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  1. Article ; Online: Benchmarking infection control training and practice in Africa: A long-term strategy needed now.

    Ayebare, Rodgers Rodriguez / Mayanja, Faridah

    American journal of infection control

    2019  Volume 48, Issue 4, Page(s) 465–466

    MeSH term(s) Africa/epidemiology ; Benchmarking ; Developing Countries ; Humans ; Infection Control/methods ; Infection Control/standards ; Infection Control Practitioners/education
    Language English
    Publishing date 2019-09-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392362-9
    ISSN 1527-3296 ; 0196-6553
    ISSN (online) 1527-3296
    ISSN 0196-6553
    DOI 10.1016/j.ajic.2019.07.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Ebola outbreak response; experience and development of screening tools for viral haemorrhagic fever (VHF) in a HIV center of excellence near to VHF epicentres.

    Parkes-Ratanshi, Rosalind / Elbireer, Ali / Mbambu, Betty / Mayanja, Faridah / Coutinho, Alex / Merry, Concepta

    PloS one

    2014  Volume 9, Issue 7, Page(s) e100333

    Abstract: Introduction: There have been 3 outbreaks of viral hemorrhagic fever (VHF) in Uganda in the last 2 years. VHF often starts with non-specific symptoms prior to the onset of haemorrhagic signs. HIV clinics in VHF outbreak countries such as Uganda see ... ...

    Abstract Introduction: There have been 3 outbreaks of viral hemorrhagic fever (VHF) in Uganda in the last 2 years. VHF often starts with non-specific symptoms prior to the onset of haemorrhagic signs. HIV clinics in VHF outbreak countries such as Uganda see large numbers of patients with HIV 1/2 infection presenting with non-specific symptoms every day. Whilst there are good screening tools for general health care facilities expecting VHF suspects, we were unable to find tools for use in HIV or other non-acute clinics.
    Methods: We designed tools to help with communication to staff, infection control and screening of HIV patients with non-specific symptoms in a large HIV clinic during the outbreaks in Uganda. We describe our experiences in using these tools in 2 Ebola Virus Disease outbreaks in Uganda.
    Results: During the Ebola Virus Disease (EVD) outbreaks, enhanced infection control and communication procedures were implemented within 24 hours of the WHO/Ministry of Health announcement of the outbreaks. During course of these outbreaks the clinic saw 12,544 patients with HIV 1/2 infection, of whom 3,713 attended without an appointment, suggesting new symptoms. Of these 4 were considered at risk of EVD and seen with full infection procedures; 3 were sent home after further investigation. One patient was referred to the National Referral Hospital VHF unit, but discharged on the same day. One additional VHF suspect was identified outside of a VHF outbreak; he was transferred to the National Referral Hospital and placed in isolation within 2 hours of arriving at the HIV clinic.
    Discussion: Use of simple screening tools can be helpful in managing large numbers of symptomatic patients attending for routine and non-routine medical care (including HIV care) within a country experiencing a VHF outbreak, and can raise medical staff awareness of VHF outside of the epidemics.
    MeSH term(s) Adult ; Coinfection/epidemiology ; Disease Outbreaks ; Female ; HIV Infections/epidemiology ; Health Plan Implementation ; Hemorrhagic Fever, Ebola/diagnosis ; Hemorrhagic Fever, Ebola/drug therapy ; Hemorrhagic Fever, Ebola/epidemiology ; Humans ; Male ; Middle Aged ; Outpatient Clinics, Hospital/statistics & numerical data ; Uganda/epidemiology
    Language English
    Publishing date 2014-07-09
    Publishing country United States
    Document type Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0100333
    Database MEDical Literature Analysis and Retrieval System OnLINE

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