Scope and extent of healthcare-associated Middle East respiratory syndrome coronavirus transmission during two contemporaneous outbreaks in Riyadh, Saudi Arabia, 2017.
Identifieur interne : 000692 ( PubMed/Corpus ); précédent : 000691; suivant : 000693Scope and extent of healthcare-associated Middle East respiratory syndrome coronavirus transmission during two contemporaneous outbreaks in Riyadh, Saudi Arabia, 2017.
Auteurs : Khalid H. Alanazi ; Marie E. Killerby ; Holly M. Biggs ; Glen R. Abedi ; Hani Jokhdar ; Ali A. Alsharef ; Mutaz Mohammed ; Osman Abdalla ; Aref Almari ; Samar Bereagesh ; Sameh Tawfik ; Husain Alresheedi ; Raafat F. Alhakeem ; Ahmed Hakawi ; Haitham Alfalah ; Hala Amer ; Natalie J. Thornburg ; Azaibi Tamin ; Suvang Trivedi ; Suxiang Tong ; Xiaoyan Lu ; Krista Queen ; Yan Li ; Senthilkumar K. Sakthivel ; Ying Tao ; Jing Zhang ; Clinton R. Paden ; Hail M. Al-Abdely ; Abdullah M. Assiri ; Susan I. Gerber ; John T. WatsonSource :
- Infection control and hospital epidemiology [ 1559-6834 ] ; 2019.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Base Sequence, Contact Tracing, Coronavirus Infections (epidemiology), Coronavirus Infections (transmission), Cross Infection (epidemiology), Cross Infection (transmission), Cross Infection (virology), Disease Outbreaks, Female, Health Personnel, Humans, Infection Control (methods), Male, Middle Aged, Middle East Respiratory Syndrome Coronavirus (genetics), Middle East Respiratory Syndrome Coronavirus (isolation & purification), RNA, Viral (genetics), Saudi Arabia (epidemiology).
- MESH :
- chemical , genetics : RNA, Viral.
- geographic , epidemiology : Saudi Arabia.
- epidemiology : Coronavirus Infections, Cross Infection.
- genetics : Middle East Respiratory Syndrome Coronavirus.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- methods : Infection Control.
- transmission : Coronavirus Infections, Cross Infection.
- virology : Cross Infection.
- Adult, Aged, Aged, 80 and over, Base Sequence, Contact Tracing, Disease Outbreaks, Female, Health Personnel, Humans, Male, Middle Aged.
Abstract
To investigate a Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak event involving multiple healthcare facilities in Riyadh, Saudi Arabia; to characterize transmission; and to explore infection control implications.
DOI: 10.1017/ice.2018.290
PubMed: 30595141
Links to Exploration step
pubmed:30595141Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Scope and extent of healthcare-associated Middle East respiratory syndrome coronavirus transmission during two contemporaneous outbreaks in Riyadh, Saudi Arabia, 2017.</title><author><name sortKey="Alanazi, Khalid H" sort="Alanazi, Khalid H" uniqKey="Alanazi K" first="Khalid H" last="Alanazi">Khalid H. Alanazi</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Killerby, Marie E" sort="Killerby, Marie E" uniqKey="Killerby M" first="Marie E" last="Killerby">Marie E. Killerby</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Biggs, Holly M" sort="Biggs, Holly M" uniqKey="Biggs H" first="Holly M" last="Biggs">Holly M. Biggs</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Abedi, Glen R" sort="Abedi, Glen R" uniqKey="Abedi G" first="Glen R" last="Abedi">Glen R. Abedi</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Jokhdar, Hani" sort="Jokhdar, Hani" uniqKey="Jokhdar H" first="Hani" last="Jokhdar">Hani Jokhdar</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alsharef, Ali A" sort="Alsharef, Ali A" uniqKey="Alsharef A" first="Ali A" last="Alsharef">Ali A. Alsharef</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Mohammed, Mutaz" sort="Mohammed, Mutaz" uniqKey="Mohammed M" first="Mutaz" last="Mohammed">Mutaz Mohammed</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Abdalla, Osman" sort="Abdalla, Osman" uniqKey="Abdalla O" first="Osman" last="Abdalla">Osman Abdalla</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Almari, Aref" sort="Almari, Aref" uniqKey="Almari A" first="Aref" last="Almari">Aref Almari</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Bereagesh, Samar" sort="Bereagesh, Samar" uniqKey="Bereagesh S" first="Samar" last="Bereagesh">Samar Bereagesh</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Tawfik, Sameh" sort="Tawfik, Sameh" uniqKey="Tawfik S" first="Sameh" last="Tawfik">Sameh