Outbreaks of Middle East Respiratory Syndrome in Two Hospitals Initiated by a Single Patient in Daejeon, South Korea.
Identifieur interne : 001034 ( PubMed/Corpus ); précédent : 001033; suivant : 001035Outbreaks of Middle East Respiratory Syndrome in Two Hospitals Initiated by a Single Patient in Daejeon, South Korea.
Auteurs : Sun Hee Park ; Yeon-Sook Kim ; Younghee Jung ; Soo Young Choi ; Nam-Hyuk Cho ; Hye Won Jeong ; Jung Yeon Heo ; Ji Hyun Yoon ; Jacob Lee ; Shinhye Cheon ; Kyung Mok SohnSource :
- Infection & chemotherapy [ 2093-2340 ] ; 2016.
Abstract
A Middle East Respiratory Syndrome coronavirus (MERS-CoV) outbreak in South Korea in 2015 started by a single imported case and was amplified by intra- and inter-hospital transmission. We describe two hospital outbreaks of MERS-CoV infection in Daejeon caused by a single patient who was infected by the first Korean case of MERS.
DOI: 10.3947/ic.2016.48.2.99
PubMed: 27433380
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Jung</name><affiliation><nlm:affiliation>Division of infectious disease, Department of internal medicine, Hallym Sacred Heart Hospital, Anayang, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Soo Young" sort="Choi, Soo Young" uniqKey="Choi S" first="Soo Young" last="Choi">Soo Young Choi</name><affiliation><nlm:affiliation>Department of Neurology, Dae-Chung Hospital, Daejeon, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Cho, Nam Hyuk" sort="Cho, Nam Hyuk" uniqKey="Cho N" first="Nam-Hyuk" last="Cho">Nam-Hyuk Cho</name><affiliation><nlm:affiliation>Department of Microbiology and Immunology, Department of Biomedical Science, Seoul National University College of Medicine and Bundang Hospital, Seoul, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Jeong, Hye Won" sort="Jeong, Hye Won" uniqKey="Jeong H" first="Hye Won" last="Jeong">Hye Won Jeong</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Heo, Jung Yeon" sort="Heo, Jung Yeon" uniqKey="Heo J" first="Jung Yeon" last="Heo">Jung Yeon Heo</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yoon, Ji Hyun" sort="Yoon, Ji Hyun" uniqKey="Yoon J" first="Ji Hyun" last="Yoon">Ji Hyun Yoon</name><affiliation><nlm:affiliation>Division of Infectious diseases, Department of Internal Medicine, Eulji University hospital, Daejeon, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Jacob" sort="Lee, Jacob" uniqKey="Lee J" first="Jacob" last="Lee">Jacob Lee</name><affiliation><nlm:affiliation>Division of Infectious diseases, Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Cheon, Shinhye" sort="Cheon, Shinhye" uniqKey="Cheon S" first="Shinhye" last="Cheon">Shinhye Cheon</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Sohn, Kyung Mok" sort="Sohn, Kyung Mok" uniqKey="Sohn K" first="Kyung Mok" last="Sohn">Kyung Mok Sohn</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:27433380</idno><idno type="pmid">27433380</idno><idno type="doi">10.3947/ic.2016.48.2.99</idno><idno 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Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Jung, Younghee" sort="Jung, Younghee" uniqKey="Jung Y" first="Younghee" last="Jung">Younghee Jung</name><affiliation><nlm:affiliation>Division of infectious disease, Department of internal medicine, Hallym Sacred Heart Hospital, Anayang, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Choi, Soo Young" sort="Choi, Soo Young" uniqKey="Choi S" first="Soo Young" last="Choi">Soo Young Choi</name><affiliation><nlm:affiliation>Department of Neurology, Dae-Chung Hospital, Daejeon, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Cho, Nam Hyuk" sort="Cho, Nam Hyuk" uniqKey="Cho N" first="Nam-Hyuk" last="Cho">Nam-Hyuk Cho</name><affiliation><nlm:affiliation>Department of Microbiology and Immunology, Department of Biomedical Science, Seoul National University College of Medicine and Bundang Hospital, Seoul, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Jeong, Hye Won" sort="Jeong, Hye Won" uniqKey="Jeong H" first="Hye Won" last="Jeong">Hye Won Jeong</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Heo, Jung Yeon" sort="Heo, Jung Yeon" uniqKey="Heo