Resource impact of managing suspected Middle East respiratory syndrome patients in a UK teaching hospital.
Identifieur interne : 000E01 ( PubMed/Corpus ); précédent : 000E00; suivant : 000E02Resource impact of managing suspected Middle East respiratory syndrome patients in a UK teaching hospital.
Auteurs : J. Veater ; N. Wong ; I. Stephenson ; H. Kirk-Granger ; L F Baxter ; R. Cannon ; S. Wilson ; S. Atabani ; A. Sahota ; D. Bell ; M. Wiselka ; J W TangSource :
- The Journal of hospital infection [ 1532-2939 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Coronavirus Infections.
- economics : Case Management.
- standards : Case Management.
- therapy : Coronavirus Infections.
- Adult, Female, Health Resources, Hospital Costs, Hospitals, Teaching, Humans, Male, Middle Aged, Travel, United Kingdom.
Abstract
Clinical challenges exist in the management of hospitalized patients returning to the UK with potential Middle East respiratory syndrome coronavirus (MERS-CoV) infection, particularly with its clinical overlap with influenza, as demonstrated in this case-series and cost-analysis review of returning Hajj pilgrims. These patients were hospitalized with acute febrile respiratory illness, initially managed as potential MERS-CoV infections, but were eventually diagnosed with influenza. Additional costs were small, yet enhanced infection prevention measures created significant burdens on isolation rooms and staff time. Planning for predictable events such as Hajj is important for resource management. Here, in-house MERS-CoV diagnostic testing would have facilitated earlier diagnosis and discharge.
DOI: 10.1016/j.jhin.2016.12.010
PubMed: 28131646
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pubmed:28131646Le document en format XML
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Stephenson</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kirk Granger, H" sort="Kirk Granger, H" uniqKey="Kirk Granger H" first="H" last="Kirk-Granger">H. Kirk-Granger</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Baxter, L F" sort="Baxter, L F" uniqKey="Baxter L" first="L F" last="Baxter">L F Baxter</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Cannon, R" sort="Cannon, R" uniqKey="Cannon R" first="R" last="Cannon">R. Cannon</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Wilson, S" sort="Wilson, S" uniqKey="Wilson S" first="S" last="Wilson">S. Wilson</name><affiliation><nlm:affiliation>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Atabani, S" sort="Atabani, S" uniqKey="Atabani S" first="S" last="Atabani">S. Atabani</name><affiliation><nlm:affiliation>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Sahota, A" sort="Sahota, A" uniqKey="Sahota A" first="A" last="Sahota">A. Sahota</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Bell, D" sort="Bell, D" uniqKey="Bell D" first="D" last="Bell">D. Bell</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Wiselka, M" sort="Wiselka, M" uniqKey="Wiselka M" first="M" last="Wiselka">M. 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Veater</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Wong, N" sort="Wong, N" uniqKey="Wong N" first="N" last="Wong">N. Wong</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Stephenson, I" sort="Stephenson, I" uniqKey="Stephenson I" first="I" last="Stephenson">I. Stephenson</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Kirk Granger, H" sort="Kirk Granger, H" uniqKey="Kirk Granger H" first="H" last="Kirk-Granger">H. Kirk-Granger</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Baxter, L F" sort="Baxter, L F" uniqKey="Baxter L" first="L F" last="Baxter">L F Baxter</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Cannon, R" sort="Cannon, R" uniqKey="Cannon R" first="R" last="Cannon">R. Cannon</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Wilson, S" sort="Wilson, S" uniqKey="Wilson S" first="S" last="Wilson">S. Wilson</name><affiliation><nlm:affiliation>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Atabani, S" sort="Atabani, S" uniqKey="Atabani S" first="S" last="Atabani">S. Atabani</name><affiliation><nlm:affiliation>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Sahota, A" sort="Sahota, A" uniqKey="Sahota A" first="A" last="Sahota">A. Sahota</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Bell, D" sort="Bell, D" uniqKey="Bell D" first="D" last="Bell">D. Bell</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Wiselka, M" sort="Wiselka, M" uniqKey="Wiselka M" first="M" last="Wiselka">M. Wiselka</name><affiliation><nlm:affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</nlm:affiliation></affiliation></author><author><name sortKey="Tang, J W" sort="Tang, J W" uniqKey="Tang J" first="J W" last="Tang">J W Tang</name><affiliation><nlm:affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK. Electronic address: julian.tang@uhl-tr.nhs.uk.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The Journal of hospital infection</title><idno type="eISSN">1532-2939</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Case Management (economics)</term><term>Case Management (standards)</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (therapy)</term><term>Female</term><term>Health Resources</term><term>Hospital Costs</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Travel</term><term>United Kingdom</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Case Management</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Case Management</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Health Resources</term><term>Hospital Costs</term><term>Hospitals, Teaching</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Travel</term><term>United Kingdom</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Clinical challenges exist in the management of hospitalized patients returning to the UK with potential Middle East respiratory syndrome coronavirus (MERS-CoV) infection, particularly with its clinical overlap with influenza, as demonstrated in this case-series and cost-analysis review of returning Hajj pilgrims. These patients were hospitalized with acute febrile respiratory illness, initially managed as potential MERS-CoV infections, but were eventually diagnosed with influenza. Additional costs were small, yet enhanced infection prevention measures created significant burdens on isolation rooms and staff time. Planning for predictable events such as Hajj is important for resource management. Here, in-house MERS-CoV diagnostic testing would have facilitated earlier diagnosis and discharge.