Clinical and Epidemiologic Characteristics of Spreaders of Middle East Respiratory Syndrome Coronavirus during the 2015 Outbreak in Korea
Identifieur interne : 000909 ( Pmc/Checkpoint ); précédent : 000908; suivant : 000910Clinical and Epidemiologic Characteristics of Spreaders of Middle East Respiratory Syndrome Coronavirus during the 2015 Outbreak in Korea
Auteurs : Chang Kyung Kang [Corée du Sud] ; Kyoung-Ho Song [Corée du Sud] ; Pyoeng Gyun Choe [Corée du Sud] ; Wan Beom Park [Corée du Sud] ; Ji Hwan Bang [Corée du Sud] ; Eu Suk Kim [Corée du Sud] ; Sang Won Park [Corée du Sud] ; Hong Bin Kim [Corée du Sud] ; Nam Joong Kim [Corée du Sud] ; Sung-Il Cho [Corée du Sud] ; Jong-Koo Lee [Corée du Sud] ; Myoung-Don Oh [Corée du Sud]Source :
- Journal of Korean Medical Science [ 1011-8934 ] ; 2017.
Abstract
Nosocomial transmission is an important characteristic of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection. Risk factors for transmission of MERS-CoV in healthcare settings are not well defined. During the Korean outbreak in 2015, 186 patients had laboratory-confirmed MERS-CoV infection. Those suspected as a source of viral transmission were categorized into the spreader groups (super-spreader [n = 5] and usual-spreader [n = 10]) and compared to the non-spreader group (n = 171). Body temperature of ≥ 38.5°C (adjusted odds ratio [aOR], 5.54; 95% confidence interval [CI], 1.38–22.30;
Url:
DOI: 10.3346/jkms.2017.32.5.744
PubMed: 28378546
PubMed Central: 5383605
Affiliations:
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<author><name sortKey="Kim, Eu Suk" sort="Kim, Eu Suk" uniqKey="Kim E" first="Eu Suk" last="Kim">Eu Suk Kim</name>
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<front><div type="abstract" xml:lang="en"><p>Nosocomial transmission is an important characteristic of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection. Risk factors for transmission of MERS-CoV in healthcare settings are not well defined. During the Korean outbreak in 2015, 186 patients had laboratory-confirmed MERS-CoV infection. Those suspected as a source of viral transmission were categorized into the spreader groups (super-spreader [n = 5] and usual-spreader [n = 10]) and compared to the non-spreader group (n = 171). Body temperature of ≥ 38.5°C (adjusted odds ratio [aOR], 5.54; 95% confidence interval [CI], 1.38–22.30; <italic>P</italic>
= 0.016), pulmonary infiltration of ≥ 3 lung zones (aOR, 7.33; 95% CI, 1.93–27.79; <italic>P</italic>
= 0.003), and a more nonisolated in-hospital days (aOR, 1.32 per 1 day; 95% CI, 1.09–1.60; <italic>P</italic>
= 0.004) were significant risk factors in the spreader group. There was no different clinical factor between super-spreaders and usual-spreaders. Nonisolated in-hospital days was the only factor which tended to be higher in super-spreaders than usual-spreaders (Mean, 6.6 vs. 2.9 days; <italic>P</italic>
= 0.061). Early active quarantine might help reducing the size of an outbreak.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Korean Med Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Korean Med. Sci</journal-id>
<journal-id journal-id-type="publisher-id">JKMS</journal-id>
<journal-title-group><journal-title>Journal of Korean Medical Science</journal-title>
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<issn pub-type="ppub">1011-8934</issn>
<issn pub-type="epub">1598-6357</issn>
<publisher><publisher-name>The Korean Academy of Medical Sciences</publisher-name>
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<article-meta><article-id pub-id-type="pmid">28378546</article-id>
<article-id pub-id-type="pmc">5383605</article-id>
<article-id pub-id-type="doi">10.3346/jkms.2017.32.5.744</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
<subj-group subj-group-type="subheading"><subject>Infectious Diseases, Microbiology & Parasitology</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group><article-title>Clinical and Epidemiologic Characteristics of Spreaders of Middle East Respiratory Syndrome Coronavirus during the 2015 Outbreak in Korea</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-1952-072X</contrib-id>
<name><surname>Kang</surname>
<given-names>Chang Kyung</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-4517-3840</contrib-id>
<name><surname>Song</surname>
<given-names>Kyoung-Ho</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-6794-7918</contrib-id>
<name><surname>Choe</surname>
<given-names>Pyoeng Gyun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-0022-9625</contrib-id>
<name><surname>Park</surname>
<given-names>Wan Beom</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-7628-1182</contrib-id>
<name><surname>Bang</surname>
<given-names>Ji Hwan</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-7132-0157</contrib-id>
<name><surname>Kim</surname>
<given-names>Eu Suk</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-0550-1897</contrib-id>
<name><surname>Park</surname>
<given-names>Sang Won</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-6262-372X</contrib-id>
<name><surname>Kim</surname>
<given-names>Hong Bin</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0001-6793-9467</contrib-id>
<name><surname>Kim</surname>
<given-names>Nam Joong</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-4085-1494</contrib-id>
<name><surname>Cho</surname>
<given-names>Sung-il</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0003-4833-1178</contrib-id>
