Role of fomites in SARS transmission during the largest hospital outbreak in Hong Kong
Identifieur interne : 002E33 ( Ncbi/Curation ); précédent : 002E32; suivant : 002E34Role of fomites in SARS transmission during the largest hospital outbreak in Hong Kong
Auteurs : Shenglan Xiao [République populaire de Chine] ; Yuguo Li [République populaire de Chine] ; Tze-Wai Wong [République populaire de Chine] ; David S. C. Hui [République populaire de Chine]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Air, Appareil respiratoire (virologie), Flambées de maladies, Fomites (virologie), Hong Kong (épidémiologie), Humains, Hôpitaux, Infection croisée (transmission), Infection croisée (épidémiologie), Infirmières et infirmiers, Modèles biologiques, Muqueuse (virologie), Mâle, Médecins, Risque, Syndrome respiratoire aigu sévère (transmission), Syndrome respiratoire aigu sévère (épidémiologie), Toucher, Virus du SRAS.
- MESH :
- virologie : Appareil respiratoire, Fomites, Muqueuse.
- épidémiologie : Hong Kong, Infection croisée, Syndrome respiratoire aigu sévère.
- Adulte, Air, Flambées de maladies, Humains, Hôpitaux, Infirmières et infirmiers, Modèles biologiques, Mâle, Médecins, Risque, Toucher, Virus du SRAS.
English descriptors
- KwdEn :
- Adult, Air, Cross Infection (epidemiology), Cross Infection (transmission), Disease Outbreaks, Fomites (virology), Hong Kong (epidemiology), Hospitals, Humans, Male, Models, Biological, Mucous Membrane (virology), Nurses, Physicians, Respiratory System (virology), Risk, SARS Virus, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (transmission), Touch.
- MESH :
- epidemiology : Cross Infection, Hong Kong, Severe Acute Respiratory Syndrome.
- transmission : Cross Infection, Severe Acute Respiratory Syndrome.
- virology : Fomites, Mucous Membrane, Respiratory System.
- Adult, Air, Disease Outbreaks, Hospitals, Humans, Male, Models, Biological, Nurses, Physicians, Risk, SARS Virus, Touch.
Abstract
The epidemic of severe acute respiratory syndrome (SARS) had a significant effect on global society in the early 2000s and the potential of its resurgence exists. Studies on the modes of transmission of SARS are limited though a number of outbreak studies have revealed the possible airborne route. To develop more specific and effective control strategies, we conducted a detailed mechanism-based investigation that explored the role of fomite transmission in the well-known Ward 8A outbreak. We considered three hypothetical transmission routes, i.e., the long-range airborne, fomite and combined routes, in 1,744 scenarios with combinations of some important parameters. A multi-agent model was used to predict the infection risk distributions of the three hypothetical routes. Model selection was carried out for different scenarios to compare the distributions of infection risk with that of the reported attack rates and select the hypotheses with the best fitness. Our results reveal that under the assumed conditions, the SARS coronavirus was most possible to have spread via the combined long-range airborne and fomite routes, and that the fomite route played a non-negligible role in the transmission.
Url:
DOI: 10.1371/journal.pone.0181558
PubMed: 28727803
PubMed Central: 5519164
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PMC:5519164Le document en format XML
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<term>Fomites (virologie)</term>
<term>Hong Kong (épidémiologie)</term>
<term>Humains</term>
<term>Hôpitaux</term>
<term>Infection croisée (transmission)</term>
<term>Infection croisée (épidémiologie)</term>
<term>Infirmières et infirmiers</term>
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<term>Muqueuse (virologie)</term>
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<term>Syndrome respiratoire aigu sévère (épidémiologie)</term>
<term>Toucher</term>
<term>Virus du SRAS</term>
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<term>Severe Acute Respiratory Syndrome</term>
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<term>Severe Acute Respiratory Syndrome</term>
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<term>Muqueuse</term>
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<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Fomites</term>
<term>Mucous Membrane</term>
<term>Respiratory System</term>
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<front><div type="abstract" xml:lang="en"><p>The epidemic of severe acute respiratory syndrome (SARS) had a significant effect on global society in the early 2000s and the potential of its resurgence exists. Studies on the modes of transmission of SARS are limited though a number of outbreak studies have revealed the possible airborne route. To develop more specific and effective control strategies, we conducted a detailed mechanism-based investigation that explored the role of fomite transmission in the well-known Ward 8A outbreak. We considered three hypothetical transmission routes, i.e., the long-range airborne, fomite and combined routes, in 1,744 scenarios with combinations of some important parameters. A multi-agent model was used to predict the infection risk distributions of the three hypothetical routes. Model selection was carried out for different scenarios to compare the distributions of infection risk with that of the reported attack rates and select the hypotheses with the best fitness. Our results reveal that under the assumed conditions, the SARS coronavirus was most possible to have spread via the combined long-range airborne and fomite routes, and that the fomite route played a non-negligible role in the transmission.</p>
</div>
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