Table 2.
Characteristics, management and outcomes for healthcare workers (n = 8) infected with MERS-CoV and admitted to the intensive care unit during the outbreak
| Job | Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 |
|---|---|---|---|---|---|---|---|---|
| Ward nurse | Ward nurse | Clinic nurse | Physician | RT technician | ED transporter | Executive | AC technician | |
| Clinical presentation | ||||||||
| Dyspnea | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Body temperature | 39.4 °C | 38.9 °C | 37.9 °C | 38.3 °C | 39.5 °C | 39.4 °C | 39.0 °C | 38.9 °C |
| WBC × 109/L | 11.6 | 13.1 | 3.5 | 5.9 | 5.1 | 6.0 | 3.7 | 6.8 |
| Shock | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes |
| PaO2/FIO2 | 71 | 91 | 56 | 453 | 64 | 100 | 107 | 126 |
| CXR findings | Bilateral lower lobe infiltrates | Right lower lobe infiltrates | Diffuse bilateral infiltrate | Bilateral lower lobe infiltrates | Right lower lobe infiltrates | Diffuse bilateral infiltrates | Left lower lobe infiltrates | Left lower lobe infiltrates |
| Management | ||||||||
| Noninvasive ventilation | Yes (failed) | No | No | No | No | No | Yes (failed) | No |
| Intubation | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes |
| ARDS management | Cisatracurium infusion; prone positioning | Cisatracurium infusion; prone positioning; inhaled nitric oxide | Cisatracurium infusion | NA | Cisatracurium infusion | Cisatracurium infusion | Cisatracurium infusion; prone positioning; inhaled nitric oxide | Cisatracurium infusion; prone positioning |
| Vasopressors | Yes | Yes | Yes | No | Yes | Yes | Yes | Yes |
| CVVHD (duration) | No | Yes (26 days) | No | No | No | Yes (6 days) | Yes (37 days) | Yes (47 days) |
| ECMO (duration) | No | Yes (15 days) | No | No | No | No | No | No |
| Tracheostomy | No | No | No | No | No | No | Yes (surgical; on day 25 after intubation) | Yes (surgical; on day 30 after intubation) |
| Outcomes | ||||||||
| MV duration (days) | 20 | 26 | 13 | 0 | 13 | 6 | 33 | 57 |
| ICU LOS (days) | 28 | 28 | 17 | 3 | 16 | 7 | 56 | 63 |
| Hospital LOS (days) | 44 | 42 | 31 days | 7 | 22 | 26 | 66 | 101 |
| Vital status at hospital discharge | Survived | Survived | Survived | Survived | Survived | Survived | Survived | Survived |
WBC white blood cells, PaO 2 /FiO 2 ratio of arterial oxygen partial pressure to fractional inspired oxygen, CXR chest X-ray, MV mechanical ventilation, ARDS acute respiratory distress syndrome, CVVHD continuous venovenous hemodialysis, ECMO extracorporeal membrane oxygenation, ICU intensive care unit, LOS length of stay, RT respiratory therapist, ED emergency department, AC air condition