A Middle East respiratory syndrome screening clinic for health care personnel during the 2015 Middle East respiratory syndrome outbreak in South Korea: A single-center experience
Identifieur interne : 000951 ( Pmc/Checkpoint ); précédent : 000950; suivant : 000952A Middle East respiratory syndrome screening clinic for health care personnel during the 2015 Middle East respiratory syndrome outbreak in South Korea: A single-center experience
Auteurs : Ji Yeon Lee [Corée du Sud] ; Gayeon Kim [Corée du Sud] ; Dong-Gyun Lim [Corée du Sud] ; Hyeon-Gun Jee [Corée du Sud] ; Yunyoung Jang [Corée du Sud] ; Joon-Sung Joh [Corée du Sud] ; Ina Jeong [Corée du Sud] ; Yeonjae Kim [Corée du Sud] ; Eunhee Kim [Corée du Sud] ; Bum Sik Chin [Corée du Sud]Source :
- American Journal of Infection Control [ 0196-6553 ] ; 2017.
Abstract
Transmission of Middle East respiratory syndrome (MERS) to health care personnel (HCP) is a major concern. This study aimed to review cases of MERS-related events, such as development of MERS-like symptoms or exposure to patients.
A MERS screening clinic (MSC) for HCP was setup in the National Medical Center during the MERS outbreak in 2015. Clinical and laboratory data from HCP who visited the MSC were retrospectively reviewed. Additionally, these data were compared with the results of postoutbreak questionnaire surveys and interviews about MERS-related symptoms and risk-related events.
Of the 333 HCP who participated in MERS patient care, 35 HCP (10.5%) visited the MSC for MERS-like symptoms. No one was infected with MERS, and the most common symptom was fever (68.6%) followed by cough (34.3%). However, 106 of 285 postoutbreak survey participants experienced at least 1 MERS-related symptom and 26 reported exposure to patients without appropriate personal protective equipment, whereas only 4 HCP visited the MSC to report exposure events.
Although a considerable number of HCP experienced MERS-related symptoms or unprotected exposure during MERS patient care, some did not take appropriate action. These findings imply that for infection control strategy to be properly performed, education should be strengthened so that HCP can accurately recognize the risk situation and properly notify the infection control officer.
Url:
DOI: 10.1016/j.ajic.2017.09.017
PubMed: 29153641
PubMed Central: 7132669
Affiliations:
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Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Eunhee" sort="Kim, Eunhee" uniqKey="Kim E" first="Eunhee" last="Kim">Eunhee Kim</name><affiliation wicri:level="3"><nlm:aff id="af0025">Infection Control Unit, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Infection Control Unit, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chin, Bum Sik" sort="Chin, Bum Sik" uniqKey="Chin B" first="Bum Sik" last="Chin">Bum Sik Chin</name><affiliation wicri:level="3"><nlm:aff id="af0015">Center for Infectious Diseases, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Infectious Diseases, National Medical Center, 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type="main">A Middle East respiratory syndrome screening clinic for health care personnel during the 2015 Middle East respiratory syndrome outbreak in South Korea: A single-center experience</title><author><name sortKey="Lee, Ji Yeon" sort="Lee, Ji Yeon" uniqKey="Lee J" first="Ji Yeon" last="Lee">Ji Yeon Lee</name><affiliation wicri:level="3"><nlm:aff id="af0010">Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Gayeon" sort="Kim, Gayeon" uniqKey="Kim G" first="Gayeon" last="Kim">Gayeon Kim</name><affiliation wicri:level="3"><nlm:aff id="af0015">Center for Infectious Diseases, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Infectious Diseases, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Lim, Dong Gyun" sort="Lim, Dong Gyun" uniqKey="Lim D" first="Dong-Gyun" last="Lim">Dong-Gyun Lim</name><affiliation wicri:level="3"><nlm:aff id="af0020">Center for Chronic Diseases, Research Institute, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Chronic Diseases, Research Institute, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jee, Hyeon Gun" sort="Jee, Hyeon Gun" uniqKey="Jee H" first="Hyeon-Gun" last="Jee">Hyeon-Gun Jee</name><affiliation wicri:level="3"><nlm:aff id="af0020">Center for Chronic Diseases, Research Institute, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Chronic Diseases, Research Institute, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jang, Yunyoung" sort="Jang, Yunyoung" uniqKey="Jang Y" first="Yunyoung" last="Jang">Yunyoung Jang</name><affiliation wicri:level="3"><nlm:aff id="af0025">Infection Control Unit, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Infection Control Unit, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Joh, Joon Sung" sort="Joh, Joon Sung" uniqKey="Joh J" first="Joon-Sung" last="Joh">Joon-Sung Joh</name><affiliation wicri:level="3"><nlm:aff id="af0010">Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Jeong, Ina" sort="Jeong, Ina" uniqKey="Jeong I" first="Ina" last="Jeong">Ina Jeong</name><affiliation wicri:level="3"><nlm:aff