title: Infection control in the management of highly pathogenic infectious diseases: consensus of the European Network of Infectious Disease.
abstract: The European Network for Infectious Diseases (EUNID) is a network of clinicians, public health epidemiologists, microbiologists, infection control, and critical-care doctors from the European member states, who are experienced in the management of patients with highly infectious diseases. We aim to develop a consensus recommendation for infection control during clinical management and invasive procedures in such patients. After an extensive literature review, draft recommendations were amended jointly by 27 partners from 15 European countries. Recommendations include repetitive training of staff to ascertain infection control, systematic use of cough and respiratory etiquette at admission to the emergency department, fluid sampling in the isolation room, and analyses in biosafety level 3/4 laboratories, and preference for point-of-care bedside laboratory tests. Children should be cared for by paediatricians and intensive-care patients should be cared for by critical-care doctors in high-level isolation units (HLIU). Invasive procedures should be avoided if unnecessary or done in the HLIU, as should chest radiography, ultrasonography, and renal dialysis. Procedures that require transport of patients out of the HLIU should be done during designated sessions or hours in secure transport. Picture archiving and communication systems should be used. Post-mortem examination should be avoided; biopsy or blood collection is preferred.
authors.affiliation: Department of Infectious Diseases and Tropical Medicine, CHU Nord and URMITE IRD-CNRS UMR 6236, Marseille, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Brouqui
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Puro
authors.forename: Francesco M
authors.initials: FM
authors.lastname: Fusco
authors.forename: Barbara
authors.initials: B
authors.lastname: Bannister
authors.forename: Stephan
authors.initials: S
authors.lastname: Schilling
authors.forename: Per
authors.initials: P
authors.lastname: Follin
authors.forename: René
authors.initials: R
authors.lastname: Gottschalk
authors.forename: Robert
authors.initials: R
authors.lastname: Hemmer
authors.forename: Helena C
authors.initials: HC
authors.lastname: Maltezou
authors.forename: Kristi
authors.initials: K
authors.lastname: Ott
authors.forename: Renaat
authors.initials: R
authors.lastname: Peleman
authors.forename: Christian
authors.initials: C
authors.lastname: Perronne
authors.forename: Gerard
authors.initials: G
authors.lastname: Sheehan
authors.forename: Heli
authors.initials: H
authors.lastname: Siikamäki
authors.forename: Peter
authors.initials: P
authors.lastname: Skinhoj
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Ippolito
mesh_terms: D000328:Adult; D002648:Child; D003140:Communicable Disease Control / Q000379:methods / Q000592:standards*; D004196:Disease Outbreaks / Q000517:prevention & control*; D004636:Emergency Service, Hospital / Q000592:standards; D005060:Europe / Q000453:epidemiology; D006801:Humans; D017053:Infection Control / Q000379:methods / Q000592:standards*; D010356:Patient Isolation; D010357:Patient Isolators / Q000592:standards*