Outbreak of Middle East Respiratory Syndrome at Tertiary Care Hospital, Jeddah, Saudi Arabia, 2014
Identifieur interne : 000A49 ( Pmc/Checkpoint ); précédent : 000A48; suivant : 000A50Outbreak of Middle East Respiratory Syndrome at Tertiary Care Hospital, Jeddah, Saudi Arabia, 2014
Auteurs : Deborah L. Hastings ; Jerome I. Tokars ; Inas Zakaria A. M. Abdel Aziz ; Khulud Z. Alkhaldi ; Areej T. Bensadek ; Basem M. Alraddadi ; Hani Jokhdar ; John A. Jernigan ; Mohammed A. Garout ; Sara M. Tomczyk ; Ikwo K. Oboho ; Andrew I. Geller ; Nimalan Arinaminpathy ; David L. Swerdlow ; Tariq A. MadaniSource :
- Emerging Infectious Diseases [ 1080-6040 ] ; 2016.
Abstract
Infection probably was transmitted in the emergency department, inpatient areas, and dialysis unit.
Url:
DOI: 10.3201/eid2205.151797
PubMed: 27089550
PubMed Central: 4861521
Affiliations:
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Hastings</name></author><author><name sortKey="Tokars, Jerome I" sort="Tokars, Jerome I" uniqKey="Tokars J" first="Jerome I." last="Tokars">Jerome I. Tokars</name></author><author><name sortKey="Abdel Aziz, Inas Zakaria A M" sort="Abdel Aziz, Inas Zakaria A M" uniqKey="Abdel Aziz I" first="Inas Zakaria A. M." last="Abdel Aziz">Inas Zakaria A. M. Abdel Aziz</name></author><author><name sortKey="Alkhaldi, Khulud Z" sort="Alkhaldi, Khulud Z" uniqKey="Alkhaldi K" first="Khulud Z." last="Alkhaldi">Khulud Z. Alkhaldi</name></author><author><name sortKey="Bensadek, Areej T" sort="Bensadek, Areej T" uniqKey="Bensadek A" first="Areej T." last="Bensadek">Areej T. Bensadek</name></author><author><name sortKey="Alraddadi, Basem M" sort="Alraddadi, Basem M" uniqKey="Alraddadi B" first="Basem M." last="Alraddadi">Basem M. Alraddadi</name></author><author><name sortKey="Jokhdar, Hani" sort="Jokhdar, Hani" uniqKey="Jokhdar H" first="Hani" last="Jokhdar">Hani Jokhdar</name></author><author><name sortKey="Jernigan, John A" sort="Jernigan, John A" uniqKey="Jernigan J" first="John A." last="Jernigan">John A. Jernigan</name></author><author><name sortKey="Garout, Mohammed A" sort="Garout, Mohammed A" uniqKey="Garout M" first="Mohammed A." last="Garout">Mohammed A. Garout</name></author><author><name sortKey="Tomczyk, Sara M" sort="Tomczyk, Sara M" uniqKey="Tomczyk S" first="Sara M." last="Tomczyk">Sara M. Tomczyk</name></author><author><name sortKey="Oboho, Ikwo K" sort="Oboho, Ikwo K" uniqKey="Oboho I" first="Ikwo K." last="Oboho">Ikwo K. Oboho</name></author><author><name sortKey="Geller, Andrew I" sort="Geller, Andrew I" uniqKey="Geller A" first="Andrew I." last="Geller">Andrew I. Geller</name></author><author><name sortKey="Arinaminpathy, Nimalan" sort="Arinaminpathy, Nimalan" uniqKey="Arinaminpathy N" first="Nimalan" last="Arinaminpathy">Nimalan Arinaminpathy</name></author><author><name sortKey="Swerdlow, David L" sort="Swerdlow, David L" uniqKey="Swerdlow D" first="David L." last="Swerdlow">David L. Swerdlow</name></author><author><name sortKey="Madani, Tariq A" sort="Madani, Tariq A" uniqKey="Madani T" first="Tariq A." last="Madani">Tariq A. Madani</name></author></analytic><series><title level="j">Emerging Infectious Diseases</title><idno type="ISSN">1080-6040</idno><idno type="eISSN">1080-6059</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>Infection probably was transmitted in the emergency department, inpatient areas, and dialysis unit.