Nosocomial outbreak in a respiratory ward caused by the SARS-CoV-2 Omicron BA 5.2.1 subvariant associated with non-severe illness in vaccinated patients
In this short report, we describe an outbreak of COVID-19 caused by Omicron subvariant BA.5.2.1 in highly vaccinated patients in a respiratory ward in a large acute general hospital in North West London, United Kingdom. The attack rate was high (14/33 (42%)) but the clinical impact was relatively no...
Saved in:
| Published in: | Epidemiology and infection Vol. 151; p. e171 |
|---|---|
| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Cambridge, UK
Cambridge University Press
26-09-2023
|
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | In this short report, we describe an outbreak of COVID-19 caused by Omicron subvariant BA.5.2.1 in highly vaccinated patients in a respiratory ward in a large acute general hospital in North West London, United Kingdom. The attack rate was high (14/33 (42%)) but the clinical impact was relatively non-severe including in patients who were at high risk of severe COVID-19. Twelve of fourteen patients had COVID-19 vaccinations. There was only one death due to COVID-19 pneumonitis. The findings of this outbreak investigation suggest that while the transmissibility of Omicron BA.5.2.1 subvariant is high, infections caused by this strain are non-severe in vaccinated patients, even if they are at high risk of severe COVID-19 infection. |
|---|---|
| AbstractList | In this short report, we describe an outbreak of COVID-19 caused by Omicron subvariant BA.5.2.1 in highly vaccinated patients in a respiratory ward in a large acute general hospital in North West London, United Kingdom. The attack rate was high (14/33 (42%)) but the clinical impact was relatively non-severe including in patients who were at high risk of severe COVID-19. Twelve of fourteen patients had COVID-19 vaccinations. There was only one death due to COVID-19 pneumonitis. The findings of this outbreak investigation suggest that while the transmissibility of Omicron BA.5.2.1 subvariant is high, infections caused by this strain are non-severe in vaccinated patients, even if they are at high risk of severe COVID-19 infection. |
| ArticleNumber | e171 |
| Author | James, Dianne Jinjika, Shamiso Davies, Emma Mukombe, Nyarayi Patel, Bharat Adeboyeku, David Macmanus, Christine Gopal Rao, Guduru Brown, Benjamin Chietcheu, Amelie |
| AuthorAffiliation | 6 Faculty of Medicine, Imperial College , London , UK 5 United Kingdom Health Security Agency , UK 4 Department of Virology, Manchester University NHS Foundation Trust , Manchester , UK 1 Departments of Microbiology, Northwick Park Hospital , London , UK 2 Infection Prevention and Control, Northwick Park Hospital , London , UK 3 Respiratory Medicine, Northwick Park Hospital , London , UK |
