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Rapid viral diagnosis and ambulatory management of suspected COVID-19 cases presenting at the infectious diseases referral hospital in Marseille, France, - January 31st to March 1st, 2020: A respiratory virus snapshot

Identifieur interne : 000334 ( 2020/Analysis ); précédent : 000333; suivant : 000335

Rapid viral diagnosis and ambulatory management of suspected COVID-19 cases presenting at the infectious diseases referral hospital in Marseille, France, - January 31st to March 1st, 2020: A respiratory virus snapshot

Auteurs : Sophie Amrane [France] ; Hervé Tissot-Dupont [France] ; Barbara Doudier [France] ; Carole Eldin [France] ; Marie Hocquart [France] ; Morgane Mailhe [France] ; Pierre Dudouet [France] ; Etienne Ormières [France] ; Lucie Ailhaud [France] ; Philippe Parola [France] ; Jean-Christophe Lagier [France] ; Philippe Brouqui [France] ; Christine Zandotti [France] ; Laetitia Ninove [France] ; Léa Luciani [France] ; Céline Boschi [France] ; Bernard La Scola [France] ; Didier Raoult [France] ; Matthieu Million [France] ; Philippe Colson [France] ; Philippe Gautret [France]

Source :

RBID : PMC:7102626

Abstract

Background

Rapid virological diagnosis is needed to limit the length of isolation for suspected COVID-19 cases.

Method

We managed the first 280 patients suspected to have COVID-19 through a rapid care circuit and virological diagnosis in our infectious disease reference hospital in Marseille, France. Rapid viral detection was performed on sputum and nasopharyngeal samples.

Results

Over our study period, no SARS-CoV-2 was detected. Results were obtained within approximately 3 h of the arrival of patient samples at the laboratory. Other viral infections were identified in 49% of the patients, with most common pathogens being influenza A and B viruses, rhinovirus, metapneumovirus and common coronaviruses, notably HKU1 and NL63.

Conclusion

Early recognition of COVID-19 is critical to isolate confirmed cases and prevent further transmission. Early rule-out of COVID-19 allows public health containment measures to be adjusted by reducing the time spent in isolation.


Url:
DOI: 10.1016/j.tmaid.2020.101632
PubMed: 32205269
PubMed Central: 7102626


Affiliations:


