A cluster of SARS-CoV-2 infection among Italian tourists visiting India, March 2020
Background & objectives: A cluster of SARS-CoV-2 infection occurred among Italian tourists visiting India. We report here the epidemiological, clinical, radiological and laboratory findings of the first cluster of SARS-CoV-2 infection among the tourists. Methods: Information was collected on dem...
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| Veröffentlicht in: | Indian journal of medical research (New Delhi, India : 1994) India : 1994), 2020-05, Vol.151 (5), p.438-443 |
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| creator | Vivian Thangaraj, Jeromie Murhekar, Manoj Mehta, Yatin Kataria, Sushila Brijwal, Megha Gupta, Nitesh Choudhary, Aashish Malhotra, Bharati Vyas, Madhavi Sharma, Himanshu Yadav, Naveen Bhatnagar, Tarun Gupta, Nivedita Dar, Lalit Gangakhedkar, Raman Bhargava, Balram |
| description | Background & objectives: A cluster of SARS-CoV-2 infection occurred among Italian tourists visiting India. We report here the epidemiological, clinical, radiological and laboratory findings of the first cluster of SARS-CoV-2 infection among the tourists.
Methods: Information was collected on demographic details, travel and exposure history, comorbidities, timelines of events, date of symptom onset and duration of hospitalization from the 16 Italian tourists and an Indian with laboratory-confirmed SARS-CoV-2 infection. The clinical, laboratory, radiologic and treatment data was abstracted from their medical records and all tourists were followed up till their recovery or discharge or death. Throat and deep nasal swab specimens were collected on days 3, 8, 15, 18, 23 and 25 to evaluate viral clearance.
Results: A group of 23 Italian tourists reached New Delhi, India, on February 21, 2020 and along with three Indians visited several tourist places in Rajasthan. By March 3, 2020, 17 of the 26 (attack rate: 65.4%) had become positive for SARS-CoV-2 infection. Of these 17 patients, nine were symptomatic, while eight did not show any symptoms. Of the nine who developed symptoms, six were mild, one was severe and two were critically ill. The median duration between the day of confirmation for COVID-19 and RT-PCR negativity was 18 days (range: 12-23 days). Two patients died with a case fatality of 11.8 per cent.
Interpretation & conclusions: This study reconfirms higher rates of transmission among close contacts and therefore, public health measures such as physical distancing, personal hygiene and infection control measures are necessary to prevent transmission. |
| doi_str_mv | 10.4103/ijmr.IJMR_1722_20 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7530458</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A627753424</galeid><sourcerecordid>A627753424</sourcerecordid><originalsourceid>FETCH-LOGICAL-c578o-ccb8961abc7338e545a593622931196cdaa8e845172c1f5b4a3e66b1bc21e7c33</originalsourceid><addsrcrecordid>eNp1kktvEzEQx1cIRB_wAbggS1w4sMHPtfeCFEU8glohNcCFw8jreFOnu3Zr7zbqt8ch6QuBfLDl-c1_NDP_onhF8IQTzN67dR8n86-nZ0AkpUDxk-IQ11KUNZH86Z83KUVNqoPiKKU1xqSmsn5eHDDKJRdCHRaLKTLdmAYbUWjRYnq2KGfhZ0mR8601gwse6T74FZoPunPaoyGM0aUhoWuX3OC2Eb90-h061dGcI4opflE8a3WX7Mv9fVz8-PTx--xLefLt83w2PSmNkCqUxjSqrohujGRMWcGFFjWrKK0ZIXVlllorq7jIvRnSioZrZquqIY2hxErD2HHxYad7OTa9XRrrh6g7uIyu1_EGgnbwOOLdOazCNUjBMBcqC7zdC8RwNdo0QO-SsV2nvQ1jAsqxEpwoWWX0zV_oOg_C5_YyRWTuAytyT610ZyGPMOS6ZisK04rKXJdTnqnJP6h8lrZ3Jnjbuvz_KIHsEkwMKUXb3vVIMGydAFsnwEMn5JzXD4dzl3G7-gz82gGb0OX1p4tu3NgImb3wYfN_ZeBMwRT2roHQwr1r4NY17Df87s0X</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2417961081</pqid></control><display><type>article</type><title>A cluster of SARS-CoV-2 infection among Italian tourists visiting India, March 2020</title><source>MEDLINE</source><source>Medknow Open Access Medical Journals</source><source>PubMed Central Open Access</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Vivian Thangaraj, Jeromie ; Murhekar, Manoj ; Mehta, Yatin ; Kataria, Sushila ; Brijwal, Megha ; Gupta, Nitesh ; Choudhary, Aashish ; Malhotra, Bharati ; Vyas, Madhavi ; Sharma, Himanshu ; Yadav, Naveen ; Bhatnagar, Tarun ; Gupta, Nivedita ; Dar, Lalit ; Gangakhedkar, Raman ; Bhargava, Balram</creator><creatorcontrib>Vivian Thangaraj, Jeromie ; Murhekar, Manoj ; Mehta, Yatin ; Kataria, Sushila ; Brijwal, Megha ; Gupta, Nitesh ; Choudhary, Aashish ; Malhotra, Bharati ; Vyas, Madhavi ; Sharma, Himanshu ; Yadav, Naveen ; Bhatnagar, Tarun ; Gupta, Nivedita ; Dar, Lalit ; Gangakhedkar, Raman ; Bhargava, Balram</creatorcontrib><description>Background & objectives: A cluster of SARS-CoV-2 infection occurred among Italian tourists visiting India. We report here the epidemiological, clinical, radiological and laboratory findings of the first cluster of SARS-CoV-2 infection among the tourists.
