Risk factors for transmission of Middle East respiratory syndrome coronavirus infection during the 2015 outbreak in South Korea.
Identifieur interne : 000E53 ( PubMed/Corpus ); précédent : 000E52; suivant : 000E54Risk factors for transmission of Middle East respiratory syndrome coronavirus infection during the 2015 outbreak in South Korea.
Auteurs : Seung Woo Kim ; Jung Wan Park ; Hee-Dong Jung ; Jeong-Sun Yang ; Yong-Shik Park ; Changhwan Lee ; Kyung Min Kim ; Keon-Joo Lee ; Donghyok Kwon ; Young Joo Hur ; Bo Youl Choi ; Moran KiSource :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America [ 1537-6591 ] ; 2017.
Abstract
Transmission heterogeneity was observed during the 2015 South Korean outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Only 22 of 186 cases transmitted the infection, and 5 super-spreading events caused 150 transmissions. We investigated the risk factors for MERS-CoV transmission.
DOI: 10.1093/cid/ciw768
PubMed: 27940937
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Risk factors for transmission of Middle East respiratory syndrome coronavirus infection during the 2015 outbreak in South Korea.</title><author><name sortKey="Kim, Seung Woo" sort="Kim, Seung Woo" uniqKey="Kim S" first="Seung Woo" last="Kim">Seung Woo Kim</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Park, Jung Wan" sort="Park, Jung Wan" uniqKey="Park J" first="Jung Wan" last="Park">Jung Wan Park</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Jung, Hee Dong" sort="Jung, Hee Dong" uniqKey="Jung H" first="Hee-Dong" last="Jung">Hee-Dong Jung</name><affiliation><nlm:affiliation>Division of Respiratory Viruses, Center of Infectious Disease, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Jeong Sun" sort="Yang, Jeong Sun" uniqKey="Yang J" first="Jeong-Sun" last="Yang">Jeong-Sun Yang</name><affiliation><nlm:affiliation>Division of Respiratory Viruses, Center of Infectious Disease, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Park, Yong Shik" sort="Park, Yong Shik" uniqKey="Park Y" first="Yong-Shik" last="Park">Yong-Shik Park</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Changhwan" sort="Lee, Changhwan" uniqKey="Lee C" first="Changhwan" last="Lee">Changhwan Lee</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Kyung Min" sort="Kim, Kyung Min" uniqKey="Kim K" first="Kyung Min" last="Kim">Kyung Min Kim</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Keon Joo" sort="Lee, Keon Joo" uniqKey="Lee K" first="Keon-Joo" last="Lee">Keon-Joo Lee</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kwon, Donghyok" sort="Kwon, Donghyok" uniqKey="Kwon D" first="Donghyok" last="Kwon">Donghyok Kwon</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Hur, Young Joo" sort="Hur, Young Joo" uniqKey="Hur Y" first="Young Joo" last="Hur">Young Joo Hur</name><affiliation><nlm:affiliation>Center for Infectious Disease Control, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Bo Youl" sort="Choi, Bo Youl" uniqKey="Choi B" first="Bo Youl" last="Choi">Bo Youl Choi</name><affiliation><nlm:affiliation>Department of Preventive Medicine, Hanyang University Medical College, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><affiliation><nlm:affiliation>Department of Cancer Control and Policy, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Republic of Korea.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27940937</idno><idno type="pmid">27940937</idno><idno type="doi">10.1093/cid/ciw768</idno><idno type="wicri:Area/PubMed/Corpus">000E53</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000E53</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Risk factors for transmission of Middle East respiratory syndrome coronavirus infection during the 2015 outbreak in South Korea.</title><author><name sortKey="Kim, Seung Woo" sort="Kim, Seung Woo" uniqKey="Kim S" first="Seung Woo" last="Kim">Seung Woo Kim</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Park, Jung Wan" sort="Park, Jung Wan" uniqKey="Park J" first="Jung Wan" last="Park">Jung Wan Park</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Jung, Hee Dong" sort="Jung, Hee Dong" uniqKey="Jung H" first="Hee-Dong" last="Jung">Hee-Dong Jung</name><affiliation><nlm:affiliation>Division of Respiratory Viruses, Center of Infectious Disease, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Jeong Sun" sort="Yang, Jeong Sun" uniqKey="Yang J" first="Jeong-Sun" last="Yang">Jeong-Sun Yang</name><affiliation><nlm:affiliation>Division of Respiratory Viruses, Center of Infectious Disease, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Park, Yong Shik" sort="Park, Yong Shik" uniqKey="Park Y" first="Yong-Shik" last="Park">Yong-Shik Park</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Changhwan" sort="Lee, Changhwan" uniqKey="Lee C" first="Changhwan" last="Lee">Changhwan Lee</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kim, Kyung Min" sort="Kim, Kyung Min" uniqKey="Kim K" first="Kyung Min" last="Kim">Kyung Min Kim</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Keon Joo" sort="Lee, Keon Joo" uniqKey="Lee K" first="Keon-Joo" last="Lee">Keon-Joo Lee</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Kwon, Donghyok" sort="Kwon, Donghyok" uniqKey="Kwon D" first="Donghyok" last="Kwon">Donghyok Kwon</name><affiliation><nlm:affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Hur, Young Joo" sort="Hur, Young Joo" uniqKey="Hur Y" first="Young Joo" last="Hur">Young Joo Hur</name><affiliation><nlm:affiliation>Center for Infectious Disease Control, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Bo Youl" sort="Choi, Bo Youl" uniqKey="Choi B" first="Bo Youl" last="Choi">Bo Youl Choi</name><affiliation><nlm:affiliation>Department of Preventive Medicine, Hanyang University Medical College, Seoul, Republic of Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Ki, Moran" sort="Ki, Moran" uniqKey="Ki M" first="Moran" last="Ki">Moran Ki</name><affiliation><nlm:affiliation>Department of Cancer Control and Policy, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Republic of Korea.