scholarly journals Educating Health Care Providers in Treatment of Patients With Ebola Virus Disease

2016 ◽  
Vol 36 (5) ◽  
pp. e8-e13 ◽  
Author(s):  
Ellen J. Eckes ◽  
Debbie Gutierrez ◽  
Ann Peterson ◽  
Melissa Hubbard ◽  
Kevin Barrett ◽  
...  

Nurses manage patients with common infectious diseases by following institutional guidelines based on expert advice, evidence in the literature, and a wealth of experience. Today nurses are challenged to provide care to patients with multidrug-resistant organisms and virulent infectious diseases such as Ebola virus disease. Management of some patients with virulent infectious diseases occurs in the context of minimal experience with the pathogen, course of infection, diagnostics, nursing care, and treatment. Limited evidence exists in the US or international literature about direct nursing care of patients with virulent infectious diseases in the community, clinic, or hospital. Workplaces may have insufficient supplies, equipment, and knowledge of the management of patients with these diseases. At the National Institutes of Health Clinical Center in Bethesda, Maryland, nursing education strategies for enhanced experiential learning are used to prepare staff to care for patients with virulent infectious diseases, especially Ebola virus disease.

2019 ◽  
Vol 134 (5) ◽  
pp. 477-483
Author(s):  
Ann Winters ◽  
Maryam Iqbal ◽  
Isaac Benowitz ◽  
Jennifer Baumgartner ◽  
Neil M. Vora ◽  
...  

During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.


Author(s):  
Muhammad Shahid Iqbal ◽  
Salah-Ud-Din Khan ◽  
Muhammad Zahid Iqbal

Objective: The present study was conducted to appraise future healthcare providers' perceptions in medical, dental, and pharmacy students on Ebola virus disease (EVD) in university in Malaysia. Methodology: A cross-sectional observational study was conducted between healthcare students from the medical pharmacy and dental faculties using a self-developed and pre-validated research tool. A stratified convenient sampling technique was used to calculate the sample size. SPSS version 24 was used for data analysis. Results: A total of 273 future healthcare providers from the medical pharmacy and dental faculty participated in the current study.  The medical and pharmacy student shows move appropriate perception as compared to the dental students. Gender does not have any significant impact on future health care providers on Ebola virus disease. Conclusion: The present study concluded varied reactions from the future health care providers regarding the perception of EVD in a university in Malaysia.


2016 ◽  
Vol 10 (05) ◽  
pp. 537-543 ◽  
Author(s):  
Giulia Bertoli ◽  
Marco Mannazzu ◽  
Giordano Madeddu ◽  
Riccardo Are ◽  
Alberto Muredda ◽  
...  

Since the onset of the worst epidemic of Ebola virus disease in December 2013, 28,637 cases were reported as confirmed, probable, or suspected. Since the week of 3 January 2016, no more cases have been reported. The total number of deaths have amounted to 11,315 (39.5%). In developed countries, seven cases have been diagnosed: four in the United States, one in Spain, one in the United Kingdom, and one in Italy. On 20 July 2015, Italy was declared Ebola-free. On 9 May 2015, an Italian health worker came back to Italy after a long stay in Sierra Leone working for a non-governmental organization. Forty-eight hours after his arrival, he noticed headache, weakness, muscle pains, and slight fever. The following day, he was safely transported to the Infectious Diseases Unit of University Hospital of Sassari. The patient was hospitalized for 19 hours until an Italian Air Force medical division transferred him to Rome, to the Lazzaro Spallanzani Institute. Nineteen people who had contacts with the patient were monitored daily for 21 days by the Public Health Office of Sassari and none presented any symptoms. So far, neither vaccine nor treatment is available to be proposed on an international scale. Ebola is considered a re-emerging infectious disease which, unlike in the past, has been a worldwide emergency. This case study aimed to establish a discussion about the operative and logistic difficulties to be faced and about the discrepancy arising when protocols clash with the reality of facts.


2021 ◽  
Vol 9 ◽  
Author(s):  
Patrice Debré ◽  
Marie Neunez ◽  
Michel Goldman

Ebola virus disease is one of the deadliest infections in the world today. The microbe to blame is the Ebola virus. It has already caused numerous outbreaks in Africa, in the regions located south of the Sahara. This article describes the main characteristics of this infectious disease as well as the currently available treatments, namely vaccines and antibodies. Antibodies are produced by the human body when it is infected by a microbe. Antibodies can be collected from the blood of infected humans or animals and purified or manufactured in a laboratory to produce drugs. While vaccines have demonstrated their effectiveness in preventing infectious diseases, antibodies are effective in stopping the progression of several infectious diseases. In this article, you will discover that the stimulation of the immune system, either by the vaccine or by antibodies, is essential to tackle Ebola virus disease.


Author(s):  
Stephen B. Kennedy ◽  
John B. Dogba ◽  
Christine L. Wasunna ◽  
Philip Sahr ◽  
Candace B. Eastman ◽  
...  

