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    Jan 23, 2021
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    Clinical Documentation and Data Transfer from Ebola and Marburg Virus Disease Wards in Outbreak Settings: Health Care Workers' Experiences and Preferences

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    Buhler et al-2014-Clinical ...
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    Authors
    Bühler, Silja
    Roddy, Paul
    Nolte, Ellen
    Borchert, Matthias
    Issue Date
    2014
    
    Metadata
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    Journal
    Viruses
    Abstract
    Understanding human filovirus hemorrhagic fever (FHF) clinical manifestations and evaluating treatment strategies require the collection of clinical data in outbreak settings, where clinical documentation has been limited. Currently, no consensus among filovirus outbreak-response organisations guides best practice for clinical documentation and data transfer. Semi-structured interviews were conducted with health care workers (HCWs) involved in FHF outbreaks in sub-Saharan Africa, and with HCWs experienced in documenting and transferring data from high-risk areas (isolation wards or biosafety level 4 laboratories). Methods for data documentation and transfer were identified, described in detail and categorised by requirement for electricity and ranked by interviewee preference. Some methods involve removing paperwork and other objects from the filovirus disease ward without disinfection. We believe that if done properly, these methods are reasonably safe for certain settings. However, alternative methods avoiding the removal of objects, or involving the removal of paperwork or objects after non-damaging disinfection, are available. These methods are not only safer, they are also perceived as safer and likely more acceptable to health workers and members of the community. The use of standardised clinical forms is overdue. Experiments with by sunlight disinfection should continue, and non-damaging disinfection of impregnated paper, suitable tablet computers and underwater cameras should be evaluated under field conditions.
    Publisher
    MDPI AG, Basel, Switzerland
    URI
    http://hdl.handle.net/10144/315022
    DOI
    10.3390/v6020927
    PubMed ID
    24556792
    Language
    en
    ISSN
    1999-4915
    ae974a485f413a2113503eed53cd6c53
    10.3390/v6020927
    Scopus Count
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    Other Diseases

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