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Emerging Infect. Dis</journal-id><journal-id journal-id-type="publisher-id">EID</journal-id><journal-title-group><journal-title>Emerging Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1080-6040</issn><issn pub-type="epub">1080-6059</issn><publisher><publisher-name>Centers for Disease Control and Prevention</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27089550</article-id><article-id pub-id-type="pmc">4861521</article-id><article-id pub-id-type="publisher-id">15-1797</article-id><article-id pub-id-type="doi">10.3201/eid2205.151797</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research</subject></subj-group><subj-group subj-group-type="TOC-title"><subject>Outbreak of Middle East Respiratory Syndrome at Tertiary Care Hospital, Jeddah, Saudi Arabia, 2014</subject></subj-group></article-categories><title-group><article-title>Outbreak of Middle East Respiratory Syndrome at Tertiary Care Hospital, Jeddah, Saudi Arabia, 2014</article-title><alt-title alt-title-type="running-head">MERS-CoV, Saudi Arabia</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hastings</surname><given-names>Deborah L.</given-names></name><xref ref-type="fn" rid="FN1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tokars</surname><given-names>Jerome I.</given-names></name><xref ref-type="fn" rid="FN1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Abdel Aziz</surname><given-names>Inas Zakaria A.M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Alkhaldi</surname><given-names>Khulud Z.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Bensadek</surname><given-names>Areej T.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Alraddadi</surname><given-names>Basem M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jokhdar</surname><given-names>Hani</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jernigan</surname><given-names>John A.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Garout</surname><given-names>Mohammed A.</given-names></name><xref ref-type="fn" rid="FN2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tomczyk</surname><given-names>Sara M.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Oboho</surname><given-names>Ikwo K.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Geller</surname><given-names>Andrew I.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Arinaminpathy</surname><given-names>Nimalan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Swerdlow</surname><given-names>David L.</given-names></name><xref ref-type="fn" rid="FN3"><sup>3</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Madani</surname><given-names>Tariq A.</given-names></name></contrib><aff id="aff1">Centers for Disease Control and Prevention, Atlanta, Georgia, USA (D.L. Hastings, J.I. Tokars, J.A. Jernigan, S.M. Tomczyk, I.K. Oboho, A.I. Geller, D.L. Swerdlow);</aff><aff id="aff2">Cairo University, Cairo, Egypt (I.Z.A.M. Abdel Aziz);</aff><aff id="aff3">Ministry of Health, Jeddah, Saudi Arabia (K.Z. Alkhaldi, T.A. Madani);</aff><aff id="aff4">King Fahd General Hospital, Jeddah (A.T. Bensadek, H. Jokhdar, M.A. Garout);</aff><aff id="aff5">King Faisal Specialist Hospital and Research Center, Jeddah (B.M. Alraddadi);</aff><aff id="aff6">Central Board of Accreditation for Healthcare Institutions, Jeddah (H. Jokhdar);</aff><aff id="aff7">Umm Al-Qura University, Makkah, Saudi Arabia (H. Jokhdar, M.A. Garout);</aff><aff id="aff8">International Medical Center, Jeddah (M.A. Garout);</aff><aff id="aff9">Imperial College of London, London, UK (N. Arinaminpathy);</aff><aff id="aff10">King Abulaziz University, Jeddah (T.A. Madani)</aff></contrib-group><author-notes><corresp id="cor1">Address for correspondence: Tariq A. Madani, Department of Medicine, King Abdulaziz University, PO Box 80245, Jeddah 21589, Saudi Arabia; email: <email xlink:href="tmadani@kau.edu.sa">tmadani@kau.edu.sa</email></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2016</year></pub-date><volume>22</volume><issue>5</issue><fpage>794</fpage><lpage>801</lpage><abstract abstract-type="toc"><p>Infection probably was transmitted in the emergency department, inpatient areas, and dialysis unit.