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PMC:7102626

Le document en format XML

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<name sortKey="Tissot Dupont, Herve" sort="Tissot Dupont, Herve" uniqKey="Tissot Dupont H" first="Hervé" last="Tissot-Dupont">Hervé Tissot-Dupont</name>
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<name sortKey="Eldin, Carole" sort="Eldin, Carole" uniqKey="Eldin C" first="Carole" last="Eldin">Carole Eldin</name>
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<name sortKey="Hocquart, Marie" sort="Hocquart, Marie" uniqKey="Hocquart M" first="Marie" last="Hocquart">Marie Hocquart</name>
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<name sortKey="Mailhe, Morgane" sort="Mailhe, Morgane" uniqKey="Mailhe M" first="Morgane" last="Mailhe">Morgane Mailhe</name>
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<name sortKey="Dudouet, Pierre" sort="Dudouet, Pierre" uniqKey="Dudouet P" first="Pierre" last="Dudouet">Pierre Dudouet</name>
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<name sortKey="Ormieres, Etienne" sort="Ormieres, Etienne" uniqKey="Ormieres E" first="Etienne" last="Ormières">Etienne Ormières</name>
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<name sortKey="Ailhaud, Lucie" sort="Ailhaud, Lucie" uniqKey="Ailhaud L" first="Lucie" last="Ailhaud">Lucie Ailhaud</name>
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<name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name>
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<name sortKey="Lagier, Jean Christophe" sort="Lagier, Jean Christophe" uniqKey="Lagier J" first="Jean-Christophe" last="Lagier">Jean-Christophe Lagier</name>
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<name sortKey="Brouqui, Philippe" sort="Brouqui, Philippe" uniqKey="Brouqui P" first="Philippe" last="Brouqui">Philippe Brouqui</name>
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<name sortKey="Zandotti, Christine" sort="Zandotti, Christine" uniqKey="Zandotti C" first="Christine" last="Zandotti">Christine Zandotti</name>
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<name sortKey="Ninove, Laetitia" sort="Ninove, Laetitia" uniqKey="Ninove L" first="Laetitia" last="Ninove">Laetitia Ninove</name>
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</placeName>
</affiliation>
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<nlm:aff id="aff4">Aix-Marseille Univ, APHM, Unité des Virus Émergents (UVE), IRD 190 - Inserm 1207, Marseille, France</nlm:aff>
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<wicri:regionArea>Aix-Marseille Univ, APHM, Unité des Virus Émergents (UVE), IRD 190 - Inserm 1207, Marseille</wicri:regionArea>
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<author>
<name sortKey="Luciani, Lea" sort="Luciani, Lea" uniqKey="Luciani L" first="Léa" last="Luciani">Léa Luciani</name>
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<name sortKey="Boschi, Celine" sort="Boschi, Celine" uniqKey="Boschi C" first="Céline" last="Boschi">Céline Boschi</name>
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</placeName>
</affiliation>
</author>
<author>
<name sortKey="La Scola, Bernard" sort="La Scola, Bernard" uniqKey="La Scola B" first="Bernard" last="La Scola">Bernard La Scola</name>
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</placeName>
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<nlm:aff id="aff2">Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France</nlm:aff>
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<author>
<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
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<nlm:aff id="aff2">Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France</nlm:aff>
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<author>
<name sortKey="Million, Matthieu" sort="Million, Matthieu" uniqKey="Million M" first="Matthieu" last="Million">Matthieu Million</name>
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<country xml:lang="fr">France</country>
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<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="aff2">Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, APHM, MEPHI, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
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<author>
<name sortKey="Colson, Philippe" sort="Colson, Philippe" uniqKey="Colson P" first="Philippe" last="Colson">Philippe Colson</name>
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<nlm:aff id="aff1">IHU-Méditerranée Infection, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>IHU-Méditerranée Infection, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="aff2">Aix Marseille Univ, IRD, APHM, MEPHI, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, APHM, MEPHI, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
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<nlm:aff id="aff1">IHU-Méditerranée Infection, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
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<title xml:lang="en" level="a" type="main">Rapid viral diagnosis and ambulatory management of suspected COVID-19 cases presenting at the infectious diseases referral hospital in Marseille, France, - January 31st to March 1st, 2020: A respiratory virus snapshot</title>
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<wicri:regionArea>Aix Marseille Univ, IRD, APHM, MEPHI, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
<affiliation wicri:level="3">
<nlm:aff id="aff1">IHU-Méditerranée Infection, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>IHU-Méditerranée Infection, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
<affiliation wicri:level="3">
<nlm:aff id="aff3">Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Aix Marseille Univ, IRD, AP-HM, SSA, VITROME, Marseille</wicri:regionArea>
<placeName>
<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
