Serveur d'exploration MERS

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Hospital-Associated Outbreak of Middle East Respiratory Syndrome Coronavirus: A Serologic, Epidemiologic, and Clinical Description

Identifieur interne : 001070 ( Pmc/Checkpoint ); précédent : 001069; suivant : 001071

Hospital-Associated Outbreak of Middle East Respiratory Syndrome Coronavirus: A Serologic, Epidemiologic, and Clinical Description

Auteurs : Mohammad Mousa Al-Abdallat ; Daniel C. Payne ; Sultan Alqasrawi ; Brian Rha ; Rania A. Tohme [Géorgie (pays)] ; Glen R. Abedi ; Mohannad Al Nsour ; Ibrahim Iblan ; Najwa Jarour ; Noha H. Farag [Géorgie (pays)] ; Aktham Haddadin ; Tarek Al-Sanouri ; Azaibi Tamin ; Jennifer L. Harcourt ; David T. Kuhar [Géorgie (pays)] ; David L. Swerdlow ; Dean D. Erdman ; Mark A. Pallansch ; Lia M. Haynes ; Susan I. Gerber

Source :

RBID : PMC:4834865

Abstract

Novel serological tests allowed for the detection of otherwise unrecognized cases of Middle East respiratory syndrome coronavirus infection among contacts in a hospital-associated respiratory illness outbreak in Jordan in April 2012, resulting in a total of 9 test-positive cases.


Url:
DOI: 10.1093/cid/ciu359
PubMed: 24829216
PubMed Central: 4834865


Affiliations:


