Delivery of an Ebola Virus-Positive Stillborn Infant in a Rural Community Health Center, Sierra Leone, 2015
Delivery of an Ebola Virus-Positive Stillborn Infant in a Rural Community Health Center, Sierra Leone, 2015
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DOI：
10.4269/ajtmh.15-0619
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发表时间：
2016-02-01
影响因子：
3.3
通讯作者：
Caleo, Grazia M.
中科院分区：
文献类型：
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作者：
Bower, Hilary;Grass, Julian E.;Caleo, Grazia M.
我们报告一名埃博拉病毒（EBOV） RNA阴性的孕妇在塞拉利昂农村的一个社区卫生中心分娩了一名埃博拉病毒RNA阳性的死产婴儿，这是在母亲最后一次可能接触后的一个月。母亲后来被发现免疫球蛋白M和G阳性，表明以前感染过。由于这名妇女明显没有埃博拉症状，而且没有认识到她以前曾与埃博拉患者有过接触，因此执行分娩任务的卫生工作者只戴了最低限度的个人防护用品，这可能使他们面临感染埃博拉病毒的高风险。这一病例强调了在照顾孕妇时筛查流行病学风险因素以及埃博拉典型和非典型症状的重要性，即使她们已经过了非怀孕成人预期的典型接触和潜伏期。它还说明，卫生保健工作者在埃博拉环境中护理孕妇时需要使用适当的个人防护设备。
We report the case of an Ebola virus (EBOV) RNA negative pregnant woman who delivered an EBOV RNA positive stillborn infant at a community health center in rural Sierra Leone, 1 month after the mother's last possible exposure. The mother was later found to be immunoglobulins M and G positive indicating previous infection. The apparent absence of Ebola symptoms and not recognizing that the woman had previous contact with an Ebola patient led health workers performing the delivery to wear only minimal personal protection, potentially exposing them to a high risk of EBOV infection. This case emphasizes the importance of screening for epidemiological risk factors as well as classic and atypical symptoms of Ebola when caring for pregnant women, even once they have passed the typical time frame for exposure and incubation expected in nonpregnant adults. It also illustrates the need for healthcare workers to use appropriate personal protection equipment when caring for pregnant women in an Ebola setting.