SARS transmission in Vietnam outside of the health-care setting
Identifieur interne : 000C50 ( Pmc/Curation ); précédent : 000C49; suivant : 000C51SARS transmission in Vietnam outside of the health-care setting
Auteurs : P. A. Tuan [Viêt Nam] ; P. Horby [Viêt Nam] ; P. N. Dinh [Viêt Nam] ; L. T. Q. Mai [Viêt Nam] ; M. Zambon [Royaume-Uni] ; J. Shah [États-Unis] ; V. Q. Huy [Viêt Nam] ; S. Bloom [États-Unis] ; R. Gopal [Royaume-Uni] ; J. Comer [États-Unis] ; A. Plant [Australie]Source :
- Epidemiology and Infection [ 0950-2688 ] ; 2006.
Abstract
To evaluate the risk of transmission of SARS coronavirus outside of the health-care setting, close household and community contacts of laboratory-confirmed SARS cases were identified and followed up for clinical and laboratory evidence of SARS infection. Individual- and household-level risk factors for transmission were investigated. Nine persons with serological evidence of SARS infection were identified amongst 212 close contacts of 45 laboratory- confirmed SARS cases (secondary attack rate 4·2%, 95% CI 1·5–7). In this cohort, the average number of secondary infections caused by a single infectious case was 0·2. Two community contacts with laboratory evidence of SARS coronavirus infection had mild or sub-clinical infection, representing 3% (2/65) of Vietnamese SARS cases. There was no evidence of transmission of infection before symptom onset. Physically caring for a symptomatic laboratory-confirmed SARS case was the only independent risk factor for SARS transmission (OR 5·78, 95% CI 1·23–24·24).
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DOI: 10.1017/S0950268806006996
PubMed: 16870029
PubMed Central: 2870589
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Plant</name><affiliation wicri:level="1"><nlm:aff id="aff006">Curtin University of Technology, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Curtin University of Technology</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16870029</idno><idno type="pmc">2870589</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2870589</idno><idno type="RBID">PMC:2870589</idno><idno type="doi">10.1017/S0950268806006996</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">000C50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C50</idno><idno type="wicri:Area/Pmc/Curation">000C50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C50</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">SARS transmission in Vietnam outside of the health-care setting</title><author><name sortKey="Tuan, P A" sort="Tuan, P A" uniqKey="Tuan P" first="P. A." last="Tuan">P. A. Tuan</name><affiliation wicri:level="1"><nlm:aff id="aff001">National Institute of Hygiene and Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>National Institute of Hygiene and Epidemiology, Hanoi</wicri:regionArea></affiliation></author><author><name sortKey="Horby, P" sort="Horby, P" uniqKey="Horby P" first="P." last="Horby">P. Horby</name><affiliation wicri:level="1"><nlm:aff id="aff002">World Health Organization, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>World Health Organization, Hanoi</wicri:regionArea></affiliation></author><author><name sortKey="Dinh, P N" sort="Dinh, P N" uniqKey="Dinh P" first="P. N." last="Dinh">P. N. Dinh</name><affiliation wicri:level="1"><nlm:aff id="aff001">National Institute of Hygiene and Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>National Institute of Hygiene and Epidemiology, Hanoi</wicri:regionArea></affiliation></author><author><name sortKey="Mai, L T Q" sort="Mai, L T Q" uniqKey="Mai L" first="L. T. Q." last="Mai">L. T. Q. Mai</name><affiliation wicri:level="1"><nlm:aff id="aff001">National Institute of Hygiene and Epidemiology, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>National Institute of Hygiene and Epidemiology, Hanoi</wicri:regionArea></affiliation></author><author><name sortKey="Zambon, M" sort="Zambon, M" uniqKey="Zambon M" first="M." last="Zambon">M. Zambon</name><affiliation wicri:level="1"><nlm:aff id="aff003">Health Protection Agency, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Protection Agency, London</wicri:regionArea></affiliation></author><author><name