生物隔离单位中儿童管理的观点：NETEC 儿科工作组的报告。

Perspectives on the Management of Children in a Biocontainment Unit: Report of the NETEC Pediatric Workgroup.

机构信息

Theodore J. Cieslak, MD, MPH, is Medical Co-Director, Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha NE.

Laura Evans, MD, MSc, is Medical Director of Critical Care and Special Pathogens Program, Bellevue Hospital, New York University School of Medicine, New York, NY.

出版信息

Health Secur. 2019 Jan/Feb;17(1):11-17. doi: 10.1089/hs.2018.0074.

DOI:10.1089/hs.2018.0074

PMID:30779612

Abstract

During the outbreak of Ebola virus disease that struck West Africa during 2014-2016, a small handful of expatriate patients were evacuated to specialized high-level containment care units, or biocontainment units, in the United States and Western Europe. Given the lower mortality rate (18% versus 40% for those treated in Africa) among these patients, it is likely that high-level containment care will be used in the future with increasing frequency. It is also likely that children infected with Ebola and other highly hazardous communicable diseases will someday require such care. The National Ebola Training and Education Center convened a pediatric workgroup to consider the unique and problematic issues posed by these potential child patients. We report here the results of those discussions.

摘要

在 2014 年至 2016 年期间袭击西非的埃博拉病毒病疫情中，有少数几名外籍患者被撤离到美国和西欧的专门高级别隔离护理病房或生物隔离病房。鉴于这些患者的死亡率较低（在非洲接受治疗的患者死亡率为 40%，而这些患者的死亡率为 18%），未来很可能会越来越频繁地使用高级别隔离护理。感染埃博拉和其他高危害性传染病的儿童有朝一日也可能需要此类护理。国家埃博拉培训和教育中心召集了一个儿科工作组，以审议这些潜在儿童患者带来的独特和棘手问题。我们在此报告这些讨论的结果。