey="Oh W" first="W. S." last="Oh">W. S. Oh</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, S Y" sort="Choi, S Y" uniqKey="Choi S" first="S.-Y." last="Choi">S.-Y. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, N J" sort="Kim, N J" uniqKey="Kim N" first="N.-J." last="Kim">N.-J. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, J P" sort="Choi, J P" uniqKey="Choi J" first="J.-P." last="Choi">J.-P. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S Y" sort="Park, S Y" uniqKey="Park S" first="S. Y." last="Park">S. Y. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, J" sort="Kim, J" uniqKey="Kim J" first="J." last="Kim">J. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jeong, S J" sort="Jeong, S J" uniqKey="Jeong S" first="S. J." last="Jeong">S. J. Jeong</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, K S" sort="Lee, K S" uniqKey="Lee K" first="K. S." last="Lee">K. S. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Jang, H C" sort="Jang, H C" uniqKey="Jang H" first="H. C." last="Jang">H. C. Jang</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Rhee, J Y" sort="Rhee, J Y" uniqKey="Rhee J" first="J. Y." last="Rhee">J. Y. Rhee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, B N" sort="Kim, B N" uniqKey="Kim B" first="B.-N." last="Kim">B.-N. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Bang, J H" sort="Bang, J H" uniqKey="Bang J" first="J. H." last="Bang">J. H. Bang</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Lee, J H" sort="Lee, J H" uniqKey="Lee J" first="J. H." last="Lee">J. H. Lee</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Park, S" sort="Park, S" uniqKey="Park S" first="S." last="Park">S. Park</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Kim, H Y" sort="Kim, H Y" uniqKey="Kim H" first="H. Y." last="Kim">H. Y. Kim</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, J K" sort="Choi, J K" uniqKey="Choi J" first="J. K." last="Choi">J. K. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Wi, Y M" sort="Wi, Y M" uniqKey="Wi Y" first="Y.-M." last="Wi">Y.-M. Wi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Choi, H J" sort="Choi, H J" uniqKey="Choi H" first="H. J." last="Choi">H. J. Choi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">Clinical Microbiology and Infection</title><idno type="ISSN">1198-743X</idno><idno type="eISSN">1469-0691</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Given the mode of transmission of Middle East respiratory syndrome (MERS), healthcare workers (HCWs) in contact with MERS patients are expected to be at risk of MERS infections. We evaluated the prevalence of MERS coronavirus (CoV) immunoglobulin (Ig) G in HCWs exposed to MERS patients and calculated the incidence of MERS-affected cases in HCWs. We enrolled HCWs from hospitals where confirmed MERS patients had visited. Serum was collected 4 to 6 weeks after the last contact with a confirmed MERS patient. We performed an enzyme-linked immunosorbent assay (ELISA) to screen for the presence of MERS-CoV IgG and an indirect immunofluorescence test (IIFT) to confirm MERS-CoV IgG. We used a questionnaire to collect information regarding the exposure. We calculated the incidence of MERS-affected cases by dividing the sum of PCR-confirmed and serology-confirmed cases by the number of exposed HCWs in participating hospitals. In total, 1169 HCWs in 31 hospitals had contact with 114 MERS patients, and among the HCWs, 15 were PCR-confirmed MERS cases in study hospitals. Serologic analysis was performed for 737 participants. ELISA was positive in five participants and borderline for seven. IIFT was positive for two (0.3%) of these 12 participants. Among the participants who did not use appropriate personal protective equipment (PPE), seropositivity was 0.7% (2/294) compared to 0% (0/443) in cases with appropriate PPE use. The incidence of MERS infection in HCWs was 1.5% (17/1169). The seroprevalence of MERS-CoV IgG among HCWs was higher among participants who did not use appropriate PPE.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Memish, Z A" uniqKey="Memish Z">Z.A. Memish</name></author><author><name sortKey="Zumla, A I" uniqKey="Zumla A">A.I. Zumla</name></author><author><name sortKey="Al Hakeem, R F" uniqKey="Al Hakeem R">R.F. Al-Hakeem</name></author><author><name sortKey="Al Rabeeah, A A" uniqKey="Al Rabeeah A">A.A. Al-Rabeeah</name></author><author><name sortKey="Stephens, G M" uniqKey="Stephens G">G.M. 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Chun</name></author></analytic></biblStruct></listBibl></div1></back></TEI></pmc><pubmed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Surveillance of the Middle East respiratory syndrome (MERS) coronavirus (CoV) infection in healthcare workers after contact with confirmed MERS patients: incidence and risk factors of MERS-CoV seropositivity.