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Links to Exploration step

PMC:4834865

Le document en format XML

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<name sortKey="Al Nsour, Mohannad" sort="Al Nsour, Mohannad" uniqKey="Al Nsour M" first="Mohannad" last="Al Nsour">Mohannad Al Nsour</name>
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<name sortKey="Haynes, Lia M" sort="Haynes, Lia M" uniqKey="Haynes L" first="Lia M." last="Haynes">Lia M. Haynes</name>
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</affiliation>
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<name sortKey="Gerber, Susan I" sort="Gerber, Susan I" uniqKey="Gerber S" first="Susan I." last="Gerber">Susan I. Gerber</name>
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<title level="j">Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</title>
<idno type="ISSN">1058-4838</idno>
<idno type="eISSN">1537-6591</idno>
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<p>Novel serological tests allowed for the detection of otherwise unrecognized cases of Middle East respiratory syndrome coronavirus infection among contacts in a hospital-associated respiratory illness outbreak in Jordan in April 2012, resulting in a total of 9 test-positive cases.</p>
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<author>
<name sortKey="Hijawi, B" uniqKey="Hijawi B">B Hijawi</name>
</author>
<author>
<name sortKey="Abdallat, M" uniqKey="Abdallat M">M Abdallat</name>
</author>
<author>
<name sortKey="Sayaydeh, A" uniqKey="Sayaydeh A">A Sayaydeh</name>
</author>
</analytic>
</biblStruct>
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<analytic>
<author>
<name sortKey="Zaki, Am" uniqKey="Zaki A">AM Zaki</name>
</author>
<author>
<name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S van Boheemen</name>
</author>
<author>
<name sortKey="Bestebroer, Tm" uniqKey="Bestebroer T">TM Bestebroer</name>
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<name sortKey="Haynes, Lm" uniqKey="Haynes L">LM Haynes</name>
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<author>
<name sortKey="Miao, C" uniqKey="Miao C">C Miao</name>
</author>
<author>
<name sortKey="Harcourt, Jl" uniqKey="Harcourt J">JL Harcourt</name>
</author>
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<author>
<name sortKey="Sui, J" uniqKey="Sui J">J Sui</name>
</author>
<author>
<name sortKey="Li, W" uniqKey="Li W">W Li</name>
</author>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Clin Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Clin. Infect. Dis</journal-id>
<journal-id journal-id-type="publisher-id">cid</journal-id>
<journal-id journal-id-type="hwp">cid</journal-id>
<journal-title-group>
<journal-title>Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America</journal-title>
</journal-title-group>
<issn pub-type="ppub">1058-4838</issn>
<issn pub-type="epub">1537-6591</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">24829216</article-id>
<article-id pub-id-type="pmc">4834865</article-id>
<article-id pub-id-type="doi">10.1093/cid/ciu359</article-id>
<article-id pub-id-type="publisher-id">ciu359</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles and Commentaries</subject>
</subj-group>
<subj-group subj-group-type="category-oup-series">
<subject>Editor's Choice</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Hospital-Associated Outbreak of Middle East Respiratory Syndrome Coronavirus: A Serologic, Epidemiologic, and Clinical Description</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Al-Abdallat</surname>
<given-names>Mohammad Mousa</given-names>
</name>
<author-comment>
<title>a</title>
<p>M. M. A.-A. and D. C. P. contributed equally to this work.</p>
</author-comment>
<xref ref-type="aff" rid="af1">1</xref>
<pmc-comment>dvp6@cdc.gov</pmc-comment>
<xref ref-type="corresp" rid="d697534e577"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Payne</surname>
<given-names>Daniel C.</given-names>
</name>
<author-comment>
<title>a</title>
<p>M. M. A.-A. and D. C. P. contributed equally to this work.</p>
</author-comment>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alqasrawi</surname>
<given-names>Sultan</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rha</surname>
<given-names>Brian</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
<xref ref-type="aff" rid="af3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tohme</surname>
<given-names>Rania A.</given-names>
</name>
<xref ref-type="aff" rid="af4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Abedi</surname>
<given-names>Glen R.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al Nsour</surname>
<given-names>Mohannad</given-names>
</name>
<xref ref-type="aff" rid="af5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Iblan</surname>
<given-names>Ibrahim</given-names>
</name>
<xref ref-type="aff" rid="af6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jarour</surname>
<given-names>Najwa</given-names>
</name>
<xref ref-type="aff" rid="af1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Farag</surname>
<given-names>Noha H.</given-names>
</name>
<xref ref-type="aff" rid="af7">7</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haddadin</surname>
<given-names>Aktham</given-names>
</name>
<xref ref-type="aff" rid="af8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al-Sanouri</surname>
<given-names>Tarek</given-names>
</name>
<xref ref-type="aff" rid="af8">8</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tamin</surname>
<given-names>Azaibi</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Harcourt</surname>
