Emerging Infectious Diseases (Apr 2016)

Transmission of Middle East Respiratory Syndrome Coronavirus Infections in Healthcare Settings, Abu Dhabi

  • Jennifer C. Hunter,
  • Duc T. Nguyen,
  • Bashir Aden,
  • Zyad Al Bandar,
  • Wafa Al Dhaheri,
  • Kheir Abu Elkheir,
  • Ahmed Khudair,
  • Mariam Al Mulla,
  • Feda El Saleh,
  • Hala Imambaccus,
  • Nawal Al Kaabi,
  • Farrukh Amin Sheikh,
  • Jurgen Sasse,
  • Andrew Turner,
  • Laila Abdel Wareth,
  • Stefan Weber,
  • Asma Al Ameri,
  • Wesal Abu Amer,
  • Negar N. Alami,
  • Sudhir Bunga,
  • Lia M. Haynes,
  • Aron J. Hall,
  • Alexander J. Kallen,
  • David T. Kuhar,
  • Huong T. Pham,
  • Kimberly Pringle,
  • Suxiang Tong,
  • Brett L. Whitaker,
  • Susan I. Gerber,
  • Farida Ismail Al Hosani

DOI
https://doi.org/10.3201/eid2204.151615
Journal volume & issue
Vol. 22, no. 4
pp. 647 – 656

Abstract

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Middle East respiratory syndrome coronavirus (MERS-CoV) infections sharply increased in the Arabian Peninsula during spring 2014. In Abu Dhabi, United Arab Emirates, these infections occurred primarily among healthcare workers and patients. To identify and describe epidemiologic and clinical characteristics of persons with healthcare-associated infection, we reviewed laboratory-confirmed MERS-CoV cases reported to the Health Authority of Abu Dhabi during January 1, 2013–May 9, 2014. Of 65 case-patients identified with MERS-CoV infection, 27 (42%) had healthcare-associated cases. Epidemiologic and genetic sequencing findings suggest that 3 healthcare clusters of MERS-CoV infection occurred, including 1 that resulted in 20 infected persons in 1 hospital. MERS-CoV in healthcare settings spread predominantly before MERS-CoV infection was diagnosed, underscoring the importance of increasing awareness and infection control measures at first points of entry to healthcare facilities.

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