title: Health-care management of an unexpected case of Ebola virus disease at the Alcorcón Foundation University Teaching Hospital.
abstract: BACKGROUND
  The first Ebola virus infected patient outside Africa was diagnosed and treated at Alcorcón Foundation University Teaching Hospital (AFUTH). We describe the integrated management strategy (medical, occupational health, preventive and public health) applied to the case.
  
  
  METHODS
  Descriptive study of health-care management of an unexpected case of Ebola virus disease (EVD) at AFUTH treated on 6 October 2014. We describe the clinical evolution of the patient while he was attended at the Emergency Department, the drawing-up process of the action protocol, the process of training of hospital staff, the administrative management for transferring the patient to the referral centre, and the measures implemented for cleaning, disinfection and management of waste. Qualitative variables are expressed as percentages.
  
  
  RESULTS
  Our centre designed and updated, from May to October, five versions of the acting and care protocol for patients with EVD. The protocol was in force at the AFUTH when a nursing assistant was attended on 6 October 2014. All preventive, diagnostic and therapeutic measures outlined in the protocol were applied and 206 professionals had received training and information about care procedures with a suspect case.
  
  
  CONCLUSIONS
  Health-care management of an unexpected case of EVD was adequate and there was no secondary cases in our staff as a result. All resources available should be used to fight EVD.
authors.affiliation: Preventive Medicine and Public Health Department, Alcorcón Foundation University Teaching Hospital, Madrid, Spain. Electronic address: grodriguez@fhalcorcon.es.
authors.forename: Gil
authors.initials: G
authors.lastname: Rodríguez-Caravaca
authors.affiliation: Occupational Health Department, Alcorcón Foundation University Teaching Hospital, Madrid, Spain.
authors.forename: Rafael
authors.initials: R
authors.lastname: Timermans
authors.affiliation: Emergency Department, Alcorcón Foundation University Teaching Hospital, Madrid, Spain.
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Parra-Ramírez
authors.affiliation: Emergency Department, Alcorcón Foundation University Teaching Hospital, Madrid, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Domínguez-Hernández
authors.affiliation: Critical Care Department, Alcorcón Foundation University Teaching Hospital, Madrid, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Algora-Weber
authors.affiliation: Microbiology Department, Alcorcón Foundation University Teaching Hospital, Madrid, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Delgado-Iribarren
authors.affiliation: Medical Direction, Alcorcón Foundation University Teaching Hospital, Madrid, Spain.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Hermida-Gutiérrez
mesh_terms: D002985:Clinical Protocols; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control; D019468:Disease Management; D004203:Disinfection; D004636:Emergency Service, Hospital; D019142:Hemorrhagic Fever, Ebola / Q000453:epidemiology / Q000517:prevention & control*; D006785:Hospitals, University; D006801:Humans; D017053:Infection Control / Q000379:methods*; D010356:Patient Isolation; D010564:Personnel, Hospital / Q000193:education; D000067716:Point-of-Care Testing; D017751:Safety Management; D013030:Spain / Q000453:epidemiology
keywords: Brote; Control y prevención; Ebola; Fiebre hemorrágica; Haemorrhagic fever; Outbreak; Prevention and control; Surveillance; Vigilancia; Ébola