PMID- 16455884 OWN - NLM STAT- MEDLINE DCOM- 20060418 LR - 20221207 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 44 IP - 2 DP - 2006 Feb TI - Epidemiological and genetic correlates of severe acute respiratory syndrome coronavirus infection in the hospital with the highest nosocomial infection rate in Taiwan in 2003. PG - 359-65 AB - Taiwan experienced a series of outbreaks of nosocomial severe acute respiratory syndrome (SARS) infections in 2003. Two months after the final outbreak, we recruited 658 employees from the hospital that suffered the first and most severe SARS infections to help us investigate epidemiological and genetic factors associated with the SARS coronavirus (SARS-CoV). SARS-CoV infections were detected by using enzyme immunoassays and confirmed by a combination of Western blot assays, neutralizing antibody tests, and commercial SARS tests. Risk factors were analyzed via questionnaire responses and sequence-specific oligonucleotide probes of human leukocyte antigen (HLA) alleles. Our results indicate that 3% (20/658) of the study participants were seropositive, with one female nurse identified as a subclinical case. Identified SARS-CoV infection risk factors include working in the same building as the hospital's emergency room and infection ward, providing direct care to SARS patients, and carrying a Cw*0801 HLA allele. The odds ratio for contracting a SARS-CoV infection among persons with either a homozygous or a heterozygous Cw*0801 genotype was 4.4 (95% confidence interval, 1.5 to 12.9; P = 0.007). FAU - Chen, Yi-Ming Arthur AU - Chen YM AD - Institute of Public Health, National Yang-Ming University, Li-Noun Street, Section 2, Taipei, Taiwan. arthur@ym.edu.tw FAU - Liang, Shu-Yuan AU - Liang SY FAU - Shih, Yi-Ping AU - Shih YP FAU - Chen, Chia-Yen AU - Chen CY FAU - Lee, Yuan-Ming AU - Lee YM FAU - Chang, Ling AU - Chang L FAU - Jung, Shiao-Ying AU - Jung SY FAU - Ho, Mei-Shang AU - Ho MS FAU - Liang, Kung-Yee AU - Liang KY FAU - Chen, Hour-Young AU - Chen HY FAU - Chan, Yu-Jiun AU - Chan YJ FAU - Chu, Da-Chen AU - Chu DC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (Antibodies, Viral) RN - 0 (HLA-C Antigens) SB - IM MH - Adult MH - Animals MH - Antibodies, Viral/blood MH - Blotting, Western MH - Cross Infection/*epidemiology/virology MH - Disease Outbreaks MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - HLA-C Antigens/*genetics MH - Histocompatibility Testing MH - *Hospitals, Urban MH - Humans MH - Male MH - Mice MH - Middle Aged MH - Neutralization Tests MH - Risk Factors MH - Severe acute respiratory syndrome-related coronavirus/*immunology MH - Severe Acute Respiratory Syndrome/*epidemiology/*genetics/virology MH - Surveys and Questionnaires MH - Taiwan/epidemiology PMC - PMC1392693 EDAT- 2006/02/04 09:00 MHDA- 2006/04/19 09:00 PMCR- 2006/06/01 CRDT- 2006/02/04 09:00 PHST- 2006/02/04 09:00 [pubmed] PHST- 2006/04/19 09:00 [medline] PHST- 2006/02/04 09:00 [entrez] PHST- 2006/06/01 00:00 [pmc-release] AID - 44/2/359 [pii] AID - 1997-05 [pii] AID - 10.1128/JCM.44.2.359-365.2006 [doi] PST - ppublish SO - J Clin Microbiol. 2006 Feb;44(2):359-65. doi: 10.1128/JCM.44.2.359-365.2006.