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Opinion Ebola Virus Disease and the Need for New VIEWPOINT Personal Protective Equipment Preventing transmission of pathogens in the health to transmission, and there has been limited funding Michael B. Edmond, MD, MPH, MPA care setting with the use of personal protective equip- for MDR-bacterial research, which might target PPE or Department of Internal ment (PPE) has been an area of longstanding debate other infection prevention system improvements. Medicine, University of in the infection prevention community. Recently, Key clinical and microbiologic features of Ebola Iowa Carver College of reports of nosocomial transmission of Ebola virus to 2 virus disease should guide current recommendations Medicine, Iowa City. nurses from the same patient in Texas (despite their on how best to protect health care workers. The virus Daniel J. Diekema, MD, use of PPE) has generated great concern and presents is found in body fluids that health care workers are MS new challenges, particularly because there is no post- likely to contact. These include blood, urine, vomitus, Department of Internal exposure prophylaxis or effective antiviral therapy for and stool. Gastrointestinal fluid losses can be massive Medicine, University of Ebola, and approximately half of the cases are fatal. (5-10 L/day), and simulated
JAMA – American Medical Association
Published: Dec 17, 2014
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