| AuthorAffiliation_xml | – name: 4 Department of Virology, Manchester University NHS Foundation Trust , Manchester , UK – name: 3 Respiratory Medicine, Northwick Park Hospital , London , UK – name: 2 Infection Prevention and Control, Northwick Park Hospital , London , UK – name: 6 Faculty of Medicine, Imperial College , London , UK – name: 5 United Kingdom Health Security Agency , UK – name: 1 Departments of Microbiology, Northwick Park Hospital , London , UK |
| Author_xml | – sequence: 1 givenname: Guduru orcidid: 0000-0002-8108-4431 surname: Gopal Rao fullname: Gopal Rao, Guduru email: ggopalrao@nhs.net organization: 1Departments of Microbiology, Northwick Park Hospital, London, UK – sequence: 2 givenname: Shamiso surname: Jinjika fullname: Jinjika, Shamiso organization: 2Infection Prevention and Control, Northwick Park Hospital, London, UK – sequence: 3 givenname: Dianne surname: James fullname: James, Dianne organization: 2Infection Prevention and Control, Northwick Park Hospital, London, UK – sequence: 4 givenname: Nyarayi surname: Mukombe fullname: Mukombe, Nyarayi organization: 2Infection Prevention and Control, Northwick Park Hospital, London, UK – sequence: 5 givenname: Bharat surname: Patel fullname: Patel, Bharat organization: 1Departments of Microbiology, Northwick Park Hospital, London, UK – sequence: 6 givenname: Amelie surname: Chietcheu fullname: Chietcheu, Amelie organization: 3Respiratory Medicine, Northwick Park Hospital, London, UK – sequence: 7 givenname: Christine surname: Macmanus fullname: Macmanus, Christine organization: 3Respiratory Medicine, Northwick Park Hospital, London, UK – sequence: 8 givenname: David surname: Adeboyeku fullname: Adeboyeku, David organization: 3Respiratory Medicine, Northwick Park Hospital, London, UK – sequence: 9 givenname: Emma surname: Davies fullname: Davies, Emma organization: 4Department of Virology, Manchester University NHS Foundation Trust, Manchester, UK – sequence: 10 givenname: Benjamin surname: Brown fullname: Brown, Benjamin organization: 4Department of Virology, Manchester University NHS Foundation Trust, Manchester, UK |
| BookMark | eNp1kc1u1DAUhS1URKeFB2BniQ2bDLbjxPEKDSP-pIpKTMU2unFuOi6JPdjOVPMmPC4eOgIBYnUX5zvn_l2QM-cdEvKcsyVnXL3aMF0xUTeNKBnjlWaPyILLWhdSMn1GFke5OOrn5CLGO8aYFo16Qs5LparsqBfk-ycfvfGThZH6OXUB4Su1jgINGHc2QPLhQO8h9NTAHLGn3YGmLdLN6vOmWPsvhaDXkzXBO_pmRaulWHIa524PwYJLFGKOt5Cy8d6mLc0bFBH3GJDacXQY47HbHoyx7ie1g2TRpfiUPB5gjPjsVC_Jzbu3N-sPxdX1-4_r1VVhpNSpENgYHKqKg-ScV33PpOxA1cCl1gyGTnNVDSUMqLoSNG9UKVmtgVfGdAMvL8nrh9jd3E3Ym9w6wNjugp0gHFoPtv1TcXbb3vp9y1nNWKPLnPDylBD8txljaicbDY4jOPRzbEVTayFYw2VGX_yF3vk5uLxeppQSuhSqyRR_oPJRYww4_JqGs_b49_afv2dPefLA1AXb3-Lv6P-7fgA-j7DF |
| CitedBy_id | crossref_primary_10_1016_j_jhin_2024_02_020 |
| Cites_doi | 10.1056/NEJMoa2116414 10.2807/1560-7917.ES.2021.26.39.2100822 10.1136/thoraxjnl-2021-216964 10.1016/j.jinf.2021.08.039 |
| ContentType | Journal Article |
| Copyright | The Author(s), 2023. Published by Cambridge University Press The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. The Author(s) 2023 2023 The Author(s) |
