Incubation Period Duration and Severity of Clinical Disease Following Severe Acute Respiratory Syndrome Coronavirus Infection
Identifieur interne : 000796 ( Pmc/Checkpoint ); précédent : 000795; suivant : 000797Incubation Period Duration and Severity of Clinical Disease Following Severe Acute Respiratory Syndrome Coronavirus Infection
Auteurs : Victor Virlogeux [France, République populaire de Chine] ; Vicky J. Fang [République populaire de Chine] ; Joseph T. Wu [République populaire de Chine] ; Lai-Ming Ho [République populaire de Chine] ; J. S. Malik Peiris [République populaire de Chine] ; Gabriel M. Leung [République populaire de Chine] ; Benjamin J. Cowling [République populaire de Chine]Source :
- Epidemiology (Cambridge, Mass.) [ 1044-3983 ] ; 2015.
Abstract
Few previous studies have investigated the association between the severity of an infectious disease and the length of incubation period.
We estimated the association between the length of the incubation period and the severity of infection with the severe acute respiratory syndrome (SARS) coronavirus, using data from the epidemic in 2003 in Hong Kong.
We estimated the incubation period of SARS based on a subset of patients with available data on exposure periods and a separate subset of patients in a putative common source outbreak, and we found significant associations between shorter incubation period and greater severity in both groups after adjusting for potential confounders.
Our findings suggest that patients with a shorter incubation period proceeded to have more severe disease. Further studies are needed to investigate potential biological mechanisms for this association.
Url:
DOI: 10.1097/EDE.0000000000000339
PubMed: 26133021
PubMed Central: 4889459
Affiliations:
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">Few previous studies have investigated the association between the severity of an infectious disease and the length of incubation period.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We estimated the association between the length of the incubation period and the severity of infection with the severe acute respiratory syndrome (SARS) coronavirus, using data from the epidemic in 2003 in Hong Kong.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">We estimated the incubation period of SARS based on a subset of patients with available data on exposure periods and a separate subset of patients in a putative common source outbreak, and we found significant associations between shorter incubation period and greater severity in both groups after adjusting for potential confounders.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our findings suggest that patients with a shorter incubation period proceeded to have more severe disease. Further studies are needed to investigate potential biological mechanisms for this association.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9009644</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1090</journal-id>
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<article-id pub-id-type="manuscript">NIHMS788747</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Incubation Period Duration and Severity of Clinical Disease Following Severe Acute Respiratory Syndrome Coronavirus Infection</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Virlogeux</surname>
<given-names>Victor</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Fang</surname>
<given-names>Vicky J.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Wu</surname>
<given-names>Joseph T.</given-names>
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<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Ho</surname>
<given-names>Lai-Ming</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Malik Peiris</surname>
<given-names>J. S.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Leung</surname>
<given-names>Gabriel M.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>Cowling</surname>
<given-names>Benjamin J.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Biology, Ecole Normale Supérieure de Lyon, Lyon, France</aff>
<aff id="A2"><label>2</label>
WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China</aff>
<aff id="A3"><label>3</label>
Centre of Influenza Research, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China</aff>
<author-notes><corresp id="FN1"><bold>Corresponding Author:</bold>
Dr Benjamin J Cowling, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, 21 Sassoon Road, Hong Kong Special Administrative Region, China, Tel: +852 3917 6711; Fax: +852 3520 1945; <email>bcowling@hku.hk</email>
</corresp>
<fn id="FN2" fn-type="conflict"><p><bold>POTENTIAL CONFLICTS OF INTEREST</bold>
</p>
<p>GML has received speaker honoraria from HSBC and CLSA. BJC has received research funding from MedImmune Inc. and Sanofi Pasteur, and consults for Crucell NV. The authors report no other potential conflicts of interest.</p>
</fn>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>22</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub"><month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>9</month>
<year>2016</year>
</pub-date>
<volume>26</volume>
<issue>5</issue>
<fpage>666</fpage>
<lpage>669</lpage>
<pmc-comment>elocation-id from pubmed: 10.1097/EDE.0000000000000339</pmc-comment>
<abstract><sec id="S1"><title>Background</title>
<p id="P1">Few previous studies have investigated the association between the severity of an infectious disease and the length of incubation period.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">We estimated the association between the length of the incubation period and the severity of infection with the severe acute respiratory syndrome (SARS) coronavirus, using data from the epidemic in 2003 in Hong Kong.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">We estimated the incubation period of SARS based on a subset of patients with available data on exposure periods and a separate subset of patients in a putative common source outbreak, and we found significant associations between shorter incubation period and greater severity in both groups after adjusting for potential confounders.</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Our findings suggest that patients with a shorter incubation period proceeded to have more severe disease. Further studies are needed to investigate potential biological mechanisms for this association.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
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<li>République populaire de Chine</li>
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<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
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<country name="République populaire de Chine"><noRegion><name sortKey="Virlogeux, Victor" sort="Virlogeux, Victor" uniqKey="Virlogeux V" first="Victor" last="Virlogeux">Victor Virlogeux</name>
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<name sortKey="Cowling, Benjamin J" sort="Cowling, Benjamin J" uniqKey="Cowling B" first="Benjamin J." last="Cowling">Benjamin J. Cowling</name>
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<name sortKey="Ho, Lai Ming" sort="Ho, Lai Ming" uniqKey="Ho L" first="Lai-Ming" last="Ho">Lai-Ming Ho</name>
<name sortKey="Leung, Gabriel M" sort="Leung, Gabriel M" uniqKey="Leung G" first="Gabriel M." last="Leung">Gabriel M. Leung</name>
<name sortKey="Malik Peiris, J S" sort="Malik Peiris, J S" uniqKey="Malik Peiris J" first="J. S." last="Malik Peiris">J. S. Malik Peiris</name>
<name sortKey="Malik Peiris, J S" sort="Malik Peiris, J S" uniqKey="Malik Peiris J" first="J. S." last="Malik Peiris">J. S. Malik Peiris</name>
<name sortKey="Wu, Joseph T" sort="Wu, Joseph T" uniqKey="Wu J" first="Joseph T." last="Wu">Joseph T. Wu</name>
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