Advertisement
Review Article| Volume 35, ISSUE 4, P697-710, October 2019

Principles and Practices of Establishing a Hospital-Based Ebola Treatment Unit

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribers receive full online access to your subscription and archive of back issues up to and including 2002.

      Content published before 2002 is available via pay-per-view purchase only.

      Subscribe:

      Subscribe to Critical Care Clinics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Kortepeter M.G.
        • Kwon E.H.
        • Hewlett A.L.
        • et al.
        Containment care units for managing patients with highly hazardous infectious diseases: a concept whose time has come.
        J Infect Dis. 2016; 214: S137-S141
        • Johnson O.
        • Youkee D.
        • Brown C.S.
        • et al.
        Ebola holding units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation, early treatment initiation, hospital safety and health system functioning.
        BMJ Glob Health. 2016; 1: e000030
        • Smith P.W.
        • Boulter K.C.
        • Hewlett A.L.
        • et al.
        Planning and response to Ebola virus disease: an integrated approach.
        Am J Infect Control. 2015; 43: 441-446
        • Haverkort J.J.
        • Minderhoud A.L.
        • Wind J.D.
        • et al.
        Hospital preparedness for viral hemorrhagic fever patients and experience gained from admission of an Ebola patient.
        Emerg Infect Dis. 2016; 22: 184-191
        • Leligdowicz A.
        • Fischer W.A.
        • Uyeki T.M.
        • et al.
        Ebola virus disease and critical illness.
        Crit Care. 2016; 20: 217
        • Garibaldi B.T.
        • Chertow D.S.
        High-containment pathogen preparation in the intensive care unit.
        Infect Dis Clin North Am. 2017; 31: 561-576
        • Grein J.D.
        • Murthy A.R.
        Preparing a hospital for Ebola virus disease: a review of lessons learned.
        Curr Treat Options Infect Dis. 2016; 8: 237-250
        • Martin D.
        • Howard J.
        • Agarwal B.
        • et al.
        The UK critical care perspective.
        Br J Anaesth. 2016; 116: 590-596
        • DeBiasi R.L.
        • Song X.
        • Cato K.
        • et al.
        Preparedness, evaluation, and care of pediatric patients under investigation for Ebola virus disease: experience from a pediatric designated care facility.
        J Pediatric Infect Dis Soc. 2015; 5: 68-75
        • Decker B.K.
        • Sevransky J.E.
        • Barrett K.
        • et al.
        Preparing for critical care services to patients with Ebola.
        Ann Intern Med. 2014; 161: 831-832
        • Bannister B.
        • Puro V.
        • Fusco F.M.
        • et al.
        Group EW framework for the design and operation of high-level isolation units: consensus of the European Network of Infectious Diseases.
        Lancet Infect Dis. 2009; 9: 45-56
        • WHO
        Ebola situation reports.
        (Available at:) (Accessed July 23, 2019)
        • CDC
        Outbreak chronology. Ebola virus disease.
        (Available at:) (Accessed April 25, 2018)
        • WHO
        Ebola situation reports.
        (Available at:) (Accessed April 25, 2018)
        • Rishu A.H.
        • Marinoff N.
        • Julien L.
        • et al.
        Time required to initiate outbreak and pandemic observational research.
        J Crit Care. 2017; 40: 7-10
        • WHO
        Ebola response roadmap situation report.
        (Available at:) (Accessed April 24, 2018)
        • Fowler R.A.
        • Fletcher T.
        • Fischer 2nd, W.A.
        • et al.
        Caring for critically ill patients with Ebola virus disease. Perspectives from West Africa.
        Am J Respir Crit Care Med. 2014; 190: 733-737
        • Rojek A.
        • Horby P.
        • Dunning J.
        Insights from clinical research completed during the West Africa Ebola virus disease epidemic.
        Lancet Infect Dis. 2017; 17: e280-e292
        • Langer M.
        • Portella G.
        • Finazzi S.
        • et al.
        Intensive care support and clinical outcomes of patients with Ebola virus disease (EVD) in West Africa.
        Intensive Care Med. 2018; 44: 1266-1275
        • Uyeki T.M.
        • Mehta A.K.
        • Davey Jr., R.T.
        • et al.
        • Working group of the U.S.–European Clinical Network on Clinical Management of Ebola Virus Disease Patients in the U.S. and Europe
        Clinical management of Ebola virus disease in the United States and Europe.
        N Engl J Med. 2016; 374: 636-646
        • Kruk M.E.
        • Myers M.
        • Varpilah S.T.
        • et al.
        What is a resilient health system? Lessons from Ebola.
        Lancet. 2015; 385: 1910-1912
        • Kerry V.B.
        • Sayeed S.
        Leveraging opportunities for critical care in resource-limited settings.
        Glob Heart. 2014; 9: 275
        • WHO
        Ebola key technical documents.
        (Available at:) (Accessed April 26, 2019)
        • WHO