</title><author><name sortKey="Kim, C J" sort="Kim, C J" uniqKey="Kim C" first="C-J" last="Kim">C-J Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine</wicri:regionArea><wicri:noRegion>Ewha Womans University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Choi, W S" sort="Choi, W S" uniqKey="Choi W" first="W S" last="Choi">W S Choi</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jung, Y" sort="Jung, Y" uniqKey="Jung Y" first="Y" last="Jung">Y. Jung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Konyang University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Konyang University Hospital</wicri:regionArea><wicri:noRegion>Konyang University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kiem, S" sort="Kiem, S" uniqKey="Kiem S" first="S" last="Kiem">S. Kiem</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Inje University Haeundae Paik Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Inje University Haeundae Paik Hospital</wicri:regionArea><wicri:noRegion>Inje University Haeundae Paik Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Seol, H Y" sort="Seol, H Y" uniqKey="Seol H" first="H Y" last="Seol">H Y Seol</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Good GangAn Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Good GangAn Hospital</wicri:regionArea><wicri:noRegion>Good GangAn Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Woo, H J" sort="Woo, H J" uniqKey="Woo H" first="H J" last="Woo">H J Woo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital</wicri:regionArea><wicri:noRegion>Hallym University Dongtan Sacred Heart Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, Y H" sort="Choi, Y H" uniqKey="Choi Y" first="Y H" last="Choi">Y H Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Ajou University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Ajou University Hospital</wicri:regionArea><wicri:noRegion>Ajou University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Son, J S" sort="Son, J S" uniqKey="Son J" first="J S" last="Son">J S Son</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Kyung Hee University Hospital at Gangdong</wicri:regionArea><wicri:noRegion>Kyung Hee University Hospital at Gangdong</wicri:noRegion></affiliation></author><author><name sortKey="Kim, K H" sort="Kim, K H" uniqKey="Kim K" first="K-H" last="Kim">K-H Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Pusan National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Pusan National University Hospital</wicri:regionArea><wicri:noRegion>Pusan National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y-S" last="Kim">Y-S Kim</name><affiliation wicri:level="1"><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine</wicri:regionArea><wicri:noRegion>Chungnam National University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Kim, E S" sort="Kim, E S" uniqKey="Kim E" first="E S" last="Kim">E S Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Seoul National University Bundang Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Seoul National University Bundang Hospital</wicri:regionArea><wicri:noRegion>Seoul National University Bundang Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Park, S H" sort="Park, S H" uniqKey="Park S" first="S H" last="Park">S H Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon St. Mary's Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon St. Mary's Hospital</wicri:regionArea><wicri:noRegion>Daejeon St. Mary's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Yoon, J H" sort="Yoon, J H" uniqKey="Yoon J" first="J H" last="Yoon">J H Yoon</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Eulji University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Eulji University Hospital</wicri:regionArea><wicri:noRegion>Eulji University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, S M" sort="Choi, S M" uniqKey="Choi S" first="S-M" last="Choi">S-M Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital</wicri:regionArea><wicri:noRegion>Yeouido St. Mary's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lee, H" sort="Lee, H" uniqKey="Lee H" first="H" last="Lee">H. Lee</name><affiliation wicri:level="1"><nlm:affiliation>Division of Infectious Diseases, Dong-A University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Dong-A University Hospital</wicri:regionArea><wicri:noRegion>Dong-A University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Oh, W S" sort="Oh, W S" uniqKey="Oh W" first="W S" last="Oh">W S Oh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Kangwon National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Kangwon National University Hospital</wicri:regionArea><wicri:noRegion>Kangwon National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, S Y" sort="Choi, S Y" uniqKey="Choi S" first="S-Y" last="Choi">S-Y Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Dae Cheong Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Neurology, Dae Cheong Hospital</wicri:regionArea><wicri:noRegion>Dae Cheong Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, N J" sort="Kim, N J" uniqKey="Kim