Methods: Information was collected on demographic details, travel and exposure history, comorbidities, timelines of events, date of symptom onset and duration of hospitalization from the 16 Italian tourists and an Indian with laboratory-confirmed SARS-CoV-2 infection. The clinical, laboratory, radiologic and treatment data was abstracted from their medical records and all tourists were followed up till their recovery or discharge or death. Throat and deep nasal swab specimens were collected on days 3, 8, 15, 18, 23 and 25 to evaluate viral clearance.
Results: A group of 23 Italian tourists reached New Delhi, India, on February 21, 2020 and along with three Indians visited several tourist places in Rajasthan. By March 3, 2020, 17 of the 26 (attack rate: 65.4%) had become positive for SARS-CoV-2 infection. Of these 17 patients, nine were symptomatic, while eight did not show any symptoms. Of the nine who developed symptoms, six were mild, one was severe and two were critically ill. The median duration between the day of confirmation for COVID-19 and RT-PCR negativity was 18 days (range: 12-23 days). Two patients died with a case fatality of 11.8 per cent.
Interpretation & conclusions: This study reconfirms higher rates of transmission among close contacts and therefore, public health measures such as physical distancing, personal hygiene and infection control measures are necessary to prevent transmission.</description><identifier>ISSN: 0971-5916</identifier><identifier>EISSN: 0975-9174</identifier><identifier>DOI: 10.4103/ijmr.IJMR_1722_20</identifier><identifier>PMID: 32474558</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Aged ; Antibiotics ; Asymptomatic Infections - epidemiology ; Betacoronavirus - genetics ; Cluster Analysis ; Coronavirus Infections - diagnosis ; Coronavirus Infections - epidemiology ; Coronavirus Infections - therapy ; Coronavirus Infections - transmission ; Coronaviruses ; COVID-19 ; Creatinine ; Critical Illness ; Development and progression ; Disease transmission ; Epidemiology ; Fatal Outcome ; Female ; Fever ; Health aspects ; Humans ; Hypertension ; Illnesses ; India - epidemiology ; Infection ; Infections ; Italy - ethnology ; Laboratories ; Male ; Nasal Cavity - virology ; Original ; Oxygen saturation ; Pandemics ; Patient Acuity ; Patients ; Pharynx - virology ; Pneumonia, Viral - diagnosis ; Pneumonia, Viral - epidemiology ; Pneumonia, Viral - therapy ; Pneumonia, Viral - transmission ; Reverse Transcriptase Polymerase Chain Reaction ; RNA polymerase ; RNA, Viral - analysis ; SARS-CoV-2 ; Severe acute respiratory syndrome coronavirus 2 ; Travel</subject><ispartof>Indian journal of medical research (New Delhi, India : 1994), 2020-05, Vol.151 (5), p.438-443</ispartof><rights>COPYRIGHT 2020 Medknow Publications and Media Pvt. Ltd.</rights><rights>2020. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2020 Indian Journal of Medical Research 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578o-ccb8961abc7338e545a593622931196cdaa8e845172c1f5b4a3e66b1bc21e7c33</citedby><cites>FETCH-LOGICAL-c578o-ccb8961abc7338e545a593622931196cdaa8e845172c1f5b4a3e66b1bc21e7c33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530458/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530458/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32474558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vivian Thangaraj, Jeromie</creatorcontrib><creatorcontrib>Murhekar, Manoj</creatorcontrib><creatorcontrib>Mehta, Yatin</creatorcontrib><creatorcontrib>Kataria, Sushila</creatorcontrib><creatorcontrib>Brijwal, Megha</creatorcontrib><creatorcontrib>Gupta, Nitesh</creatorcontrib><creatorcontrib>Choudhary, Aashish</creatorcontrib><creatorcontrib>Malhotra, Bharati</creatorcontrib><creatorcontrib>Vyas, Madhavi</creatorcontrib><creatorcontrib>Sharma, Himanshu</creatorcontrib><creatorcontrib>Yadav, Naveen</creatorcontrib><creatorcontrib>Bhatnagar, Tarun</creatorcontrib><creatorcontrib>Gupta, Nivedita</creatorcontrib><creatorcontrib>Dar, Lalit</creatorcontrib><creatorcontrib>Gangakhedkar, Raman</creatorcontrib><creatorcontrib>Bhargava, Balram</creatorcontrib><title>A cluster of SARS-CoV-2 infection among Italian tourists visiting India, March 2020</title><title>Indian journal of medical research (New Delhi, India : 1994)</title><addtitle>Indian J Med Res</addtitle><description>Background & objectives: A cluster of SARS-CoV-2 infection occurred among Italian tourists visiting India. We report here the epidemiological, clinical, radiological and laboratory findings of the first cluster of SARS-CoV-2 infection among the tourists.