        Clinical management of patients with viral haemorrhagic fever: a pocket guide for front-line health workers: interim emergency guidance for country adaptation.
        (Available at:)
        • CDC
        Ebola(ebola virus disease). For clinicians.
        (Available at:) (Accessed February, 2019)
      1. Ebola clinical care guidelines. A guide to clinicians in Canada. 2014 (Available at:) (Accessed January 19, 2019)
        • WHO
        PPE for use in a filovirus disease outbreak. Rapid advice guideline.
        (Available at:) (Accessed April, 2019)
        • WHO/CDC
        Guidelines for integrated disease surveillance and response in the African Region: 1-398.
        (Available at:)
        • CDC
        Estimated personal protective equipment (PPE) needed for healthcare facilities.
        (Available at:) (Accessed February 2, 2019)
      2. WHO list of essential medicines necessary to treat Ebola cases.
        (Available at:) (Accessed January 18, 2019)
        • WHO
        WHO list medical devices for Ebola care.
        (Available at:) (Accessed January 18, 2019)
        • WHO
        Manual for the care and management of patients in the Ebola care units/community care centres: interim emergency guidance.
        (Available at:) (Accessed May 1, 2019)
        • Dunn A.C.
        • Walker T.A.
        • Redd J.
        • et al.
        Nosocomial transmission of Ebola virus disease on pediatric and maternity wards: Bombali and Tonkolili, Sierra Leone, 2014.
        Am J Infect Control. 2016; 44: 269-272
        • WHO
        Quick check and emergency treatments for adolescents and adults.
        2011 (Available at:) (Accessed January 19, 2019)
        • Cummings M.J.
        • Wamala J.F.
        • Bakamutumaho B.
        • et al.
        Vital signs: the first step in prevention and management of critical illness in resource-limited settings.
        Intensive Care Med. 2016; 42: 1519
        • Tamburlini G.
        • Di Mario S.
        • Maggi R.S.
        • et al.
        Evaluation of guidelines for emergency triage assessment and treatment in developing countries.
        Arch Dis Child. 1999; 81: 478-482
        • WHO
        Basic emergency care: approach to the acutely ill and injured.
        2018 (Available at:) (Accessed May 05, 2019)
        • Broadhurst M.J.
        • Brooks T.J.
        • Pollock N.R.
        Diagnosis of Ebola virus disease: past, present, and future.
        Clin Microbiol Rev. 2016; 29: 773-793
        • WHO
        Ebola virus disease. Fact sheet.
        (Available at:) (Accessed January 9, 2018)
      3. Ebola virus infection-guidelines/BMJ best practice.
        (Available at:) (Accessed April 25, 2019)
        • Lamontagne F.
        • Clément C.
        • Kojan R.
        • et al.
        The evolution of supportive care for Ebola virus disease.
        Lancet. 2019; 393: 620-621
        • Lamontagne F.
        • Fowler R.A.
        • Adhikari N.K.
        • et al.
        Evidence-based guidelines for supportive care of patients with Ebola virus disease.
        Lancet. 2018; 391: 700-708
        • Clément C.
        • Adhikari N.K.
        • Lamontagne F.
        Evidence-based clinical management of Ebola virus disease and epidemic viral hemorrhagic fevers.
        Infect Dis Clin North Am. 2019; 33: 247-264
        • James S.L.
        • Adhikari N.K.
        • Henry Y.K.
        • et al.
        Anti-Ebola therapy for patients with Ebola virus disease: a systematic review.
        BMC Infect Dis. 2019; 19: 376
        • Nouvet E.
        • Kouyaté S.
        • Bezanson K.
        • et al.
        Preparing for the dying and ‘dying in honor’: Guineans' perceptions of palliative care in Ebola treatment centers.
        J Pain Symptom Manage. 2018; 56: e55-e56
        • WHO
        Ebola case report forms for clinicians.
        (Available at:) (Accessed February 2, 2019)
        • WHO/UNICEF/WFP
        Interim guideline: nutritional care of children and adults with Ebola virus disease in treatment centres.
        World Health Organization, Geneva (Switzerland)2014
        • WHO
        Interim guidance ebola virus disease in pregnancy: screening and management of Ebola cases, contacts and survivors.
        (Available at:) (Accessed January 19, 2019)
        • Badia J.M.
        • Rubio-Pérez I.
        • Díaz J.A.
        • et al.
        Surgical protocol for confirmed or suspected cases of Ebola and other highly transmissible diseases.
        Cir Esp. 2016; 94: 11-15
        • Bühler S.
        • Roddy P.
        • Nolte E.
        • et al.
        Clinical documentation and data transfer from Ebola and Marburg virus disease wards in outbreak settings: health care workers’ experiences and preferences.
        Viruses. 2014; 6: 927-937
        • Verbeek J.H.
        • Ijaz S.
        • Mischke C.
        • et al.
        Personal protective equipment for preventing highly infectious diseases due to exposure to contaminated body fluids in healthcare staff.
        Cochrane Database Syst Rev. 2016; (CD011621)
        • WHO
        How to put on and how to remove personal protective equipment-posters.
        2015 (Available at:) (Accessed May 5, 2019)