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title><idno type="eISSN">1537-6591</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Transmission heterogeneity was observed during the 2015 South Korean outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Only 22 of 186 cases transmitted the infection, and 5 super-spreading events caused 150 transmissions. We investigated the risk factors for MERS-CoV transmission.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27940937</PMID><DateRevised><Year>2020</Year><Month>04</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1537-6591</ISSN><JournalIssue CitedMedium="Internet"><Volume>64</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>03</Month><Day>01</Day></PubDate></JournalIssue><Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title><ISOAbbreviation>Clin. Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Risk factors for transmission of Middle East respiratory syndrome coronavirus infection during the 2015 outbreak in South Korea.</ArticleTitle><Pagination><MedlinePgn>551-557</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">ciw768</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/ciw768</ELocationID><Abstract><AbstractText Label="Background">Transmission heterogeneity was observed during the 2015 South Korean outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. Only 22 of 186 cases transmitted the infection, and 5 super-spreading events caused 150 transmissions. We investigated the risk factors for MERS-CoV transmission.</AbstractText><AbstractText Label="Methods">Epidemiological reports were used to classify patients as non-spreaders, spreaders (1-4 transmission), or those associated with super-spreading event (≥4 transmissions). Logistic regression analyses were used to evaluate the factors that influenced MERS-CoV transmission.</AbstractText><AbstractText Label="Results">Compared to non-spreaders, spreaders exhibited a longer interval from symptom onset to isolation (7 days vs. 3 days) and more frequent pre-isolation pneumonia diagnoses (68.2% vs. 17.1%). Spreaders also exhibited higher values for pre-isolation contacts (149 vs. 17.5), pre-isolation hospitalization (68.2% vs. 16.5%), and emergency room visits (50% vs. 7.3%). Spreaders exhibited lower cycle thresholds for the upE and ORF1a genes (22.7 vs. 27.2 and 23.7 vs. 27.9, respectively). Transmission was independently associated with the cycle threshold (odds ratio [OR]: 0.84, 95% confidence interval [CI]: 0.75-0.96) and pre-isolation hospitalization or emergency room visits (OR: 6.82, 95% CI: 2.06-22.84). The spreaders with ≥4 transmissions exhibited higher values for pre-isolation contacts (777 vs. 78), pre-isolation emergency room visits (100% vs. 35.3%), and doctor-shopping (100% vs. 47.1%), compared to other spreaders.</AbstractText><AbstractText Label="Conclusions">These findings indicate that transmission is determined by host infectivity and the number of contacts, whereas super-spreading events were determined by the number of contacts and hospital visits. These relationships highlight the importance of rapidly enforcing infection control measures to prevent outbreaks.</AbstractText><CopyrightInformation>© The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Seung Woo</ForeName><Initials>SW</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Jung Wan</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jung</LastName><ForeName>Hee-Dong</ForeName><Initials>HD</Initials><AffiliationInfo><Affiliation>Division of Respiratory Viruses, Center of Infectious Disease, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Jeong-Sun</ForeName><Initials>JS</Initials><AffiliationInfo><Affiliation>Division of Respiratory Viruses, Center of Infectious Disease, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Yong-Shik</ForeName><Initials>YS</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Changhwan</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Kyung Min</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Keon-Joo</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwon</LastName><ForeName>Donghyok</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Epidemic Intelligence Service, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hur</LastName><ForeName>Young Joo</ForeName><Initials>YJ</Initials><AffiliationInfo><Affiliation>Center for Infectious Disease Control, Korea Centers for Disease Control and Prevention, Cheongju, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Bo Youl</ForeName><Initials>BY</Initials><AffiliationInfo><Affiliation>Department of Preventive Medicine, Hanyang University Medical College, Seoul, Republic of Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ki</LastName><ForeName>Moran</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cancer Control and Policy, Graduate School of Cancer Science and Policy, National Cancer Center, Goyang, Republic of Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>12</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Clin Infect 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