J" first="Jung Yeon" last="Heo">Jung Yeon Heo</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Yoon, Ji Hyun" sort="Yoon, Ji Hyun" uniqKey="Yoon J" first="Ji Hyun" last="Yoon">Ji Hyun Yoon</name><affiliation><nlm:affiliation>Division of Infectious diseases, Department of Internal Medicine, Eulji University hospital, Daejeon, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Jacob" sort="Lee, Jacob" uniqKey="Lee J" first="Jacob" last="Lee">Jacob Lee</name><affiliation><nlm:affiliation>Division of Infectious diseases, Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Cheon, Shinhye" sort="Cheon, Shinhye" uniqKey="Cheon S" first="Shinhye" last="Cheon">Shinhye Cheon</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</nlm:affiliation></affiliation></author><author><name sortKey="Sohn, Kyung Mok" sort="Sohn, Kyung Mok" uniqKey="Sohn K" first="Kyung Mok" last="Sohn">Kyung Mok Sohn</name><affiliation><nlm:affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Infection & chemotherapy</title><idno type="ISSN">2093-2340</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A Middle East Respiratory Syndrome coronavirus (MERS-CoV) outbreak in South Korea in 2015 started by a single imported case and was amplified by intra- and inter-hospital transmission. We describe two hospital outbreaks of MERS-CoV infection in Daejeon caused by a single patient who was infected by the first Korean case of MERS.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">27433380</PMID><DateCompleted><Year>2016</Year><Month>07</Month><Day>19</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2093-2340</ISSN><JournalIssue CitedMedium="Print"><Volume>48</Volume><Issue>2</Issue><PubDate><Year>2016</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Infection & chemotherapy</Title><ISOAbbreviation>Infect Chemother</ISOAbbreviation></Journal><ArticleTitle>Outbreaks of Middle East Respiratory Syndrome in Two Hospitals Initiated by a Single Patient in Daejeon, South Korea.</ArticleTitle><Pagination><MedlinePgn>99-107</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3947/ic.2016.48.2.99</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A Middle East Respiratory Syndrome coronavirus (MERS-CoV) outbreak in South Korea in 2015 started by a single imported case and was amplified by intra- and inter-hospital transmission. We describe two hospital outbreaks of MERS-CoV infection in Daejeon caused by a single patient who was infected by the first Korean case of MERS.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Demographic and clinical information involving MERS cases in the Daejeon cluster were retrospectively collected and potential contacts and exposures were assessed. The incubation periods and serial intervals were estimated. Viral RNAs were extracted from respiratory tract samples obtained from the index case, four secondary cases and one tertiary case from each hospital. The partial S2 domain of the MERS-CoV spike was sequenced.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In Daejeon, a MERS patient (the index case) was hospitalized at Hospital A in the first week of illness and was transferred to Hospital B because of pneumonia progression in the second week of illness, where he received a bronchoscopic examination and nebulizer therapy. A total of 23 secondary cases (10 in Hospital A and 13 in Hospital B) were detected among patients and caregivers who stayed on the same ward with the index case. There were no secondary cases among healthcare workers. Among close hospital contacts, the secondary attack rate was 15.8% (12/76) in Hospital A and 14.3% (10/70) in Hospital B. However, considering the exposure duration, the incidence rate was higher in Hospital B (7.7/100 exposure-days) than Hospital A (3.4/100 exposure-days). In Hospital B, the median incubation period was shorter (4.6 days vs. 10.8 days), the median time to pneumonia development was faster (3 days vs. 6 days) and mortality was higher (70% vs. 30.8%) than in Hospital A. MERS-CoV isolates from 11 cases formed a single monophyletic clade, with the closest similarity to strains from Riyadh.