Lack of Transmission among Close Contacts of Patient with Case of Middle East Respiratory Syndrome Imported into the United States, 2014

Autor: Nora Chea, Daniel R. Feikin, Marlene Madrigal, Minal Kapoor, Alfred DeMaria, Kimberly Pringle, Lixia Liu, Craig Conover, Nicole J. Cohen, Donna Allen, Pam Pantones, Rashmi Chugh, Rachel Burns, Lia M. Haynes, Eileen Schneider, Steve Allen, Shawn Richards, Susan I. Gerber, David T. Kuhar, Lucy Breakwell, Michelle Sandoval, David L. Swerdlow, Alan Kumar, Sandra Smole, Michael O. Vernon
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Microbiology (medical)
Adult
Male
Lack of Transmission among Close Contacts of Patient with Imported Case of Middle East Respiratory Syndrome into the United States
2014
Epidemiology
Middle East respiratory syndrome coronavirus
coronavirus
lcsh:Medicine
medicine.disease_cause
Risk Assessment
contact tracing
lcsh:Infectious and parasitic diseases
law.invention
imported case
MERS-CoV
Young Adult
law
Environmental health
Health care
medicine
Infection control
Humans
lcsh:RC109-216
viruses
business.industry
Research
Middle East respiratory syndrome
lcsh:R
transmission
Emergency department
Middle Aged
medicine.disease
infection control
United States
Infectious Diseases
Transmission (mechanics)
exposure
Immunology
Middle East Respiratory Syndrome Coronavirus
self-reporting
Female
global positioning system tracer tags
business
Risk assessment
Coronavirus Infections
Contact tracing
contact
Zdroj: Emerging Infectious Diseases
Emerging Infectious Diseases, Vol 21, Iss 7, Pp 1128-1134 (2015)
ISSN: 1080-6059
1080-6040
Popis: Despite 61 contacts with unprotected exposure, no secondary cases occurred.
In May 2014, a traveler from the Kingdom of Saudi Arabia was the first person identified with Middle East respiratory syndrome coronavirus (MERS-CoV) infection in the United States. To evaluate transmission risk, we determined the type, duration, and frequency of patient contact among health care personnel (HCP), household, and community contacts by using standard questionnaires and, for HCP, global positioning system (GPS) tracer tag logs. Respiratory and serum samples from all contacts were tested for MERS-CoV. Of 61 identified contacts, 56 were interviewed. HCP exposures occurred most frequently in the emergency department (69%) and among nurses (47%); some HCP had contact with respiratory secretions. Household and community contacts had brief contact (e.g., hugging). All laboratory test results were negative for MERS-CoV. This contact investigation found no secondary cases, despite case-patient contact by 61 persons, and provides useful information about MERS-CoV transmission risk. Compared with GPS tracer tag recordings, self-reported contact may not be as accurate.
Databáze: OpenAIRE
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