title: Organization of patient care during the Ebola hemorrhagic fever epidemic in Kikwit, Democratic Republic of the Congo, 1995.
abstract: In contrast with procedures in previous Ebola outbreaks, patient care during the 1995 outbreak in Kikwit, Democratic Republic of the Congo, was centralized for a large number of patients. On 4 May, before the diagnosis of Ebola hemorrhagic fever (EHF) was confirmed by the Centers for Disease Control and Prevention, an isolation ward was created at Kikwit General Hospital. On 11 May, an international scientific and technical committee established as a priority the improvement of hygienic conditions in the hospital and the protection of health care workers and family members; to this end, protective equipment was distributed and barrier-nursing techniques were implemented. For patients living far from Kikwit, home care was organized. Initially, hospitalized patients were given only oral treatments; however, toward the end of the epidemic, infusions and better nutritional support were given, and 8 patients received blood from convalescent EHF patients. Only 1 of the transfusion patients died (12.5%). It is expected that with improved medical care, the case fatality rate of EHF could be reduced.
authors.affiliation: Institute of Tropical Medicine, Antwerp, Belgium.
authors.forename: Y
authors.initials: Y
authors.lastname: Guimard
authors.forename: M A
authors.initials: MA
authors.lastname: Bwaka
authors.forename: R
authors.initials: R
authors.lastname: Colebunders
authors.forename: P
authors.initials: P
authors.lastname: Calain
authors.forename: M
authors.initials: M
authors.lastname: Massamba
authors.forename: A
authors.initials: A
authors.lastname: De Roo
authors.forename: K D
authors.initials: KD
authors.lastname: Mupapa
authors.forename: K
authors.initials: K
authors.lastname: Kibadi
authors.forename: K J
authors.initials: KJ
authors.lastname: Kuvula
authors.forename: D E
authors.initials: DE
authors.lastname: Ndaberey
authors.forename: K R
authors.initials: KR
authors.lastname: Katwiki
authors.forename: B B
authors.initials: BB
authors.lastname: Mapanda
authors.forename: O B
authors.initials: OB
authors.lastname: Nkuku
authors.forename: Y
authors.initials: Y
authors.lastname: Fleerackers
authors.forename: E
authors.initials: E
authors.lastname: Van den Enden
authors.forename: M A
authors.initials: MA
authors.lastname: Kipasa
mesh_terms: D000465:Algorithms; D003428:Cross Infection / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D015023:Democratic Republic of the Congo / Q000453:epidemiology; D004196:Disease Outbreaks; D019142:Hemorrhagic Fever, Ebola / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D006701:Home Nursing; D006769:Hospitals, General; D006801:Humans; D017053:Infection Control; D010346:Patient Care Management / Q000458:organization & administration*; D010356:Patient Isolation; D013997:Time Factors