[Input of a laboratory in the management of patients with Ebola virus disease and in the training of health personnel: experience of the Forecariah Ebola treatment centre (Guinea) in 2015].
Ebola virus disease (EVD) is associated with a high lethality rate even when the afflicted are provided with good support in an Ebola treatment center (ETC). Basic laboratory tests can help to better understand the pathophysiology of the disease, to guide treatment and to establish simple protocols and procedures tailored to the practice of medicine in the context of such precarious environment for caregivers. Based on a few clinical cases of patients treated in the ETC of Forecariah, Guinea, run by the French Red Cross, this article describes the difficult conditions associated with the provision of medical practice in this challenging environment, aiming to minimize the casualties in the EVD patient and to train the health staff.
Croix-Rouge française, 98 rue Didot, 75014, Paris, France. bernard.gauzere@chu-reunion.fr.|Service de réanimation polyvalente, CHU de La Réunion, site Centre Hospitalier Félix Guyon, 97400, Saint-Denis, Réunion, France. bernard.gauzere@chu-reunion.fr.|Centre René Labusquière, Université de Bordeaux, 33000, Bordeaux, France. bernard.gauzere@chu-reunion.fr.
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Gaüzère
Croix-Rouge canadienne, 170 rue Metcalfe, Ottawa, Ontario, K2P 2P2, Canada.|Département de médecine de famille et de médecine d'urgence, Faculté de médecine et des sciences de la santé, Université de Sherbrooke et Service d'urgence, CHU Sherbrooke, Sherbrooke, Canada.
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Ouellet
Croix-Rouge canadienne, 170 rue Metcalfe, Ottawa, Ontario, K2P 2P2, Canada.|UBC Department of Family Medicine, Kelowna General Hospital, Kelowna, 2268 Pandosy street, BC, Canada, VTY 1T2.
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Nottebrock
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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Nied
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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Beya-Kadiebwe
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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Camara
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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Camara
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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Camara
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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M
Camara
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
A
A
Soumah
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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MK
Tounkara
Expertise France, 73 rue de Vaugirard, 75006, Paris, France.
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Monteil
Expertise France, 73 rue de Vaugirard, 75006, Paris, France.
A
A
Camara
Expertise France, 73 rue de Vaugirard, 75006, Paris, France.
F
F
Bauffe
Expertise France, 73 rue de Vaugirard, 75006, Paris, France.
A
A
Camara
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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IB
Camara
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
B
B
Simon
Service de maladies infectieuses et tropicales, hôpital de la Pitié-Salpêtrière, 75013, Paris, France.
M
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Jaspard
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.
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Tran-Minh
Croix-Rouge française, 98 rue Didot, 75014, Paris, France.|Centre de coordination de la lutte contre les infections nosocomiales (CClin) de l'inter-région Paris-Nord, 8 rue Maria-Helena Vieira da Silva, 75014, Paris, France.
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L'Hériteau
D000328:Adult; D004196:Disease Outbreaks; D005260:Female; D005602:France; D016701:Guinea / Q000453:epidemiology; D006282:Health Personnel / Q000193:education* / Q000523:psychology; D019142:Hemorrhagic Fever, Ebola / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D015994:Incidence; D007753:Laboratories / Q000458:organization & administration; D008297:Male; D008875:Middle Aged; D024382:Professional Role; D011481:Protective Clothing; D012011:Red Cross; D012189:Retrospective Studies; D000078329:Workforce; D055815:Young Adult
Complementary exams; Ebola; Forecariah; French Red Cross; Guinea; Laboratory; Sub-Saharan Africa