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Cieslak TJ, Evans L, Kortepeter MG, Grindle A, Aigbivbalu L, Boulter K, Carroll RW, Cumplido S, Danforth AG, Fry C, Gaensbauer J, Hume JR, Husain A, Kelleher A, Kratochvil CJ, Kunrath C, Morgan JS, Schwedhelm MM, Shane AL, Tennill P, Yager PH, Davies HD. Perspectives on the Management of Children in a Biocontainment Unit: Report of the NETEC Pediatric Workgroup. Health Secur 2019; 17:11-17. [PMID: 30779612 DOI: 10.1089/hs.2018.0074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
During the outbreak of Ebola virus disease that struck West Africa during 2014-2016, a small handful of expatriate patients were evacuated to specialized high-level containment care units, or biocontainment units, in the United States and Western Europe. Given the lower mortality rate (18% versus 40% for those treated in Africa) among these patients, it is likely that high-level containment care will be used in the future with increasing frequency. It is also likely that children infected with Ebola and other highly hazardous communicable diseases will someday require such care. The National Ebola Training and Education Center convened a pediatric workgroup to consider the unique and problematic issues posed by these potential child patients. We report here the results of those discussions.
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Affiliation(s)
- Theodore J Cieslak
- Theodore J. Cieslak, MD, MPH, is Medical Co-Director, Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha NE
| | - Laura Evans
- Laura Evans, MD, MSc, is Medical Director of Critical Care and Special Pathogens Program, Bellevue Hospital, New York University School of Medicine, New York, NY
| | - Mark G Kortepeter
- Mark G. Kortepeter, MD, MPH, is Professor of Epidemiology, University of Nebraska College of Public Health, Omaha, NE
| | - Amanda Grindle
- Amanda Grindle, MSN, Clinical Program Manager, with the Special Care Unit, Children's Healthcare of Atlanta, Atlanta, GA
| | - Lemuel Aigbivbalu
- Lemuel Aigbivbalu, MD, is in the Department of Pediatrics, University of Texas Medical Branch at Galveston, Galveston, TX
| | - Kate Boulter
- Kate Boulter, RN, MPH, is Nurse Manager, Nebraska Biocontainment Unit, University of Nebraska Medical Center, Omaha NE
| | - Ryan W Carroll
- Ryan W. Carroll, MD, MPH, is with Pediatric Critical Care Medicine, Massachusetts General Hospital for Children, Boston, MA
| | - Sylvia Cumplido
- Sylvia Cumplido, MSN, is a Nurse Epidemiologist, Cedars-Sinai Medical Center, Los Angeles, CA
| | - Alison G Danforth
- Alison G. Danforth, BSN, RN, with the Special Care Unit, Children's Healthcare of Atlanta, Atlanta, GA
| | - Cecilia Fry
- Cecilia Fry is a Pediatric Intensivist, Special Pathogens Unit, Providence Sacred Heart Medical Center, Spokane, WA
| | - James Gaensbauer
- James Gaensbauer, MD, is an Assistant Professor, University of Colorado School of Medicine, Denver, CO
| | - Janet R Hume
- Janet R. Hume, MD, PhD, is an Assistant Professor, Department of Pediatrics, Division of Critical Care Medicine, University of Minnesota Medical School, Minneapolis, MN
| | - Amyna Husain
- Amyna Husain, DO, is a Clinical Instructor, Pediatric Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, MD
| | - Arlene Kelleher
- Arlene Kelleher, MS, RN, is Nurse Director, Pediatric Intensive Care Unit, Massachusetts General Hospital for Children, Boston, MA
| | - Christopher J Kratochvil
- Christopher J. Kratochvil, MD, is Associate Vice Chancellor for Clinical Research, University of Nebraska Medical Center, Omaha NE
| | - Claudia Kunrath
- Claudia Kunrath, MD, is Medical Director, Pediatric Critical Care, Denver Health Medical Center, Denver, CO
| | - Jill S Morgan
- Jill S. Morgan, RN, is Lead Nurse for Education, Serious Communicable Disease Unit, Emory University Hospital, Atlanta, GA
| | - Michelle M Schwedhelm
- Michelle M. Schwedhelm, MSN, is Executive Director, Emergency Management and Biopreparedness, Nebraska Medicine, Omaha, NE
| | - Andi L Shane
- Andi L. Shane, MD, is Associate Professor of Pediatric Infectious Diseases, Emory University School of Medicine, Atlanta, GA
| | - Patricia Tennill
- Patricia Tennill, RN, is Associate Director of Nursing, Special Pathogens Program, Bellevue Hospital, New York, NY
| | - Phoebe H Yager
- Phoebe H. Yager, MD, is Chief, Division of Pediatric Critical Care Medicine, Massachusetts General Hospital, Boston, MA
| | - H Dele Davies
- H. Dele Davies, MD, is Professor of Pediatric Infectious Diseases and Public Health, Department of Pediatrics, University of Nebraska Medical Center, Omaha NE
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