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首页> 美国卫生研究院文献>BMJ Global Health >Ebola Holding Units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation early treatment initiation hospital safety and health system functioning
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Ebola Holding Units at government hospitals in Sierra Leone: evidence for a flexible and effective model for safe isolation early treatment initiation hospital safety and health system functioning

机译：塞拉利昂政府医院的埃博拉控股单位：为安全隔离早期治疗启动医院安全和卫生系统运行提供灵活有效的模型的证据

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The 2014-2015 West African outbreak of Ebola Virus Disease (EVD) claimed the lives of more than 11,000 people and infected over 27,000 across seven countries. Traditional approaches to containing EVD proved inadequate and new approaches for controlling the outbreak were required. The Ministry of Health & Sanitation and King’s Sierra Leone Partnership developed a model for Ebola Holding Units (EHUs) at Government Hospitals in the capital city Freetown. The EHUs isolated screened or referred suspect patients, provided initial clinical care, undertook laboratory testing to confirm EVD status, referred onward positive cases to an Ebola Treatment Centre or negative cases to the general wards, and safely stored corpses pending collection by burial teams. Between 29th May 2014 and 19th January 2015, our five units had isolated approximately 37% (1159) of the 3097 confirmed cases within Western Urban and Rural district. Nosocomial transmission of EVD within the units appears lower than previously documented at other facilities and staff infection rates were also low. We found that EHUs are a flexible and effective model of rapid diagnosis, safe isolation and early initial treatment. We also demonstrated that it is possible for international partners and government facilities to collaborate closely during a humanitarian crisis.
机译：2014-2015年西非爆发的埃博拉病毒病（EVD）夺走了7个国家/地区的11,000多人的生命，并感染了27,000多人。事实证明，传统的控制EVD的方法是不够的，因此需要控制爆发的新方法。卫生与卫生部和国王的塞拉利昂伙伴关系为首都弗里敦的政府医院中的埃博拉控股单位（EHU）开发了一种模型。 EHU隔离了经过筛选或转诊的可疑患者，提供了初步的临床护理，进行了实验室测试以确认EVD的状态，将阳性病例转诊给埃博拉治疗中心，将阴性病例转诊给普通病房，并安全地存储尸体以待埋葬队收集。在2014年5月29日至2015年1月19日之间，我们的5个单位在西部城乡地区隔离的3097例确诊病例中，隔离了约37％（1159）。单位内EVD的医院内传播似乎比以前在其他机构记录的更低，而且员工感染率也很低。我们发现EHU是快速诊断，安全隔离和早期初始治疗的灵活有效的模型。我们还表明，在人道主义危机期间，国际伙伴和政府机构有可能密切合作。

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