</p></abstract><abstract><p>During March–May 2014, a Middle East respiratory syndrome (MERS) outbreak occurred in Jeddah, Saudi Arabia, that included many persons who worked or received medical treatment at King Fahd General Hospital. We investigated 78 persons who had laboratory-confirmed MERS during March 2–May 10 and documented contact at this hospital. The 78 persons with MERS comprised 53 patients, 16 healthcare workers, and 9 visitors. Among the 53 patients, the most probable sites of acquisition were the emergency department (22 patients), inpatient areas (17), dialysis unit (11), and outpatient areas (3). Infection control deficiencies included limited separation of suspected MERS patients, patient crowding, and inconsistent use of infection control precautions; aggressive improvements in these deficiencies preceded a decline in cases. MERS coronavirus transmission probably was multifocal, occurring in multiple hospital settings. Continued vigilance and strict application of infection control precautions are necessary to prevent future MERS outbreaks.</p></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>coronavirus infections</kwd><kwd>Saudi Arabia</kwd><kwd>infection control</kwd><kwd>outbreak</kwd><kwd>transmission</kwd><kwd>nosocomial</kwd><kwd>Middle East respiratory syndrome coronavirus</kwd><kwd>viruses</kwd><kwd>MERS-CoV</kwd><kwd>vector-borne infections</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Abdel Aziz, Inas Zakaria A M" sort="Abdel Aziz, Inas Zakaria A M" uniqKey="Abdel Aziz I" first="Inas Zakaria A. M." last="Abdel Aziz">Inas Zakaria A. M. Abdel Aziz</name><name sortKey="Alkhaldi, Khulud Z" sort="Alkhaldi, Khulud Z" uniqKey="Alkhaldi K" first="Khulud Z." last="Alkhaldi">Khulud Z. Alkhaldi</name><name sortKey="Alraddadi, Basem M" sort="Alraddadi, Basem M" uniqKey="Alraddadi B" first="Basem M." last="Alraddadi">Basem M. Alraddadi</name><name sortKey="Arinaminpathy, Nimalan" sort="Arinaminpathy, Nimalan" uniqKey="Arinaminpathy N" first="Nimalan" last="Arinaminpathy">Nimalan Arinaminpathy</name><name sortKey="Bensadek, Areej T" sort="Bensadek, Areej T" uniqKey="Bensadek A" first="Areej T." last="Bensadek">Areej T. Bensadek</name><name sortKey="Garout, Mohammed A" sort="Garout, Mohammed A" uniqKey="Garout M" first="Mohammed A." last="Garout">Mohammed A. Garout</name><name sortKey="Geller, Andrew I" sort="Geller, Andrew I" uniqKey="Geller A" first="Andrew I." last="Geller">Andrew I. Geller</name><name sortKey="Hastings, Deborah L" sort="Hastings, Deborah L" uniqKey="Hastings D" first="Deborah L." last="Hastings">Deborah L. Hastings</name><name sortKey="Jernigan, John A" sort="Jernigan, John A" uniqKey="Jernigan J" first="John A." last="Jernigan">John A. Jernigan</name><name sortKey="Jokhdar, Hani" sort="Jokhdar, Hani" uniqKey="Jokhdar H" first="Hani" last="Jokhdar">Hani Jokhdar</name><name sortKey="Madani, Tariq A" sort="Madani, Tariq A" uniqKey="Madani T" first="Tariq A." last="Madani">Tariq A. Madani</name><name sortKey="Oboho, Ikwo K" sort="Oboho, Ikwo K" uniqKey="Oboho I" first="Ikwo K." last="Oboho">Ikwo K. Oboho</name><name sortKey="Swerdlow, David L" sort="Swerdlow, David L" uniqKey="Swerdlow D" first="David L." last="Swerdlow">David L. Swerdlow</name><name sortKey="Tokars, Jerome I" sort="Tokars, Jerome I" uniqKey="Tokars J" first="Jerome I." last="Tokars">Jerome I. Tokars</name><name sortKey="Tomczyk, Sara M" sort="Tomczyk, Sara M" uniqKey="Tomczyk S" first="Sara M." last="Tomczyk">Sara M. Tomczyk</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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