The critical care response to a hospital outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection: an observational study.
Identifieur interne : 000F29 ( PubMed/Corpus ); précédent : 000F28; suivant : 000F30The critical care response to a hospital outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection: an observational study.
Auteurs : Hasan M. Al-Dorzi ; Abdulaziz S. Aldawood ; Raymond Khan ; Salim Baharoon ; John D. Alchin ; Amal A. Matroud ; Sameera M. Al Johany ; Hanan H. Balkhy ; Yaseen M. ArabiSource :
- Annals of intensive care [ 2110-5820 ] ; 2016.
Abstract
Middle East respiratory syndrome coronavirus (MERS-CoV) has caused several hospital outbreaks, including a major outbreak at King Abdulaziz Medical City, a 940-bed tertiary-care hospital in Riyadh, Saudi Arabia (August-September 2015). To learn from our experience, we described the critical care response to the outbreak.
DOI: 10.1186/s13613-016-0203-z
PubMed: 27778310
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<author><name sortKey="Aldawood, Abdulaziz S" sort="Aldawood, Abdulaziz S" uniqKey="Aldawood A" first="Abdulaziz S" last="Aldawood">Abdulaziz S. Aldawood</name>
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<author><name sortKey="Khan, Raymond" sort="Khan, Raymond" uniqKey="Khan R" first="Raymond" last="Khan">Raymond Khan</name>
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<author><name sortKey="Baharoon, Salim" sort="Baharoon, Salim" uniqKey="Baharoon S" first="Salim" last="Baharoon">Salim Baharoon</name>
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<author><name sortKey="Balkhy, Hanan H" sort="Balkhy, Hanan H" uniqKey="Balkhy H" first="Hanan H" last="Balkhy">Hanan H. Balkhy</name>
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<front><div type="abstract" xml:lang="en">Middle East respiratory syndrome coronavirus (MERS-CoV) has caused several hospital outbreaks, including a major outbreak at King Abdulaziz Medical City, a 940-bed tertiary-care hospital in Riyadh, Saudi Arabia (August-September 2015). To learn from our experience, we described the critical care response to the outbreak.</div>
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<DateRevised><Year>2019</Year>
<Month>11</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2110-5820</ISSN>
<JournalIssue CitedMedium="Print"><Volume>6</Volume>
<Issue>1</Issue>
<PubDate><Year>2016</Year>
<Month>Dec</Month>
</PubDate>
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<Title>Annals of intensive care</Title>
<ISOAbbreviation>Ann Intensive Care</ISOAbbreviation>
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<ArticleTitle>The critical care response to a hospital outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection: an observational study.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Middle East respiratory syndrome coronavirus (MERS-CoV) has caused several hospital outbreaks, including a major outbreak at King Abdulaziz Medical City, a 940-bed tertiary-care hospital in Riyadh, Saudi Arabia (August-September 2015). To learn from our experience, we described the critical care response to the outbreak.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">This observational study was conducted at the Intensive Care Department which covered 5 ICUs with 60 single-bedded rooms. We described qualitatively and, as applicable, quantitatively the response of intensive care services to the outbreak. The clinical course and outcomes of healthcare workers (HCWs) who had MERS were noted.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixty-three MERS patients were admitted to 3 MERS-designated ICUs during the outbreak (peak census = 27 patients on August 25, 2015, and the last new case on September 13, 2015). Most patients had multiorgan failure. Eight HCWs had MERS requiring ICU admission (median stay = 28 days): Seven developed acute respiratory distress syndrome, four were treated with prone positioning, four needed continuous renal replacement therapy and one had extracorporeal membrane oxygenation. The hospital mortality of ICU MERS patients was 63.4 % (0 % for the HCWs). In response to the outbreak, the number of negative-pressure rooms was increased from 14 to 38 rooms in 3 MERS-designated ICUs. Patients were managed with a nurse-to-patient ratio of 1:0.8. Infection prevention practices were intensified. As a surrogate, surface disinfectant and hand hygiene gel consumption increased by ~30 % and 17 N95 masks were used per patient/day on average. Family visits were restricted to 2 h/day. Although most ICU staff expressed concerns about acquiring MERS, all reported to work normally. During the outbreak, 27.0 % of nurses and 18.4 % of physicians working in the MERS-designated ICUs reported upper respiratory symptoms, and were tested for MERS-CoV. Only 2/196 (1.0 %) ICU nurses and 1/80 (1.3 %) physician tested positive, had mild disease and recovered fully. The total sick leave duration was 138 days for nurses and 30 days for physicians.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our hospital outbreak of MERS resulted in 63 patients requiring organ support and prolonged ICU stay with a high mortality rate. The ICU response required careful facility and staff management and proper infection control and prevention practices.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Al-Dorzi</LastName>
<ForeName>Hasan M</ForeName>
<Initials>HM</Initials>
