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COVID-19 in Australia: our national response to the first cases of SARS-CoV-2 infection during the early biocontainment phase.
Shaban, Ramon Z; Li, Cecilia; O'Sullivan, Matthew V N; Gerrard, John; Stuart, Rhonda L; Teh, Joanne; Gilroy, Nicole; Sorrell, Tania C; White, Elizabeth; Bag, Shopna; Hackett, Kate; Chen, Sharon C A; Kok, Jen; Dwyer, Dominic E; Iredell, Jonathan R; Maddocks, Susan; Ferguson, Patricia; Varshney, Kavita; Carter, Ian; Barratt, Ruth; Robertson, Mark; Baskar, Sai R; Friend, Caren; Robosa, Roselle S; Sotomayor-Castillo, Cristina; Nahidi, Shizar; Macbeth, Deborough A; Alcorn, Kylie A D; Wattiaux, Andre; Moore, Frederick; McMahon, Jamie; Naughton, William; Korman, Tony M; Catton, Mike; Kanapathipillai, Rupa; Romanes, Finn; Rowe, Emily; Catford, Jennifer; Kennedy, Brendan; Qiao, Ming; Shaw, David.
  • Shaban RZ; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Li C; Infectious Diseases and Sexual Health Services, Westmead Hospital, Sydney, New South Wales, Australia.
  • O'Sullivan MVN; Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia.
  • Gerrard J; Westmead Hospital, Western Sydney Local Health District, Sydney, New South Wales, Australia.
  • Stuart RL; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Teh J; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Gilroy N; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Sorrell TC; Department of Infectious Diseases and Immunology, Gold Coast University Hospital, Gold Coast, Queensland, Australia.
  • White E; Monash Infectious Diseases, Monash Health, Melbourne, Victoria, Australia.
  • Bag S; Centre for Inflammatory Diseases, Department of Medicine, Monash University, Melbourne, Victoria, Australia.
  • Hackett K; Infectious Diseases Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
  • Chen SCA; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Kok J; Infectious Diseases and Sexual Health Services, Westmead Hospital, Sydney, New South Wales, Australia.
  • Dwyer DE; Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia.
  • Iredell JR; Westmead Hospital, Western Sydney Local Health District, Sydney, New South Wales, Australia.
  • Maddocks S; Centre for Population Health, Western Sydney Public Health Unit, Sydney, New South Wales, Australia.
  • Ferguson P; Faculty of Medicine and Health, Westmead Clinical School, The University of Sydney, Sydney, New South Wales, Australia.
  • Varshney K; Westmead Hospital, Western Sydney Local Health District, Sydney, New South Wales, Australia.
  • Carter I; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Barratt R; Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia.
  • Robertson M; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Baskar SR; Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia.
  • Friend C; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Robosa RS; Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia.
  • Sotomayor-Castillo C; Marie Bashir Institute for Infectious Diseases and Biosecurity, The University of Sydney, Sydney, New South Wales, Australia.
  • Nahidi S; Centre for Infectious Diseases and Microbiology, Westmead Institute for Medical Research, Sydney, New South Wales, Australia.
  • Macbeth DA; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Alcorn KAD; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Wattiaux A; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Moore F; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • McMahon J; Emergency Department Westmead Hospital, Western Sydney Local Health District, Sydney, New South Wales, Australia.
  • Naughton W; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Korman TM; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
  • Catton M; Infectious Diseases and Sexual Health Services, Westmead Hospital, Sydney, New South Wales, Australia.
  • Kanapathipillai R; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Romanes F; Department of Microbiology and Infectious Diseases, NSW Health Pathology, Gosford Hospital, Central Coast, New South Wales, Australia.
  • Rowe E; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Catford J; Department of Microbiology and Infectious Diseases, NSW Health Pathology, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.
  • Kennedy B; Counter Disaster Unit, Western Sydney Local Health District, Sydney, New South Wales, Australia.
  • Qiao M; Centre for Infectious Diseases and Microbiology Laboratory Services, Institute of Clinical Pathology and Medical Research, New South Wales Health Pathology, Westmead Hospital, Sydney, New South Wales, Australia.
  • Shaw D; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Intern Med J ; 51(1): 42-51, 2021 01.
Article in English | MEDLINE | ID: covidwho-944728
Semantic information from SemMedBD (by NLM)
1. Disease CAUSES Pneumonia
Subject
Disease
Predicate
CAUSES
Object
Pneumonia
2. Coronavirus Infections PROCESS_OF Patients
Subject
Coronavirus Infections
Predicate
PROCESS_OF
Object
Patients
3. Acute respiratory distress NEG_PROCESS_OF Patients
Subject
Acute respiratory distress
Predicate
NEG_PROCESS_OF
Object
Patients
4. Disease CAUSES Pneumonia
Subject
Disease
Predicate
CAUSES
Object
Pneumonia
5. Coronavirus Infections PROCESS_OF Patients
Subject
Coronavirus Infections
Predicate
PROCESS_OF
Object
Patients
6. Acute respiratory distress NEG_PROCESS_OF Patients
Subject
Acute respiratory distress
Predicate
NEG_PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

On 31 December 2019, the World Health Organization recognised clusters of pneumonia-like cases due to a novel coronavirus disease (COVID-19). COVID-19 became a pandemic 71 days later.

AIM:

To report the clinical and epidemiological features, laboratory data and outcomes of the first group of 11 returned travellers with COVID-19 in Australia.

METHODS:

This is a retrospective, multi-centre case series. All patients with confirmed COVID-19 infection were admitted to tertiary referral hospitals in New South Wales, Queensland, Victoria and South Australia.

RESULTS:

The median age of the patient cohort was 42 years (interquartile range (IQR), 24-53 years) with six men and five women. Eight (72.7%) patients had returned from Wuhan, one from Shenzhen, one from Japan and one from Europe. Possible human-to-human transmission from close family contacts in gatherings overseas occurred in two cases. Symptoms on admission were fever, cough and sore throat (n = 9, 81.8%). Co-morbidities included hypertension (n = 3, 27.3%) and hypercholesterolaemia (n = 2, 18.2%). No patients developed severe acute respiratory distress nor required intensive care unit admission or mechanical ventilation. After a median hospital stay of 14.5 days (IQR, 6.75-21), all patients were discharged.

CONCLUSIONS:

This is a historical record of the first COVID-19 cases in Australia during the early biocontainment phase of the national response. These findings were invaluable for establishing early inpatient and outpatient COVID-19 models of care and informing the management of COVID-19 over time as the outbreak evolved. Future research should extend this Australian case series to examine global epidemiological variation of this novel infection.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Controlled clinical trial / Observational study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Oceania Language: English Journal: Intern Med J Journal subject: Internal Medicine Year: 2021 Document Type: Article Affiliation country: Imj.15105

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Controlled clinical trial / Observational study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Country/Region as subject: Oceania Language: English Journal: Intern Med J Journal subject: Internal Medicine Year: 2021 Document Type: Article Affiliation country: Imj.15105