Langer M.,University of Milan |
Checcarelli E.,Ospedale San Donato Arezzo |
Gottardello D.,A.O. Ospedale di Circolo di Busto Arsizio |
Giovanella E.,Emergency NGO |
And 11 more authors.
Ricerca e Pratica | Year: 2015
A group of Italian physicians describes its experience at the Ebola Treatment Center run by the NGO EMERGENCY in Goderich - Freetown in Sierra Leone during the 2014 Ebola outbreak in West Africa. The hypothesis that survival rates in patients with Ebola Virus Disease (EDV) could significantly improve with intensive care was widespread in the literature from this period, and was based mainly on the improved results achieved in patients treated in Intensive Care Units (ICU) in Europe and USA. EMERGENCY therefore built an equipped intensive care unit in Sierra Leone in order to guarantee full treatment to everyone admitted to the centre. Organization, adequate staffing and laboratory support allowed adequate care to be provided and, at the same time, allowed data on this terrible disease to be collected. The data showed that the initial viral load seems to be the most important factor in determining outcome and that advanced supportive treatment, including invasive haemodynamic monitoring, mechanical ventilation and continuous renal replacement therapy, may impact on the chances of survival in patients with intermediate to severe disease.