sortKey="Shah, J" sort="Shah, J" uniqKey="Shah J" first="J." last="Shah">J. Shah</name><affiliation wicri:level="1"><nlm:aff id="aff004">Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea></affiliation></author><author><name sortKey="Huy, V Q" sort="Huy, V Q" uniqKey="Huy V" first="V. Q." last="Huy">V. Q. Huy</name><affiliation wicri:level="1"><nlm:aff id="aff005">French Hospital, Hanoi, Vietnam</nlm:aff><country xml:lang="fr">Viêt Nam</country><wicri:regionArea>French Hospital, Hanoi</wicri:regionArea></affiliation></author><author><name sortKey="Bloom, S" sort="Bloom, S" uniqKey="Bloom S" first="S." last="Bloom">S. Bloom</name><affiliation wicri:level="1"><nlm:aff id="aff004">Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea></affiliation></author><author><name sortKey="Gopal, R" sort="Gopal, R" uniqKey="Gopal R" first="R." last="Gopal">R. Gopal</name><affiliation wicri:level="1"><nlm:aff id="aff003">Health Protection Agency, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Protection Agency, London</wicri:regionArea></affiliation></author><author><name sortKey="Comer, J" sort="Comer, J" uniqKey="Comer J" first="J." last="Comer">J. Comer</name><affiliation wicri:level="1"><nlm:aff id="aff004">Centers for Disease Control and Prevention, Atlanta, GA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Centers for Disease Control and Prevention, Atlanta, GA</wicri:regionArea></affiliation></author><author><name sortKey="Plant, A" sort="Plant, A" uniqKey="Plant A" first="A." last="Plant">A. Plant</name><affiliation wicri:level="1"><nlm:aff id="aff006">Curtin University of Technology, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Curtin University of Technology</wicri:regionArea></affiliation></author></analytic><series><title level="j">Epidemiology and Infection</title><idno type="ISSN">0950-2688</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>SUMMARY</title><p>To evaluate the risk of transmission of SARS coronavirus outside of the health-care setting, close household and community contacts of laboratory-confirmed SARS cases were identified and followed up for clinical and laboratory evidence of SARS infection. Individual- and household-level risk factors for transmission were investigated. Nine persons with serological evidence of SARS infection were identified amongst 212 close contacts of 45 laboratory- confirmed SARS cases (secondary attack rate 4·2%, 95% CI 1·5–7). In this cohort, the average number of secondary infections caused by a single infectious case was 0·2. Two community contacts with laboratory evidence of SARS coronavirus infection had mild or sub-clinical infection, representing 3% (2/65) of Vietnamese SARS cases. There was no evidence of transmission of infection before symptom onset. Physically caring for a symptomatic laboratory-confirmed SARS case was the only independent risk factor for SARS transmission (OR 5·78, 95% CI 1·23–24·24).</p></div></front></TEI><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>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Epidemiol Infect</journal-id><journal-id journal-id-type="publisher-id">HYG</journal-id><journal-title>Epidemiology and Infection</journal-title><issn pub-type="ppub">0950-2688</issn><publisher><publisher-name>Cambridge University Press</publisher-name> <publisher-loc>Cambridge, UK</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">16870029</article-id><article-id pub-id-type="pmc">2870589</article-id><article-id pub-id-type="doi">10.1017/S0950268806006996</article-id><article-id pub-id-type="pii">S0950268806006996</article-id><article-id pub-id-type="publisher-id">00699</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>SARS transmission in Vietnam outside of the health-care setting</article-title><alt-title alt-title-type="left-running">P. A. Tuan and others</alt-title><alt-title alt-title-type="right-running">Community SARS transmission in Vietnam</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>TUAN</surname><given-names>P. A.</given-names></name><xref ref-type="aff" rid="aff001">1</xref></contrib><contrib contrib-type="author"><name><surname>HORBY</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="aff002">2</xref><xref ref-type="corresp" rid="cor001">*</xref></contrib><contrib contrib-type="author"><name><surname>DINH</surname><given-names>P. N.