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Volume 20, Number 11—November 2014
Research

Respiratory Viruses and Bacteria among Pilgrims during the 2013 Hajj

Samir Benkouiten, Rémi N. Charrel, Khadidja Belhouchat, Tassadit Drali, Antoine Nougairede, Nicolas Salez, Ziad A. Memish, Malak Al Masri, Pierre-Edouard Fournier, Didier Raoult, Philippe Brouqui, Philippe Parola, and Philippe GautretComments to Author 
Author affiliations: Aix Marseille Université, Marseille, France (S. Benkouiten, R. Charrel, K. Belhouchat, T. Drali, A. Nougairede, N. Salez, P.-E. Fournier, D. Raoult, P. Brouqui, P. Parola, P. Gautret); Institut Hospitalo-Universitaire Méditerranée, Marseille (S. Benkouiten, R. Charrel, A. Nougairede, N. Salez, P.-E. Fournier, D. Raoult, P. Brouqui, P. Parola, P. Gautret); Saudi Ministry of Health, Riyadh, Saudi Arabia (Z.A. Memish, M. al Masri); Alfaisal University College of Medicine, Riyadh (Z.A. Memish)

Main Article

Table 2

Prevalence of respiratory viruses and bacteria among participants before departing from France and before leaving Saudi Arabia, 2012 and 2013 Hajj*

Respiratory pathogen 2012 study, n = 169
2013 study, n = 129
Before departing from France, no. (%) Before leaving Saudi Arabia, no. (%) p value Before departing from France, no. (%) Before leaving Saudi Arabia, no. (%) p value
Virus
Influenza virus A (H3N2) 0 0 NA 0 8 (6.2) 0.007†
Influenza virus B 0 2 (1.3) 0.23 0 1 (0.8) 1
Influenza virus C 1 (0.6) 0 1 2 (1.7) 0 0.23
A(H1N1)pdm09 0 0 NA 0 1 (0.8) 1
Human adenovirus 1 (0.6) 3 (1.9) 0.36 2 (1.7) 0 0.23
Human bocavirus ND ND NA 2 (1.7) 0 0.23
Human coronavirus E229 ND ND NA 0 16 (12.4) <10–3
Human coronavirus HKU1 ND ND NA 0 5 (3.9) 0.06
Human coronavirus NL63 ND ND NA 0 1 (0.8) 1
Human coronavirus OC43 ND ND NA 0 5 (3.9) 0.06
Human cytomegalovirus ND ND NA 0 0 NA
Human enterovirus 1 (0.6) 1 (0.6) 1 1 (0.8) 3 (2.3) 0.62
Human metapneumovirus 0 0 NA 2 (1.7) 1 (0.8) 0.61
Human parainfluenza viruses ND ND NA 4 (3.3) 1 (0.8) 0.20
Human parechovirus ND ND NA 0 0 NA
Human respiratory syncytial virus 0 0 NA 0 1 (0.8) 1
Human rhinovirus 5 (3.0) 13 (8.4) 0.036† 17 (14.0) 19 (14.7) 0.88
At least 1 virus 8 (4.3) 17 (11.0) 0.040† 26 (21.5) 50 (38.8) 0.003†
Bacteria‡
Bordetella pertussis 0 0 NA 0 0 NA
Mycoplasma pneumoniae 0 0 NA 0 0 NA
Neisseria meningitidis 0 0 NA 0 0 NA
Streptococcus pneumoniae 12 (7.3) 30 (19.5) 0.001† 63 (50.0) 80 (62.0) 0.053

*In 2012, 146 pre-Hajj samples (88.5%) were collected in the month before departing from France and were stored at ambient temperature (stabilized by air conditioning at 20°C) for a mean time of 13 d (range 5–37 d) before being transported to a laboratory in Marseille for storage at −80°C. In addition, 19 pre-Hajj samples (11.5%) were collected on the day of departure from France (at the airport) and were stored at ambient temperature for 30 d after collection before being transported to a laboratory in Marseille for storage at −80°C. In 2013, all samples collected during the study were kept at ambient temperature before being transported to a laboratory in Marseille for storage at −80°C within 48 h of collection. NA, not applicable; ND, not determined.
†Statistically significant difference.
‡In the 2012 study, nasal swab specimens were collected from participants instead of throat swab specimens, which were used in the present study conducted in 2013.

Main Article

Page created: October 17, 2014
Page updated: October 17, 2014
Page reviewed: October 17, 2014
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