Tawfik</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alresheedi, Husain" sort="Alresheedi, Husain" uniqKey="Alresheedi H" first="Husain" last="Alresheedi">Husain Alresheedi</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alhakeem, Raafat F" sort="Alhakeem, Raafat F" uniqKey="Alhakeem R" first="Raafat F" last="Alhakeem">Raafat F. Alhakeem</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Hakawi, Ahmed" sort="Hakawi, Ahmed" uniqKey="Hakawi A" first="Ahmed" last="Hakawi">Ahmed Hakawi</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alfalah, Haitham" sort="Alfalah, Haitham" uniqKey="Alfalah H" first="Haitham" last="Alfalah">Haitham Alfalah</name><affiliation><nlm:affiliation>3King Saud Medical City,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Amer, Hala" sort="Amer, Hala" uniqKey="Amer H" first="Hala" last="Amer">Hala Amer</name><affiliation><nlm:affiliation>3King Saud Medical City,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Thornburg, Natalie J" sort="Thornburg, Natalie J" uniqKey="Thornburg N" first="Natalie J" last="Thornburg">Natalie J. Thornburg</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Tamin, Azaibi" sort="Tamin, Azaibi" uniqKey="Tamin A" first="Azaibi" last="Tamin">Azaibi Tamin</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Trivedi, Suvang" sort="Trivedi, Suvang" uniqKey="Trivedi S" first="Suvang" last="Trivedi">Suvang Trivedi</name><affiliation><nlm:affiliation>5IHRC,contractor to National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Tong, Suxiang" sort="Tong, Suxiang" uniqKey="Tong S" first="Suxiang" last="Tong">Suxiang Tong</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Lu, Xiaoyan" sort="Lu, Xiaoyan" uniqKey="Lu X" first="Xiaoyan" last="Lu">Xiaoyan Lu</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Queen, Krista" sort="Queen, Krista" uniqKey="Queen K" first="Krista" last="Queen">Krista Queen</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Sakthivel, Senthilkumar K" sort="Sakthivel, Senthilkumar K" uniqKey="Sakthivel S" first="Senthilkumar K" last="Sakthivel">Senthilkumar K. Sakthivel</name><affiliation><nlm:affiliation>6Batelle, contractor to National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA,USA.</nlm:affiliation></affiliation></author><author><name sortKey="Tao, Ying" sort="Tao, Ying" uniqKey="Tao Y" first="Ying" last="Tao">Ying Tao</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Jing" sort="Zhang, Jing" uniqKey="Zhang J" first="Jing" last="Zhang">Jing Zhang</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Paden, Clinton R" sort="Paden, Clinton R" uniqKey="Paden C" first="Clinton R" last="Paden">Clinton R. Paden</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Al Abdely, Hail M" sort="Al Abdely, Hail M" uniqKey="Al Abdely H" first="Hail M" last="Al-Abdely">Hail M. Al-Abdely</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Assiri, Abdullah M" sort="Assiri, Abdullah M" uniqKey="Assiri A" first="Abdullah M" last="Assiri">Abdullah M. Assiri</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Gerber, Susan I" sort="Gerber, Susan I" uniqKey="Gerber S" first="Susan I" last="Gerber">Susan I. Gerber</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Watson, John T" sort="Watson, John T" uniqKey="Watson J" first="John T" last="Watson">John T. Watson</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:30595141</idno><idno type="pmid">30595141</idno><idno type="doi">10.1017/ice.2018.290</idno><idno type="wicri:Area/PubMed/Corpus">000692</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000692</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Scope and extent of healthcare-associated Middle East respiratory syndrome coronavirus transmission during two contemporaneous outbreaks in Riyadh, Saudi Arabia, 2017.