N" first="N-J" last="Kim">N-J Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Seoul National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Seoul National University Hospital</wicri:regionArea><wicri:noRegion>Seoul National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, J P" sort="Choi, J P" uniqKey="Choi J" first="J-P" last="Choi">J-P Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Seoul Medical Center, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Seoul Medical Center</wicri:regionArea><wicri:noRegion>Seoul Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Park, S Y" sort="Park, S Y" uniqKey="Park S" first="S Y" last="Park">S Y Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital</wicri:regionArea><wicri:noRegion>Hallym University Kangdong Sacred Heart Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, J" sort="Kim, J" uniqKey="Kim J" first="J" last="Kim">J. Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Hanyang University Guri Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Hanyang University Guri Hospital</wicri:regionArea><wicri:noRegion>Hanyang University Guri Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Jeong, S J" sort="Jeong, S J" uniqKey="Jeong S" first="S J" last="Jeong">S J Jeong</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Gangnam Severance Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Gangnam Severance Hospital</wicri:regionArea><wicri:noRegion>Gangnam Severance Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lee, K S" sort="Lee, K S" uniqKey="Lee K" first="K S" last="Lee">K S Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Myongji Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Myongji Hospital</wicri:regionArea><wicri:noRegion>Myongji Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Jang, H C" sort="Jang, H C" uniqKey="Jang H" first="H C" last="Jang">H C Jang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Chonnam National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Chonnam National University Hospital</wicri:regionArea><wicri:noRegion>Chonnam National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Rhee, J Y" sort="Rhee, J Y" uniqKey="Rhee J" first="J Y" last="Rhee">J Y Rhee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Dankook University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Dankook University Hospital</wicri:regionArea><wicri:noRegion>Dankook University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, B N" sort="Kim, B N" uniqKey="Kim B" first="B-N" last="Kim">B-N Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Inje University Sanggye Paik Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Inje University Sanggye Paik Hospital</wicri:regionArea><wicri:noRegion>Inje University Sanggye Paik Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Bang, J H" sort="Bang, J H" uniqKey="Bang J" first="J H" last="Bang">J H Bang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Borame Medical Center, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Borame Medical Center</wicri:regionArea><wicri:noRegion>Borame Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Lee, J H" sort="Lee, J H" uniqKey="Lee J" first="J H" last="Lee">J H Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Wonkwang University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Wonkwang University Hospital</wicri:regionArea><wicri:noRegion>Wonkwang University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Park, S" sort="Park, S" uniqKey="Park S" first="S" last="Park">S. Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Family Medicine, Seobuk Hospital Seoul Metropolitan Government, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Family Medicine, Seobuk Hospital Seoul Metropolitan Government</wicri:regionArea><wicri:noRegion>Seobuk Hospital Seoul Metropolitan Government</wicri:noRegion></affiliation></author><author><name sortKey="Kim, H Y" sort="Kim, H Y" uniqKey="Kim H" first="H Y" last="Kim">H Y Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Wonju Severance Christian Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Wonju Severance Christian Hospital</wicri:regionArea><wicri:noRegion>Wonju Severance Christian Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, J K" sort="Choi, J K" uniqKey="Choi J" first="J K" last="Choi">J K Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital</wicri:regionArea><wicri:noRegion>Bucheon St. Mary's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Wi, Y M" sort="Wi, Y M" uniqKey="Wi Y" first="Y-M" last="Wi">Y-M Wi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Samsung Changwon Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Samsung Changwon Hospital</wicri:regionArea><wicri:noRegion>Samsung Changwon Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, H J" sort="Choi, H J" uniqKey="Choi H" first="H J" last="Choi">H J Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine, South Korea. Electronic address: heechoi@ewha.ac.kr.