Serveur d'exploration MERS

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MERS coronavirus outbreak: Implications for emerging viral infections

Identifieur interne : 001310 ( Pmc/Curation ); précédent : 001309; suivant : 001311

MERS coronavirus outbreak: Implications for emerging viral infections

Auteurs : Awad Al-Omari [Arabie saoudite] ; Ali A. Rabaan [Arabie saoudite] ; Samer Salih [Arabie saoudite] ; Jaffar A. Al-Tawfiq [États-Unis] ; Ziad A. Memish [Arabie saoudite]

Source :

RBID : PMC:7127703

Abstract

In September 2012, a novel coronavirus was isolated from a patient who died in Saudi Arabia after presenting with acute respiratory distress and acute kidney injury. Analysis revealed the disease to be due to a novel virus which was named Middle East Respiratory Coronavirus (MERS-CoV). There have been several MERS-CoV hospital outbreaks in KSA, continuing to the present day, and the disease has a mortality rate in excess of 35%. Since 2012, the World Health Organization has been informed of 2220 laboratory-confirmed cases resulting in at least 790 deaths. Cases have since arisen in 27 countries, including an outbreak in the Republic of Korea in 2015 in which 36 people died, but more than 80% of cases have occurred in Saudi Arabia.. Human-to-human transmission of MERS-CoV, particularly in healthcare settings, initially caused a ‘media panic’, however human-to-human transmission appears to require close contact and thus far the virus has not achieved epidemic potential. Zoonotic transmission is of significant importance and evidence is growing implicating the dromedary camel as the major animal host in spread of disease to humans. MERS-CoV is now included on the WHO list of priority blueprint diseases for which there which is an urgent need for accelerated research and development as they have the potential to cause a public health emergency while there is an absence of efficacious drugs and/or vaccines. In this review we highlight epidemiological, clinical, and infection control aspects of MERS-CoV as informed by the Saudi experience. Attention is given to recommended treatments and progress towards vaccine development.


Url:
DOI: 10.1016/j.diagmicrobio.2018.10.011
PubMed: 30413355
PubMed Central: 7127703

