Evidence-Based Clinical Management of Ebola Virus Disease and Epidemic Viral Hemorrhagic Fevers

• Autores: Christophe Clément, Neill K. J. Adhikari, François Lamontagne
• Localización: Infectious disease clinics of North America, ISSN 0891-5520, Vol. 33, Nº. 1, 2019 (Ejemplar dedicado a: Updates in Tropical Medicine), págs. 247-264
• Idioma: inglés
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• Resumen

  • The 2014 to 2016 Ebola virus disease outbreak underscored the threat posed by hemorrhagic fevers. Filoviral outbreaks have been identified since 1967, but data collection has remained sparse, limiting current knowledge of these illnesses. Documentation of objective physical signs and laboratory parameters and appropriate clinical management are connected and interdependent. Implementing both is necessary to improve outcomes. Clinical features include severe volume depletion due to diarrhea and vomiting, shock, rhabdomyolysis, and metabolic disturbances. Overt hemorrhage is uncommon. Point-of-care devices and inexpensive electronic equipment enable better monitoring and record keeping in resource-limited settings.