<name><surname>Lee</surname>
<given-names>Jong-koo</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="true">http://orcid.org/0000-0002-2344-7695</contrib-id>
<name><surname>Oh</surname>
<given-names>Myoung-don</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Internal Medicine, Seoul National University College of Medicine, Seoul,<country>Korea</country>
.</aff>
<aff id="A2"><label>2</label>
JW Lee Center for Global Medicine, Seoul National University College of Medicine, Seoul,<country>Korea</country>
.</aff>
<aff id="A3"><label>3</label>
Graduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul,<country>Korea</country>
.</aff>
<author-notes><corresp>Address for Correspondence: Myoung-don Oh, MD, PhD. Department of Internal Medicine, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul 03080, Korea. <email>mdohmd@snu.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>5</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>17</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>32</volume>
<issue>5</issue>
<fpage>744</fpage>
<lpage>749</lpage>
<history><date date-type="received"><day>27</day>
<month>12</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>30</day>
<month>1</month>
<year>2017</year>
</date>
</history>
<permissions><copyright-statement>© 2017 The Korean Academy of Medical Sciences.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc/4.0/">https://creativecommons.org/licenses/by-nc/4.0/</ext-link>
) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Nosocomial transmission is an important characteristic of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection. Risk factors for transmission of MERS-CoV in healthcare settings are not well defined. During the Korean outbreak in 2015, 186 patients had laboratory-confirmed MERS-CoV infection. Those suspected as a source of viral transmission were categorized into the spreader groups (super-spreader [n = 5] and usual-spreader [n = 10]) and compared to the non-spreader group (n = 171). Body temperature of ≥ 38.5°C (adjusted odds ratio [aOR], 5.54; 95% confidence interval [CI], 1.38–22.30; <italic>P</italic>
= 0.016), pulmonary infiltration of ≥ 3 lung zones (aOR, 7.33; 95% CI, 1.93–27.79; <italic>P</italic>
= 0.003), and a more nonisolated in-hospital days (aOR, 1.32 per 1 day; 95% CI, 1.09–1.60; <italic>P</italic>
= 0.004) were significant risk factors in the spreader group. There was no different clinical factor between super-spreaders and usual-spreaders. Nonisolated in-hospital days was the only factor which tended to be higher in super-spreaders than usual-spreaders (Mean, 6.6 vs. 2.9 days; <italic>P</italic>
= 0.061). Early active quarantine might help reducing the size of an outbreak.</p>
</abstract>
<abstract abstract-type="graphical"><title>Graphical Abstract</title>
<p><graphic xlink:href="jkms-32-744-abf001.jpg" position="float" orientation="portrait"></graphic>
</p>
</abstract>
<kwd-group kwd-group-type="author"><kwd>MERS-CoV</kwd>
<kwd>Outbreak</kwd>
<kwd>Hospital Infection</kwd>
<kwd>Infection Transmission</kwd>
<kwd>Korea</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="KR"><institution-wrap><institution>Korea Health Industry Development Institute</institution>
<institution-id institution-id-type="CrossRef">http://dx.doi.org/10.13039/501100003710</institution-id>
</institution-wrap>
</funding-source>
<award-id>HI15C3227</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Corée du Sud</li>
</country>
</list>
<tree><country name="Corée du Sud"><noRegion><name sortKey="Kang, Chang Kyung" sort="Kang, Chang Kyung" uniqKey="Kang C" first="Chang Kyung" last="Kang">Chang Kyung Kang</name>
</noRegion>
<name sortKey="Bang, Ji Hwan" sort="Bang, Ji Hwan" uniqKey="Bang J" first="Ji Hwan" last="Bang">Ji Hwan Bang</name>
<name sortKey="Cho, Sung Il" sort="Cho, Sung Il" uniqKey="Cho S" first="Sung-Il" last="Cho">Sung-Il Cho</name>
<name sortKey="Cho, Sung Il" sort="Cho, Sung Il" uniqKey="Cho S" first="Sung-Il" last="Cho">Sung-Il Cho</name>
<name sortKey="Choe, Pyoeng Gyun" sort="Choe, Pyoeng Gyun" uniqKey="Choe P" first="Pyoeng Gyun" last="Choe">Pyoeng Gyun Choe</name>
<name sortKey="Kim, Eu Suk" sort="Kim, Eu Suk" uniqKey="Kim E" first="Eu Suk" last="Kim">Eu Suk Kim</name>
<name sortKey="Kim, Hong Bin" sort="Kim, Hong Bin" uniqKey="Kim H" first="Hong Bin" last="Kim">Hong Bin Kim</name>
<name sortKey="Kim, Nam Joong" sort="Kim, Nam Joong" uniqKey="Kim N" first="Nam Joong" last="Kim">Nam Joong Kim</name>
<name sortKey="Lee, Jong Koo" sort="Lee, Jong Koo" uniqKey="Lee J" first="Jong-Koo" last="Lee">Jong-Koo Lee</name>
<name sortKey="Lee, Jong Koo" sort="Lee, Jong Koo" uniqKey="Lee J" first="Jong-Koo" last="Lee">Jong-Koo Lee</name>
<name sortKey="Oh, Myoung Don" sort="Oh, Myoung Don" uniqKey="Oh M" first="Myoung-Don" last="Oh">Myoung-Don Oh</name>
<name sortKey="Oh, Myoung Don" sort="Oh, Myoung Don" uniqKey="Oh M" first="Myoung-Don" last="Oh">Myoung-Don Oh</name>
<name sortKey="Park, Sang Won" sort="Park, Sang Won" uniqKey="Park S" first="Sang Won" last="Park">Sang Won Park</name>
<name sortKey="Park, Wan Beom" sort="Park, Wan Beom" uniqKey="Park W" first="Wan Beom" last="Park">Wan Beom Park</name>
<name sortKey="Song, Kyoung Ho" sort="Song, Kyoung Ho" uniqKey="Song K" first="Kyoung-Ho" last="Song">Kyoung-Ho Song</name>
</country>
</tree>
</affiliations>
</record>
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