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Lack of Transmission among Close Contacts of Patient with Case of Middle East Respiratory Syndrome Imported into the United States, 2014.
Emerg Infect Dis. 2015 Jul; 21(7):1128-34.EI

Abstract

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.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

26079176

Citation

Breakwell, Lucy, et al. "Lack of Transmission Among Close Contacts of Patient With Case of Middle East Respiratory Syndrome Imported Into the United States, 2014." Emerging Infectious Diseases, vol. 21, no. 7, 2015, pp. 1128-34.
Breakwell L, Pringle K, Chea N, et al. Lack of Transmission among Close Contacts of Patient with Case of Middle East Respiratory Syndrome Imported into the United States, 2014. Emerg Infect Dis. 2015;21(7):1128-34.
Breakwell, L., Pringle, K., Chea, N., Allen, D., Allen, S., Richards, S., Pantones, P., Sandoval, M., Liu, L., Vernon, M., Conover, C., Chugh, R., DeMaria, A., Burns, R., Smole, S., Gerber, S. I., Cohen, N. J., Kuhar, D., Haynes, L. M., ... Feikin, D. R. (2015). Lack of Transmission among Close Contacts of Patient with Case of Middle East Respiratory Syndrome Imported into the United States, 2014. Emerging Infectious Diseases, 21(7), 1128-34. https://doi.org/10.3201/eid2107.150054
Breakwell L, et al. Lack of Transmission Among Close Contacts of Patient With Case of Middle East Respiratory Syndrome Imported Into the United States, 2014. Emerg Infect Dis. 2015;21(7):1128-34. PubMed PMID: 26079176.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lack of Transmission among Close Contacts of Patient with Case of Middle East Respiratory Syndrome Imported into the United States, 2014. AU - Breakwell,Lucy, AU - Pringle,Kimberly, AU - Chea,Nora, AU - Allen,Donna, AU - Allen,Steve, AU - Richards,Shawn, AU - Pantones,Pam, AU - Sandoval,Michelle, AU - Liu,Lixia, AU - Vernon,Michael, AU - Conover,Craig, AU - Chugh,Rashmi, AU - DeMaria,Alfred, AU - Burns,Rachel, AU - Smole,Sandra, AU - Gerber,Susan I, AU - Cohen,Nicole J, AU - Kuhar,David, AU - Haynes,Lia M, AU - Schneider,Eileen, AU - Kumar,Alan, AU - Kapoor,Minal, AU - Madrigal,Marlene, AU - Swerdlow,David L, AU - Feikin,Daniel R, PY - 2015/6/17/entrez PY - 2015/6/17/pubmed PY - 2016/3/18/medline KW - MERS-CoV KW - Middle East respiratory syndrome KW - United States KW - contact KW - contact tracing KW - coronavirus KW - exposure KW - global positioning system tracer tags KW - imported case KW - infection control KW - self-reporting KW - transmission KW - viruses SP - 1128 EP - 34 JF - Emerging infectious diseases JO - Emerg Infect Dis VL - 21 IS - 7 N2 - 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. SN - 1080-6059 UR - https://www.unboundmedicine.com/medline/citation/26079176/Lack_of_Transmission_among_Close_Contacts_of_Patient_with_Case_of_Middle_East_Respiratory_Syndrome_Imported_into_the_United_States_2014_ DB - PRIME DP - Unbound Medicine ER -