Organization of Patient Care during the Ebola Hemorrhagic Fever Epidemic in Kikwit, Democratic Republic of the Congo, 1995 | Zendy

Y. Guimard | Zendy; Mpia Ado Bwaka | Zendy; Robert Colebunders | Zendy; Philippe Calain | Zendy; Matondo Massamba | Zendy; Ann De Roo | Zendy; Kibadi Mupapa | Zendy; Kapay Kibadi | Zendy; Kivudi Kuvula | Zendy; Djuma Ndaberey | Zendy; Kasongo René Katwiki | Zendy; Bwas Bienvenu Mapanda | Zendy; Okumi Berthe Nkuku | Zendy; Y. Fleerackers | Zendy; E Van den Enden | Zendy; M. Kipasa | Zendy

Open Access

Organization of Patient Care during the Ebola Hemorrhagic Fever Epidemic in Kikwit, Democratic Republic of the Congo, 1995

Author(s) -

Y. Guimard,

Mpia Ado Bwaka,

Robert Colebunders,

Philippe Calain,

Matondo Massamba,

Ann De Roo,

Kibadi Mupapa,

Kapay Kibadi,

Kivudi Kuvula,

Djuma Ndaberey,

Kasongo René Katwiki,

Bwas Bienvenu Mapanda,

Okumi Berthe Nkuku,

Y. Fleerackers,

E Van den Enden,

M. Kipasa

Publication year - 1999

Publication title -

the journal of infectious diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.69

H-Index - 252

eISSN - 1537-6613

pISSN - 0022-1899

DOI - 10.1086/514315

Subject(s) - outbreak , medicine , ebola hemorrhagic fever , case fatality rate , isolation (microbiology) , ebola virus , intensive care medicine , infection control , disease , health care , medical emergency , emergency medicine , family medicine , epidemiology , virology , political science , law , microbiology and biotechnology , biology

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.

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