<given-names>Jennifer L.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kuhar</surname>
<given-names>David T.</given-names>
</name>
<xref ref-type="aff" rid="af9">9</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Swerdlow</surname>
<given-names>David L.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Erdman</surname>
<given-names>Dean D.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pallansch</surname>
<given-names>Mark A.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Haynes</surname>
<given-names>Lia M.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gerber</surname>
<given-names>Susan I.</given-names>
</name>
<xref ref-type="aff" rid="af2">2</xref>
</contrib>
<on-behalf-of>for the Jordan MERS-CoV Investigation Team</on-behalf-of>
</contrib-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Sabri</surname>
<given-names>Nabil</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al Azhari</surname>
<given-names>Mohammad</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khazali</surname>
<given-names>Hala</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al Maayah</surname>
<given-names>Mohammad</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bilbeisi</surname>
<given-names>Adel</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dawood</surname>
<given-names>Naim</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Al Zubi</surname>
<given-names>Bilal</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meflih</surname>
<given-names>Jawad</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mounds</surname>
<given-names>Tony</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fitzner</surname>
<given-names>Julia</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eltom</surname>
<given-names>Akram</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mafi</surname>
<given-names>Ali</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Miao</surname>
<given-names>Congrong</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caidi</surname>
<given-names>Hayat</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Trivedi</surname>
<given-names>Suvang</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kamili</surname>
<given-names>Shifaq</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hall</surname>
<given-names>Aron J.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Curns</surname>
<given-names>Aaron</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Moore</surname>
<given-names>Jessica</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pham</surname>
<given-names>Huong</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zimmerman</surname>
<given-names>Chris</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Farnon</surname>
<given-names>Eileen</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Giorgi</surname>
<given-names>Genessa</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gerber</surname>
<given-names>Russell</given-names>
</name>
</contrib>
</contrib-group>
<aff id="af1">
<label>1</label>
<addr-line>Communicable</addr-line>
<addr-line>Diseases Directorate</addr-line>
,
<institution>Jordan Ministry of Health</institution>
,
<addr-line>Amman</addr-line>
</aff>
<aff id="af2">
<label>2</label>
<addr-line>Division of Viral Diseases, National Center for Immunization and Respiratory Diseases</addr-line>
</aff>
<aff id="af3">
<label>3</label>
<addr-line>Epidemic Intelligence Service</addr-line>
</aff>
<aff id="af4">
<label>4</label>
<addr-line>Global Immunization Division</addr-line>
,
<institution>Center for Global Health, Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</aff>
<aff id="af5">
<label>5</label>
<institution>Eastern Mediterranean Public Health Network</institution>
</aff>
<aff id="af6">
<label>6</label>
<addr-line>Field Epidemiology Training Program</addr-line>
,
<institution>Jordan Ministry of Health</institution>
,
<addr-line>Amman</addr-line>
</aff>
<aff id="af7">
<label>7</label>
<addr-line>Division of High-Consequence Pathogens and Pathology</addr-line>
,
<institution>National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</aff>
<aff id="af8">
<label>8</label>
<addr-line>Directorate of Laboratories</addr-line>
,
<institution>Jordan Ministry of Health</institution>
,
<addr-line>Amman</addr-line>
</aff>
<aff id="af9">
<label>9</label>
<addr-line>Division of Healthcare Quality Promotion</addr-line>
,
<institution>National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention</institution>
,
<addr-line>Atlanta, Georgia</addr-line>
</aff>
<author-notes>
<fn id="AN1" fn-type="con">
<label>a</label>
<p>M. M. A.-A. and D. C. P. contributed equally to this work.</p>
</fn>
<corresp id="d697534e577">Correspondence: Daniel C. Payne, PhD, MSPH, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, MS-A34, Atlanta, GA 30333 (
<email>dvp6@cdc.gov</email>
).</corresp>
</author-notes>
<pub-date pub-type="ppub">
<day>01</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub" iso-8601-date="2014-05-14">
<day>14</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>14</day>
<month>5</month>
<year>2014</year>
</pub-date>
<pmc-comment> PMC Release delay is 0 months and 0 days and was based on the . </pmc-comment>
<volume>59</volume>
<issue>9</issue>
<fpage>1225</fpage>
<lpage>1233</lpage>
<history>
<date date-type="received">
<day>27</day>
<month>3</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>7</day>
<month>5</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.</copyright-statement>
<copyright-year>2014</copyright-year>
<license>
<license-p>This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.</license-p>
</license>
