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Epidemiological and genetic correlates of severe acute respiratory syndrome coronavirus infection in the hospital with the highest nosocomial infection rate in Taiwan in 2003

Identifieur interne : 000445 ( PascalFrancis/Curation ); précédent : 000444; suivant : 000446

Epidemiological and genetic correlates of severe acute respiratory syndrome coronavirus infection in the hospital with the highest nosocomial infection rate in Taiwan in 2003

Auteurs : Yi-Ming Arthur Chen [Taïwan] ; Shu-Yuan Liang [Taïwan] ; Yi-Ping Shih [Taïwan] ; Chia-Yen Chen [Taïwan] ; Yuan-Ming Lee [Taïwan] ; LING CHANG [Taïwan] ; Shiao-Ying Jung [Taïwan] ; Mei-Shang Ho [Taïwan] ; Kung-Yee Liang [Taïwan] ; Hour-Young Chen [Taïwan] ; Yu-Jiun Chan [Taïwan] ; Da-Chen Chu [Taïwan]

Source :

RBID : Pascal:06-0127171

Descripteurs français

English descriptors

Abstract

Taiwan experienced a series of outbreaks of nosocomial severe acute respiratory syndrome (SARS) infections in 2003. Two months after the final outbreak, we recruited 658 employees from the hospital that suffered the first and most severe SARS infections to help us investigate epidemiological and genetic factors associated with the SARS coronavirus (SARS-CoV). SARS-CoV infections were detected by using enzyme immunoassays and confirmed by a combination of Western blot assays, neutralizing antibody tests, and commercial SARS tests. Risk factors were analyzed via questionnaire responses and sequence-specific oligonucleotide probes of human leukocyte antigen (HLA) alleles. Our results indicate that 3% (20/658) of the study participants were seropositive, with one female nurse identified as a subclinical case. Identified SARS-CoV infection risk factors include working in the same building as the hospital's emergency room and infection ward, providing direct care to SARS patients, and carrying a Cw*0801 HLA allele. The odds ratio for contracting a SARS-CoV infection among persons with either a homozygous or a heterozygous Cw*0801 genotype was 4.4 (95% confidence interval, 1.5 to 12.9; P = 0.007).
pA  
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A08 01  1  ENG  @1 Epidemiological and genetic correlates of severe acute respiratory syndrome coronavirus infection in the hospital with the highest nosocomial infection rate in Taiwan in 2003
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A11 02  1    @1 LIANG (Shu-Yuan)
A11 03  1    @1 SHIH (Yi-Ping)
A11 04  1    @1 CHEN (Chia-Yen)
A11 05  1    @1 LEE (Yuan-Ming)
A11 06  1    @1 LING CHANG
A11 07  1    @1 JUNG (Shiao-Ying)
A11 08  1    @1 HO (Mei-Shang)
A11 09  1    @1 LIANG (Kung-Yee)
A11 10  1    @1 CHEN (Hour-Young)
A11 11  1    @1 CHAN (Yu-Jiun)
A11 12  1    @1 CHU (Da-Chen)
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A14 03      @1 Institute of Biomedical Science, Academia Sinica @2 Taipei @3 TWN @Z 8 aut.
A14 04      @1 National Health Research Institutes, Zhunan Township @2 Miaoli County @3 TWN @Z 9 aut.
A14 05      @1 Center for Disease Control, Department of Health, Republic of China Executive Yuan @2 Taipei @3 TWN @Z 10 aut.
A14 06      @1 Division of Clinical Virology, Department of Pathology and Laboratory Medicine, Taipei Veterans General Hospital @2 Taipei @3 TWN @Z 11 aut.
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C01 01    ENG  @0 Taiwan experienced a series of outbreaks of nosocomial severe acute respiratory syndrome (SARS) infections in 2003. Two months after the final outbreak, we recruited 658 employees from the hospital that suffered the first and most severe SARS infections to help us investigate epidemiological and genetic factors associated with the SARS coronavirus (SARS-CoV). SARS-CoV infections were detected by using enzyme immunoassays and confirmed by a combination of Western blot assays, neutralizing antibody tests, and commercial SARS tests. Risk factors were analyzed via questionnaire responses and sequence-specific oligonucleotide probes of human leukocyte antigen (HLA) alleles. Our results indicate that 3% (20/658) of the study participants were seropositive, with one female nurse identified as a subclinical case. Identified SARS-CoV infection risk factors include working in the same building as the hospital's emergency room and infection ward, providing direct care to SARS patients, and carrying a Cw*0801 HLA allele. The odds ratio for contracting a SARS-CoV infection among persons with either a homozygous or a heterozygous Cw*0801 genotype was 4.4 (95% confidence interval, 1.5 to 12.9; P = 0.007).
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C03 02  X  FRE  @0 Génétique @5 05
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C03 03  X  FRE  @0 Incidence @5 06
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C03 06  X  ENG  @0 Severe acute respiratory syndrome @2 NM @5 14
C03 06  X  SPA  @0 Síndrome respiratorio agudo severo @2 NM @5 14
C03 07  X  FRE  @0 Infection nosocomiale @2 NM @5 15
C03 07  X  ENG  @0 Nosocomial infection @2 NM @5 15
C03 07  X  SPA  @0 Infección nosocomial @2 NM @5 15
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C07 05  X  FRE  @0 Appareil respiratoire pathologie @5 13
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C07 06  X  FRE  @0 Virose
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C07 07  X  ENG  @0 Infection
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C07 08  X  FRE  @0 Poumon pathologie @5 16
C07 08  X  ENG  @0 Lung disease @5 16
C07 08  X  SPA  @0 Pulmón patología @5 16
N21       @1 079
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Pascal:06-0127171

Le document en format XML

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<title level="j" type="main">Journal of clinical microbiology : (Print)</title>
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<idno type="ISSN">0095-1137</idno>
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<term>Coronavirus</term>
<term>Genetics</term>
<term>Incidence</term>
<term>Microbiology</term>
<term>Nosocomial infection</term>
<term>Severe acute respiratory syndrome</term>
<term>Taiwan</term>
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<term>Coronavirus</term>
<term>Génétique</term>
<term>Incidence</term>
<term>Taiwan</term>
<term>Microbiologie</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Infection nosocomiale</term>
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<div type="abstract" xml:lang="en">Taiwan experienced a series of outbreaks of nosocomial severe acute respiratory syndrome (SARS) infections in 2003. Two months after the final outbreak, we recruited 658 employees from the hospital that suffered the first and most severe SARS infections to help us investigate epidemiological and genetic factors associated with the SARS coronavirus (SARS-CoV). SARS-CoV infections were detected by using enzyme immunoassays and confirmed by a combination of Western blot assays, neutralizing antibody tests, and commercial SARS tests. Risk factors were analyzed via questionnaire responses and sequence-specific oligonucleotide probes of human leukocyte antigen (HLA) alleles. Our results indicate that 3% (20/658) of the study participants were seropositive, with one female nurse identified as a subclinical case. Identified SARS-CoV infection risk factors include working in the same building as the hospital's emergency room and infection ward, providing direct care to SARS patients, and carrying a Cw*0801 HLA allele. The odds ratio for contracting a SARS-CoV infection among persons with either a homozygous or a heterozygous Cw*0801 genotype was 4.4 (95% confidence interval, 1.5 to 12.9; P = 0.007).</div>
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