id="af0010">Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Yeonjae" sort="Kim, Yeonjae" uniqKey="Kim Y" first="Yeonjae" last="Kim">Yeonjae Kim</name><affiliation wicri:level="3"><nlm:aff id="af0015">Center for Infectious Diseases, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Infectious Diseases, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Kim, Eunhee" sort="Kim, Eunhee" uniqKey="Kim E" first="Eunhee" last="Kim">Eunhee Kim</name><affiliation wicri:level="3"><nlm:aff id="af0025">Infection Control Unit, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Infection Control Unit, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Chin, Bum Sik" sort="Chin, Bum Sik" uniqKey="Chin B" first="Bum Sik" last="Chin">Bum Sik Chin</name><affiliation wicri:level="3"><nlm:aff id="af0015">Center for Infectious Diseases, National Medical Center, Seoul, Republic of Korea</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Center for Infectious Diseases, National Medical Center, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">American Journal of Infection Control</title><idno type="ISSN">0196-6553</idno><idno type="eISSN">1527-3296</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Transmission of Middle East respiratory syndrome (MERS) to health care personnel (HCP) is a major concern. This study aimed to review cases of MERS-related events, such as development of MERS-like symptoms or exposure to patients.</p></sec><sec><title>Methods</title><p>A MERS screening clinic (MSC) for HCP was setup in the National Medical Center during the MERS outbreak in 2015. Clinical and laboratory data from HCP who visited the MSC were retrospectively reviewed. Additionally, these data were compared with the results of postoutbreak questionnaire surveys and interviews about MERS-related symptoms and risk-related events.</p></sec><sec><title>Results</title><p>Of the 333 HCP who participated in MERS patient care, 35 HCP (10.5%) visited the MSC for MERS-like symptoms. No one was infected with MERS, and the most common symptom was fever (68.6%) followed by cough (34.3%). However, 106 of 285 postoutbreak survey participants experienced at least 1 MERS-related symptom and 26 reported exposure to patients without appropriate personal protective equipment, whereas only 4 HCP visited the MSC to report exposure events.</p></sec><sec><title>Conclusions</title><p>Although a considerable number of HCP experienced MERS-related symptoms or unprotected exposure during MERS patient care, some did not take appropriate action. These findings imply that for infection control strategy to be properly performed, education should be strengthened so that HCP can accurately recognize the risk situation and properly notify the infection control officer.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cha, R H" uniqKey="Cha R">R.H. Cha</name></author><author><name sortKey="Joh, J S" uniqKey="Joh J">J.S. Joh</name></author><author><name sortKey="Jeong, I" uniqKey="Jeong I">I. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Infect Control</journal-id><journal-id journal-id-type="iso-abbrev">Am J Infect Control</journal-id><journal-title-group><journal-title>American Journal of Infection Control</journal-title></journal-title-group><issn pub-type="ppub">0196-6553</issn><issn pub-type="epub">1527-3296</issn><publisher><publisher-name>Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29153641</article-id><article-id pub-id-type="pmc">7132669</article-id><article-id pub-id-type="publisher-id">S0196-6553(17)31092-1</article-id><article-id pub-id-type="doi">10.1016/j.ajic.2017.09.017</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>A Middle East respiratory syndrome screening clinic for health care personnel during the 2015 Middle East respiratory syndrome outbreak in South Korea: A single-center experience</article-title></title-group><contrib-group><contrib contrib-type="author" id="au0010"><name><surname>Lee</surname><given-names>Ji Yeon</given-names></name><degrees>MD</degrees><xref rid="af0010" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au0015"><name><surname>Kim</surname><given-names>Gayeon</given-names></name><degrees>MD</degrees><xref rid="af0015" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0020"><name><surname>Lim</surname><given-names>Dong-Gyun</given-names></name><degrees>MD</degrees><xref rid="af0020" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="au0025"><name><surname>Jee</surname><given-names>Hyeon-Gun</given-names></name><degrees>PhD</degrees><xref rid="af0020" ref-type="aff">c</xref></contrib><contrib contrib-type="author" id="au0030"><name><surname>Jang</surname><given-names>Yunyoung</given-names></name><degrees>RN</degrees><xref rid="af0025" ref-type="aff">d</xref></contrib><contrib contrib-type="author" id="au0035"><name><surname>Joh</surname><given-names>Joon-Sung</given-names></name><degrees>MD</degrees><xref rid="af0010" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au0040"><name><surname>Jeong</surname><given-names>Ina</given-names></name><degrees>MD</degrees><xref rid="af0010" ref-type="aff">a</xref></contrib><contrib