Office of Health Affairs, Ministry of Health, Oman.
Directorate Health Services, North Al Batinah Governorate, Ministry of Health, Oman.
J Infect Public Health. 2020 May;13(5):679-686. doi: 10.1016/j.jiph.2020.03.002. Epub 2020 Apr 16.
Middle East respiratory syndrome coronavirus (MERS-CoV), is an emerging infectious disease of growing global importance. This review describes the latest MERS-CoV clusters and the first cases of nosocomial transmission within health care facilities in Oman. We have highlighted lessons learned and proposed steps to prevent healthcare-associated infections.
A descriptive analysis of MERS-CoV cases was conducted between January 23 and February 16, 2019. The data from officials and other published sources used.
Thirteen laboratory-confirmed cases of MERS-CoV were reported from three simultaneous clusters from two governorates without an epidemiological link between the clusters. Two clusters were reported from North Al Batinah Governorate, with nine cases (69%) and 1 cluster from South Ash Sharqiyah Governorate with four cases (31%). In total, four deaths were reported (case fatality rate 31%). Four cases (31%) reported were household contacts from the first cluster, 3 (23%) were nosocomial transmission in health care facilities (two for first and one from the second cluster) and 7 (54%) were community-acquired cases.
The first local clusters of MERS-CoV reported with evidence suggestive of healthcare and household-associated transmission. Early diagnosis and strict implementation of infection control measures remain fundamental in preventing and managing MERS-CoV infection.
中东呼吸综合征冠状病毒（MERS-CoV）是一种新兴的传染病，具有日益重要的全球意义。本综述描述了最近在阿曼发生的 MERS-CoV 集群以及医疗机构内首次发生的医院感染病例。我们强调了从中吸取的教训，并提出了预防医源性感染的措施。
对 2019 年 1 月 23 日至 2 月 16 日期间的 MERS-CoV 病例进行了描述性分析。使用了官方和其他已发表来源的数据。
报告了来自三个同时发生的集群的 13 例实验室确诊的 MERS-CoV 病例，这些集群之间没有流行病学联系。两个集群来自北巴提奈省，有 9 例（69%），一个集群来自南舍哈里夫省，有 4 例（31%）。总共有 4 人死亡（病死率 31%）。报告的 4 例（31%）是第一个集群的家庭接触者，3 例（23%）是医疗机构内的医院感染（其中 2 例来自第一个集群，1 例来自第二个集群），7 例（54%）是社区获得性病例。
首次报告了 MERS-CoV 的本地集群，有证据表明存在医疗机构和家庭传播。早期诊断和严格执行感染控制措施仍然是预防和管理 MERS-CoV 感染的基础。