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine</wicri:regionArea><wicri:noRegion>Ewha Womans University School of Medicine</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27475739</idno><idno type="pmid">27475739</idno><idno type="doi">10.1016/j.cmi.2016.07.017</idno><idno type="wicri:Area/PubMed/Corpus">001018</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001018</idno><idno type="wicri:Area/PubMed/Curation">001018</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001018</idno><idno type="wicri:Area/PubMed/Checkpoint">000E87</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000E87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surveillance of the Middle East respiratory syndrome (MERS) coronavirus (CoV) infection in healthcare workers after contact with confirmed MERS patients: incidence and risk factors of MERS-CoV seropositivity.</title><author><name sortKey="Kim, C J" sort="Kim, C J" uniqKey="Kim C" first="C-J" last="Kim">C-J Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine</wicri:regionArea><wicri:noRegion>Ewha Womans University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Choi, W S" sort="Choi, W S" uniqKey="Choi W" first="W S" last="Choi">W S Choi</name><affiliation wicri:level="3"><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jung, Y" sort="Jung, Y" uniqKey="Jung Y" first="Y" last="Jung">Y. Jung</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Konyang University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Konyang University Hospital</wicri:regionArea><wicri:noRegion>Konyang University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kiem, S" sort="Kiem, S" uniqKey="Kiem S" first="S" last="Kiem">S. Kiem</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Inje University Haeundae Paik Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Inje University Haeundae Paik Hospital</wicri:regionArea><wicri:noRegion>Inje University Haeundae Paik Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Seol, H Y" sort="Seol, H Y" uniqKey="Seol H" first="H Y" last="Seol">H Y Seol</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Good GangAn Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Good GangAn Hospital</wicri:regionArea><wicri:noRegion>Good GangAn Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Woo, H J" sort="Woo, H J" uniqKey="Woo H" first="H J" last="Woo">H J Woo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital</wicri:regionArea><wicri:noRegion>Hallym University Dongtan Sacred Heart Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, Y H" sort="Choi, Y H" uniqKey="Choi Y" first="Y H" last="Choi">Y H Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Ajou University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Ajou University Hospital</wicri:regionArea><wicri:noRegion>Ajou University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Son, J S" sort="Son, J S" uniqKey="Son J" first="J S" last="Son">J S Son</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Kyung Hee University Hospital at Gangdong</wicri:regionArea><wicri:noRegion>Kyung Hee University Hospital at Gangdong</wicri:noRegion></affiliation></author><author><name sortKey="Kim, K H" sort="Kim, K H" uniqKey="Kim K" first="K-H" last="Kim">K-H Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Pusan National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Pusan National University Hospital</wicri:regionArea><wicri:noRegion>Pusan National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Y S" sort="Kim, Y S" uniqKey="Kim Y" first="Y-S" last="Kim">Y-S Kim</name><affiliation wicri:level="1"><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine</wicri:regionArea><wicri:noRegion>Chungnam National University School of Medicine</wicri:noRegion></affiliation></author><author><name sortKey="Kim, E S" sort="Kim, E S" uniqKey="Kim E" first="E S" last="Kim">E S Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Seoul National University Bundang Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Seoul National University Bundang Hospital</wicri:regionArea><wicri:noRegion>Seoul National University Bundang Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Park, S H" sort="Park, S H" uniqKey="Park S" first="S H" last="Park">S H Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon St. Mary's Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Daejeon St. Mary's Hospital</wicri:regionArea><wicri:noRegion>Daejeon St. Mary's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Yoon, J H" sort="Yoon, J H" uniqKey="Yoon J" first="J H" last="Yoon">J H Yoon</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Eulji University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Eulji University Hospital</wicri:regionArea><wicri:noRegion>Eulji University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, S M" sort="Choi, S M" uniqKey="Choi S" first="S-M" last="Choi">S-M Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Yeouido St. Mary's Hospital</wicri:regionArea><wicri:noRegion>Yeouido