| Copyright_xml | – notice: The Author(s), 2023. Published by Cambridge University Press – notice: The Author(s), 2023. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: The Author(s) 2023 2023 The Author(s) |
| DBID | IKXGN AAYXX CITATION 3V. 7QL 7RV 7T2 7U9 7X7 7XB 88A 88E 8C1 8FE 8FH 8FI 8FJ 8FK ABUWG AFKRA AN0 AZQEC BBNVY BENPR BHPHI C1K CCPQU DWQXO FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB0 LK8 M0S M1P M7N M7P NAPCQ PQEST PQQKQ PQUKI PRINS 7X8 5PM |
| DOI | 10.1017/S0950268823001590 |
| DatabaseName | Cambridge Journals Open Access CrossRef ProQuest Central (Corporate) Bacteriology Abstracts (Microbiology B) Nursing & Allied Health Database Health and Safety Science Abstracts (Full archive) Virology and AIDS Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Biology Database (Alumni Edition) Medical Database (Alumni Edition) Public Health Database ProQuest SciTech Collection ProQuest Natural Science Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central British Nursing Database ProQuest Central Essentials Biological Science Collection ProQuest Databases Natural Science Collection Environmental Sciences and Pollution Management ProQuest One Community College ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ProQuest Biological Science Collection Health & Medical Collection (Alumni Edition) Medical Database Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Database Nursing & Allied Health Premium ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) |
| DatabaseTitle | CrossRef ProQuest Central Student ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College ProQuest Natural Science Collection ProQuest Central China Environmental Sciences and Pollution Management ProQuest Biology Journals (Alumni Edition) ProQuest Central Health Research Premium Collection Health and Medicine Complete (Alumni Edition) Natural Science Collection ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Collection AIDS and Cancer Research Abstracts Health & Safety Science Abstracts ProQuest Medical Library (Alumni) ProQuest Public Health Virology and AIDS Abstracts ProQuest Biological Science Collection ProQuest One Academic Eastern Edition British Nursing Index with Full Text ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) Biological Science Database ProQuest SciTech Collection ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic CrossRef ProQuest Central Student |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health Biology |
| EISSN | 1469-4409 |
| EndPage | e171 |
| ExternalDocumentID | 10_1017_S0950268823001590 |
| GeographicLocations | United Kingdom--UK England |
| GeographicLocations_xml | – name: England – name: United Kingdom--UK |