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Exposure to the MERS case in the late stage (2nd week) of diseases appeared to increase the risk of transmission and was associated with shorter incubation periods and rapid disease progression among those infected. Early detection and isolation of cases is critical in preventing the spread of MERS in the hospital and decreasing the disease severity among those infected.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Park</LastName><ForeName>Sun Hee</ForeName><Initials>SH</Initials><Identifier Source="ORCID">0000-0001-5648-9237</Identifier><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Yeon-Sook</ForeName><Initials>YS</Initials><Identifier Source="ORCID">0000-0003-1142-5488</Identifier><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jung</LastName><ForeName>Younghee</ForeName><Initials>Y</Initials><Identifier Source="ORCID">0000-0002-9034-7635</Identifier><AffiliationInfo><Affiliation>Division of infectious disease, Department of internal medicine, Hallym Sacred Heart Hospital, Anayang, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choi</LastName><ForeName>Soo Young</ForeName><Initials>SY</Initials><Identifier Source="ORCID">0000-0001-5541-4479</Identifier><AffiliationInfo><Affiliation>Department of Neurology, Dae-Chung Hospital, Daejeon, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cho</LastName><ForeName>Nam-Hyuk</ForeName><Initials>NH</Initials><Identifier Source="ORCID">0000-0003-3673-6397</Identifier><AffiliationInfo><Affiliation>Department of Microbiology and Immunology, Department of Biomedical Science, Seoul National University College of Medicine and Bundang Hospital, Seoul, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jeong</LastName><ForeName>Hye Won</ForeName><Initials>HW</Initials><Identifier Source="ORCID">0000-0002-1063-8476</Identifier><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heo</LastName><ForeName>Jung Yeon</ForeName><Initials>JY</Initials><Identifier Source="ORCID">0000-0002-6548-1939</Identifier><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yoon</LastName><ForeName>Ji Hyun</ForeName><Initials>JH</Initials><Identifier Source="ORCID">0000-0001-7523-2699</Identifier><AffiliationInfo><Affiliation>Division of Infectious diseases, Department of Internal Medicine, Eulji University hospital, Daejeon, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Jacob</ForeName><Initials>J</Initials><Identifier Source="ORCID">0000-0002-7041-065X</Identifier><AffiliationInfo><Affiliation>Division of Infectious diseases, Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cheon</LastName><ForeName>Shinhye</ForeName><Initials>S</Initials><Identifier Source="ORCID">0000-0002-1783-121X</Identifier><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sohn</LastName><ForeName>Kyung Mok</ForeName><Initials>KM</Initials><Identifier Source="ORCID">0000-0002-3237-044X</Identifier><AffiliationInfo><Affiliation>Division of Infectious Diseases, Department of Internal Medicine, Chungnam National University School of Medicine, Daejeon, Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>06</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>Infect Chemother</MedlineTA><NlmUniqueID>101531537</NlmUniqueID><ISSNLinking>1598-8112</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Daejeon</Keyword><Keyword MajorTopicYN="N">Hospital</Keyword><Keyword MajorTopicYN="N">Middle East Respiratory Syndrome coronavirus</Keyword><Keyword MajorTopicYN="N">Outbreak</Keyword><Keyword MajorTopicYN="N">South Korea</Keyword><Keyword MajorTopicYN="N">Superspreading</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>03</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>04</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>04</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>7</Month><Day>20</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27433380</ArticleId><ArticleId IdType="doi">10.3947/ic.2016.48.2.99</ArticleId><ArticleId IdType="pmc">PMC4945733</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Emerg Infect Dis. 2015 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