</given-names></name><xref ref-type="aff" rid="aff001">1</xref></contrib><contrib contrib-type="author"><name><surname>MAI</surname><given-names>L. T. Q.</given-names></name><xref ref-type="aff" rid="aff001">1</xref></contrib><contrib contrib-type="author"><name><surname>ZAMBON</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="aff003">3</xref></contrib><contrib contrib-type="author"><name><surname>SHAH</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="aff004">4</xref></contrib><contrib contrib-type="author"><name><surname>HUY</surname><given-names>V. Q.</given-names></name><xref ref-type="aff" rid="aff005">5</xref></contrib><contrib contrib-type="author"><name><surname>BLOOM</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="aff004">4</xref></contrib><contrib contrib-type="author"><name><surname>GOPAL</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="aff003">3</xref></contrib><contrib contrib-type="author"><name><surname>COMER</surname><given-names>J.</given-names></name><xref ref-type="aff" rid="aff004">4</xref></contrib><contrib contrib-type="author"><name><surname>PLANT</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="aff006">6</xref></contrib><contrib contrib-type="author"><collab>on behalf of the WHO SARS Investigation Team in Vietnam</collab></contrib><xref ref-type="aff" rid="aff007">†</xref></contrib-group><aff id="aff001"><label>1</label>National Institute of Hygiene and Epidemiology, Hanoi, Vietnam</aff><aff id="aff002"><label>2</label>World Health Organization, Hanoi, Vietnam</aff><aff id="aff003"><label>3</label>Health Protection Agency, London, UK</aff><aff id="aff004"><label>4</label>Centers for Disease Control and Prevention, Atlanta, GA, USA</aff><aff id="aff005"><label>5</label>French Hospital, Hanoi, Vietnam</aff><aff id="aff006"><label>6</label>Curtin University of Technology, Australia</aff><aff id="aff007"><label>†</label>The WHO SARS Investigation Team is listed in the Appendix.</aff><author-notes><corresp id="cor001"><bold>*</bold>Author for correspondence: Dr P. Horby, Medical Epidemiologist, Communicable Disease Surveillance and Response, World Health Organization, 63 Tran Hung Dao Street, Hoan Kiem District, Hanoi, Vietnam. (Email: <email xlink:href="peter.horby@gmail.com">peter.horby@gmail.com</email>)</corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2007</year></pub-date><pub-date pub-type="epub"><day>26</day><month>7</month><year>2006</year></pub-date><volume>135</volume><issue>3</issue><fpage>392</fpage><lpage>401</lpage><history><date date-type="accepted"><day>24</day><month>5</month><year>2006</year></date></history><copyright-statement>© Cambridge University Press 2006</copyright-statement><copyright-year>2006</copyright-year><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="S0950268806006996a.pdf"></self-uri><abstract abstract-type="normal"><title>SUMMARY</title><p>To evaluate the risk of transmission of SARS coronavirus outside of the health-care setting, close household and community contacts of laboratory-confirmed SARS cases were identified and followed up for clinical and laboratory evidence of SARS infection. Individual- and household-level risk factors for transmission were investigated. Nine persons with serological evidence of SARS infection were identified amongst 212 close contacts of 45 laboratory- confirmed SARS cases (secondary attack rate 4·2%, 95% CI 1·5–7). In this cohort, the average number of secondary infections caused by a single infectious case was 0·2. Two community contacts with laboratory evidence of SARS coronavirus infection had mild or sub-clinical infection, representing 3% (2/65) of Vietnamese SARS cases. There was no evidence of transmission of infection before symptom onset. Physically caring for a symptomatic laboratory-confirmed SARS case was the only independent risk factor for SARS transmission (OR 5·78, 95% CI 1·23–24·24).</p></abstract><counts><page-count count="10"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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