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Identifying factors and target preventive therapies for Middle East Respiratory Syndrome sucsibtable patients

Identifieur interne : 000278 ( Pmc/Checkpoint ); précédent : 000277; suivant : 000279

Identifying factors and target preventive therapies for Middle East Respiratory Syndrome sucsibtable patients

Auteurs : Khalid A. Alburikan [Arabie saoudite] ; Hatem A. Abuelizz [Arabie saoudite]

Source :

RBID : PMC:7000305

Abstract

Background

Middle East Respiratory Syndrome (MERS) is a respiratory disease caused by a novel coronavirus that was identified in 2012 in Saudi Arabia. It is associated with significant mortality and morbidity. We identified factors associated with the Middle East Respiratory Syndrome-Coronavirus (MERS‐CoV) infection among suspected cases presented with sign and symptoms of upper respiratory infection or exposure to the virus. We also looked at the impact of medication history on virus transmission.

Method

We included subjects with suspected MERS-CoV infection and confirmed cases of MERS infection. Subjects were excluded if there were any missing data that prevent the final analysis. Descriptive statistics were used to report demographic data. Percentages and frequencies were used to summarize the categorical variables, while means and standard deviations were calculated for continuous variables. Logistic regression was used to assess the risk of MERS-CoV infection among the suspected cases. A value of p < 0.05 was considered statistically significant.

Results

A total of 16,189 suspected cases were identified, complete data were analyzed for 3154 to assess factors that are independently associated with MERS-CoV infection. MERS-CoV infection was associated with age (adjusted odds ratio [AOR] = 1.06; 95% CI [1.02–1.098], P-value = 0.004), male gender (AOR = 1.617; 95% CI [1.365–1.77], P-value < 0.001) and diabetes (AOR = 1.68; 95% CI [1.346–1.848], P-value = 0.002. There was no significant association with the other comorbidities. Medication history was not associated with an increase or decrease the likelihood of the infection.

Conclusions

MERS-Cov infection is more common in male, advanced age and diabetes. No medications were associated with an increase or decrease the likelihood of the infection. This is important to focus on screening and detection to this patient population.


Url:
DOI: 10.1016/j.jsps.2019.11.016
PubMed: 32042254
PubMed Central: 7000305


Affiliations:


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PMC:7000305

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<title>Background</title>
<p>Middle East Respiratory Syndrome (MERS) is a respiratory disease caused by a novel coronavirus that was identified in 2012 in Saudi Arabia. It is associated with significant mortality and morbidity. We identified factors associated with the Middle East Respiratory Syndrome-Coronavirus (MERS‐CoV) infection among suspected cases presented with sign and symptoms of upper respiratory infection or exposure to the virus. We also looked at the impact of medication history on virus transmission.</p>
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<title>Method</title>
<p>We included subjects with suspected MERS-CoV infection and confirmed cases of MERS infection. Subjects were excluded if there were any missing data that prevent the final analysis. Descriptive statistics were used to report demographic data. Percentages and frequencies were used to summarize the categorical variables, while means and standard deviations were calculated for continuous variables. Logistic regression was used to assess the risk of MERS-CoV infection among the suspected cases. A value of
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<title>Results</title>
<p>A total of 16,189 suspected cases were identified, complete data were analyzed for 3154 to assess factors that are independently associated with MERS-CoV infection. MERS-CoV infection was associated with age (adjusted odds ratio [AOR] = 1.06; 95% CI [1.02–1.098], P-value = 0.004), male gender (AOR = 1.617; 95% CI [1.365–1.77], P-value < 0.001) and diabetes (AOR = 1.68; 95% CI [1.346–1.848], P-value = 0.002. There was no significant association with the other comorbidities. Medication history was not associated with an increase or decrease the likelihood of the infection.</p>
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<p>MERS-Cov infection is more common in male, advanced age and diabetes. No medications were associated with an increase or decrease the likelihood of the infection. This is important to focus on screening and detection to this patient population.</p>
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<name sortKey="Chughtai, Abrar Ahmad" uniqKey="Chughtai A">Abrar Ahmad Chughtai</name>
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<name sortKey="Dyda, Amalie" uniqKey="Dyda A">Amalie Dyda</name>
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<name sortKey="Perlman, Stanley" uniqKey="Perlman S">Stanley Perlman</name>
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<name>
<surname>Alburikan</surname>
<given-names>Khalid A.</given-names>
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<name>
<surname>Abuelizz</surname>
<given-names>Hatem A.</given-names>
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<email>habuelizz@ksu.edu.sa</email>
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Department of Clincal Pharmacy, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia</aff>
<aff id="af010">
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Department of Pharmaceutical Chemistry, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia</aff>
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Corresponding author at: College of Pharmacy, King Saud University, P.O. Box 2475, Riyadh 11451, Saudi Arabia.
<email>habuelizz@ksu.edu.sa</email>
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<day>7</day>
<month>12</month>
<year>2019</year>
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<volume>28</volume>
<issue>2</issue>
<fpage>161</fpage>
<lpage>164</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>5</month>
<year>2019</year>
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<date date-type="accepted">
<day>29</day>
<month>11</month>
<year>2019</year>
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<copyright-year>2019</copyright-year>
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<license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
</license>
</permissions>
<abstract id="ab005">
<sec>
<title>Background</title>
<p>Middle East Respiratory Syndrome (MERS) is a respiratory disease caused by a novel coronavirus that was identified in 2012 in Saudi Arabia. It is associated with significant mortality and morbidity. We identified factors associated with the Middle East Respiratory Syndrome-Coronavirus (MERS‐CoV) infection among suspected cases presented with sign and symptoms of upper respiratory infection or exposure to the virus. We also looked at the impact of medication history on virus transmission.</p>
</sec>
<sec>
<title>Method</title>
<p>We included subjects with suspected MERS-CoV infection and confirmed cases of MERS infection. Subjects were excluded if there were any missing data that prevent the final analysis. Descriptive statistics were used to report demographic data. Percentages and frequencies were used to summarize the categorical variables, while means and standard deviations were calculated for continuous variables. Logistic regression was used to assess the risk of MERS-CoV infection among the suspected cases. A value of
<italic>p</italic>
 < 0.05 was considered statistically significant.</p>
</sec>
<sec>
<title>Results</title>
<p>A total of 16,189 suspected cases were identified, complete data were analyzed for 3154 to assess factors that are independently associated with MERS-CoV infection. MERS-CoV infection was associated with age (adjusted odds ratio [AOR] = 1.06; 95% CI [1.02–1.098], P-value = 0.004), male gender (AOR = 1.617; 95% CI [1.365–1.77], P-value < 0.001) and diabetes (AOR = 1.68; 95% CI [1.346–1.848], P-value = 0.002. There was no significant association with the other comorbidities. Medication history was not associated with an increase or decrease the likelihood of the infection.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>MERS-Cov infection is more common in male, advanced age and diabetes. No medications were associated with an increase or decrease the likelihood of the infection. This is important to focus on screening and detection to this patient population.</p>
</sec>
</abstract>
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<title>Keywords</title>
<kwd>Middle East Respiratory Syndrome</kwd>
<kwd>MERS-CoV</kwd>
<kwd>Diabetes</kwd>
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