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About:
Ebola or Not? Evaluating the Ill Traveler From Ebola-Affected Countries in West Africa
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Ebola or Not? Evaluating the Ill Traveler From Ebola-Affected Countries in West Africa
Creator
Guarner, Jeannette
Vanairsdale, Sharon
Isakov, Alexander
Kozarsky, Phyllis
Anderson, Evan
Baker, Esther
Gillespie, Darria
Meloy, Patrick
Espinoza, Tamara
Fairley, Jessica
Jacob, Jesse
Kraft, Colleen
Steinberg, James
Wu, Henry
source
Medline; PMC
abstract
Background. The 2014–2015 Ebola epidemic in West Africa had global impact beyond the primarily affected countries of Guinea, Liberia, and Sierra Leone. Other countries, including the United States, encountered numerous patients who arrived from highly affected countries with fever or other signs or symptoms consistent with Ebola virus disease (EVD). Methods. We describe our experience evaluating 25 travelers who met the US Centers for Disease Control and Prevention case definition for a person under investigation (PUI) for EVD from July 20, 2014 to January 28, 2015. All patients were triaged and evaluated under the guidance of institutional protocols to the emergency department, outpatient tropical medicine clinic, or Emory's Ebola treatment unit. Strict attention to infection control and early involvement of public health authorities guided the safe evaluation of these patients. Results. None were diagnosed with EVD. Respiratory illnesses were common, and 8 (32%) PUI were confirmed to have influenza. Four patients (16%) were diagnosed with potentially life-threatening infections or conditions, including 3 with Plasmodium falciparum malaria and 1 with diabetic ketoacidosis. Conclusions. In addition to preparing for potential patients with EVD, Ebola assessment centers should consider other life-threatening conditions requiring urgent treatment, and travelers to affected countries should be strongly advised to seek pretravel counseling. Furthermore, attention to infection control in all aspects of PUI evaluation is paramount and has presented unique challenges. Lessons learned from our evaluation of potential patients with EVD can help inform preparations for future outbreaks of highly pathogenic communicable diseases.
has issue date
2016-01-18
(
xsd:dateTime
)
bibo:doi
10.1093/ofid/ofw005
bibo:pmid
26925428
has license
cc-by-nc-nd
sha1sum (hex)
879df084e06fcce1980e3f73c36748068b39f049
schema:url
https://doi.org/10.1093/ofid/ofw005
resource representing a document's title
Ebola or Not? Evaluating the Ill Traveler From Ebola-Affected Countries in West Africa
has PubMed Central identifier
PMC4766384
has PubMed identifier
26925428
schema:publication
Open Forum Infect Dis
resource representing a document's body
covid:879df084e06fcce1980e3f73c36748068b39f049#body_text
is
schema:about
of
named entity 'Ebola'
named entity 'public health'
named entity 'PPE'
named entity 'life-threatening'
named entity 'West Africa'
named entity 'Ebola'
named entity 'hygiene'
named entity 'EVD'
named entity 'North American'
named entity 'Laboratory testing'
named entity 'Emory University Hospital Midtown'
named entity 'healthcare facilities'
named entity 'Influenza-like illness'
named entity 'triage'
named entity 'influenza vaccine'
named entity 'screening programs'
named entity 'gastrointestinal illnesses'
named entity 'EVD'
named entity 'outpatient'
named entity 'tropical medicine'
named entity 'Ebola'
named entity 'EVD'
named entity 'EVD'
named entity 'EVD'
named entity '21 days'
named entity 'vomiting'
named entity 'West African'
named entity 'public health'
named entity 'preventative measures'
named entity 'health department'
named entity 'treatment centers'
named entity 'affected areas'
named entity 'DKA'
named entity 'risk factors'
named entity 'Triage'
named entity 'Prophylactic'
named entity 'noninfectious'
named entity 'triage'
named entity 'EVD'
named entity 'Fever'
named entity 'PPE'
named entity 'influenza season'
named entity '21 days'
named entity 'epidemiologic'
named entity 'virus infections'
named entity 'virus'
named entity 'infectious disease'
named entity 'influenza'
named entity 'avian influenza'
named entity 'infection'
named entity 'fever'
named entity 'malaria'
named entity 'noninfectious'
named entity 'epidemiologic'
named entity 'Salt Lake City'
named entity 'affected areas'
named entity 'endemic areas'
named entity 'influenza season'
named entity 'Ebola'
named entity 'public health'
named entity 'EVD'
named entity 'hospital Infection'
named entity 'virus'
named entity 'emergency department'
named entity 'infection'
named entity 'EVD'
named entity 'EVD'
named entity 'EVD'
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