Methods: Information was collected on demographic details, travel and exposure history, comorbidities, timelines of events, date of symptom onset and duration of hospitalization from the 16 Italian tourists and an Indian with laboratory-confirmed SARS-CoV-2 infection. The clinical, laboratory, radiologic and treatment data was abstracted from their medical records and all tourists were followed up till their recovery or discharge or death. Throat and deep nasal swab specimens were collected on days 3, 8, 15, 18, 23 and 25 to evaluate viral clearance.
Results: A group of 23 Italian tourists reached New Delhi, India, on February 21, 2020 and along with three Indians visited several tourist places in Rajasthan. By March 3, 2020, 17 of the 26 (attack rate: 65.4%) had become positive for SARS-CoV-2 infection. Of these 17 patients, nine were symptomatic, while eight did not show any symptoms. Of the nine who developed symptoms, six were mild, one was severe and two were critically ill. The median duration between the day of confirmation for COVID-19 and RT-PCR negativity was 18 days (range: 12-23 days). Two patients died with a case fatality of 11.8 per cent.
Interpretation & conclusions: This study reconfirms higher rates of transmission among close contacts and therefore, public health measures such as physical distancing, personal hygiene and infection control measures are necessary to prevent transmission.</description><subject>Aged</subject><subject>Antibiotics</subject><subject>Asymptomatic Infections - epidemiology</subject><subject>Betacoronavirus - genetics</subject><subject>Cluster Analysis</subject><subject>Coronavirus Infections - diagnosis</subject><subject>Coronavirus Infections - epidemiology</subject><subject>Coronavirus Infections - therapy</subject><subject>Coronavirus Infections - transmission</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Creatinine</subject><subject>Critical Illness</subject><subject>Development and progression</subject><subject>Disease transmission</subject><subject>Epidemiology</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Fever</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Illnesses</subject><subject>India - epidemiology</subject><subject>Infection</subject><subject>Infections</subject><subject>Italy - ethnology</subject><subject>Laboratories</subject><subject>Male</subject><subject>Nasal Cavity - virology</subject><subject>Original</subject><subject>Oxygen saturation</subject><subject>Pandemics</subject><subject>Patient Acuity</subject><subject>Patients</subject><subject>Pharynx - virology</subject><subject>Pneumonia, Viral - diagnosis</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Pneumonia, Viral - therapy</subject><subject>Pneumonia, Viral - transmission</subject><subject>Reverse Transcriptase Polymerase Chain Reaction</subject><subject>RNA polymerase</subject><subject>RNA, Viral - analysis</subject><subject>SARS-CoV-2</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Travel</subject><issn>0971-5916</issn><issn>0975-9174</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kktvEzEQx1cIRB_wAbggS1w4sMHPtfeCFEU8glohNcCFw8jreFOnu3Zr7zbqt8ch6QuBfLDl-c1_NDP_onhF8IQTzN67dR8n86-nZ0AkpUDxk-IQ11KUNZH86Z83KUVNqoPiKKU1xqSmsn5eHDDKJRdCHRaLKTLdmAYbUWjRYnq2KGfhZ0mR8601gwse6T74FZoPunPaoyGM0aUhoWuX3OC2Eb90-h061dGcI4opflE8a3WX7Mv9fVz8-PTx--xLefLt83w2PSmNkCqUxjSqrohujGRMWcGFFjWrKK0ZIXVlllorq7jIvRnSioZrZquqIY2hxErD2HHxYad7OTa9XRrrh6g7uIyu1_EGgnbwOOLdOazCNUjBMBcqC7zdC8RwNdo0QO-SsV2nvQ1jAsqxEpwoWWX0zV_oOg_C5_YyRWTuAytyT610ZyGPMOS6ZisK04rKXJdTnqnJP6h8lrZ3Jnjbuvz_KIHsEkwMKUXb3vVIMGydAFsnwEMn5JzXD4dzl3G7-gz82gGb0OX1p4tu3NgImb3wYfN_ZeBMwRT2roHQwr1r4NY17Df87s0X</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Vivian Thangaraj, Jeromie</creator><creator>Murhekar, Manoj</creator><creator>Mehta, Yatin</creator><creator>Kataria, Sushila</creator><creator>Brijwal, Megha</creator><creator>Gupta, Nitesh</creator><creator>Choudhary, Aashish</creator><creator>Malhotra, Bharati</creator><creator>Vyas, Madhavi</creator><creator>Sharma, Himanshu</creator><creator>Yadav, Naveen</creator><creator>Bhatnagar, Tarun</creator><creator>Gupta, Nivedita</creator><creator>Dar, Lalit</creator><creator>Gangakhedkar, Raman</creator><creator>Bhargava, Balram</creator><general>Wolters Kluwer India Pvt. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vivian Thangaraj, Jeromie</au><au>Murhekar, Manoj</au><au>Mehta, Yatin</au><au>Kataria, Sushila</au><au>Brijwal, Megha</au><au>Gupta, Nitesh</au><au>Choudhary, Aashish</au><au>Malhotra, Bharati</au><au>Vyas, Madhavi</au><au>Sharma, Himanshu</au><au>Yadav, Naveen</au><au>Bhatnagar, Tarun</au><au>Gupta, Nivedita</au><au>Dar, Lalit</au><au>Gangakhedkar, Raman</au><au>Bhargava, Balram</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A cluster of SARS-CoV-2 infection among Italian tourists visiting India, March 2020</atitle><jtitle>Indian journal of medical research (New Delhi, India : 1994)</jtitle><addtitle>Indian J Med Res</addtitle><date>2020-05-01</date><risdate>2020</risdate><volume>151</volume><issue>5</issue><spage>438</spage><epage>443</epage><pages>438-443</pages><issn>0971-5916</issn><eissn>0975-9174</eissn><abstract>Background & objectives: A cluster of SARS-CoV-2 infection occurred among Italian tourists visiting India. We report here the epidemiological, clinical, radiological and laboratory findings of the first cluster of SARS-CoV-2 infection among the tourists.
Methods: Information was collected on demographic details, travel and exposure history, comorbidities, timelines of events, date of symptom onset and duration of hospitalization from the 16 Italian tourists and an Indian with laboratory-confirmed SARS-CoV-2 infection. The clinical, laboratory, radiologic and treatment data was abstracted from their medical records and all tourists were followed up till their recovery or discharge or death. Throat and deep nasal swab specimens were collected on days 3, 8, 15, 18, 23 and 25 to evaluate viral clearance.
Results: A group of 23 Italian tourists reached New Delhi, India, on February 21, 2020 and along with three Indians visited several tourist places in Rajasthan. By March 3, 2020, 17 of the 26 (attack rate: 65.4%) had become positive for SARS-CoV-2 infection. Of these 17 patients, nine were symptomatic, while eight did not show any symptoms. Of the nine who developed symptoms, six were mild, one was severe and two were critically ill. The median duration between the day of confirmation for COVID-19 and RT-PCR negativity was 18 days (range: 12-23 days). Two patients died with a case fatality of 11.8 per cent.
Interpretation & conclusions: This study reconfirms higher rates of transmission among close contacts and therefore, public health measures such as physical distancing, personal hygiene and infection control measures are necessary to prevent transmission.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>32474558</pmid><doi>10.4103/ijmr.IJMR_1722_20</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0971-5916 |
| ispartof | Indian journal of medical research (New Delhi, India : 1994), 2020-05, Vol.151 (5), p.438-443 |
| issn | 0971-5916 0975-9174 |
| language | eng |
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| source | MEDLINE; Medknow Open Access Medical Journals; PubMed Central Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aged Antibiotics Asymptomatic Infections - epidemiology Betacoronavirus - genetics Cluster Analysis Coronavirus Infections - diagnosis Coronavirus Infections - epidemiology Coronavirus Infections - therapy Coronavirus Infections - transmission Coronaviruses COVID-19 Creatinine Critical Illness Development and progression Disease transmission Epidemiology Fatal Outcome Female Fever Health aspects Humans Hypertension Illnesses India - epidemiology Infection Infections Italy - ethnology Laboratories Male Nasal Cavity - virology Original Oxygen saturation Pandemics Patient Acuity Patients Pharynx - virology Pneumonia, Viral - diagnosis Pneumonia, Viral - epidemiology Pneumonia, Viral - therapy Pneumonia, Viral - transmission Reverse Transcriptase Polymerase Chain Reaction RNA polymerase RNA, Viral - analysis SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Travel |
| title | A cluster of SARS-CoV-2 infection among Italian tourists visiting India, March 2020 |
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