【病毒外文文獻】2015 Infection prevention and control strategies for the Middle East respiratory syndrome coronavirus and outcome in Oma

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ORAL PRESENTATION Open Access Infection prevention and control strategies for the Middle East respiratory syndrome coronavirus and outcome in Oman KSA Al Harthy A Al Maani M Elsheikh From 3rd International Conference on Prevention and Infection Control ICPIC 2015 Geneva Switzerland 16 19 June 2015 Introduction Middle East Respiratory Syndrome Coronavirus MERS CoV continues to challenge health care thru the poten tial to cause outbreaks with fatal outcomes This study is a description of 5 primary cases of MERS CoV in Oman during the period October 2013 February 2014 The initially planned infection prevention and control IPC strategies and their adaptations thereafter were also described Methods The MERS CoV national taskforce recommendations on IPC aspects and the triage system were reviewed Imple mented steps and relevant weaknesses encountered dur ing outbreaks were addressed The investigations reports monitoring and follow up charts of the 5 MERS CoV reported cases were evaluated Results There were 5 cases of MERS CoV detected in Oman since 2013 The 1st case and 2nd cases were reported on 2013 and on 2015 three additional cases were diagnosed The 1 st case had 93 contacts 49 from family mem bers and community and 51 health care workers HCWs High risk contacts were 18 individuals 9 HCWs 6 family members and 3 individuals who bur ied the deceased case The screening tests of all contacts were negative and no secondary cases were identified within 2 weeks The 2 nd case had 44 contacts 61 in community and 37 HCWs All contacts were screened except for 2 infants due to family denial Within the 2 weeks the screening tests were negative for all contacts and no secondary cases were identified The third case was admitted with lower respiratory symptoms The wife and uncle of the index case had mild respiratory illness both tested positive for MERS CoV In this cluster 114 contacts were identified 57 HCWs and 43 from community 37 HCWs contacted with index case 15 with wife and 10 with uncle Initial and repeated testing in 2 weeks were negative and no further cases Conclusion The management of 5 MERS CoV cases in Oman is a suc cess story for IPC service as no secondary cases were reported in hospital setting The key elements in the man agement of the outbreak were by improving the triage in general however particularly on respiratory illnesses plus the enhancement of IPC precautions with relevant HCWs awareness The large numbers of HCWs contacts were related to ambiguity of the mode of transmission and the anxiety between HCWs Disclosure of interest None declared Published 16 June 2015 doi 10 1186 2047 2994 4 S1 O58 Cite this article as Al Harthy et al Infection prevention and control strategies for the Middle East respiratory syndrome coronavirus and outcome in Oman Antimicrobial Resistance and Infection Control 2015 4 Suppl 1 O58 Central Department of Infection Prevention and Control Ministry of Health HQ Muscat Oman Al Harthy et al Antimicrobial Resistance and Infection Control 2015 4 Suppl 1 O58 2015 Al Harthy et al licensee BioMed Central Ltd This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons org licenses by 4 0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited The Creative Commons Public Domain Dedication waiver http creativecommons org publicdomain zero 1 0 applies to the data made available in this article unless otherwise stated