St. Mary's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lee, H" sort="Lee, H" uniqKey="Lee H" first="H" last="Lee">H. Lee</name><affiliation wicri:level="1"><nlm:affiliation>Division of Infectious Diseases, Dong-A University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Infectious Diseases, Dong-A University Hospital</wicri:regionArea><wicri:noRegion>Dong-A University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Oh, W S" sort="Oh, W S" uniqKey="Oh W" first="W S" last="Oh">W S Oh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Kangwon National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Kangwon National University Hospital</wicri:regionArea><wicri:noRegion>Kangwon National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, S Y" sort="Choi, S Y" uniqKey="Choi S" first="S-Y" last="Choi">S-Y Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Dae Cheong Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Neurology, Dae Cheong Hospital</wicri:regionArea><wicri:noRegion>Dae Cheong Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, N J" sort="Kim, N J" uniqKey="Kim N" first="N-J" last="Kim">N-J Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Seoul National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Seoul National University Hospital</wicri:regionArea><wicri:noRegion>Seoul National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, J P" sort="Choi, J P" uniqKey="Choi J" first="J-P" last="Choi">J-P Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Seoul Medical Center, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Seoul Medical Center</wicri:regionArea><wicri:noRegion>Seoul Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Park, S Y" sort="Park, S Y" uniqKey="Park S" first="S Y" last="Park">S Y Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital</wicri:regionArea><wicri:noRegion>Hallym University Kangdong Sacred Heart Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, J" sort="Kim, J" uniqKey="Kim J" first="J" last="Kim">J. Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Hanyang University Guri Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Hanyang University Guri Hospital</wicri:regionArea><wicri:noRegion>Hanyang University Guri Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Jeong, S J" sort="Jeong, S J" uniqKey="Jeong S" first="S J" last="Jeong">S J Jeong</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Gangnam Severance Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Gangnam Severance Hospital</wicri:regionArea><wicri:noRegion>Gangnam Severance Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lee, K S" sort="Lee, K S" uniqKey="Lee K" first="K S" last="Lee">K S Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Myongji Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Myongji Hospital</wicri:regionArea><wicri:noRegion>Myongji Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Jang, H C" sort="Jang, H C" uniqKey="Jang H" first="H C" last="Jang">H C Jang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Chonnam National University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Chonnam National University Hospital</wicri:regionArea><wicri:noRegion>Chonnam National University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Rhee, J Y" sort="Rhee, J Y" uniqKey="Rhee J" first="J Y" last="Rhee">J Y Rhee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Dankook University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Dankook University Hospital</wicri:regionArea><wicri:noRegion>Dankook University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Kim, B N" sort="Kim, B N" uniqKey="Kim B" first="B-N" last="Kim">B-N Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Inje University Sanggye Paik Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Inje University Sanggye Paik Hospital</wicri:regionArea><wicri:noRegion>Inje University Sanggye Paik Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Bang, J H" sort="Bang, J H" uniqKey="Bang J" first="J H" last="Bang">J H Bang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Borame Medical Center, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Borame Medical Center</wicri:regionArea><wicri:noRegion>Borame Medical Center</wicri:noRegion></affiliation></author><author><name sortKey="Lee, J H" sort="Lee, J H" uniqKey="Lee J" first="J H" last="Lee">J H Lee</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Wonkwang University Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Wonkwang University Hospital</wicri:regionArea><wicri:noRegion>Wonkwang University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Park, S" sort="Park, S" uniqKey="Park S" first="S" last="Park">S. Park</name><affiliation wicri:level="1"><nlm:affiliation>Department of Family Medicine, Seobuk Hospital Seoul Metropolitan Government, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Family Medicine, Seobuk Hospital Seoul Metropolitan Government</wicri:regionArea><wicri:noRegion>Seobuk