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28131646</PMID><DateCompleted><Year>2017</Year><Month>02</Month><Day>27</Day></DateCompleted><DateRevised><Year>2020</Year><Month>04</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2939</ISSN><JournalIssue CitedMedium="Internet"><Volume>95</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>The Journal of hospital infection</Title><ISOAbbreviation>J. Hosp. Infect.</ISOAbbreviation></Journal><ArticleTitle>Resource impact of managing suspected Middle East respiratory syndrome patients in a UK teaching hospital.</ArticleTitle><Pagination><MedlinePgn>280-285</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0195-6701(16)30581-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jhin.2016.12.010</ELocationID><Abstract><AbstractText>Clinical challenges exist in the management of hospitalized patients returning to the UK with potential Middle East respiratory syndrome coronavirus (MERS-CoV) infection, particularly with its clinical overlap with influenza, as demonstrated in this case-series and cost-analysis review of returning Hajj pilgrims. These patients were hospitalized with acute febrile respiratory illness, initially managed as potential MERS-CoV infections, but were eventually diagnosed with influenza. Additional costs were small, yet enhanced infection prevention measures created significant burdens on isolation rooms and staff time. Planning for predictable events such as Hajj is important for resource management. Here, in-house MERS-CoV diagnostic testing would have facilitated earlier diagnosis and discharge.</AbstractText><CopyrightInformation>Copyright © 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Veater</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>N</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stephenson</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kirk-Granger</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baxter</LastName><ForeName>L F</ForeName><Initials>LF</Initials><AffiliationInfo><Affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cannon</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wilson</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Atabani</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Public Health Birmingham, National Infection Service, Public Health England, Heart of England NHS Foundation Trust, Heartlands Hospital, Birmingham, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sahota</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bell</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wiselka</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Infectious Diseases Unit, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tang</LastName><ForeName>J W</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Clinical Microbiology, University Hospitals Leicester NHS Trust, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK. Electronic address: julian.tang@uhl-tr.nhs.uk.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>12</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Hosp Infect</MedlineTA><NlmUniqueID>8007166</NlmUniqueID><ISSNLinking>0195-6701</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019090" MajorTopicYN="N">Case Management</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006295" MajorTopicYN="Y">Health Resources</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017721" MajorTopicYN="N">Hospital Costs</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006784" MajorTopicYN="N">Hospitals, Teaching</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014195" MajorTopicYN="N">Travel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006113" MajorTopicYN="N">United Kingdom</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Influenza</Keyword><Keyword MajorTopicYN="Y">Isolation</Keyword><Keyword MajorTopicYN="Y">Middle East respiratory syndrome</Keyword><Keyword MajorTopicYN="Y">Personal protective equipment</Keyword><Keyword MajorTopicYN="Y">Polymerase chain reaction</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>08</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>12</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>2</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28131646</ArticleId><ArticleId IdType="pii">S0195-6701(16)30581-3</ArticleId><ArticleId IdType="doi">10.1016/j.jhin.2016.12.010</ArticleId><ArticleId IdType="pmc">PMC7132460</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Emerg Infect Dis. 2014 Sep;20(9):1562-4</Citation><ArticleIdList><ArticleId IdType="pubmed">25148267</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>Int J Infect Dis. 2016 Jun;47:10-4</Citation><ArticleIdList><ArticleId IdType="pubmed">27117200</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>Euro Surveill. 2012 Sep 27;17(39):</Citation><ArticleIdList><ArticleId IdType="pubmed">23041020</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>J Clin Virol. 2005 Aug;33(4):341-4</Citation><ArticleIdList><ArticleId IdType="pubmed">15927526</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>Emerg Infect Dis. 2015 Sep;21(9):1654-6</Citation><ArticleIdList><ArticleId IdType="pubmed">26291541</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>J Med Virol. 2003 Jun;70(2):228-39</Citation><ArticleIdList><ArticleId IdType="pubmed">12696109</ArticleId></ArticleIdList></Reference></ReferenceList><ReferenceList><Reference><Citation>MMWR Morb Mortal Wkly Rep. 2013 Jun 14;62(23):480-3</Citation><ArticleIdList><ArticleId IdType="pubmed">23760190</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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