韓国の緊急治療室で1人の患者が感染した後に発生したMERS-CoV:流行病学的研究
Sun Young Cho1, Ji-Man Kang2, Young Eun Ha1
1Division of Infectious Diseases, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Lancet (London, England)
|July 13, 2016
まとめ
韓国での2015年のMERS-CoVの発生は,混雑した緊急治療室での感染の可能性を強調しています. インデックスケースの近くが主なリスク要因で,医療準備の必要性を強調しました.
科学分野:
- 感染症 疫学
- 公衆衛生の準備
- ウイルスの発生に関する調査
背景:
- 中東呼吸器症候群コロナウイルス (MERS-CoV) の大きな流行は2015年に韓国ソウルにある第三次医療病院で発生した.
- 疫病は緊急治療室で 患者1人に感染したからです
研究 の 目的:
- MERS-CoV 発生の流行病学的特徴を調査する.
- 病院環境における伝染の動態とリスク要因を特定する.
主な方法:
- 患者と医療従事者の連絡先追跡
- インデックスケースの近さによる被曝リスクの分類 (A,B,Cグループ)
- MERS-CoV感染のリアルタイムPCR確認,発症率と潜伏期分析.
主要な成果:
- 675人の患者と218人の医療従事者の中で82人のMERS-CoV感染が確認されました.
- 攻撃率はグループA (直接の近接) で最高で,20%対5% (グループB) と1% (グループC) であった.
- 平均潜伏期間は7日であり,AグループではCグループ (11日) よりも著しく短かった.
結論:
- 混雑した緊急治療室は,MERS-CoVの感染を促進します.
- MERS-CoVの感染の危険因子としては,感染場所が重要です.
- 医療施設では 新しく発生する感染症に対する 強力な準備が求められます
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