| GroupedDBID | --- -1D -1F -2P -2V -E. -~6 -~N -~X ..I .FH .GJ 09C 09E 0E1 0R~ 29G 3O- 3V. 4.4 53G 5GY 5VS 6PF 6~7 74X 74Y 7RV 7X7 7~V 88A 88E 8C1 8FE 8FH 8FI 8FJ 8R4 8R5 9M5 AAAZR AABES AABWE AACGO AACJH AAEED AAGFV AAGKA AAKDD AAKTX AAMNQ AANCE AANRG AARAB AASVR AATID AAUIS AAUKB AAWTL ABBHK ABBXD ABFBI ABITZ ABKKG ABKMT ABLJU ABMWE ABMYL ABOCM ABPLY ABQTM ABQWD ABROB ABTCQ ABTLG ABUWG ABVFV ABWCF ABXAU ABXSQ ABZCX ABZUI ACBEK ACBMC ACCHT ACETC ACGFS ACIMK ACMRT ACPRK ACQFJ ACREK ACUIJ ACUYZ ACWGA ACZBM ACZUX ACZWT ADACV ADAZD ADBBV ADDNB ADFEC ADGEJ ADKIL ADOCW ADOVH ADOVT ADULT ADVJH ADZLD AEBAK AEBPU AEHGV AEMTW AENCP AENEX AENGE AEUPB AEXZC AEYHU AEYYC AFFNX AFFUJ AFKQG AFKRA AFKSM AFLOS AFLVW AFRAH AFRIC AFUTZ AGABE AGJUD AGLWM AGOOT AHIPN AHLTW AHMBA AHQXX AHRGI AIGNW AIHIV AIOIP AISIE AJ7 AJCYY AJPFC AJQAS AKZCZ ALMA_UNASSIGNED_HOLDINGS ALVPG ALWZO AN0 ANPSP AOIJS AQJOH AQVQM ARABE ARZZG ATUCA AUXHV AYIQA AZGZS BBLKV BBNVY BCGOX BENPR BESQT BGHMG BHPHI BJBOZ BKEYQ BLZWO BMAJL BNQBC BPHCQ BQFHP BRIRG BVXVI C0O CAG CBIIA CCPQU CCQAD CCUQV CDIZJ CFAFE CFBFF CGQII CHEAL CJCSC COF CS3 DCCCD DNJUQ DOHLZ DOOOF DU5 DWIUU EBS EGQIC EJD EMOBN EX3 F5P FYUFA GROUPED_DOAJ HCIFZ HG- HGD HMCUK HQ3 HST HTVGU HYE HZ~ I.6 I.7 I.9 IKXGN IOEEP IOO IPYYG IS6 I~P J36 J38 J3A JAAYA JBMMH JENOY JHFFW JHPGK JKPOH JKQEH JLS JLXEF JPM JQKCU JSG JSODD JST JVRFK KAFGG KC5 KCGVB KFECR L7B L98 LHUNA LK8 LW7 M-V M0L M1P M7P M7~ M8. NAPCQ NIKVX NMFBF NZEOI O9- OK1 OVD OYBOY P2P PQQKQ PROAC PSQYO Q2X RAMDC RCA RIG ROL RPM RR0 S6- S6U SA0 SAAAG SY4 T9M TEORI UCJ UKHRP UT1 UU6 WFFJZ WH7 WOW WQ3 WXU WXY WYP ZDLDU ZGI ZJOSE ZMEZD ZXP ZYDXJ ~02 ~V1 AAYXX ABVZP AFPKN ALIPV CITATION CTKSN IPSME M48 7QL 7T2 7U9 7XB 8FK AZQEC C1K DWQXO GNUQQ H94 K9. M7N PQEST PQUKI PRINS 7X8 5PM |
| ID | FETCH-LOGICAL-c449t-2e8cef551a41115dd044ba76a14990afb9175f3afe7b3a918734069a15ccbf13 |
| IEDL.DBID | RPM |
| ISSN | 0950-2688 |
| IngestDate | Tue Sep 17 21:29:35 EDT 2024 Fri Oct 25 10:44:52 EDT 2024 Tue Nov 19 06:21:07 EST 2024 Thu Nov 21 21:36:42 EST 2024 Wed Mar 13 05:48:49 EDT 2024 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Keywords | COVID-19 vaccines outbreaks |
| Language | English |
| License | http://creativecommons.org/licenses/by/4.0 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c449t-2e8cef551a41115dd044ba76a14990afb9175f3afe7b3a918734069a15ccbf13 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0002-8108-4431 |
| OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10600893/ |
| PMID | 37750016 |
| PQID | 2877293278 |
| PQPubID | 6286 |
| PageCount | 4 |
| ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_10600893 proquest_miscellaneous_2869220814 proquest_journals_2877293278 crossref_primary_10_1017_S0950268823001590 cambridge_journals_10_1017_S0950268823001590 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-09-26 |
| PublicationDateYYYYMMDD | 2023-09-26 |
| PublicationDate_xml | – month: 09 year: 2023 text: 2023-09-26 day: 26 |
| PublicationDecade | 2020 |
| PublicationPlace | Cambridge, UK |
| PublicationPlace_xml | – name: Cambridge, UK – name: Cambridge |
| PublicationTitle | Epidemiology and infection |
| PublicationTitleAlternate | Epidemiol. Infect |
| PublicationYear | 2023 |
