Perspectives on the Management of Children in a Biocontainment Unit: Report of the NETEC Pediatric Workgroup.

Autor: Cieslak TJ; Theodore J. Cieslak, MD, MPH, is Medical Co-Director, Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha NE., Evans L; Laura Evans, MD, MSc, is Medical Director of Critical Care and Special Pathogens Program, Bellevue Hospital, New York University School of Medicine, New York, NY., Kortepeter MG; Mark G. Kortepeter, MD, MPH, is Professor of Epidemiology, University of Nebraska College of Public Health, Omaha, NE., Grindle A; Amanda Grindle, MSN, Clinical Program Manager, with the Special Care Unit, Children's Healthcare of Atlanta, Atlanta, GA., Aigbivbalu L; Lemuel Aigbivbalu, MD, is in the Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, TX., Boulter K; Kate Boulter, RN, MPH, is Nurse Manager, Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha NE., Carroll RW; Ryan W. Carroll, MD, MPH, is with Pediatric Critical Care Medicine, Massachusetts General Hospital for Children, Boston, MA., Cumplido S; Sylvia Cumplido, MSN, is a Nurse Epidemiologist, Cedars-Sinai Medical Center, Los Angeles, CA., Danforth AG; Alison G. Danforth, BSN, RN, with the Special Care Unit, Children's Healthcare of Atlanta, Atlanta, GA., Fry C; Cecilia Fry is a Pediatric Intensivist, Special Pathogens Unit, Providence Sacred Heart Medical Center, Spokane, WA., Gaensbauer J; James Gaensbauer, MD, is an Assistant Professor, University of Colorado School of Medicine, Denver, CO., Hume JR; Janet R. Hume, MD, PhD, is an Assistant Professor, Department of Pediatrics, Division of Critical Care Medicine, University of Minnesota Medical School, Minneapolis, MN., Husain A; Amyna Husain, DO, is a Clinical Instructor, Pediatric Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, MD., Kelleher A; Arlene Kelleher, MS, RN, is Nurse Director, Pediatric Intensive Care Unit, Massachusetts General Hospital for Children, Boston, MA., Kratochvil CJ; Christopher J. Kratochvil, MD, is Associate Vice Chancellor for Clinical Research, University of Nebraska Medical Center, Omaha NE., Kunrath C; Claudia Kunrath, MD, is Medical Director, Pediatric Critical Care, Denver Health Medical Center, Denver, CO., Morgan JS; Jill S. Morgan, RN, is Lead Nurse for Education, Serious Communicable Disease Unit, Emory University Hospital, Atlanta, GA., Schwedhelm MM; Michelle M. Schwedhelm, MSN, is Executive Director, Emergency Management and Biopreparedness, Nebraska Medicine, Omaha, NE., Shane AL; Andi L. Shane, MD, is Associate Professor of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA., Tennill P; Patricia Tennill, RN, is Associate Director of Nursing, Special Pathogens Program, Bellevue Hospital, New York, NY., Yager PH; Phoebe H. Yager, MD, is Chief, Division of Pediatric Critical Care Medicine, Massachusetts General Hospital, Boston, MA., Davies HD; H. Dele Davies, MD, is Professor of Pediatric Infectious Diseases and Public Health, Department of Pediatrics, University of Nebraska Medical Center, Omaha NE.
Jazyk: angličtina
Zdroj: Health security [Health Secur] 2019 Jan/Feb; Vol. 17 (1), pp. 11-17.
DOI: 10.1089/hs.2018.0074
Abstrakt: During the outbreak of Ebola virus disease that struck West Africa during 2014-2016, a small handful of expatriate patients were evacuated to specialized high-level containment care units, or biocontainment units, in the United States and Western Europe. Given the lower mortality rate (18% versus 40% for those treated in Africa) among these patients, it is likely that high-level containment care will be used in the future with increasing frequency. It is also likely that children infected with Ebola and other highly hazardous communicable diseases will someday require such care. The National Ebola Training and Education Center convened a pediatric workgroup to consider the unique and problematic issues posed by these potential child patients. We report here the results of those discussions.
Databáze: MEDLINE