An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia

Background Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saud...

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Main Author: Abolfotouh, Mostafa A. (author)
Other Authors: AlQarni, Ali A. (author), Al-Ghamdi, Suliman M. (author), Salam, Mahmoud (author), Al-Assiri, Mohammed H. (author), Balkhy, Hanan H. (author)
Format: article
Published: 2017
Online Access:http://hdl.handle.net/10725/17423
https://doi.org/10.1186/s12879-016-2096-8
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1186/s12879-016-2096-8
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author Abolfotouh, Mostafa A.
author2 AlQarni, Ali A.
Al-Ghamdi, Suliman M.
Salam, Mahmoud
Al-Assiri, Mohammed H.
Balkhy, Hanan H.
author2_role author
author
author
author
author
author_facet Abolfotouh, Mostafa A.
AlQarni, Ali A.
Al-Ghamdi, Suliman M.
Salam, Mahmoud
Al-Assiri, Mohammed H.
Balkhy, Hanan H.
author_role author
dc.creator.none.fl_str_mv Abolfotouh, Mostafa A.
AlQarni, Ali A.
Al-Ghamdi, Suliman M.
Salam, Mahmoud
Al-Assiri, Mohammed H.
Balkhy, Hanan H.
dc.date.none.fl_str_mv 2017
2017
2025-10-28T13:46:05Z
2025-10-28T13:46:05Z
dc.identifier.none.fl_str_mv 1471-2334
http://hdl.handle.net/10725/17423
https://doi.org/10.1186/s12879-016-2096-8
Abolfotouh, M. A., AlQarni, A. A., Al-Ghamdi, S. M., Salam, M., Al-Assiri, M. H., & Balkhy, H. H. (2017). An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia. BMC infectious diseases, 17(1), 4.
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1186/s12879-016-2096-8
dc.language.none.fl_str_mv en
dc.relation.none.fl_str_mv BMC Infectious Diseases
dc.rights.*.fl_str_mv info:eu-repo/semantics/openAccess
dc.title.none.fl_str_mv An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description Background Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saudi Arabia regarding MERS were evaluated. Methods An anonymous, self-administered, previously validated questionnaire was given to 1031 HCWs at three tertiary hospitals in Saudi Arabia from October to December, 2014. Concerns regarding the disease, its severity and governmental efforts to contain it, as well as disease outcomes were assessed using 31 concern statements in five distinct domains. A total concern score was calculated for each HCW. Multiple regression analyses were used to identify predictors of high concern scores. Results The average age of participants was 37.1 ± 9.0 years, 65.8% were married and 59.1% were nurses. The majority of respondents (70.4%) felt at risk of contracting a MERS-CoV infection at work, 69.1% felt threatened if a colleague contracted MERS-CoV, 60.9% felt obliged to care for patients infected with MERS-CoV and 87.8% did not feel safe at work using standard precautions. In addition, 87.7% believed that the government should isolate patients with MERS in specialized hospitals, 73.7% agreed with travel restriction to and from areas affected by MERS and 65.3% agreed with avoiding inviting expatriates from such areas. After adjustment for covariates, high concern scores were significantly associated with being a Saudi national (p < 0.001), a non-physician (p < 0.001) and working in the central region (p < 0.001). Conclusions The majority of respondents reported concern regarding MERS-CoV infection from exposure at work. The overall level of concern may be influenced by previous experience of MERS outbreaks and related cultural issues. The concerns of HCWs may affect their overall effectiveness in an outbreak and should be addressed by incorporating management strategies in outbreak planning.
eu_rights_str_mv openAccess
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identifier_str_mv 1471-2334
Abolfotouh, M. A., AlQarni, A. A., Al-Ghamdi, S. M., Salam, M., Al-Assiri, M. H., & Balkhy, H. H. (2017). An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia. BMC infectious diseases, 17(1), 4.
language_invalid_str_mv en
network_acronym_str LAURepo
network_name_str Lebanese American University repository
oai_identifier_str oai:laur.lau.edu.lb:10725/17423
publishDate 2017
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spelling An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi ArabiaAbolfotouh, Mostafa A.AlQarni, Ali A.Al-Ghamdi, Suliman M.Salam, MahmoudAl-Assiri, Mohammed H.Balkhy, Hanan H.Background Middle East Respiratory Syndrome (MERS) is caused by MERS coronavirus (MERS-CoV). More than 80% of reported cases have occurred in Saudi Arabia, with a mortality exceeding 50%. Health-care workers (HCWs) are at risk of acquiring and transmitting this virus, so the concerns of HCWs in Saudi Arabia regarding MERS were evaluated. Methods An anonymous, self-administered, previously validated questionnaire was given to 1031 HCWs at three tertiary hospitals in Saudi Arabia from October to December, 2014. Concerns regarding the disease, its severity and governmental efforts to contain it, as well as disease outcomes were assessed using 31 concern statements in five distinct domains. A total concern score was calculated for each HCW. Multiple regression analyses were used to identify predictors of high concern scores. Results The average age of participants was 37.1 ± 9.0 years, 65.8% were married and 59.1% were nurses. The majority of respondents (70.4%) felt at risk of contracting a MERS-CoV infection at work, 69.1% felt threatened if a colleague contracted MERS-CoV, 60.9% felt obliged to care for patients infected with MERS-CoV and 87.8% did not feel safe at work using standard precautions. In addition, 87.7% believed that the government should isolate patients with MERS in specialized hospitals, 73.7% agreed with travel restriction to and from areas affected by MERS and 65.3% agreed with avoiding inviting expatriates from such areas. After adjustment for covariates, high concern scores were significantly associated with being a Saudi national (p < 0.001), a non-physician (p < 0.001) and working in the central region (p < 0.001). Conclusions The majority of respondents reported concern regarding MERS-CoV infection from exposure at work. The overall level of concern may be influenced by previous experience of MERS outbreaks and related cultural issues. The concerns of HCWs may affect their overall effectiveness in an outbreak and should be addressed by incorporating management strategies in outbreak planning.Published2025-10-28T13:46:05Z2025-10-28T13:46:05Z20172017Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1471-2334http://hdl.handle.net/10725/17423https://doi.org/10.1186/s12879-016-2096-8Abolfotouh, M. A., AlQarni, A. A., Al-Ghamdi, S. M., Salam, M., Al-Assiri, M. H., & Balkhy, H. H. (2017). An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia. BMC infectious diseases, 17(1), 4.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttps://link.springer.com/article/10.1186/s12879-016-2096-8enBMC Infectious Diseasesinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/174232025-10-28T13:46:05Z
spellingShingle An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
Abolfotouh, Mostafa A.
status_str publishedVersion
title An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
title_full An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
title_fullStr An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
title_full_unstemmed An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
title_short An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
title_sort An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia
url http://hdl.handle.net/10725/17423
https://doi.org/10.1186/s12879-016-2096-8
http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php
https://link.springer.com/article/10.1186/s12879-016-2096-8