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埃博拉病毒病受调查者护理的流程开发:生物安全隔离单元与急诊医学人员的合作

Process Development for the Care of the Person Under Investigation for Ebola Virus Disease: a Collaboration of Biocontainment Unit and Emergency Medicine Personnel.

作者信息

Schwedhelm Shelly S, Wadman Michael C

机构信息

1Nebraska Biocontainment Unit, Nebraska Medicine, Omaha, NE USA.

2Department of Emergency Medicine, Nebraska Medicine, University of Nebraska Medical Center, Omaha, NE USA.

出版信息

Curr Treat Options Infect Dis. 2016;8(4):215-227. doi: 10.1007/s40506-016-0099-z. Epub 2016 Nov 8.

DOI:10.1007/s40506-016-0099-z
PMID:32226327
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7100528/
Abstract

Patients presenting with epidemiological risk factors for Ebola virus disease (EVD) and symptoms consistent with the disease require screening with a molecular assay. If the initial test is negative, but the patient has been symptomatic for less than 3 days, a follow-up test is required to reliably exclude the disease. During this time, persons under investigation (PUI) for EVD may have illnesses other than EVD that require further evaluation and management and well-defined processes are essential to the delivery of consistent, high-quality care for these patients while preserving the safety of healthcare providers.

摘要

出现埃博拉病毒病(EVD)流行病学风险因素且症状与该病相符的患者需要通过分子检测进行筛查。如果初始检测为阴性,但患者出现症状的时间少于3天,则需要进行后续检测以可靠地排除该病。在此期间,埃博拉病毒病疑似患者(PUI)可能患有除埃博拉病毒病之外的其他疾病,需要进一步评估和处理,明确的流程对于为这些患者提供一致、高质量的护理同时保障医护人员的安全至关重要。

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本文引用的文献

1
Ebola or Not? Evaluating the Ill Traveler From Ebola-Affected Countries in West Africa.埃博拉?西非埃博拉疫区旅行者的医学评估。
Open Forum Infect Dis. 2016 Jan 18;3(1):ofw005. doi: 10.1093/ofid/ofw005. eCollection 2016 Jan.
2
Emergency Department Processes for the Evaluation and Management of Persons Under Investigation for Ebola Virus Disease.埃博拉病毒病受调查人员评估与管理的急诊科流程
Ann Emerg Med. 2015 Sep;66(3):306-14. doi: 10.1016/j.annemergmed.2015.04.020. Epub 2015 May 21.
3
Transport and Management of Patients With Confirmed or Suspected Ebola Virus Disease.确诊或疑似埃博拉病毒病患者的转运与管理
Ann Emerg Med. 2015 Sep;66(3):297-305. doi: 10.1016/j.annemergmed.2015.04.008. Epub 2015 May 21.
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Performance of bedside diagnostic ultrasound in an Ebola isolation unit: the Emory University Hospital experience.床边诊断超声在埃博拉隔离病房的应用:埃默里大学医院的经验
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Preparing for renal replacement therapy in patients with the Ebola virus disease.为感染埃博拉病毒病的患者准备肾脏替代治疗。
Blood Purif. 2014;38(3-4):276-85. doi: 10.1159/000371530. Epub 2015 Feb 11.
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Nebraska Biocontainment Unit patient discharge and environmental decontamination after Ebola care.内布拉斯加生物隔离病房在埃博拉治疗后的患者出院及环境净化。
Am J Infect Control. 2015 Mar 1;43(3):203-5. doi: 10.1016/j.ajic.2014.12.005. Epub 2015 Jan 27.
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Anesthetic Implications of Ebola Patient Management: A Review of the Literature and Policies.埃博拉患者管理的麻醉学考量:文献与政策综述
Anesth Analg. 2015 Sep;121(3):810-821. doi: 10.1213/ANE.0000000000000573.
9
Safety considerations in the laboratory testing of specimens suspected or known to contain Ebola virus.对疑似或已知含有埃博拉病毒的标本进行实验室检测时的安全注意事项。
Am J Clin Pathol. 2015 Jan;143(1):4-5. doi: 10.1309/AJCP26MIFUIETBPL.
10
Clinical inquiries regarding Ebola virus disease received by CDC--United States, July 9-November 15, 2014.2014年7月9日至11月15日美国疾病控制与预防中心收到的关于埃博拉病毒病的临床咨询
MMWR Morb Mortal Wkly Rep. 2014 Dec 12;63(49):1175-9.