Priorities, Barriers, and Facilitators towards International Guidelines for the Delivery of Supportive Clinical Care during an Ebola Outbreak: A Cross-Sectional Survey

Viruses
Marie-Claude BattistaFrançois Lamontagne

Abstract

During the Ebola outbreak, mortality reduction was attributed to multiple improvements in supportive care delivered in Ebola treatment units (ETUs). We aimed to identify high-priority supportive care measures, as well as perceived barriers and facilitators to their implementation, for patients with Ebola Virus Disease (EVD). We conducted a cross-sectional survey of key stakeholders involved in the response to the 2014⁻2016 West African EVD outbreak. Out of 57 email invitations, 44 responses were received, and 29 respondents completed the survey. The respondents listed insufficient numbers of health workers (23/29, 79%), improper tools for the documentation of clinical data (n = 22/28, 79%), insufficient material resources (n = 22/29, 76%), and unadapted personal protective equipment (n = 20/28, 71%) as the main barriers to the provision of supportive care in ETUs. Facilitators to the provision of supportive care included team camaraderie (n in agreement = 25/28, 89%), ability to speak the local language (22/28, 79%), and having treatment protocols in place (22/28, 79%). This survey highlights a consensus across various stakeholders involved in the response to the 2014⁻2016 EVD outbreak on a limited number of high-priority suppo...Continue Reading

References

Jul 30, 2008·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Karen E A BurnsUNKNOWN ACCADEMY Group
Aug 29, 2014·American Journal of Respiratory and Critical Care Medicine·Robert A FowlerDaniel Bausch
Sep 25, 2014·The New England Journal of Medicine·François LamontagneRobert A Fowler
Oct 7, 2014·JAMA : the Journal of the American Medical Association·Andrew S BoozaryAshish K Jha
Nov 6, 2014·The New England Journal of Medicine·Daniel S ChertowArmand Sprecher
Dec 17, 2014·The American Journal of Tropical Medicine and Hygiene·David M Brett-MajorThomas E Fletcher
Apr 22, 2015·Lancet·Srinivas Murthy, UNKNOWN Ebola Clinical Care authors group
Sep 25, 2015·Emerging Infectious Diseases·Kim A LindbladeTolbert Nyenswah
Jul 30, 2016·Critical Care : the Official Journal of the Critical Care Forum·Aleksandra LeligdowiczRobert A Fowler
Aug 24, 2017·Journal of Public Health Management and Practice : JPHMP·Lainie RutkowDaniel J Barnett
Oct 22, 2017·Lancet·François LamontagneGordon H Guyatt

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