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  • Priorities, Barriers, and F...
    Battista, Marie-Claude; Loignon, Christine; Benhadj, Lynda; Nouvet, Elysee; Murthy, Srinivas; Fowler, Robert; Adhikari, Neill K J; Haj-Moustafa, Adnan; Salam, Alex P; Chan, Adrienne K; Mishra, Sharmistha; Couturier, Francois; Hudon, Catherine; Horby, Peter; Bedell, Richard; Rekart, Michael; Hajek, Jan; Lamontagne, Francois

    Viruses, 02/2019, Letnik: 11, Številka: 2
    Journal Article

    During the Ebola outbreak, mortality reduction was attributed to multiple improvements in supportive care delivered in Ebola treatment units (ETUs). We aimed to identify high-priority supportive care measures, as well as perceived barriers and facilitators to their implementation, for patients with Ebola Virus Disease (EVD). We conducted a cross-sectional survey of key stakeholders involved in the response to the 2014⁻2016 West African EVD outbreak. Out of 57 email invitations, 44 responses were received, and 29 respondents completed the survey. The respondents listed insufficient numbers of health workers (23/29, 79%), improper tools for the documentation of clinical data ( = 22/28, 79%), insufficient material resources ( = 22/29, 76%), and unadapted personal protective equipment ( = 20/28, 71%) as the main barriers to the provision of supportive care in ETUs. Facilitators to the provision of supportive care included team camaraderie ( in agreement = 25/28, 89%), ability to speak the local language (22/28, 79%), and having treatment protocols in place (22/28, 79%). This survey highlights a consensus across various stakeholders involved in the response to the 2014⁻2016 EVD outbreak on a limited number of high-priority supportive care interventions for clinical practice guidelines. Identified barriers and facilitators further inform the application of guidelines.