| Publisher | Cambridge University Press |
| Publisher_xml | – name: Cambridge University Press |
| References | 2022; 386 2021; 83 2021; 26 2021; 76 S0950268823001590_r3 S0950268823001590_r2 S0950268823001590_r5 S0950268823001590_r4 S0950268823001590_r7 S0950268823001590_r6 S0950268823001590_r9 S0950268823001590_r8 S0950268823001590_r10 S0950268823001590_r1 |
| References_xml | – volume: 26 start-page: 2100822 year: 2021 article-title: Nosocomial outbreak caused by the SARS-CoV-2 Delta variant in a highly vaccinated population, Israel, July 2021 publication-title: Eurosurveillance – volume: 76 start-page: 1246 year: 2021 end-page: 1249 article-title: Burden of nosocomial COVID-19 in Wales: Results from a multicentre retrospective observational study of 2508 hospitalised adults publication-title: Thorax – volume: 386 start-page: 1046 year: 2022 end-page: 1057 article-title: Homologous and heterologous Covid-19 booster vaccinations publication-title: New England Journal of Medicine – volume: 83 start-page: 565 year: 2021 end-page: 572 article-title: Healthcare-associated COVID-19 in England: A national data linkage study publication-title: Journal of Infection – ident: S0950268823001590_r9 – ident: S0950268823001590_r10 doi: 10.1056/NEJMoa2116414 – ident: S0950268823001590_r8 doi: 10.2807/1560-7917.ES.2021.26.39.2100822 – ident: S0950268823001590_r7 doi: 10.1136/thoraxjnl-2021-216964 – ident: S0950268823001590_r1 – ident: S0950268823001590_r5 – ident: S0950268823001590_r6 doi: 10.1016/j.jinf.2021.08.039 – ident: S0950268823001590_r2 – ident: S0950268823001590_r4 – ident: S0950268823001590_r3 |
| SSID | ssj0009287 |
| Score | 2.4438052 |
| Snippet | In this short report, we describe an outbreak of COVID-19 caused by Omicron subvariant BA.5.2.1 in highly vaccinated patients in a respiratory ward in a large... |
| SourceID | pubmedcentral proquest crossref cambridge |
| SourceType | Open Access Repository Aggregation Database Publisher |
| StartPage | e171 |
| SubjectTerms | COVID-19 COVID-19 vaccines Disease control Disease transmission Epidemics Health risks Hospitals Mutation Nosocomial infection Nosocomial infections Outbreaks Pandemics Patients Phylogenetics Pneumonitis Public health Respiratory diseases Severe acute respiratory syndrome coronavirus 2 Short Paper Vaccination Ventilation Viral diseases |
| Title | Nosocomial outbreak in a respiratory ward caused by the SARS-CoV-2 Omicron BA 5.2.1 subvariant associated with non-severe illness in vaccinated patients |
| URI | https://www.cambridge.org/core/product/identifier/S0950268823001590/type/journal_article https://www.proquest.com/docview/2877293278 https://search.proquest.com/docview/2869220814 https://pubmed.ncbi.nlm.nih.gov/PMC10600893 |
