Combining Clinical and Epidemiologic Features for Early Recognition of SARS
Identifieur interne : 001751 ( Pmc/Curation ); précédent : 001750; suivant : 001752Combining Clinical and Epidemiologic Features for Early Recognition of SARS
Auteurs : John A. Jernigan [États-Unis] ; Donald E. Low [Canada] ; Rita F. Helfand [États-Unis]Source :
- Emerging Infectious Diseases [ 1080-6040 ] ; 2004.
Abstract
Early recognition and rapid initiation of infection control precautions are currently the most important strategies for controlling severe acute respiratory syndrome (SARS). No rapid diagnostic tests currently exist that can rule out SARS among patients with febrile respiratory illnesses. Clinical features alone cannot with certainty distinguish SARS from other respiratory illnesses rapidly enough to inform early management decisions. A balanced approach to screening that allows early recognition of SARS without unnecessary isolation of patients with other respiratory illnesses will require clinicians not only to look for suggestive clinical features but also to routinely seek epidemiologic clues suggestive of SARS coronavirus exposure. Key epidemiologic risk factors include 1) exposure to settings where SARS activity is suspected or documented, or 2) in the absence of such exposure, epidemiologic linkage to other persons with pneumonia (i.e., pneumonia clusters), or 3) exposure to healthcare settings. When combined with clinical findings, these epidemiologic features provide a possible strategic framework for early recognition of SARS.
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DOI: 10.3201/eid1002.030741
PubMed: 15030706
PubMed Central: 3322910
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Infect Dis</journal-id><journal-id journal-id-type="iso-abbrev">Emerging Infect. Dis</journal-id><journal-id journal-id-type="publisher-id">EID</journal-id><journal-title-group><journal-title>Emerging Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1080-6040</issn><issn pub-type="epub">1080-6059</issn><publisher><publisher-name>Centers for Disease Control and Prevention</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">15030706</article-id><article-id pub-id-type="pmc">3322910</article-id><article-id pub-id-type="publisher-id">03-0741 </article-id><article-id pub-id-type="doi">10.3201/eid1002.030741</article-id><article-categories><subj-group subj-group-type="heading"><subject>Perspective</subject></subj-group></article-categories><title-group><article-title>Combining Clinical and Epidemiologic Features for Early Recognition of SARS</article-title><alt-title alt-title-type="running-head">Clinical Studies</alt-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Jernigan</surname><given-names>John A.</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><contrib contrib-type="author"><name><surname>Low</surname><given-names>Donald E.</given-names></name><xref ref-type="aff" rid="aff2">†</xref></contrib><contrib contrib-type="author"><name><surname>Helfand</surname><given-names>Rita F.</given-names></name><xref ref-type="aff" rid="aff1">*</xref></contrib><aff id="aff1"><label>*</label>Centers for Disease Control and Prevention, Atlanta, Georgia, USA</aff><aff id="aff2"><label>†</label>University of Toronto, Ontario, Canada</aff></contrib-group><author-notes><corresp id="cor1">Address for correspondence: John Jernigan, 1600 Clifton Road, Mailstop E68, Atlanta, GA 30333, USA; fax: 404-639-1244; email: <email xlink:href="jjernigan@cdc.gov">jjernigan@cdc.gov</email></corresp></author-notes><pub-date pub-type="ppub"><month>2</month><year>2004</year></pub-date><volume>10</volume><issue>2</issue><fpage>327</fpage><lpage>333</lpage><abstract><p>Early recognition and rapid initiation of infection control precautions are currently the most important strategies for controlling severe acute respiratory syndrome (SARS). No rapid diagnostic tests currently exist that can rule out SARS among patients with febrile respiratory illnesses. Clinical features alone cannot with certainty distinguish SARS from other respiratory illnesses rapidly enough to inform early management decisions. A balanced approach to screening that allows early recognition of SARS without unnecessary isolation of patients with other respiratory illnesses will require clinicians not only to look for suggestive clinical features but also to routinely seek epidemiologic clues suggestive of SARS coronavirus exposure. Key epidemiologic risk factors include 1) exposure to settings where SARS activity is suspected or documented, or 2) in the absence of such exposure, epidemiologic linkage to other persons with pneumonia (i.e., pneumonia clusters), or 3) exposure to healthcare settings. When combined with clinical findings, these epidemiologic features provide a possible strategic framework for early recognition of SARS.</p></abstract><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>SARS</kwd><kwd>Coronavirus</kwd><kwd>diagnosis</kwd><kwd>epidemiology</kwd><kwd>clinical features</kwd><kwd>SARS-CoV</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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