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1、ORAL PRESENTATIONOpen AccessInfection prevention and control strategies forthe Middle East respiratory syndrome coronavirusand outcome in OmanKSA Al Harthy*, A Al Maani, M ElsheikhFrom 3rd International Conference on Prevention and Infection Control (ICPIC 2015)Geneva, Switzerland. 16-19 June 2015In
2、troductionMiddle East Respiratory Syndrome Coronavirus (MERSCoV) continues to challenge health care thru the poten-tial to cause outbreaks with fatal outcomes. This studyis a description of 5 primary cases of MERS CoV inOman during the period, October 2013 February2014. The initially planned infecti
3、on prevention andcontrol (IPC) strategies and their adaptations thereafterwere also described.MethodsThe MERS CoV national taskforce recommendations onIPC aspects and the triage system were reviewed. Imple-mented steps and relevant weaknesses encountered dur-ing outbreaks were addressed. The investi
4、gationsreports, monitoring and follow-up charts of the 5 MERSCoV reported cases were evaluated.ResultsThere were 5 cases of MERS CoV detected in Omansince 2013. The 1st case and 2nd cases were reportedon 2013 and on 2015, three additional cases werediagnosed.The 1stcase had 93 contacts (49% from fam
5、ily 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 contactswere negative and no secondary cases were identifiedwithin 2 weeks.The 2ndcase had 44 cont
6、acts (61% in community and37% HCWs). All contacts were screened except for2 infants due to family denial. Within the 2 weeks, thescreening tests were negative for all contacts and nosecondary cases were identified.The third case was admitted with lower respiratorysymptoms. The wife and uncle of the
7、index case had mildrespiratory illness, both tested positive for MERS CoV. Inthis cluster, 114 contacts were identified (57% HCWs and43% from community). 37 HCWs contacted with indexcase, 15 with wife and 10 with uncle. Initial and repeatedtesting in 2 weeks were negative and no further cases.Conclu
8、sionThe management of 5 MERS CoV cases in Oman is a suc-cess story for IPC service as no secondary cases werereported in hospital setting. The key elements in the man-agement of the outbreak were by improving the triage ingeneral, however, particularly on respiratory illnesses plusthe enhancement of
9、 IPC precautions with relevant HCWsawareness. The large numbers of HCWs contacts wererelated to ambiguity of the mode of transmission and theanxiety between HCWs.Disclosure of interestNone declared.Published: 16 June 2015doi:10.1186/2047-2994-4-S1-O58Cite this article as: Al Harthy et al.: Infection
10、 prevention and controlstrategies for the Middle East respiratory syndrome coronavirus andoutcome in Oman. Antimicrobial Resistance and Infection Control 20154(Suppl 1):O58.Central Department of Infection Prevention and Control, Ministry of HealthHQ, Muscat, OmanAl Harthy et al. Antimicrobial Resist
11、ance and Infection Control 2015, 4(Suppl 1):O58http:/ 2015 Al Harthy et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http:/creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, andreproduction 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.
