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Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea.
Ann Lab Med. 2016 Mar; 36(2):154-61.AL

Abstract

BACKGROUND

It is crucial to understand the current status of clinical laboratory practices for the largest outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infections in the Republic of Korea to be well prepared for future emerging infectious diseases.

METHODS

We conducted a survey of 49 clinical laboratories in medical institutions and referral medical laboratories. A short questionnaire to survey clinical laboratory practices relating to MERS-CoV diagnostic testing was sent by email to the directors and clinical pathologists in charge of the clinical laboratories performing MERS-CoV testing. The survey focused on testing volume, reporting of results, resources, and laboratory safety.

RESULTS

A total of 40 clinical laboratories responded to the survey. A total of 27,009 MERS-CoV real-time reverse transcription PCR (rRT-PCR) tests were performed. Most of the specimens were sputum (73.5%). The median turnaround time (TAT) was 5.29 hr (first and third quartile, 4.11 and 7.48 hr) in 26 medical institutions. The median TAT of more than a half of the laboratories (57.7%) was less than 6 hr. Many laboratories were able to perform tests throughout the whole week. Laboratory biosafety preparedness included class II biosafety cabinets (100%); separated pre-PCR, PCR, and post-PCR rooms (88.6%); negative pressure pretreatment rooms (48.6%); and negative pressure sputum collection rooms (20.0%).

CONCLUSIONS

Clinical laboratories were able to quickly expand their diagnostic capacity in response to the 2015 MERS-CoV outbreak. Our results show that clinical laboratories play an important role in the maintenance and enhancement of laboratory response in preparation for future emerging infections.

Authors+Show Affiliations

Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Chung-Ang University College of Medicine, Seoul, Korea.Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Laboratory Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Seoul National University College of Medicine, Seoul, Korea.Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Catholic Kwandong University College of Medicine, Incheon, Korea.Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.Department of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea. jeongho@yuhs.ac.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26709263

Citation

Lee, Mi-Kyung, et al. "Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea." Annals of Laboratory Medicine, vol. 36, no. 2, 2016, pp. 154-61.
Lee MK, Kim S, Kim MN, et al. Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea. Ann Lab Med. 2016;36(2):154-61.
Lee, M. K., Kim, S., Kim, M. N., Kweon, O. J., Lim, Y. K., Ki, C. S., Kim, J. S., Seong, M. W., Sung, H., Yong, D., Lee, H., Choi, J. R., & Kim, J. H. (2016). Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea. Annals of Laboratory Medicine, 36(2), 154-61. https://doi.org/10.3343/alm.2016.36.2.154
Lee MK, et al. Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea. Ann Lab Med. 2016;36(2):154-61. PubMed PMID: 26709263.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Survey of Clinical Laboratory Practices for 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in the Republic of Korea. AU - Lee,Mi-Kyung, AU - Kim,Sinyoung, AU - Kim,Mi-Na, AU - Kweon,Oh Joo, AU - Lim,Yong Kwan, AU - Ki,Chang-Seok, AU - Kim,Jae-Seok, AU - Seong,Moon-Woo, AU - Sung,Heungsup, AU - Yong,Dongeun, AU - Lee,Hyukmin, AU - Choi,Jong-Rak, AU - Kim,Jeong-Ho, AU - ,, PY - 2015/08/11/received PY - 2015/09/03/revised PY - 2015/11/10/accepted PY - 2015/12/29/entrez PY - 2015/12/29/pubmed PY - 2017/1/10/medline KW - Clinical laboratory KW - Korea KW - Middle East respiratory syndrome coronavirus (MERS-CoV) KW - Outbreak KW - Preparedness KW - Survey SP - 154 EP - 61 JF - Annals of laboratory medicine JO - Ann Lab Med VL - 36 IS - 2 N2 - BACKGROUND: It is crucial to understand the current status of clinical laboratory practices for the largest outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infections in the Republic of Korea to be well prepared for future emerging infectious diseases. METHODS: We conducted a survey of 49 clinical laboratories in medical institutions and referral medical laboratories. A short questionnaire to survey clinical laboratory practices relating to MERS-CoV diagnostic testing was sent by email to the directors and clinical pathologists in charge of the clinical laboratories performing MERS-CoV testing. The survey focused on testing volume, reporting of results, resources, and laboratory safety. RESULTS: A total of 40 clinical laboratories responded to the survey. A total of 27,009 MERS-CoV real-time reverse transcription PCR (rRT-PCR) tests were performed. Most of the specimens were sputum (73.5%). The median turnaround time (TAT) was 5.29 hr (first and third quartile, 4.11 and 7.48 hr) in 26 medical institutions. The median TAT of more than a half of the laboratories (57.7%) was less than 6 hr. Many laboratories were able to perform tests throughout the whole week. Laboratory biosafety preparedness included class II biosafety cabinets (100%); separated pre-PCR, PCR, and post-PCR rooms (88.6%); negative pressure pretreatment rooms (48.6%); and negative pressure sputum collection rooms (20.0%). CONCLUSIONS: Clinical laboratories were able to quickly expand their diagnostic capacity in response to the 2015 MERS-CoV outbreak. Our results show that clinical laboratories play an important role in the maintenance and enhancement of laboratory response in preparation for future emerging infections. SN - 2234-3814 UR - https://www.unboundmedicine.com/medline/citation/26709263/Survey_of_Clinical_Laboratory_Practices_for_2015_Middle_East_Respiratory_Syndrome_Coronavirus_Outbreak_in_the_Republic_of_Korea_ L2 - http://www.annlabmed.org/journal/viewJournal.html?year=2016&vol=36&page=154 DB - PRIME DP - Unbound Medicine ER -