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首页> 外文期刊>BMC Pediatrics >Offering general pediatric care during the hard times of the 2014 Ebola outbreak: looking back at how many came and how well they fared at a Médecins Sans Frontières referral hospital in rural Sierra Leone
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Offering general pediatric care during the hard times of the 2014 Ebola outbreak: looking back at how many came and how well they fared at a Médecins Sans Frontières referral hospital in rural Sierra Leone

机译：在2014年埃博拉疫情爆发的艰难时期提供普通儿科护理：回顾塞拉利昂乡村无国界医生的转诊医院中有多少人入院，以及他们的表现如何

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Background In Bo district, rural Sierra Leone, we assessed the burden of the 2014 Ebola outbreak on under-five consultations at a primary health center and the quality of care for under-15 children at a Médecins Sans Frontières (MSF) referral hospital. Methods Retrospective cohort study, comparing a period before (May-October 2013) and during the same period of the Ebola outbreak (2014). Health worker infections occurred at the outbreak peak (October 2014), resulting in hospital closure due to fear of occupational-risk of contracting Ebola. Standardized hospital exit outcomes and case fatality were used to assess quality of care until closure. Results A total of 13,658 children under-five, were seen at the primary health center during 2013 compared to 8761 in 2014; a consultation decline of 36%. Of 6497 children seen in the hospital emergency room, during the outbreak, patients coming from within hospital catchment area declined with 38% and there were significantly more self-referrals (80% vs. 61%, P Conclusions Valuable and good quality pediatric care was being provided in the pediatric hospital during the 2014 Ebola outbreak, but could not be sustained because of hospital closure. Health facility and health worker safety should be tackled as a universal requirement to try to avoid a déjà-vu.
机译：背景资料在塞拉利昂农村地区的博区，我们评估了无国界医生下属医院（MSF）中五岁以下就诊者在2014年埃博拉疫情暴发的负担以及15岁以下儿童的护理质量。方法回顾性队列研究，比较埃博拉疫情爆发前（2013年5月至10月）和同期（2014年）。在疫情爆发高峰时（2014年10月）发生了卫生工作者感染，由于担心埃博拉感染有职业风险，导致医院关闭。标准化的医院出院结局和病死率用于评估直至关闭的护理质量。结果2013年，初级保健中心共有13658名5岁以下儿童，而2014年为8761名;咨询减少了36％。在医院急诊室看病的6497名儿童中，在暴发期间，来自医院服务区域内的患者下降了38％，自我推荐的比例明显更高（80％比61％，P结论）有价值和高质量的儿科护理于2014年埃博拉疫情爆发期间在儿科医院提供，但由于医院关闭而无法维持，应将卫生设施和卫生工作者的安全作为应对避免déjà-vu的普遍要求加以解决。

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