Alfaraj, S. H.Al-Tawfiq, J. A.Gautret, P.Alenazi, M. G.Asiri, A. Y.Memish, Z. A.2020-04-272020-04-272018-11Alfaraj, S. H., Al-Tawfiq, J. A., Gautret, P., Alenazi, M. G., Asiri, A. Y., & Memish, Z. A. (2018). Evaluation of visual triage for screening of Middle East respiratory syndrome coronavirus patients. New microbes and new infections, 26, 49-52. https://doi.org/10.1016/j.nmni.2018.08.008https://hdl.handle.net/1805/22653The emergence of Middle East respiratory syndrome coronavirus (MERS-CoV) in September 2012 in Saudi Arabia had attracted the attention of the global health community. In 2017 the Saudi Ministry of Health released a visual triage system with scoring to alert healthcare workers in emergency departments (EDs) and haemodialysis units for the possibility of occurrence of MERS-CoV infection. We performed a retrospective analysis of this visual score to determine its sensitivity and specificity. The study included all cases from 2014 to 2017 in a MERS-CoV referral centre in Riyadh, Saudi Arabia. During the study period there were a total of 2435 suspected MERS cases. Of these, 1823 (75%) tested negative and the remaining 25% tested positive for MERS-CoV by PCR assay. The application of the visual triage score found a similar percentage of MERS-CoV and non–MERS-CoV patients, with each score from 0 to 11. The percentage of patients with a cutoff score of ≥4 was 75% in patients with MERS-CoV infection and 85% in patients without MERS-CoV infection (p 0.0001). The sensitivity and specificity of this cutoff score for MERS-CoV infection were 74.1% and 18.6%, respectively. The sensitivity and specificity of the scoring system were low, and further refinement of the score is needed for better prediction of MERS-CoV infection.enAttribution-NonCommercial-NoDerivatives 4.0 InternationalMiddle East Respiratory Syndrome CoronavirusSaudi Arabiavisual triageArticle