Acknowledgement: The authors would like to express their gratitude to community and research department and the obstetric and the antenatal unit, all doctors, nurses, and medical staff at KKUH
who have supported and helped us to complete this study.
Estimated ancestral sequence at nodes C and E (identical) in the dated phylogenetic tree and nucleotide substitutions observed in virus sequences obtained in this study, together with virus sequences from patients in KKUH and PSMMC hospitals that appear to be related to this outbreak, are shown in Figure 3 and online Technical Appendix 2.
Viral genomic data obtained during this study generated alternative hypotheses and show that the outbreak of KFMC was linked to ongoing transmission within health care facilities in Riyadh at that time, including, but probably not limited to, PSMMC and KKUH.
Although epidemiologic linkages would have led us to deduce that patient KFMC-9 may have acquired infection from the KFMC-1 virus cluster, viral genetic analysis conclusively demonstrates that this was a separate introduction into KFMC through a person with an externally acquired infection with a virus closely related to viruses at KKUH.
This study was approved by Institutional Review Board (IRB) at KKUH
Council of Medical Research Ethics and signed written informed consent was obtained from all subjects.
EPs at KKUH have been following this process for four years with no formal specialized radiological teaching sessions.
Emergency Physicians at KKUH are moderately accurate in interpreting NCCT Brain in comparison to radiology specialists.
Acknowledgement: The authors are grateful to the Nursing Staff at KKUH -ED for their contribution in this study.
He made his way to the ER at KKUH, where a sign in English and Arabic displayed at the emergency entrance door stated: "The ER is closed to adult patients as there are no more beds.
Due to the lack of seriousness displayed by the physician from Infectious Disease section about his condition, we consulted with a friend at KKUH (also a physician).
My husband found it to be an excruciatingly painful procedure and rested for six hours before leaving KKUH.
After the procedure at KFSH my husband was up and walking within an hour whereas the same procedure at KKUH had him incapacitated for six hours