Prior to the Ebola virus disease outbreak in Liberia, the laboratory system was duplicativefragmented and minimally coordinated. The National Reference Laboratory was conceptualisedto address the existing challenges by promoting the implementation of effective and sustainablelaboratory services in Liberia. However, in a resource-limited environment such as Liberiaprogress regarding the rebuilding of the health system can be relatively slow, while efforts tosustain the transient gains remain a key challenge for the Ministry of Health. In this paper, wedescribe the pre-Ebola virus disease laboratory system in Liberia and its prevailing efforts toaddress future emerging infectious diseases, as well as current Infectious diseases, all of whichare exacerbated by poverty. We conclude that laboratory and diagnostic services in Liberiahave encountered numerous challenges regarding its efforts to strengthen the healthcaredelivery system. These challenges include limited trained human resource capacity, inadequateinfrastructure, and a lack of coordination. As with most countries in sub-Saharan Africa, whencomparing urban and rural settings, diagnostic and clinical services are generally skewedtoward urban health facilities and private, faith-based health facilities. We recommend thatstructured policy be directed at these challenges for national institutions to develop guidelinesto improve, strengthen and sustain diagnostic and curative laboratory services to effectivelyaddress current infectious diseases and prepare for future emerging and re-emerging infectiousdiseases.


2021 ◽  
Author(s):  
Samuel Majalija ◽  
Doreen Birungi ◽  
Gabriel Tumwine ◽  
Charles Drago Kato ◽  
Tonny Ssekamatte ◽  
...  

Abstract Background: Ebola outbreaks have continued to affect the health, wellbeing and livelihoods of communities. In particular, Ebola response interventions affect food value chains, food and income security of pig farming communities. There is paucity of information on the effect of Ebola outbreak on the pig value chain as well there is a gap on the knowledge and perceptions of those engaged in the pig value chain on Ebola. Therefore, this study aimed at assessing the knowledge, perceptions on the occurrence of Ebola and its effects on the pig value chain in the agro-pastoral district of Luweero, Central Uganda.Methods: A cross sectional study was conducted in two parishes of Ssambwe and Ngalonkulu, Luwero district. A total of 229 respondents were included in the study. Structured questionnaires, key informant interviews and focus group discussions were conducted to collect data. Quantitative data was analysed using SPSS version 22 while qualitative data was analysed using thematic content analysis.Results: Of the 229 respondents, 95.6% could recall the occurrence of the last Ebola outbreak in their locality. The proportion of respondents that associated touching pigs or eating pork with acquisition of Ebola virus was 24.5%. Ebola was perceived as a spiritual manifestation of witchcraft activities. Traditional healers were among the first line of health care providers to Ebola patients in the outbreak. There was no significant association between the perceived human practices such as bush meat consumption, contact with wild animals and acquiring of Ebola virus. The number of pigs sold during the outbreak was significantly reduced (p= 0.001) and this normalized 2 months after the area was declared Ebola free. There was a significant reduction (p= 0.03) in consumption of pork, as well as the unit cost per kilogram of pork during the Ebola outbreak due to fear of acquiring the disease from pork. Conclusion: The study showed that the pig value chain was negatively affected by Ebola outbreak. Therefore, there is need to sensitize the stakeholders on Ebola in order to minimize the negative economic impacts associated with EVD outbreaks.


2017 ◽  
Vol 27 (2) ◽  
pp. 125-131
Author(s):  
Alicia Cerón-Serrano ◽  
Rafael Jiménez-Castellano ◽  
Ana María Gómez-Campos

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Joseph Kawuki ◽  
Xiaojin Yu ◽  
Taha Hussein Musa

Background. Within the past decade, Africa has faced several recurrent outbreaks of Ebola virus disease (EVD), including the 2014-2016 outbreak in West Africa and the recent 2018-2020 Kivu outbreak in the Democratic Republic of Congo. The study thus aimed at quantifying and mapping the scientific output of EVD research published within 2010-2020 though a bibliometric perspective. Methods. EVD-related publications from 2010 to 2020 were retrieved from the Web of Science (WoS) and Scopus databases by using the keywords ‘Ebola’, ‘Ebola Virus Disease’, ‘Ebolas’, and ‘ebolavirus’. Biblioshiny software (using R-studio cloud) was used to categorise and evaluate authors’, countries’ and journals’ contribution. VOSviewer was used for network visualisation. Results. According to the used search strategy, a total of 3865 and 3848 EVD documents were published in WoS and Scopus, respectively. The average citation per document was 16.1 (WoS) and 16.3 (Scopus). The results show an overall increase in the publication trend within the study period. The leading countries in EVD research were the USA and UK, with over 100 papers in both databases, including Nigeria and South Africa. NIAID and CDC-USA were the most influential institutions, while “Infectious Diseases” and “Medicine” were the most decisive research fields. The most contributing authors included Feldmann H and Qiu XG with over 60 papers in each database, while Journal of Infectious Diseases was the most crucial journal. The most cited article was from Aylward et al. published in 2014, while recent years displayed a keyword focus on “double-blind”, “efficacy”, “ring vaccination” and “drug effect”. Conclusion. This bibliometric analysis provides an updated historical perspective of progress in EVD research and has highlighted the role played by various stakeholders. However, the contribution of African countries and institutions is not sufficiently reflected, implying a need for increased funding and focus on EVD research for effective prevention and control.


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