Ebola virus disease cases among health care workers not working in Ebola treatment units–Liberia, June-August, 2014
Auteur Almea Matanock
Auteur M. Allison Arwady
Auteur Patrick Ayscue
Auteur Joseph D. Forrester
Auteur Bethany Gaddis
Auteur Jennifer C. Hunter
Auteur Benjamin Monroe
Auteur Satish K. Pillai
Auteur Christie Reed
Auteur Ilana J. Schafer
Auteur Moses Massaquoi
Auteur Bernice Dahn
Auteur Kevin M. De Cock
Auteur Centers for Disease Control and Prevention (CDC)
Volume 63
Numéro 46
Pages 1077-1081
Publication MMWR. Morbidity and mortality weekly report
Date Nov 21, 2014
Résumé West Africa is experiencing the largest Ebola virus disease (Ebola) epidemic in recorded history. Health care workers (HCWs) are at increased risk for Ebola. In Liberia, as of August 14, 2014, a total of 810 cases of Ebola had been reported, including 10 clusters of Ebola cases among HCWs working in facilities that were not Ebola treatment units (non-ETUs). The Liberian Ministry of Health and Social Welfare and CDC investigated these clusters by reviewing surveillance data, interviewing county health officials, HCWs, and contact tracers, and visiting health care facilities. Ninety-seven cases of Ebola (12% of the estimated total) were identified among HCWs; 62 HCW cases (64%) were part of 10 distinct clusters in non-ETU health care facilities, primarily hospitals. Early recognition and diagnosis of Ebola in patients who were the likely source of introduction to the HCWs (i.e., source patients) was missed in four clusters. Inconsistent recognition and triage of cases of Ebola, overcrowding, limitations in layout of physical spaces, lack of training in the use of and adequate supply of personal protective equipment (PPE), and limited supervision to ensure consistent adherence to infection control practices all were observed. Improving infection control infrastructure in non-ETUs is essential for protecting HCWs. Since August, the Liberian Ministry of Health and Social Welfare with a consortium of partners have undertaken collaborative efforts to strengthen infection control infrastructure in non-ETU health facilities.
Chercher cette référence sur : Google Scholar, Worldcat
Laisser une réponse
Vous devez etre connectez Pour poster un commentaire