Middle East respiratory syndrome coronavirus transmission among health care workers: Implication for infection control.
Identifieur interne : 000B38 ( PubMed/Corpus ); précédent : 000B37; suivant : 000B39Middle East respiratory syndrome coronavirus transmission among health care workers: Implication for infection control.
Auteurs : Sarah H. Alfaraj ; Jaffar A. Al-Tawfiq ; Talal A. Altuwaijri ; Marzouqa Alanazi ; Nojoom Alzahrani ; Ziad A. MemishSource :
- American journal of infection control [ 1527-3296 ] ; 2018.
English descriptors
- KwdEn :
- MESH :
- geographic : Philippines, Saudi Arabia.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- methods : Infection Control.
- transmission : Coronavirus Infections.
- virology : Coronavirus Infections.
- Adult, Contact Tracing, Female, Health Personnel, Humans, Male.
Abstract
Many outbreaks of Middle East respiratory syndrome coronavirus (MERS-CoV) have occurred in health care settings and involved health care workers (HCWs). We describe the occurrence of an outbreak among HCWs and attempt to characterize at-risk exposures to improve future infection control interventions.
DOI: 10.1016/j.ajic.2017.08.010
PubMed: 28958446
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Al-Tawfiq</name><affiliation><nlm:affiliation>Indiana University School of Medicine, Indianapolis, IN; Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Altuwaijri, Talal A" sort="Altuwaijri, Talal A" uniqKey="Altuwaijri T" first="Talal A" last="Altuwaijri">Talal A. Altuwaijri</name><affiliation><nlm:affiliation>Department of Surgery, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alanazi, Marzouqa" sort="Alanazi, Marzouqa" uniqKey="Alanazi M" first="Marzouqa" last="Alanazi">Marzouqa Alanazi</name><affiliation><nlm:affiliation>Department of Emergency, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alzahrani, Nojoom" sort="Alzahrani, Nojoom" uniqKey="Alzahrani N" first="Nojoom" last="Alzahrani">Nojoom Alzahrani</name><affiliation><nlm:affiliation>Corona Center, Infectious Diseases Division, Department of Pediatric, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A" last="Memish">Ziad A. Memish</name><affiliation><nlm:affiliation>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia; Infectious Diseases Division, Department of Medicine, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Electronic address: zmemish@yahoo.com.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2018">2018</date><idno type="RBID">pubmed:28958446</idno><idno type="pmid">28958446</idno><idno type="doi">10.1016/j.ajic.2017.08.010</idno><idno type="wicri:Area/PubMed/Corpus">000B38</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B38</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Middle East respiratory syndrome coronavirus transmission among health care workers: Implication for infection control.</title><author><name sortKey="Alfaraj, Sarah H" sort="Alfaraj, Sarah H" uniqKey="Alfaraj S" first="Sarah H" last="Alfaraj">Sarah H. Alfaraj</name><affiliation><nlm:affiliation>Corona Center, Infectious Diseases Division, Department of Pediatric, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia; University of British Columbia, Vancouver, BC, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Al Tawfiq, Jaffar A" sort="Al Tawfiq, Jaffar A" uniqKey="Al Tawfiq J" first="Jaffar A" last="Al-Tawfiq">Jaffar A. Al-Tawfiq</name><affiliation><nlm:affiliation>Indiana University School of Medicine, Indianapolis, IN; Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Altuwaijri, Talal A" sort="Altuwaijri, Talal A" uniqKey="Altuwaijri T" first="Talal A" last="Altuwaijri">Talal A. Altuwaijri</name><affiliation><nlm:affiliation>Department of Surgery, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alanazi, Marzouqa" sort="Alanazi, Marzouqa" uniqKey="Alanazi M" first="Marzouqa" last="Alanazi">Marzouqa Alanazi</name><affiliation><nlm:affiliation>Department of Emergency, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Alzahrani, Nojoom" sort="Alzahrani, Nojoom" uniqKey="Alzahrani N" first="Nojoom" last="Alzahrani">Nojoom Alzahrani</name><affiliation><nlm:affiliation>Corona Center, Infectious Diseases Division, Department of Pediatric, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</nlm:affiliation></affiliation></author><author><name sortKey="Memish, Ziad A" sort="Memish, Ziad A" uniqKey="Memish Z" first="Ziad A" last="Memish">Ziad A. Memish</name><affiliation><nlm:affiliation>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia; Infectious Diseases Division, Department of Medicine, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. Electronic address: zmemish@yahoo.com.