</title><author><name sortKey="Alanazi, Khalid H" sort="Alanazi, Khalid H" uniqKey="Alanazi K" first="Khalid H" last="Alanazi">Khalid H. Alanazi</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Killerby, Marie E" sort="Killerby, Marie E" uniqKey="Killerby M" first="Marie E" last="Killerby">Marie E. Killerby</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Biggs, Holly M" sort="Biggs, Holly M" uniqKey="Biggs H" first="Holly M" last="Biggs">Holly M. Biggs</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Abedi, Glen R" sort="Abedi, Glen R" uniqKey="Abedi G" first="Glen R" last="Abedi">Glen R. Abedi</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Jokhdar, Hani" sort="Jokhdar, Hani" uniqKey="Jokhdar H" first="Hani" last="Jokhdar">Hani Jokhdar</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alsharef, Ali A" sort="Alsharef, Ali A" uniqKey="Alsharef A" first="Ali A" last="Alsharef">Ali A. Alsharef</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Mohammed, Mutaz" sort="Mohammed, Mutaz" uniqKey="Mohammed M" first="Mutaz" last="Mohammed">Mutaz Mohammed</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Abdalla, Osman" sort="Abdalla, Osman" uniqKey="Abdalla O" first="Osman" last="Abdalla">Osman Abdalla</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Almari, Aref" sort="Almari, Aref" uniqKey="Almari A" first="Aref" last="Almari">Aref Almari</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Bereagesh, Samar" sort="Bereagesh, Samar" uniqKey="Bereagesh S" first="Samar" last="Bereagesh">Samar Bereagesh</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Tawfik, Sameh" sort="Tawfik, Sameh" uniqKey="Tawfik S" first="Sameh" last="Tawfik">Sameh Tawfik</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alresheedi, Husain" sort="Alresheedi, Husain" uniqKey="Alresheedi H" first="Husain" last="Alresheedi">Husain Alresheedi</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alhakeem, Raafat F" sort="Alhakeem, Raafat F" uniqKey="Alhakeem R" first="Raafat F" last="Alhakeem">Raafat F. Alhakeem</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Hakawi, Ahmed" sort="Hakawi, Ahmed" uniqKey="Hakawi A" first="Ahmed" last="Hakawi">Ahmed Hakawi</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alfalah, Haitham" sort="Alfalah, Haitham" uniqKey="Alfalah H" first="Haitham" last="Alfalah">Haitham Alfalah</name><affiliation><nlm:affiliation>3King Saud Medical City,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Amer, Hala" sort="Amer, Hala" uniqKey="Amer H" first="Hala" last="Amer">Hala Amer</name><affiliation><nlm:affiliation>3King Saud Medical City,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Thornburg, Natalie J" sort="Thornburg, Natalie J" uniqKey="Thornburg N" first="Natalie J" last="Thornburg">Natalie J. Thornburg</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Tamin, Azaibi" sort="Tamin, Azaibi" uniqKey="Tamin A" first="Azaibi" last="Tamin">Azaibi Tamin</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Trivedi, Suvang" sort="Trivedi, Suvang" uniqKey="Trivedi S" first="Suvang" last="Trivedi">Suvang Trivedi</name><affiliation><nlm:affiliation>5IHRC,contractor to National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Tong, Suxiang" sort="Tong, Suxiang" uniqKey="Tong S" first="Suxiang" last="Tong">Suxiang Tong</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Lu, Xiaoyan" sort="Lu, Xiaoyan" uniqKey="Lu X" first="Xiaoyan" last="Lu">Xiaoyan Lu</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Queen, Krista" sort="Queen, Krista" uniqKey="Queen K" first="Krista" last="Queen">Krista Queen</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Li, Yan" sort="Li, Yan" uniqKey="Li Y" first="Yan" last="Li">Yan Li</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Sakthivel, Senthilkumar K" sort="Sakthivel, Senthilkumar K" uniqKey="Sakthivel S" first="Senthilkumar K" last="Sakthivel">Senthilkumar K. Sakthivel</name><affiliation><nlm:affiliation>6Batelle, contractor to National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA,USA.</nlm:affiliation></affiliation></author><author><name sortKey="Tao, Ying" sort="Tao, Ying" uniqKey="Tao Y" first="Ying" last="Tao">Ying Tao</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Zhang, Jing" sort="Zhang, Jing" uniqKey="Zhang J" first="Jing" last="Zhang">Jing Zhang</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Paden, Clinton R" sort="Paden, Clinton R" uniqKey="Paden C" first="Clinton R" last="Paden">Clinton R. Paden</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Al Abdely, Hail M" sort="Al Abdely, Hail M" uniqKey="Al Abdely H" first="Hail M" last="Al-Abdely">Hail M. Al-Abdely</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Assiri, Abdullah M" sort="Assiri, Abdullah M" uniqKey="Assiri