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Happy New Year 2016

When Caring for Suspect or Confirmed Patients with Ebola 12/16/2014

Think Ebola: Early recognition is critical for infection control:

Initiate

Think Ebola when you approach a patient. Start the steps for basic infection control before assessing the patient for risks.

  • Always use standard precautions
  • If there are concerns that the patient could meet the criteria for Ebola, immediately separate the patient from others

Identify

Assess your patient for:

  • Travel to an area with Ebola (Guinea, Liberia, or Sierra Leone) within the last 21 days

OR

  • Contact with someone with Ebola

AND

  • Had a fever at home, or have a current temperature ≥100.4°F (≥38°C)
  • Other symptoms:
    • Severe headache
    • Muscle pain
    • Weakness
    • Fatigue
    • Diarrhea
    • Vomiting
    • Abdominal (stomach) pain
    • Unexplained hemorrhage (bleeding or bruising)
  • If the patient has both exposure and symptoms, immediately separate the patient and inform others (see INFORM)

Isolate

If assessment indicates possible Ebola virus infection, take action.

  • Isolate the patient in a private room with a private bathroom or covered, bedside commode and close the door
  • Wear appropriate personal protective equipment (PPE)
  • Limit the healthcare personnel who enter the room
  • Keep a log of everyone who enters and leaves the patient’s room
  • Consider alternative diagnoses, and evaluate appropriately
  • Only perform necessary tests and procedures
  • Avoid aerosol-generating procedures
  • Follow CDC guidelines for cleaning, disinfecting, and managing waste

Inform

Alert others, including public health authorities.

  • Notify your facility’s infection control program and other appropriate staff
  • Contact your state or local public health authorities
  • Consult with state or local public health authorities about testing for Ebola
  • See list of state and local health department numbers