</permissions>
<self-uri xlink:href="ciu359.pdf"></self-uri>
<related-article related-article-type="article-reference" id="d35e530" vol="59" page="1234" xlink:href="25091312" ext-link-type="pubmed"></related-article>
<abstract abstract-type="teaser">
<p>Novel serological tests allowed for the detection of otherwise unrecognized cases of Middle East respiratory syndrome coronavirus infection among contacts in a hospital-associated respiratory illness outbreak in Jordan in April 2012, resulting in a total of 9 test-positive cases.</p>
</abstract>
<abstract>
<title>Abstract</title>
<p>
<bold>
<italic>Background.</italic>
</bold>
 In April 2012, the Jordan Ministry of Health investigated an outbreak of lower respiratory illnesses at a hospital in Jordan; 2 fatal cases were retrospectively confirmed by real-time reverse transcription polymerase chain reaction (rRT-PCR) to be the first detected cases of Middle East respiratory syndrome (MERS-CoV).</p>
<p>
<bold>
<italic>Methods.</italic>
</bold>
 Epidemiologic and clinical characteristics of selected potential cases were assessed through serum blood specimens, medical record reviews, and interviews with surviving outbreak members, household contacts, and healthcare personnel. Cases of MERS-CoV infection were identified using 3 US Centers for Disease Control and Prevention serologic tests for detection of anti–MERS-CoV antibodies.</p>
<p>
<bold>
<italic>Results.</italic>
</bold>
 Specimens and interviews were obtained from 124 subjects. Seven previously unconfirmed individuals tested positive for anti–MERS-CoV antibodies by at least 2 of 3 serologic tests, in addition to 2 fatal cases identified by rRT-PCR. The case-fatality rate among the 9 total cases was 22%. Six subjects were healthcare workers at the outbreak hospital, yielding an attack rate of 10% among potentially exposed outbreak hospital personnel. There was no evidence of MERS-CoV transmission at 2 transfer hospitals having acceptable infection control practices.</p>
<p>
<bold>
<italic>Conclusions.</italic>
</bold>
 Novel serologic tests allowed for the detection of otherwise unrecognized cases of MERS-CoV infection among contacts in a Jordanian hospital-associated respiratory illness outbreak in April 2012, resulting in a total of 9 test-positive cases. Serologic results suggest that further spread of this outbreak to transfer hospitals did not occur. Most subjects had no major, underlying medical conditions; none were on hemodialysis. Our observed case-fatality rate was lower than has been reported from outbreaks elsewhere.</p>
</abstract>
<kwd-group>
<kwd>MERS-CoV</kwd>
<kwd>Middle East respiratory syndrome</kwd>
<kwd>novel coronavirus</kwd>
<kwd>Jordan</kwd>
<kwd>seroepidemiology</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations>
<list>
<country>
<li>Géorgie (pays)</li>
</country>
</list>
<tree>
<noCountry>
<name sortKey="Abedi, Glen R" sort="Abedi, Glen R" uniqKey="Abedi G" first="Glen R." last="Abedi">Glen R. Abedi</name>
<name sortKey="Al Abdallat, Mohammad Mousa" sort="Al Abdallat, Mohammad Mousa" uniqKey="Al Abdallat M" first="Mohammad Mousa" last="Al-Abdallat">Mohammad Mousa Al-Abdallat</name>
<name sortKey="Al Nsour, Mohannad" sort="Al Nsour, Mohannad" uniqKey="Al Nsour M" first="Mohannad" last="Al Nsour">Mohannad Al Nsour</name>
<name sortKey="Al Sanouri, Tarek" sort="Al Sanouri, Tarek" uniqKey="Al Sanouri T" first="Tarek" last="Al-Sanouri">Tarek Al-Sanouri</name>
<name sortKey="Alqasrawi, Sultan" sort="Alqasrawi, Sultan" uniqKey="Alqasrawi S" first="Sultan" last="Alqasrawi">Sultan Alqasrawi</name>
<name sortKey="Erdman, Dean D" sort="Erdman, Dean D" uniqKey="Erdman D" first="Dean D." last="Erdman">Dean D. Erdman</name>
<name sortKey="Gerber, Susan I" sort="Gerber, Susan I" uniqKey="Gerber S" first="Susan I." last="Gerber">Susan I. Gerber</name>
<name sortKey="Haddadin, Aktham" sort="Haddadin, Aktham" uniqKey="Haddadin A" first="Aktham" last="Haddadin">Aktham Haddadin</name>
<name sortKey="Harcourt, Jennifer L" sort="Harcourt, Jennifer L" uniqKey="Harcourt J" first="Jennifer L." last="Harcourt">Jennifer L. Harcourt</name>
<name sortKey="Haynes, Lia M" sort="Haynes, Lia M" uniqKey="Haynes L" first="Lia M." last="Haynes">Lia M. Haynes</name>
<name sortKey="Iblan, Ibrahim" sort="Iblan, Ibrahim" uniqKey="Iblan I" first="Ibrahim" last="Iblan">Ibrahim Iblan</name>
<name sortKey="Jarour, Najwa" sort="Jarour, Najwa" uniqKey="Jarour N" first="Najwa" last="Jarour">Najwa Jarour</name>
<name sortKey="Pallansch, Mark A" sort="Pallansch, Mark A" uniqKey="Pallansch M" first="Mark A." last="Pallansch">Mark A. Pallansch</name>
<name sortKey="Payne, Daniel C" sort="Payne, Daniel C" uniqKey="Payne D" first="Daniel C." last="Payne">Daniel C. Payne</name>
<name sortKey="Rha, Brian" sort="Rha, Brian" uniqKey="Rha B" first="Brian" last="Rha">Brian Rha</name>
<name sortKey="Swerdlow, David L" sort="Swerdlow, David L" uniqKey="Swerdlow D" first="David L." last="Swerdlow">David L. Swerdlow</name>
<name sortKey="Tamin, Azaibi" sort="Tamin, Azaibi" uniqKey="Tamin A" first="Azaibi" last="Tamin">Azaibi Tamin</name>
</noCountry>
<country name="Géorgie (pays)">
<noRegion>
<name sortKey="Tohme, Rania A" sort="Tohme, Rania A" uniqKey="Tohme R" first="Rania A." last="Tohme">Rania A. Tohme</name>
</noRegion>
<name sortKey="Farag, Noha H" sort="Farag, Noha H" uniqKey="Farag N" first="Noha H." last="Farag">Noha H. Farag</name>
<name sortKey="Kuhar, David T" sort="Kuhar, David T" uniqKey="Kuhar D" first="David T." last="Kuhar">David T. Kuhar</name>
</country>
</tree>
</affiliations>
</record>

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