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
Links to Exploration step
pubmed:28958446Le document en format XML
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<term>Female</term>
<term>Health Personnel</term>
<term>Humans</term>
<term>Infection Control (methods)</term>
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<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>
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<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>
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<ArticleTitle>Middle East respiratory syndrome coronavirus transmission among health care workers: Implication for infection control.</ArticleTitle>
<Pagination><MedlinePgn>165-168</MedlinePgn>
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<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>
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<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>
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<AffiliationInfo><Affiliation>Indiana University School of Medicine, Indianapolis, IN; Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia.</Affiliation>
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