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Diarrhea in medical care workers with severe acute respiratory syndrome.

Identifieur interne : 002B05 ( PubMed/Corpus ); précédent : 002B04; suivant : 002B06

Diarrhea in medical care workers with severe acute respiratory syndrome.

Auteurs : Yi-Chun Chiu ; Keng-Liang Wu ; Yeh-Pin Chou ; Tze-Vun Fong ; Tung-Lung Tsai ; Chung-Mou Kuo ; Chung-Huang Kuo ; King-Wah Chiu ; Jhien-Wei Liu ; Hock-Liew Eng ; Bruno Jawan ; Yu-Fan Cheng ; Chao-Long Chen

Source :

RBID : pubmed:15492605

English descriptors

Abstract

Several known coronavirus species cause a variety of diseases, including respiratory or enteric diseases. The purpose of this study was to investigate the interesting enteric symptoms of the medical care workers who were evidently infected with SARS by means of respiratory transmission.

DOI: 10.1097/00004836-200411000-00009
PubMed: 15492605

Links to Exploration step

pubmed:15492605

Le document en format XML

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<nlm:affiliation>Division of Gastroenterology, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Taiwan, Republic of China.</nlm:affiliation>
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<name sortKey="Tsai, Tung Lung" sort="Tsai, Tung Lung" uniqKey="Tsai T" first="Tung-Lung" last="Tsai">Tung-Lung Tsai</name>
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<name sortKey="Chiu, King Wah" sort="Chiu, King Wah" uniqKey="Chiu K" first="King-Wah" last="Chiu">King-Wah Chiu</name>
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<term>Adult</term>
<term>Antibodies, Viral (analysis)</term>
<term>Diarrhea (virology)</term>
<term>Disease Outbreaks</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Personnel, Hospital</term>
<term>RNA, Viral (analysis)</term>
<term>Reverse Transcriptase Polymerase Chain Reaction</term>
<term>SARS Virus (genetics)</term>
<term>SARS Virus (immunology)</term>
<term>SARS Virus (isolation & purification)</term>
<term>Severe Acute Respiratory Syndrome (complications)</term>
<term>Severe Acute Respiratory Syndrome (diagnosis)</term>
<term>Taiwan (epidemiology)</term>
<term>Viral Load</term>
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<term>Severe Acute Respiratory Syndrome</term>
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<term>SARS Virus</term>
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<term>SARS Virus</term>
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<keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en">
<term>SARS Virus</term>
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<term>Diarrhea</term>
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<term>Disease Outbreaks</term>
<term>Female</term>
<term>Humans</term>
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<front>
<div type="abstract" xml:lang="en">Several known coronavirus species cause a variety of diseases, including respiratory or enteric diseases. The purpose of this study was to investigate the interesting enteric symptoms of the medical care workers who were evidently infected with SARS by means of respiratory transmission.</div>
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<DateCompleted>
<Year>2005</Year>
<Month>02</Month>
<Day>03</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>08</Month>
<Day>17</Day>
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<ISSN IssnType="Print">0192-0790</ISSN>
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<Volume>38</Volume>
<Issue>10</Issue>
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<MedlineDate>2004 Nov-Dec</MedlineDate>
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<Title>Journal of clinical gastroenterology</Title>
<ISOAbbreviation>J. Clin. Gastroenterol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Diarrhea in medical care workers with severe acute respiratory syndrome.</ArticleTitle>
<Pagination>
<MedlinePgn>880-2</MedlinePgn>
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<Abstract>
<AbstractText Label="BACKGROUND AND GOAL" NlmCategory="OBJECTIVE">Several known coronavirus species cause a variety of diseases, including respiratory or enteric diseases. The purpose of this study was to investigate the interesting enteric symptoms of the medical care workers who were evidently infected with SARS by means of respiratory transmission.</AbstractText>
<AbstractText Label="STUDY" NlmCategory="METHODS">Between May 1 and June 16, 2003, we enrolled 16 medical care workers who fulfilled the definition of probable SARS. Samples used for the detection of coronavirus RNA by RT-PCR were collected from throat and rectal swabs during acute phase. Serum anti-SARS IgG was checked by enzyme-linked immunosorbent assays at the convalescent phase.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The incidence of watery diarrhea was 18.8% (3 of 16). The RT-PCR of coronavirus was positive in three (18.8%) of 16 throat swabs and in none (0%) of seven rectal swabs. Serum anti-coronavirus IgG was positive in 13 of the 15 patients (86.7%). The mortality rate was 6.25% (1 of 16). The diarrhea rate in our hospital was significantly lower in comparison with the 73% (55 of 75) of the Amoy Gardens outbreak in Hong Kong (P = 0.000073), and similar to the 19.6% (27 of 138) of the hospital-acquired outbreak in the Prince of Wales Hospital in Hong Kong (P = 0.798). In contrast to the high positive rate of feces RT-PCR (97%) in Amoy Gardens, our positive rate in rectal swab RT-PCT (0%) was significantly lower (P = 0.00000002).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Hospital-acquired SARS cases infected mainly by respiratory route less commonly presented with diarrhea. Lower intestinal viral load, when the virus spread by respiratory route, may be contributive to lower diarrhea rate and lower positive rate in rectal swab RT-PCR.</AbstractText>
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