A" first="Abdullah M" last="Assiri">Abdullah M. Assiri</name><affiliation><nlm:affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Gerber, Susan I" sort="Gerber, Susan I" uniqKey="Gerber S" first="Susan I" last="Gerber">Susan I. Gerber</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author><author><name sortKey="Watson, John T" sort="Watson, John T" uniqKey="Watson J" first="John T" last="Watson">John T. Watson</name><affiliation><nlm:affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Infection control and hospital epidemiology</title><idno type="eISSN">1559-6834</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Base Sequence</term><term>Contact Tracing</term><term>Coronavirus Infections (epidemiology)</term><term>Coronavirus Infections (transmission)</term><term>Cross Infection (epidemiology)</term><term>Cross Infection (transmission)</term><term>Cross Infection (virology)</term><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Infection Control (methods)</term><term>Male</term><term>Middle Aged</term><term>Middle East Respiratory Syndrome Coronavirus (genetics)</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>RNA, Viral (genetics)</term><term>Saudi Arabia (epidemiology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="genetics" xml:lang="en"><term>RNA, Viral</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Saudi Arabia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Cross Infection</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term><term>Cross Infection</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Cross Infection</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Base Sequence</term><term>Contact Tracing</term><term>Disease Outbreaks</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To investigate a Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak event involving multiple healthcare facilities in Riyadh, Saudi Arabia; to characterize transmission; and to explore infection control implications.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30595141</PMID><DateCompleted><Year>2019</Year><Month>12</Month><Day>17</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1559-6834</ISSN><JournalIssue CitedMedium="Internet"><Volume>40</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>01</Month></PubDate></JournalIssue><Title>Infection control and hospital epidemiology</Title><ISOAbbreviation>Infect Control Hosp Epidemiol</ISOAbbreviation></Journal><ArticleTitle>Scope and extent of healthcare-associated Middle East respiratory syndrome coronavirus transmission during two contemporaneous outbreaks in Riyadh, Saudi Arabia, 2017.</ArticleTitle><Pagination><MedlinePgn>79-88</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/ice.2018.290</ELocationID><Abstract><AbstractText Label="OBJECTIVE">To investigate a Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak event involving multiple healthcare facilities in Riyadh, Saudi Arabia; to characterize transmission; and to explore infection control implications.</AbstractText><AbstractText Label="DESIGN">Outbreak investigation.</AbstractText><AbstractText Label="SETTING">Cases presented in 4 healthcare facilities in Riyadh, Saudi Arabia: a tertiary-care hospital, a specialty pulmonary hospital, an outpatient clinic, and an outpatient dialysis unit.</AbstractText><AbstractText Label="METHODS">Contact tracing and testing were performed following reports of cases at 2 hospitals. Laboratory results were confirmed by real-time reverse transcription polymerase chain reaction (rRT-PCR) and/or genome sequencing. We assessed exposures and determined seropositivity among available healthcare personnel (HCP) cases and HCP contacts of cases.</AbstractText><AbstractText Label="RESULTS">In total, 48 cases were identified, involving patients, HCP, and family members across 2 hospitals, an outpatient clinic, and a dialysis clinic. At each hospital, transmission was linked to a unique index case. Moreover, 4 cases were associated with superspreading events (any interaction where a case patient transmitted to ≥5 subsequent case patients). All 4 of these patients were severely ill, were initially not recognized as MERS-CoV cases, and subsequently died. Genomic sequences clustered separately, suggesting 2 distinct outbreaks. Overall, 4 (24%) of 17 HCP cases and 3 (3%) of 114 HCP contacts of cases were seropositive.