<AffiliationInfo><Affiliation>ICU2 and TICU, Intensive Care Department, King Abdulaziz Medical City, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.</Affiliation>
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<Author ValidYN="Y"><LastName>Aldawood</LastName>
<ForeName>Abdulaziz S</ForeName>
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<AffiliationInfo><Affiliation>Intensive Care Department, King Abdulaziz Medical City, King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.</Affiliation>
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<Author ValidYN="Y"><LastName>Khan</LastName>
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<Author ValidYN="Y"><LastName>Arabi</LastName>
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<ArticleId IdType="pii">10.1186/s13613-016-0203-z</ArticleId>
<ArticleId IdType="pmc">PMC5078123</ArticleId>
</ArticleIdList>
<ReferenceList><Reference><Citation>Int J Infect Dis. 2014 Dec;29:301-6</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25303830</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>MMWR Morb Mortal Wkly Rep. 2016 Feb 19;65(6):163-4</Citation>
<ArticleIdList><ArticleId IdType="pubmed">26890816</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Curr Opin Pulm Med. 2014 May;20(3):233-41</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24626235</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>PLoS One. 2012;7(4):e35797</Citation>
<ArticleIdList><ArticleId IdType="pubmed">22563403</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2015 Jun 4;372(23 ):2185-96</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25981908</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Crit Care Med. 2015 Jun;43(6):1283-90</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25785521</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2010 Sep 16;363(12):1107-16</Citation>
<ArticleIdList><ArticleId IdType="pubmed">20843245</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2013 Jun 6;368(23):2159-68</Citation>
<ArticleIdList><ArticleId IdType="pubmed">23688302</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2015 Feb 26;372(9):846-54</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25714162</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Euro Surveill. 2012 Dec 06;17(49):null</Citation>
<ArticleIdList><ArticleId IdType="pubmed">23231891</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Crit Care. 2008 Mar;23(1):138-47</Citation>
<ArticleIdList><ArticleId IdType="pubmed">18359431</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Korean Med Sci. 2015 Aug;30(8):1207-8</Citation>
<ArticleIdList><ArticleId IdType="pubmed">26240502</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Emerg Infect Dis. 2004 May;10(5):771-6</Citation>
<ArticleIdList><ArticleId IdType="pubmed">15200807</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>BMC Health Serv Res. 2004 Dec 19;4(1):36</Citation>
<ArticleIdList><ArticleId IdType="pubmed">15606924</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Crit Care Med. 2013 Feb;41(2):506-17</Citation>
<ArticleIdList><ArticleId IdType="pubmed">23263618</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>CMAJ. 2004 Mar 2;170(5):793-8</Citation>
<ArticleIdList><ArticleId IdType="pubmed">14993174</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Lancet Infect Dis. 2009 May;9(5):301-11</Citation>
<ArticleIdList><ArticleId IdType="pubmed">19393960</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Epidemiol Health. 2015 Jul 21;37:e2015033</Citation>
<ArticleIdList><ArticleId IdType="pubmed">26212508</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Crit Care. 2005 Aug;9(4):384-9</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16137388</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2013 Aug 29;369(9):884-6</Citation>
<ArticleIdList><ArticleId IdType="pubmed">23923992</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>N Engl J Med. 2013 Aug 1;369(5):407-16</Citation>
<ArticleIdList><ArticleId IdType="pubmed">23782161</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Infect Public Health. 2014 Jul-Aug;7(4):360-4</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24702745</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Clin Infect Dis. 2014 Jul 15;59(2):160-5</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24723278</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Crit Care Med. 2006 Mar;34(3):605-11</Citation>
<ArticleIdList><ArticleId IdType="pubmed">16521254</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Int J Infect Dis. 2014 Mar;20:42-6</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24406736</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Ann Intern Med. 2014 Mar 18;160(6):389-97</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24474051</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>CMAJ. 2003 May 27;168(11):1415-20</Citation>
<ArticleIdList><ArticleId IdType="pubmed">12771070</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Int J Infect Dis. 2014 Dec;29:307-8</Citation>
<ArticleIdList><ArticleId IdType="pubmed">25448335</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Euro Surveill. 2013 Sep 19;18(38):null</Citation>
<ArticleIdList><ArticleId IdType="pubmed">24084338</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Emerg Infect Dis. 2015 Nov;21(11):2029-35</Citation>
<ArticleIdList><ArticleId IdType="pubmed">26488195</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
</record>
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