Organization of patient care during the Ebola hemorrhagic fever epidemic in Kikwit, Democratic Republic of the Congo, 1995
Organization of patient care during the Ebola hemorrhagic fever epidemic in Kikwit, Democratic Republic of the Congo, 1995
复制标题
DOI：
10.1086/514315
复制
发表时间：
1999-02-01
影响因子：
6.4
通讯作者：
Kipasa, MA
中科院分区：
文献类型：
--
作者：
Guimard, Y;Bwaka, MA;Kipasa, MA
与以前的埃博拉疫情相比，1995年在刚果民主共和国基奎特暴发期间，对大量患者的病人护理是集中的。5月4日，在疾病控制和预防中心确认埃博拉出血热诊断之前，在基奎特总医院设立了一个隔离病房。5月11日，一个国际科学和技术委员会将改善医院的卫生条件和保护保健工作者及其家庭成员确定为优先事项；为此，分发了防护设备并实施了屏障护理技术。对于远离基奎特的病人，组织了家庭护理。最初，住院患者只接受口腔治疗；然而，在疫情即将结束时，给予了输液和更好的营养支持，并有8例患者接受了EHF恢复期患者的血液。输血患者中仅有1例死亡（12.5%）。随着医疗条件的改善，EHF的病死率有望降低。
In contrast with procedures in previous Ebola outbreaks, patient care during the 1995 outbreak in Kikwit, Democratic Republic of the Congo, was centralized for a large number of patients. On 4 May, before the diagnosis of Ebola hemorrhagic fever (EHF) was confirmed by the Centers for Disease Control and Prevention, an isolation ward was created at Kikwit General Hospital. On 11 May, an international scientific and technical committee established as a priority the improvement of hygienic conditions in the hospital and the protection of health care workers and family members; to this end, protective equipment was distributed and barrier-nursing techniques were implemented. For patients living far from Kikwit, home care was organized. Initially, hospitalized patients were given only oral treatments; however, toward the end of the epidemic, infusions and better nutritional support were given, and 8 patients received blood from convalescent EHF patients. Only 1 of the transfusion patients died (12.5%). It is expected that with improved medical care, the case fatality rate of EHF could be reduced.