Preventing healthcare-associated transmission of the Middle East Respiratory Syndrome (MERS): Our Achilles heel
Identifieur interne : 000839 ( Pmc/Curation ); précédent : 000838; suivant : 000840Preventing healthcare-associated transmission of the Middle East Respiratory Syndrome (MERS): Our Achilles heel
Auteurs : Hanan H. Balkhy [Arabie saoudite]Source :
- Journal of Infection and Public Health [ 1876-0341 ] ; 2016.
Abstract
Middle East Respiratory Syndrome (MERS) coronavirus is the most recent among the Coronaviridae family to jump species and infect humans. Major healthcare associated MERS outbreaks have occurred in the Middle East and Korea that affected both patients and healthcare workers. These outbreaks were characterized by intra and inter-hospital spread and were exacerbated specifically by overcrowding, delayed diagnosis and appropriate use of personal protective equipment. Recent experience with this virus emphasizes the importance of compliance with infection control practices and with other interventions addressing patient triage, placement and flow within and between healthcare facilities. Our Achilles heel remains compliance with the best infection prevention practices and their harmonization with patient flow. Both infection prevention compliance and maintenance of patient flow are critical in preventing healthcare-associated transmission of many of these emerging infectious diseases, including MERS.
Url:
DOI: 10.1016/j.jiph.2016.04.006
PubMed: 27158023
PubMed Central: 7128197
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<p>Middle East Respiratory Syndrome (MERS) coronavirus is the most recent among the Coronaviridae family to jump species and infect humans. Major healthcare associated MERS outbreaks have occurred in the Middle East and Korea that affected both patients and healthcare workers. These outbreaks were characterized by intra and inter-hospital spread and were exacerbated specifically by overcrowding, delayed diagnosis and appropriate use of personal protective equipment. Recent experience with this virus emphasizes the importance of compliance with infection control practices and with other interventions addressing patient triage, placement and flow within and between healthcare facilities. Our Achilles heel remains compliance with the best infection prevention practices and their harmonization with patient flow. Both infection prevention compliance and maintenance of patient flow are critical in preventing healthcare-associated transmission of many of these emerging infectious diseases, including MERS.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Infect Public Health</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Preventing healthcare-associated transmission of the Middle East Respiratory Syndrome (MERS): Our Achilles heel</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" id="aut0005"><name><surname>Balkhy</surname>
<given-names>Hanan H.</given-names>
</name>
<email>balkhyh@hotmail.com</email>
<xref rid="aff0005" ref-type="aff">a</xref>
<xref rid="aff0010" ref-type="aff">b</xref>
<xref rid="aff0015" ref-type="aff">c</xref>
<xref rid="cor0005" ref-type="corresp">⁎</xref>
</contrib>
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<aff id="aff0005"><label>a</label>
Paediatric Infectious Diseases, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 22490, Riyadh 11426, Saudi Arabia</aff>
<aff id="aff0010"><label>b</label>
Infection Prevention and Control, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Saudi Arabia</aff>
<aff id="aff0015"><label>c</label>
GCC Center for Infection Control, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Saudi Arabia</aff>
<contrib-group><contrib contrib-type="author" id="aut0010"><name><surname>Perl</surname>
<given-names>Trish M.</given-names>
</name>
<email>tperl@jhmi.edu</email>
<xref rid="aff0020" ref-type="aff">a</xref>
<xref rid="aff0025" ref-type="aff">b</xref>
<xref rid="aff0030" ref-type="aff">c</xref>
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</contrib-group>
<aff id="aff0020"><label>a</label>
Johns Hopkins School of Medicine, United States</aff>
<aff id="aff0025"><label>b</label>
Bloomberg School of Public Health, United States</aff>
<aff id="aff0030"><label>c</label>
Johns Hopkins Medicine, United States</aff>
<contrib-group><contrib contrib-type="author" id="aut0015"><name><surname>Arabi</surname>
<given-names>Yaseen M.</given-names>
</name>
<email>yaseenarabi@yahoo.com</email>
<xref rid="aff0035" ref-type="aff">a</xref>
<xref rid="aff0040" ref-type="aff">b</xref>
</contrib>
</contrib-group>
<aff id="aff0035"><label>a</label>
Intensive Care Department, MC 1425, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Saudi Arabia</aff>
<aff id="aff0040"><label>b</label>
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, P.O. Box 22490, Riyadh 11426, Saudi Arabia</aff>
<author-notes><corresp id="cor0005"><label>⁎</label>
Corresponding author at: Associate Professor, Pediatric Infectious Diseases, King Saud bin Abdulaziz University for Health Sciences, P.O. Box 22490, Riyadh 11426, Saudi Arabia. <email>balkhyh@hotmail.com</email>
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<pub-date pub-type="pmc-release"><day>4</day>
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<year>2016</year>
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<pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub" iso-8601-date="2016-06-01"><season>May-June</season>
<year>2016</year>
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<volume>9</volume>
<issue>3</issue>
<fpage>208</fpage>
<lpage>212</lpage>
<permissions><copyright-statement>© 2016 Production and hosting by Elsevier Limited on behalf of King Saud Bin Abdulaziz University for Health Sciences.</copyright-statement>
<copyright-year>2016</copyright-year>
<copyright-holder></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="abs0005"><title>Summary</title>
<p>Middle East Respiratory Syndrome (MERS) coronavirus is the most recent among the Coronaviridae family to jump species and infect humans. Major healthcare associated MERS outbreaks have occurred in the Middle East and Korea that affected both patients and healthcare workers. These outbreaks were characterized by intra and inter-hospital spread and were exacerbated specifically by overcrowding, delayed diagnosis and appropriate use of personal protective equipment. Recent experience with this virus emphasizes the importance of compliance with infection control practices and with other interventions addressing patient triage, placement and flow within and between healthcare facilities. Our Achilles heel remains compliance with the best infection prevention practices and their harmonization with patient flow. Both infection prevention compliance and maintenance of patient flow are critical in preventing healthcare-associated transmission of many of these emerging infectious diseases, including MERS.</p>
</abstract>
<kwd-group id="kwd0005"><title>Keywords</title>
<kwd>Corona</kwd>
<kwd>Emerging pathogens</kwd>
<kwd>IHR</kwd>
<kwd>Infection control</kwd>
<kwd>MERS</kwd>
<kwd>Saudi Arabia</kwd>
</kwd-group>
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