Delivery of an Ebola Virus-Positive Stillborn Infant in a Rural Community Health Center, Sierra Leone, 2015
| Autor: | Julian E. Grass, Dean S. Seneca, Shelley Campbell, Tom Decroo, Grazia Caleo, Alison Jane Basile, Christopher D. Paddock, Emily Veltus, Hilary Bower, Bobbie R. Erickson, Eunice Chege, David Wang, Ute Stroeher, Gbessay Saffa, Jessica A. Belser, Aaron C. Brault, Johanna S. Salzer |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Pediatrics viruses Population Midwifery medicine.disease_cause Sierra Leone Sierra leone Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Community health center Virology Epidemiology medicine Humans 030212 general & internal medicine Pregnancy Complications Infectious Young adult education Community Health Workers education.field_of_study Ebola virus business.industry Articles Hemorrhagic Fever Ebola Stillbirth Viral Load Ebolavirus medicine.disease 030104 developmental biology Infectious Diseases Family medicine RNA Viral Female Parasitology Rural Health Services Rural area business |
| Zdroj: | The American Journal of Tropical Medicine and Hygiene. 94:417-419 |
| ISSN: | 1476-1645 0002-9637 |
| DOI: | 10.4269/ajtmh.15-0619 |
| Popis: | We report the case of an Ebola virus (EBOV) RNA-negative pregnant woman who delivered an EBOV RNA-positive stillborn infant at a community health center in rural Sierra Leone, 1 month after the mother's last possible exposure. The mother was later found to be immunoglobulins M and G positive indicating previous infection. The apparent absence of Ebola symptoms and not recognizing that the woman had previous contact with an Ebola patient led health workers performing the delivery to wear only minimal personal protection, potentially exposing them to a high risk of EBOV infection. This case emphasizes the importance of screening for epidemiological risk factors as well as classic and atypical symptoms of Ebola when caring for pregnant women, even once they have passed the typical time frame for exposure and incubation expected in nonpregnant adults. It also illustrates the need for health-care workers to use appropriate personal protection equipment when caring for pregnant women in an Ebola setting. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|