<settlement type="city">Marseille</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Travel Medicine and Infectious Disease</title>
<idno type="ISSN">1477-8939</idno>
<idno type="eISSN">1873-0442</idno>
<imprint>
<date when="2020">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Rapid virological diagnosis is needed to limit the length of isolation for suspected COVID-19 cases.</p>
</sec>
<sec>
<title>Method</title>
<p>We managed the first 280 patients suspected to have COVID-19 through a rapid care circuit and virological diagnosis in our infectious disease reference hospital in Marseille, France. Rapid viral detection was performed on sputum and nasopharyngeal samples.</p>
</sec>
<sec>
<title>Results</title>
<p>Over our study period, no SARS-CoV-2 was detected. Results were obtained within approximately 3 h of the arrival of patient samples at the laboratory. Other viral infections were identified in 49% of the patients, with most common pathogens being influenza A and B viruses, rhinovirus, metapneumovirus and common coronaviruses, notably HKU1 and NL63.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Early recognition of COVID-19 is critical to isolate confirmed cases and prevent further transmission. Early rule-out of COVID-19 allows public health containment measures to be adjusted by reducing the time spent in isolation.</p>
</sec>
</div>
</front>
<back>
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</div1>
</back>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Provence-Alpes-Côte d'Azur</li>
</region>
<settlement>
<li>Marseille</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Provence-Alpes-Côte d'Azur">
<name sortKey="Amrane, Sophie" sort="Amrane, Sophie" uniqKey="Amrane S" first="Sophie" last="Amrane">Sophie Amrane</name>
</region>
<name sortKey="Ailhaud, Lucie" sort="Ailhaud, Lucie" uniqKey="Ailhaud L" first="Lucie" last="Ailhaud">Lucie Ailhaud</name>
<name sortKey="Amrane, Sophie" sort="Amrane, Sophie" uniqKey="Amrane S" first="Sophie" last="Amrane">Sophie Amrane</name>
<name sortKey="Boschi, Celine" sort="Boschi, Celine" uniqKey="Boschi C" first="Céline" last="Boschi">Céline Boschi</name>
<name sortKey="Brouqui, Philippe" sort="Brouqui, Philippe" uniqKey="Brouqui P" first="Philippe" last="Brouqui">Philippe Brouqui</name>
<name sortKey="Brouqui, Philippe" sort="Brouqui, Philippe" uniqKey="Brouqui P" first="Philippe" last="Brouqui">Philippe Brouqui</name>
<name sortKey="Colson, Philippe" sort="Colson, Philippe" uniqKey="Colson P" first="Philippe" last="Colson">Philippe Colson</name>
<name sortKey="Colson, Philippe" sort="Colson, Philippe" uniqKey="Colson P" first="Philippe" last="Colson">Philippe Colson</name>
<name sortKey="Doudier, Barbara" sort="Doudier, Barbara" uniqKey="Doudier B" first="Barbara" last="Doudier">Barbara Doudier</name>
<name sortKey="Dudouet, Pierre" sort="Dudouet, Pierre" uniqKey="Dudouet P" first="Pierre" last="Dudouet">Pierre Dudouet</name>
<name sortKey="Eldin, Carole" sort="Eldin, Carole" uniqKey="Eldin C" first="Carole" last="Eldin">Carole Eldin</name>
<name sortKey="Eldin, Carole" sort="Eldin, Carole" uniqKey="Eldin C" first="Carole" last="Eldin">Carole Eldin</name>
<name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
<name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
<name sortKey="Hocquart, Marie" sort="Hocquart, Marie" uniqKey="Hocquart M" first="Marie" last="Hocquart">Marie Hocquart</name>
<name sortKey="La Scola, Bernard" sort="La Scola, Bernard" uniqKey="La Scola B" first="Bernard" last="La Scola">Bernard La Scola</name>
<name sortKey="La Scola, Bernard" sort="La Scola, Bernard" uniqKey="La Scola B" first="Bernard" last="La Scola">Bernard La Scola</name>
<name sortKey="Lagier, Jean Christophe" sort="Lagier, Jean Christophe" uniqKey="Lagier J" first="Jean-Christophe" last="Lagier">Jean-Christophe Lagier</name>
<name sortKey="Lagier, Jean Christophe" sort="Lagier, Jean Christophe" uniqKey="Lagier J" first="Jean-Christophe" last="Lagier">Jean-Christophe Lagier</name>
<name sortKey="Luciani, Lea" sort="Luciani, Lea" uniqKey="Luciani L" first="Léa" last="Luciani">Léa Luciani</name>
<name sortKey="Luciani, Lea" sort="Luciani, Lea" uniqKey="Luciani L" first="Léa" last="Luciani">Léa Luciani</name>
<name sortKey="Mailhe, Morgane" sort="Mailhe, Morgane" uniqKey="Mailhe M" first="Morgane" last="Mailhe">Morgane Mailhe</name>
<name sortKey="Million, Matthieu" sort="Million, Matthieu" uniqKey="Million M" first="Matthieu" last="Million">Matthieu Million</name>
<name sortKey="Million, Matthieu" sort="Million, Matthieu" uniqKey="Million M" first="Matthieu" last="Million">Matthieu Million</name>
<name sortKey="Ninove, Laetitia" sort="Ninove, Laetitia" uniqKey="Ninove L" first="Laetitia" last="Ninove">Laetitia Ninove</name>
<name sortKey="Ninove, Laetitia" sort="Ninove, Laetitia" uniqKey="Ninove L" first="Laetitia" last="Ninove">Laetitia Ninove</name>
<name sortKey="Ormieres, Etienne" sort="Ormieres, Etienne" uniqKey="Ormieres E" first="Etienne" last="Ormières">Etienne Ormières</name>
<name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name>
<name sortKey="Parola, Philippe" sort="Parola, Philippe" uniqKey="Parola P" first="Philippe" last="Parola">Philippe Parola</name>
<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
<name sortKey="Tissot Dupont, Herve" sort="Tissot Dupont, Herve" uniqKey="Tissot Dupont H" first="Hervé" last="Tissot-Dupont">Hervé Tissot-Dupont</name>
<name sortKey="Tissot Dupont, Herve" sort="Tissot Dupont, Herve" uniqKey="Tissot Dupont H" first="Hervé" last="Tissot-Dupont">Hervé Tissot-Dupont</name>
<name sortKey="Zandotti, Christine" sort="Zandotti, Christine" uniqKey="Zandotti C" first="Christine" last="Zandotti">Christine Zandotti</name>
<name sortKey="Zandotti, Christine" sort="Zandotti, Christine" uniqKey="Zandotti C" first="Christine" last="Zandotti">Christine Zandotti</name>
</country>
</tree>
</affiliations>
</record>

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