Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients
Identifieur interne : 000F36 ( Pmc/Curation ); précédent : 000F35; suivant : 000F37Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients
Auteurs : S. H. Alfaraj ; J. A. Al-Tawfiq ; P. Gautret ; M. G. Alenazi ; A. Y. Asiri ; Z. A. MemishSource :
- New Microbes and New Infections [ 2052-2975 ] ; 2018.
Abstract
The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non–MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.
Url:
DOI: 10.1016/j.nmni.2018.08.008
PubMed: 30224971
PubMed Central: 6138856
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients</title><author><name sortKey="Alfaraj, S H" sort="Alfaraj, S H" uniqKey="Alfaraj S" first="S. H." last="Alfaraj">S. H. Alfaraj</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Al Tawfiq, J A" sort="Al Tawfiq, J A" uniqKey="Al Tawfiq J" first="J. A." last="Al-Tawfiq">J. A. Al-Tawfiq</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Gautret, P" sort="Gautret, P" uniqKey="Gautret P" first="P." last="Gautret">P. Gautret</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Alenazi, M G" sort="Alenazi, M G" uniqKey="Alenazi M" first="M. G." last="Alenazi">M. G. 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H." last="Alfaraj">S. H. Alfaraj</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Al Tawfiq, J A" sort="Al Tawfiq, J A" uniqKey="Al Tawfiq J" first="J. A." last="Al-Tawfiq">J. A. Al-Tawfiq</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Gautret, P" sort="Gautret, P" uniqKey="Gautret P" first="P." last="Gautret">P. Gautret</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Alenazi, M G" sort="Alenazi, M G" uniqKey="Alenazi M" first="M. G." last="Alenazi">M. G. Alenazi</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Asiri, A Y" sort="Asiri, A Y" uniqKey="Asiri A" first="A. Y." last="Asiri">A. Y. Asiri</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author><author><name sortKey="Memish, Z A" sort="Memish, Z A" uniqKey="Memish Z" first="Z. A." last="Memish">Z. A. Memish</name><affiliation><nlm:aff>NONE</nlm:aff></affiliation><affiliation><nlm:aff>NONE</nlm:aff></affiliation></author></analytic><series><title level="j">New Microbes and New Infections</title><idno type="eISSN">2052-2975</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non–MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zaki, A M" uniqKey="Zaki A">A.M. Zaki</name></author><author><name sortKey="Van Boheemen, S" uniqKey="Van Boheemen S">S. van Boheemen</name></author><author><name sortKey="Bestebroer, T M" uniqKey="Bestebroer T">T.M. Bestebroer</name></author><author><name sortKey="Osterhaus, A D M E" uniqKey="Osterhaus A">A.D.M.E. Osterhaus</name></author><author><name sortKey="Fouchier, R A M" uniqKey="Fouchier R">R.A.M. Fouchier</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Al Tawfiq, J A" uniqKey="Al Tawfiq J">J.A. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">New Microbes New Infect</journal-id><journal-id journal-id-type="iso-abbrev">New Microbes New Infect</journal-id><journal-title-group><journal-title>New Microbes and New Infections</journal-title></journal-title-group><issn pub-type="epub">2052-2975</issn><publisher><publisher-name>The Author(s). Published by Elsevier Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">30224971</article-id><article-id pub-id-type="pmc">6138856</article-id><article-id pub-id-type="publisher-id">S2052-2975(18)30068-4</article-id><article-id pub-id-type="doi">10.1016/j.nmni.2018.08.008</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Alfaraj</surname><given-names>S.H.</given-names></name><xref rid="aff1" ref-type="aff">1</xref><xref rid="aff7" ref-type="aff">7</xref></contrib><contrib contrib-type="author" id="au2"><name><surname>Al-Tawfiq</surname><given-names>J.A.</given-names></name><xref rid="aff6" ref-type="aff">6</xref><xref rid="aff8" ref-type="aff">8</xref><xref rid="aff9" ref-type="aff">9</xref></contrib><contrib contrib-type="author" id="au3"><name><surname>Gautret</surname><given-names>P.</given-names></name><xref rid="aff10" ref-type="aff">10</xref></contrib><contrib contrib-type="author" id="au4"><name><surname>Alenazi</surname><given-names>M.G.</given-names></name><xref rid="aff2" ref-type="aff">2</xref></contrib><contrib contrib-type="author" id="au5"><name><surname>Asiri</surname><given-names>A.Y.</given-names></name><xref rid="aff3" ref-type="aff">3</xref></contrib><contrib contrib-type="author" id="au6"><name><surname>Memish</surname><given-names>Z.A.</given-names></name><email>zmemish@yahoo.com</email><xref rid="aff5" ref-type="aff">5</xref><xref rid="aff4" ref-type="aff">4</xref><xref rid="cor1" ref-type="corresp">∗</xref></contrib></contrib-group><aff id="aff1"><label>1)</label>Corona Center, Infectious Diseases Division, Department of Pediatrics, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia</aff><aff id="aff2"><label>2)</label>Pediatric Emergency Medicine, Emergency Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia</aff><aff id="aff3"><label>3)</label>Critical Care Department, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia</aff><aff id="aff4"><label>4)</label>Infectious Diseases Division, Department of Medicine, Prince Mohammed Bin Abdulaziz Hospital, Ministry of Health, Saudi Arabia</aff><aff id="aff5"><label>5)</label>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia</aff><aff id="aff6"><label>6)</label>Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff><aff id="aff7"><label>7)</label>University of British Columbia, Vancouver, Canada</aff><aff id="aff8"><label>8)</label>Indiana University School of Medicine, Indianapolis, IN, USA</aff><aff id="aff9"><label>9)</label>Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff><aff id="aff10"><label>10)</label>Aix-Marseille Université, Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes (URMITE) UM63 CNRS 7278 IRD 198 INSERM U1095, Marseille, France</aff><author-notes><corresp id="cor1"><label>∗</label><bold>Corresponding author:</bold> Ziad A. Memish, College of Medicine, Alfaisal University, P.O. Box 54146, Riyadh 11514, Kingdom of Saudi Arabia. Tel.: +966-50-5483515; fax: +966-11-2616464. <email>zmemish@yahoo.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>11</day><month>8</month><year>2018</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>11</month><year>2018</year></pub-date><pub-date pub-type="epub"><day>11</day><month>8</month><year>2018</year></pub-date><volume>26</volume><fpage>49</fpage><lpage>52</lpage><history><date date-type="received"><day>16</day><month>6</month><year>2018</year></date><date date-type="rev-recd"><day>7</day><month>7</month><year>2018</year></date><date date-type="accepted"><day>3</day><month>8</month><year>2018</year></date></history><permissions><copyright-statement>© 2018 The Author(s)</copyright-statement><copyright-year>2018</copyright-year><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="abs0010"><p>The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non–MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.</p></abstract><kwd-group id="kwrds0010"><title>Keywords</title><kwd>Middle East respiratory syndrome coronavirus (MERS-CoV)</kwd><kwd>Saudi Arabia</kwd><kwd>Scoring</kwd><kwd>Visual triage</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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