Table 5 Similarities and differences regarding Ebola patient management at the University of Geneva Hospitals, Switzerland, and in a MSF Ebola Treatment Center in Freetown, Sierra Leone
University of Geneva Hospitals | Freetown MSF ETC. | |
|---|---|---|
EVD diagnostics | Real-time RT-PCR (Altona kit): Daily viral load estimation, in plasma and other body fluids | Real-time RT-PCR (Altona kit): One for diagnosis, one for discharge |
Point-of-care lab tests | Haematology Blood gases Basic coagulation assessment Biochemistry (including CRP, electrolytes, CK, renal function and liver tests) Malaria and Dengue RDTs | Biochemistry (including CRP, electrolytes, CK, renal function and liver tests) Malaria and pregnancy RDTs |
Patient equipment and monitoring | Central venous line Urinary catheter Nasal oxygen delivery as needed Continuous temperature, oxymetry and BPM monitoring Regular BP measurements | Peripheral venous line (not all patients) Nasal oxygen delivery (2 devices for the whole ETC.) Temperature, BP, BPM and oxymetry measurements (twice daily) |
Treatment | Patient-tailored Experimental treatments: ZMAb and favipiravir IV nutrition | Defined protocol including IV or oral rehydration, electrolytes, antibiotics, antimalarials, analgesics, antiemetics, spasmolytics and omeprazole |