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Evidence-based guidelines for supportive care of patients with Ebola virus disease.


ABSTRACT: The 2013-16 Ebola virus disease outbreak in west Africa was associated with unprecedented challenges in the provision of care to patients with Ebola virus disease, including absence of pre-existing isolation and treatment facilities, patients' reluctance to present for medical care, and limitations in the provision of supportive medical care. Case fatality rates in west Africa were initially greater than 70%, but decreased with improvements in supportive care. To inform optimal care in a future outbreak of Ebola virus disease, we employed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology to develop evidence-based guidelines for the delivery of supportive care to patients admitted to Ebola treatment units. Key recommendations include administration of oral and, as necessary, intravenous hydration; systematic monitoring of vital signs and volume status; availability of key biochemical testing; adequate staffing ratios; and availability of analgesics, including opioids, for pain relief.

SUBMITTER: Lamontagne F 

PROVIDER: S-EPMC6636325 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Evidence-based guidelines for supportive care of patients with Ebola virus disease.

Lamontagne François F   Fowler Robert A RA   Adhikari Neill K NK   Murthy Srinivas S   Brett-Major David M DM   Jacobs Michael M   Uyeki Timothy M TM   Vallenas Constanza C   Norris Susan L SL   Fischer William A WA   Fletcher Thomas E TE   Levine Adam C AC   Reed Paul P   Bausch Daniel G DG   Gove Sandy S   Hall Andrew A   Shepherd Susan S   Siemieniuk Reed A RA   Lamah Marie-Claude MC   Kamara Rashida R   Nakyeyune Phiona P   Soka Moses J MJ   Edwin Ama A   Hazzan Afeez A AA   Jacob Shevin T ST   Elkarsany Mubarak Mustafa MM   Adachi Takuya T   Benhadj Lynda L   Clément Christophe C   Crozier Ian I   Garcia Armando A   Hoffman Steven J SJ   Guyatt Gordon H GH  

Lancet (London, England) 20171017 10121


The 2013-16 Ebola virus disease outbreak in west Africa was associated with unprecedented challenges in the provision of care to patients with Ebola virus disease, including absence of pre-existing isolation and treatment facilities, patients' reluctance to present for medical care, and limitations in the provision of supportive medical care. Case fatality rates in west Africa were initially greater than 70%, but decreased with improvements in supportive care. To inform optimal care in a future  ...[more]

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