| Volume | 151 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3da9RAEF-8giCIaFU8bcsIPol7l-wm2eTxPFv6YhWviG_H7maCwbukXC6F_if9czubj7uGQh983W-Y2Z2ZnZnfMPbJRhF6xg-58RF5EHopT0jwcIMag0RgKI3LRj5fqIs_8bdTB5MT9bkwTdC-NfmkWK0nRf63ia28WttpHyc2_fl9TmYMia5ETkdsRMphb6P3ULuiKYtHuoPHRRTHvS-zAYqmRtdGijfJwcTVgZOKhKbnD8AVhkJqr3kO4ybvCaKzl-xFp0HCrD3pK_YEi0P2tK0peXPInrcfcdDmF71mtxclEaBcE59BWW_JAtb_IC9Aw2bvZQcXOwtW1xWmYG6AtEJYzH4t-Lz8zQX8WLuwvQK-ziCciIkPVW2uycgmqoDu6EsT3Z8uFGXBSdriBiFfrdxD6na71tbmRTOqQ3Kt3rDLs9PL-TnvyjFwGwTJlguMLWakYemAHsgwTb0gMFpFmoysxNOZIcsvzKTOUBmpEz9W0qXVaj-01mS-fMsO6Aj4jgFmGRmWCcoscH7aKDZWqhhpVZX6KvPH7MuOFMvuTlXLNh5NLR8Qccw-99RaXrUYHY8NPurpuV-aOIb4SAoVj9nHXTddNOc90QWWtRsTJUKQBhWMWTzgg92mDqp72EMc3EB29xz7_v-nfmDPXKl7F6sioiN2sN3UeMxGVVqfNB8JJ80tuAOubghQ |
| link.rule.ids | 230,315,729,782,786,866,887,27933,27934,53800,53802 |
| linkProvider | National Library of Medicine |
| linkToHtml | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bb9MwFLbYEAIJcRmbKGxwkHhCuE3sJE4eS7epiK0gWiHeIttxtIg2mZpm0v4JP5fjXFoiJB726muic-xzPp8bIe91EBhHuT5VrjHU852ERih4qDLSeBEzPlc2Gnk6F7Of4emZTZMTdLEwtdO-VtkwX66GeXZV-1Zer_So8xMbfbucIIxB0RXx0R65jwfWcTqU3iXbZXVhPNQeHMqCMOysmXWqaGy0bah6oySMbCU4LlBsOm4vvUJfTO10z77n5F-i6PzpXX_iGXnSKp8wbvqfk3smPyAPmnKUtwfkcfOGB01o0gvye1Yg7YoVsigU1QbBs_wFWQ4S1jsDPVi3W9CyKk0C6hZQoYT5-PucTooflMHXlfX4y-HTGPwhG7pQVuoG8TkSFGTLGjjRPgdDXuQUBbVZG8iWS3sH291upNZZXo9qk8CWh2RxfraYTGlbyYFqz4s2lJlQmxSVM-nh3eonieN5SopAIj6LHJkqBI1-ymVqhOIyckPBbUSudH2tVeryI7KPn2BeEjBpipg0Mjz1rIk3CJXmIjS4qkhckboD8nFLw7g9jmXcuLKJ-B_qD8iHjszxdZPe43-DjztG2C2NrIb4hDMRDsi7bTeeUWt4kbkpKjsmiBhD5csbkLDHQNtNbZbvfg_yTZ3tu-OTV3ef-pY8nC4uL-KLz7Mvr8kjhnqadXlhwTHZ36wrc0L2yqR6Ux-iP1IyHQ8 |
| linkToPdf | http://sdu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpR1db9Mw0GJD8IL4GEwrDDASTwi3iZ3E8d5Kt2oIKBOdEG-R7dhaRJtUTTNp_4Sfu3M-WiIkHuDVPtuJ7s734ftA6K2OIuMpPyTKN4YEoZcSAYKHKCNNIKgJmXLZyOdzPvsRn565MjknXS5MHbSvVTbMF8thnl3VsZWrpR51cWKjiy8TMGNAdAk2WqV2tIfuAtN6tLPUu4K7tG6OBxqER2gUx92LZl0uGgbdGKjfIA2F6wbHOIhOz--VWOiLqp3-2Y-e_E0cTR_9z488Rg9bJRSPG5gn6I7JD9C9pi3lzQF60PjycJOi9BT9mhWAw2IJpIqLagNGtPyJsxxLvN491GMXfou1rEqTYnWDQbHE8_G3OZkU3wnFX5cu8i_HH8Y4HNKhj8tKXYOdDojFsiURWOjcwjgvcgIC26wNzhYLdxe7066l1lleQ7XFYMtn6HJ6djk5J21HB6KDQGwINbE2FpQ0GcAdG6apFwRK8kiCnSY8aRUYj6Fl0hqumBR-zJnLzJV-qLWyPjtE-_AJ5ghhYy3YpsIwG7in3ihWmvHYwK489bn1B-j9Fo9Jy5Zl0oS08eQPChigdx2qk1VT5uNvwMcdMey2BnIDO4VRHg_Qm-008Kp7gJG5KSoHEwlKQQkLBijuEdH2UFftuz8DtFNX_e5o5fm_L32N7l-cTpPPH2efXjgHhfMkCeCOY7S_WVfmJdor0-pVzUe3YUkfiQ |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Nosocomial+outbreak+in+a+respiratory+ward+caused+by+the+SARS-CoV-2+Omicron+BA+5.2.1+subvariant+associated+with+non-severe+illness+in+vaccinated+patients&rft.jtitle=Epidemiology+and+infection&rft.au=Gopal+Rao%2C+Guduru&rft.au=Jinjika%2C+Shamiso&rft.au=James%2C+Dianne&rft.au=Mukombe%2C+Nyarayi&rft.date=2023-09-26&rft.pub=Cambridge+University+Press&rft.issn=0950-2688&rft.eissn=1469-4409&rft.volume=151&rft_id=info:doi/10.1017%2FS0950268823001590&rft.externalDocID=10_1017_S0950268823001590 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0950-2688&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0950-2688&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0950-2688&client=summon |