contrib-type="author" id="au0045"><name><surname>Kim</surname><given-names>Yeonjae</given-names></name><degrees>MD</degrees><xref rid="af0015" ref-type="aff">b</xref></contrib><contrib contrib-type="author" id="au0050"><name><surname>Kim</surname><given-names>Eunhee</given-names></name><degrees>RN</degrees><xref rid="af0025" ref-type="aff">d</xref></contrib><contrib contrib-type="author" id="au0055"><name><surname>Chin</surname><given-names>Bum Sik</given-names></name><degrees>MD</degrees><email>moberrer@nmc.or.kr</email><xref rid="af0015" ref-type="aff">b</xref><xref rid="co0010" ref-type="corresp">*</xref></contrib></contrib-group><aff id="af0010"><label>a</label>Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, National Medical Center, Seoul, Republic of Korea</aff><aff id="af0015"><label>b</label>Center for Infectious Diseases, National Medical Center, Seoul, Republic of Korea</aff><aff id="af0020"><label>c</label>Center for Chronic Diseases, Research Institute, National Medical Center, Seoul, Republic of Korea</aff><aff id="af0025"><label>d</label>Infection Control Unit, National Medical Center, Seoul, Republic of Korea</aff><author-notes><corresp id="co0010"><label>*</label>Address correspondence to Bum Sik Chin, MD, PhD, Center for Infectious Diseases, National Medical Center, 245, Euljiro, Jung-gu, Seoul 04564, Republic of Korea. (B.S. Chin). <email>moberrer@nmc.or.kr</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>16</day><month>11</month><year>2017</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><month>4</month><year>2018</year></pub-date><pub-date pub-type="epub"><day>16</day><month>11</month><year>2017</year></pub-date><volume>46</volume><issue>4</issue><fpage>436</fpage><lpage>440</lpage><permissions><copyright-statement>© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</copyright-statement><copyright-year>2018</copyright-year><copyright-holder>Association for Professionals in Infection Control and Epidemiology, Inc.</copyright-holder><license><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="ab0010"><sec><title>Background</title><p>Transmission of Middle East respiratory syndrome (MERS) to health care personnel (HCP) is a major concern. This study aimed to review cases of MERS-related events, such as development of MERS-like symptoms or exposure to patients.</p></sec><sec><title>Methods</title><p>A MERS screening clinic (MSC) for HCP was setup in the National Medical Center during the MERS outbreak in 2015. Clinical and laboratory data from HCP who visited the MSC were retrospectively reviewed. Additionally, these data were compared with the results of postoutbreak questionnaire surveys and interviews about MERS-related symptoms and risk-related events.</p></sec><sec><title>Results</title><p>Of the 333 HCP who participated in MERS patient care, 35 HCP (10.5%) visited the MSC for MERS-like symptoms. No one was infected with MERS, and the most common symptom was fever (68.6%) followed by cough (34.3%). However, 106 of 285 postoutbreak survey participants experienced at least 1 MERS-related symptom and 26 reported exposure to patients without appropriate personal protective equipment, whereas only 4 HCP visited the MSC to report exposure events.</p></sec><sec><title>Conclusions</title><p>Although a considerable number of HCP experienced MERS-related symptoms or unprotected exposure during MERS patient care, some did not take appropriate action. These findings imply that for infection control strategy to be properly performed, education should be strengthened so that HCP can accurately recognize the risk situation and properly notify the infection control officer.</p></sec></abstract><kwd-group id="kwd0010"><title>Key Words</title><kwd>Middle East respiratory syndrome</kwd><kwd>coronavirus</kwd><kwd>infection control</kwd><kwd>health facilities</kwd><kwd>symptom assessment</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Lee, Ji Yeon" sort="Lee, Ji Yeon" uniqKey="Lee J" first="Ji Yeon" last="Lee">Ji Yeon Lee</name></region><name sortKey="Chin, Bum Sik" sort="Chin, Bum Sik" uniqKey="Chin B" first="Bum Sik" last="Chin">Bum Sik Chin</name><name sortKey="Jang, Yunyoung" sort="Jang, Yunyoung" uniqKey="Jang Y" first="Yunyoung" last="Jang">Yunyoung Jang</name><name sortKey="Jee, Hyeon Gun" sort="Jee, Hyeon Gun" uniqKey="Jee H" first="Hyeon-Gun" last="Jee">Hyeon-Gun Jee</name><name sortKey="Jeong, Ina" sort="Jeong, Ina" uniqKey="Jeong I" first="Ina" last="Jeong">Ina Jeong</name><name sortKey="Joh, Joon Sung" sort="Joh, Joon Sung" uniqKey="Joh J" first="Joon-Sung" last="Joh">Joon-Sung Joh</name><name sortKey="Kim, Eunhee" sort="Kim, Eunhee" uniqKey="Kim E" first="Eunhee" last="Kim">Eunhee Kim</name><name sortKey="Kim, Gayeon" sort="Kim, Gayeon" uniqKey="Kim G" first="Gayeon" last="Kim">Gayeon Kim</name><name sortKey="Kim, Yeonjae" sort="Kim, Yeonjae" uniqKey="Kim Y" first="Yeonjae" last="Kim">Yeonjae Kim</name><name sortKey="Lim, Dong Gyun" sort="Lim, Dong Gyun" uniqKey="Lim D" first="Dong-Gyun" last="Lim">Dong-Gyun Lim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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