Oh Myoung-don, Choe Pyoeng Gyun, Oh Hong Sang, Park Wan Beom, Lee Sang-Min, Park Jinkyeong, Lee Sang Kook, Song Jeong-Sup, Kim Nam Joong
Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2015 Nov;30(11):1701-5. doi: 10.3346/jkms.2015.30.11.1701. Epub 2015 Oct 16.
Since the first imported case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection was reported on May 20, 2015 in Korea, there have been 186 laboratory-confirmed cases of MERS-CoV infection with 36 fatalities. Ninety-seven percent (181/186) of the cases had exposure to the health care facilities. We are reporting a superspreading event that transmitted MERS-CoV to 81 persons at a hospital emergency room (ER) during the Korean outbreak in 2015. The index case was a 35-yr-old man who had vigorous coughing while staying at the ER for 58 hr. As in severe acute respiratory syndrome outbreaks, superspreading events can cause a large outbreak of MERS in healthcare facilities with severe consequences. All healthcare facilities should establish and implement infection prevention and control measure as well as triage policies and procedures for early detection and isolation of suspected MERS-CoV cases.
自2015年5月20日韩国报告首例中东呼吸综合征冠状病毒（MERS-CoV）输入性感染病例以来，已有186例实验室确诊的MERS-CoV感染病例，其中36例死亡。97%（181/186）的病例曾接触过医疗机构。我们报告了一起超级传播事件，在2015年韩国疫情期间，该事件导致一家医院急诊室（ER）的81人感染MERS-CoV。首例病例是一名35岁男性，他在急诊室停留58小时期间剧烈咳嗽。与严重急性呼吸综合征疫情一样，超级传播事件可在医疗机构引发大规模MERS疫情，后果严重。所有医疗机构都应制定并实施感染预防与控制措施以及分诊政策和程序，以便早期发现并隔离疑似MERS-CoV病例。