</nlm:affiliation></affiliation></author></analytic><series><title level="j">American journal of infection control</title><idno type="eISSN">1527-3296</idno><imprint><date when="2018" type="published">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Contact Tracing</term><term>Coronavirus Infections (transmission)</term><term>Coronavirus Infections (virology)</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Infection Control (methods)</term><term>Male</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>Philippines</term><term>Saudi Arabia</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Philippines</term><term>Saudi Arabia</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></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Contact Tracing</term><term>Female</term><term>Health Personnel</term><term>Humans</term><term>Male</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Many outbreaks of Middle East respiratory syndrome coronavirus (MERS-CoV) have occurred in health care settings and involved health care workers (HCWs). We describe the occurrence of an outbreak among HCWs and attempt to characterize at-risk exposures to improve future infection control interventions.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28958446</PMID><DateCompleted><Year>2019</Year><Month>02</Month><Day>25</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-3296</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>Feb</Month></PubDate></JournalIssue><Title>American journal of infection control</Title><ISOAbbreviation>Am J Infect Control</ISOAbbreviation></Journal><ArticleTitle>Middle East respiratory syndrome coronavirus transmission among health care workers: Implication for infection control.</ArticleTitle><Pagination><MedlinePgn>165-168</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0196-6553(17)30957-4</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ajic.2017.08.010</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Many outbreaks of Middle East respiratory syndrome coronavirus (MERS-CoV) have occurred in health care settings and involved health care workers (HCWs). We describe the occurrence of an outbreak among HCWs and attempt to characterize at-risk exposures to improve future infection control interventions.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This study included an index case and all HCW contacts. All contacts were screened for MERS-CoV using polymerase chain reaction.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">During the study period in 2015, the index case was a 30-year-old Filipino nurse who had a history of unprotected exposure to a MERS-CoV-positive case on May 15, 2015, and had multiple negative tests for MERS-CoV. Weeks later, she was diagnosed with pulmonary tuberculosis and MERS-CoV infection. A total of 73 staff were quarantined for 14 days, and nasopharyngeal swabs were taken on days 2, 5, and 12 postexposure. Of those contacts, 3 (4%) were confirmed positive for MERS-CoV. An additional 18 staff were quarantined and had MERS-CoV swabs. A fourth case was confirmed positive on day 12. Subsequent contact investigations revealed a fourth-generation transmission. Only 7 (4.5%) of the total 153 contacts were positive for MERS-CoV.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The role of HCWs in MERS-CoV transmission is complex. Although most MERS-CoV-infected HCWs are asymptomatic or have mild disease, fatal infections can occur and HCWs can play a major role in propagating health care facility outbreaks. This investigation highlights the need to continuously review infection control guidance relating to the role of HCWs in MERS-CoV transmission in health care outbreaks, especially as it relates to the complex questions on definition of risky exposures, who to test, and the frequency of MERS-CoV testing; criteria for who to quarantine and for how long; and clearance and return to active duty criteria.</AbstractText><CopyrightInformation>Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Alfaraj</LastName><ForeName>Sarah H</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Corona Center, Infectious Diseases Division, Department of Pediatric, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia; University of British Columbia, Vancouver, BC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al-Tawfiq</LastName><ForeName>Jaffar A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Indiana University School of Medicine, Indianapolis, IN; Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Altuwaijri</LastName><ForeName>Talal A</ForeName><Initials>TA</Initials><AffiliationInfo><Affiliation>Department of Surgery, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alanazi</LastName><ForeName>Marzouqa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Emergency, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Alzahrani</LastName><ForeName>Nojoom</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Corona Center, Infectious Diseases Division, Department of Pediatric, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Memish</LastName><ForeName>Ziad A</ForeName><Initials>ZA</Initials><AffiliationInfo><Affiliation>College of Medicine, Alfaisal University, Riyadh, Saudi Arabia; Infectious Diseases Division, Department of Medicine, Prince Mohamed Bin Abdulaziz Hospital, Ministry of Health, Riyadh, Saudi Arabia; Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA. 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