</AbstractText><AbstractText Label="CONCLUSIONS">We describe 2 distinct healthcare-associated outbreaks, each initiated by a unique index case and characterized by multiple superspreading events. Delays in recognition and in subsequent implementation of control measures contributed to secondary transmission. Prompt contact tracing, repeated testing, HCP furloughing, and implementation of recommended transmission-based precautions for suspected cases ultimately halted transmission.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Alanazi</LastName><ForeName>Khalid H</ForeName><Initials>KH</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Killerby</LastName><ForeName>Marie E</ForeName><Initials>ME</Initials><Identifier Source="ORCID">0000-0003-1992-7079</Identifier><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Biggs</LastName><ForeName>Holly M</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abedi</LastName><ForeName>Glen R</ForeName><Initials>GR</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jokhdar</LastName><ForeName>Hani</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alsharef</LastName><ForeName>Ali A</ForeName><Initials>AA</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mohammed</LastName><ForeName>Mutaz</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Abdalla</LastName><ForeName>Osman</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Almari</LastName><ForeName>Aref</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bereagesh</LastName><ForeName>Samar</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tawfik</LastName><ForeName>Sameh</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alresheedi</LastName><ForeName>Husain</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alhakeem</LastName><ForeName>Raafat F</ForeName><Initials>RF</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hakawi</LastName><ForeName>Ahmed</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alfalah</LastName><ForeName>Haitham</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>3King Saud Medical City,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Amer</LastName><ForeName>Hala</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>3King Saud Medical City,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thornburg</LastName><ForeName>Natalie J</ForeName><Initials>NJ</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tamin</LastName><ForeName>Azaibi</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Trivedi</LastName><ForeName>Suvang</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>5IHRC,contractor to National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tong</LastName><ForeName>Suxiang</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Xiaoyan</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Queen</LastName><ForeName>Krista</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Yan</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sakthivel</LastName><ForeName>Senthilkumar K</ForeName><Initials>SK</Initials><AffiliationInfo><Affiliation>6Batelle, contractor to National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA,USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tao</LastName><ForeName>Ying</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Jing</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paden</LastName><ForeName>Clinton R</ForeName><Initials>CR</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Abdely</LastName><ForeName>Hail M</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Assiri</LastName><ForeName>Abdullah M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>1Ministry of Health,Riyadh,Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gerber</LastName><ForeName>Susan I</ForeName><Initials>SI</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Watson</LastName><ForeName>John T</ForeName><Initials>JT</Initials><AffiliationInfo><Affiliation>2Division of Viral Diseases,National Center for Immunization and Respiratory Diseases,Centers for Disease Control and Prevention,Atlanta,Georgia,United States.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType 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