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PMC:7127703

Le document en format XML

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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Diagn Microbiol Infect Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Diagn. Microbiol. Infect. Dis</journal-id>
<journal-title-group>
<journal-title>Diagnostic Microbiology and Infectious Disease</journal-title>
</journal-title-group>
<issn pub-type="ppub">0732-8893</issn>
<issn pub-type="epub">1879-0070</issn>
<publisher>
<publisher-name>Elsevier Inc.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">30413355</article-id>
<article-id pub-id-type="pmc">7127703</article-id>
<article-id pub-id-type="publisher-id">S0732-8893(18)30502-9</article-id>
<article-id pub-id-type="doi">10.1016/j.diagmicrobio.2018.10.011</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>MERS coronavirus outbreak: Implications for emerging viral infections</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au0005">
<name>
<surname>Al-Omari</surname>
<given-names>Awad</given-names>
</name>
<xref rid="af0005" ref-type="aff">a</xref>
</contrib>
<contrib contrib-type="author" id="au0010">
<name>
<surname>Rabaan</surname>
<given-names>Ali A.</given-names>
</name>
<email>arabaan@gmail.com</email>
<email>ali.rabaan@jhah.com</email>
<xref rid="af0010" ref-type="aff">b</xref>
<xref rid="cr0005" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author" id="au0015">
<name>
<surname>Salih</surname>
<given-names>Samer</given-names>
</name>
<xref rid="af0015" ref-type="aff">c</xref>
</contrib>
<contrib contrib-type="author" id="au0020">
<name>
<surname>Al-Tawfiq</surname>
<given-names>Jaffar A.</given-names>
</name>
<xref rid="af0020" ref-type="aff">d</xref>
</contrib>
<contrib contrib-type="author" id="au0025">
<name>
<surname>Memish</surname>
<given-names>Ziad A.</given-names>
</name>
<xref rid="af0025" ref-type="aff">e</xref>
</contrib>
</contrib-group>
<aff id="af0005">
<label>a</label>
Critical Care and Infection Control Department, Dr. Sulaiman Al-Habib Medical Group, and Al-Faisal University, Riyadh, Saudi Arabia</aff>
<aff id="af0010">
<label>b</label>
Molecular Diagnostic Laboratory, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff>
<aff id="af0015">
<label>c</label>
Internal Medicine Department, Dr.Sulaiman Al-Habib Medical Group, Riyadh, Saudi Arabia</aff>
<aff id="af0020">
<label>d</label>
Medical Department, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA</aff>
<aff id="af0025">
<label>e</label>
College of Medicine, Al-Faisal University, Riyadh, Saudi Arabia</aff>
<author-notes>
<corresp id="cr0005">
<label></label>
Corresponding author. Tel.: +966-13-877-6670; fax: +966-13-877-6741.
<email>arabaan@gmail.com</email>
<email>ali.rabaan@jhah.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>18</day>
<month>10</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>3</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>10</month>
<year>2018</year>
</pub-date>
<volume>93</volume>
<issue>3</issue>
<fpage>265</fpage>
<lpage>285</lpage>
<history>
<date date-type="received">
<day>21</day>
<month>7</month>
<year>2018</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>9</month>
<year>2018</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>10</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>© 2018 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Elsevier 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="ab0005">
<p>In September 2012, a novel coronavirus was isolated from a patient who died in Saudi Arabia after presenting with acute respiratory distress and acute kidney injury. Analysis revealed the disease to be due to a novel virus which was named Middle East Respiratory Coronavirus (MERS-CoV). There have been several MERS-CoV hospital outbreaks in KSA, continuing to the present day, and the disease has a mortality rate in excess of 35%. Since 2012, the World Health Organization has been informed of 2220 laboratory-confirmed cases resulting in at least 790 deaths. Cases have since arisen in 27 countries, including an outbreak in the Republic of Korea in 2015 in which 36 people died, but more than 80% of cases have occurred in Saudi Arabia.. Human-to-human transmission of MERS-CoV, particularly in healthcare settings, initially caused a ‘media panic’, however human-to-human transmission appears to require close contact and thus far the virus has not achieved epidemic potential. Zoonotic transmission is of significant importance and evidence is growing implicating the dromedary camel as the major animal host in spread of disease to humans. MERS-CoV is now included on the WHO list of priority blueprint diseases for which there which is an urgent need for accelerated research and development as they have the potential to cause a public health emergency while there is an absence of efficacious drugs and/or vaccines. In this review we highlight epidemiological, clinical, and infection control aspects of MERS-CoV as informed by the Saudi experience. Attention is given to recommended treatments and progress towards vaccine development.</p>
</abstract>
<abstract abstract-type="author-highlights" id="ab0010">
<title>Highlights</title>
<p>
<list list-type="simple" id="l0005">
<list-item id="li0005">
<label></label>
<p id="p0005">2220 laboratory-confirmed cases of MERS-CoV resulting in at least 790 deaths since 2012</p>
</list-item>
<list-item id="li0010">
<label></label>
<p id="p0010">MERS-CoV is on the WHO list of priority blueprint diseases</p>
</list-item>
<list-item id="li0015">
<label></label>
<p id="p0015">Zoonotic and human-to-human transmission modes need further clarification.</p>
</list-item>
<list-item id="li0020">
<label></label>
<p id="p0020">No specific therapy has yet been approved.</p>
</list-item>
<list-item id="li0025">
<label></label>
<p id="p0025">There is a need for well-controlled clinical trials on potential direct therapies.</p>
</list-item>
</list>
</p>
</abstract>
<kwd-group id="ks0005">
<title>Keywords</title>
<kwd>Coronavirus</kwd>
<kwd>MERS</kwd>
<kwd>Respiratory</kwd>
<kwd>Infection</kwd>
<kwd>Transmission</kwd>
<kwd>Saudi Arabia</kwd>
<kwd>Middle East</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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