Hospital Seoul Metropolitan Government</wicri:noRegion></affiliation></author><author><name sortKey="Kim, H Y" sort="Kim, H Y" uniqKey="Kim H" first="H Y" last="Kim">H Y Kim</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Wonju Severance Christian Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Wonju Severance Christian Hospital</wicri:regionArea><wicri:noRegion>Wonju Severance Christian Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, J K" sort="Choi, J K" uniqKey="Choi J" first="J K" last="Choi">J K Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital</wicri:regionArea><wicri:noRegion>Bucheon St. Mary's Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Wi, Y M" sort="Wi, Y M" uniqKey="Wi Y" first="Y-M" last="Wi">Y-M Wi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Samsung Changwon Hospital, South Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Samsung Changwon Hospital</wicri:regionArea><wicri:noRegion>Samsung Changwon Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Choi, H J" sort="Choi, H J" uniqKey="Choi H" first="H J" last="Choi">H J Choi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine, South Korea. Electronic address: heechoi@ewha.ac.kr.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Division of Infectious Diseases, Ewha Womans University School of Medicine</wicri:regionArea><wicri:noRegion>Ewha Womans University School of Medicine</wicri:noRegion></affiliation></author></analytic><series><title level="j">Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases</title><idno type="eISSN">1469-0691</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (immunology)</term><term>Female</term><term>Health Personnel</term><term>Health Surveys</term><term>Humans</term><term>Incidence</term><term>Infectious Disease Transmission, Patient-to-Professional (statistics & numerical data)</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus (immunology)</term><term>Population Surveillance</term><term>Seroepidemiologic Studies</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (immunologie)</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Infections à coronavirus (immunologie)</term><term>Infections à coronavirus (épidémiologie)</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Surveillance de la population</term><term>Transmission de maladie infectieuse du patient au professionnel de santé ()</term><term>Études séroépidémiologiques</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="immunologie" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Coronavirus Infections</term><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Infectious Disease Transmission, Patient-to-Professional</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Health Personnel</term><term>Health Surveys</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Population Surveillance</term><term>Seroepidemiologic Studies</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Jeune adulte</term><term>Mâle</term><term>Personnel de santé</term><term>Sujet âgé</term><term>Surveillance de la population</term><term>Transmission de maladie infectieuse du patient au professionnel de santé</term><term>Études séroépidémiologiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Given the mode of transmission of Middle East respiratory syndrome (MERS), healthcare workers (HCWs) in contact with MERS patients are expected to be at risk of MERS infections. We evaluated the prevalence of MERS coronavirus (CoV) immunoglobulin (Ig) G in HCWs exposed to MERS patients and calculated the incidence of MERS-affected cases in HCWs. We enrolled HCWs from hospitals where confirmed MERS patients had visited. Serum was collected 4 to 6 weeks after the last contact with a confirmed MERS patient. We performed an enzyme-linked immunosorbent assay (ELISA) to screen for the presence of MERS-CoV IgG and an indirect immunofluorescence test (IIFT) to confirm MERS-CoV IgG. We used a questionnaire to collect information regarding the exposure. We calculated the incidence of MERS-affected cases by dividing the sum of PCR-confirmed and serology-confirmed cases by the number of exposed HCWs in participating hospitals. In total, 1169 HCWs in 31 hospitals had contact with 114 MERS patients, and among the HCWs, 15 were PCR-confirmed MERS cases in study hospitals. Serologic analysis was performed for 737 participants. ELISA was positive in five participants and borderline for seven. IIFT was positive for two (0.3%) of these 12 participants. Among the participants who did not use appropriate personal protective equipment (PPE), seropositivity was 0.7% (2/294) compared to 0% (0/443) in cases with appropriate PPE use. The incidence of MERS infection in HCWs was 1.5% (17/1169). The seroprevalence of MERS-CoV IgG among HCWs was higher among participants who did not use appropriate PPE.</div></front></TEI></pubmed></double></record>Pour manipuler ce document sous Unix (Dilib)
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