Serveur d'exploration MERS

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Healthcare-associated infections: the hallmark of Middle East respiratory syndrome coronavirus with review of the literature

Identifieur interne : 001370 ( Pmc/Curation ); précédent : 001369; suivant : 001371

Healthcare-associated infections: the hallmark of Middle East respiratory syndrome coronavirus with review of the literature

Auteurs : J. A. Al-Tawfiq [Arabie saoudite, États-Unis] ; P. G. Auwaerter [États-Unis]

Source :

RBID : PMC:7114594

Abstract

Summary

Middle East respiratory syndrome coronavirus (MERS-CoV) is capable of causing acute respiratory illness. Laboratory-confirmed MERS-CoV cases may be asymptomatic, have mild disease, or have a life-threatening infection with a high case fatality rate. There are three patterns of transmission: sporadic community cases from presumed non-human exposure, family clusters arising from contact with an infected family index case, and healthcare-acquired infections among patients and from patients to healthcare workers. Healthcare-acquired MERS infection has become a well-known characteristic of the disease and a leading means of spread. The main factors contributing to healthcare-associated outbreaks include delayed recognition, inadequate infection control measures, inadequate triaging and isolation of suspected MERS or other respiratory illness patients, crowding, and patients remaining in the emergency department for many days. A review of the literature suggests that effective control of hospital outbreaks was accomplished in most instances by the application of proper infection control procedures. Prompt recognition, isolation and management of suspected cases are key factors for prevention of the spread of MERS. Repeated assessments of infection control and monitoring of corrective measures contribute to changing the course of an outbreak. Limiting the number of contacts and hospital visits are also important factors to decrease the spread of infection.


Url:
DOI: 10.1016/j.jhin.2018.05.021
PubMed: 29864486
PubMed Central: 7114594

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PMC:7114594

Le document en format XML

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<p>Middle East respiratory syndrome coronavirus (MERS-CoV) is capable of causing acute respiratory illness. Laboratory-confirmed MERS-CoV cases may be asymptomatic, have mild disease, or have a life-threatening infection with a high case fatality rate. There are three patterns of transmission: sporadic community cases from presumed non-human exposure, family clusters arising from contact with an infected family index case, and healthcare-acquired infections among patients and from patients to healthcare workers. Healthcare-acquired MERS infection has become a well-known characteristic of the disease and a leading means of spread. The main factors contributing to healthcare-associated outbreaks include delayed recognition, inadequate infection control measures, inadequate triaging and isolation of suspected MERS or other respiratory illness patients, crowding, and patients remaining in the emergency department for many days. A review of the literature suggests that effective control of hospital outbreaks was accomplished in most instances by the application of proper infection control procedures. Prompt recognition, isolation and management of suspected cases are key factors for prevention of the spread of MERS. Repeated assessments of infection control and monitoring of corrective measures contribute to changing the course of an outbreak. Limiting the number of contacts and hospital visits are also important factors to decrease the spread of infection.</p>
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</TEI>
<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Hosp Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">J. Hosp. Infect</journal-id>
<journal-title-group>
<journal-title>The Journal of Hospital Infection</journal-title>
</journal-title-group>
<issn pub-type="ppub">0195-6701</issn>
<issn pub-type="epub">1532-2939</issn>
<publisher>
<publisher-name>The Healthcare Infection Society. Published by Elsevier Ltd.</publisher-name>
</publisher>
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<article-meta>
<article-id pub-id-type="pmid">29864486</article-id>
<article-id pub-id-type="pmc">7114594</article-id>
<article-id pub-id-type="publisher-id">S0195-6701(18)30286-X</article-id>
<article-id pub-id-type="doi">10.1016/j.jhin.2018.05.021</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Healthcare-associated infections: the hallmark of Middle East respiratory syndrome coronavirus with review of the literature</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" id="au1">
<name>
<surname>Al-Tawfiq</surname>
<given-names>J.A.</given-names>
</name>
<email>jaffar.tawfiq@jhah.com</email>
<xref rid="aff1" ref-type="aff">a</xref>
<xref rid="aff2" ref-type="aff">b</xref>
<xref rid="aff3" ref-type="aff">c</xref>
<xref rid="cor1" ref-type="corresp"></xref>
</contrib>
<contrib contrib-type="author" id="au2">
<name>
<surname>Auwaerter</surname>
<given-names>P.G.</given-names>
</name>
<xref rid="aff4" ref-type="aff">d</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>a</label>
Specialty Internal Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia</aff>
<aff id="aff2">
<label>b</label>
Indiana University School of Medicine, Indiana University, Indianapolis, IN, USA</aff>
<aff id="aff3">
<label>c</label>
Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff>
<aff id="aff4">
<label>d</label>
The Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff>
<author-notes>
<corresp id="cor1">
<label></label>
Corresponding author. Address: P.O. Box 76, Room A-428-2, Building 61, Dhahran Health Centre, Johns Hopkins Aramco Healthcare, Dhahran 31311, Saudi Arabia. Tel.: +966 13 877 3524; fax: +966 13 877 3790.
<email>jaffar.tawfiq@jhah.com</email>
</corresp>
</author-notes>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>6</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>1</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>1</day>
<month>6</month>
<year>2018</year>
</pub-date>
<volume>101</volume>
<issue>1</issue>
<fpage>20</fpage>
<lpage>29</lpage>
<history>
<date date-type="received">
<day>2</day>
<month>4</month>
<year>2018</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>5</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>© 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>The Healthcare Infection Society</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="abs0010">
<title>Summary</title>
<p>Middle East respiratory syndrome coronavirus (MERS-CoV) is capable of causing acute respiratory illness. Laboratory-confirmed MERS-CoV cases may be asymptomatic, have mild disease, or have a life-threatening infection with a high case fatality rate. There are three patterns of transmission: sporadic community cases from presumed non-human exposure, family clusters arising from contact with an infected family index case, and healthcare-acquired infections among patients and from patients to healthcare workers. Healthcare-acquired MERS infection has become a well-known characteristic of the disease and a leading means of spread. The main factors contributing to healthcare-associated outbreaks include delayed recognition, inadequate infection control measures, inadequate triaging and isolation of suspected MERS or other respiratory illness patients, crowding, and patients remaining in the emergency department for many days. A review of the literature suggests that effective control of hospital outbreaks was accomplished in most instances by the application of proper infection control procedures. Prompt recognition, isolation and management of suspected cases are key factors for prevention of the spread of MERS. Repeated assessments of infection control and monitoring of corrective measures contribute to changing the course of an outbreak. Limiting the number of contacts and hospital visits are also important factors to decrease the spread of infection.</p>
</abstract>
<kwd-group id="kwrds0010">
<title>Keywords</title>
<kwd>Middle East respiratory syndrome coronavirus</kwd>
<kwd>MERS</kwd>
<kwd>Healthcare-associated outbreaks</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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