| Ebola treatment: ongoing research |
No specific treatment or vaccine exists for Ebola haemorrhagic fever.
Severe cases require intensive supportive care, as patients are frequently
dehydrated and in need of intravenous fluids. Suspected cases should be isolated
from other patients and strict barrier nursing techniques practiced.
All hospital personnel should be briefed on the nature of the disease and
its routes of transmission. Particular emphasis should be placed on ensuring
that high-risk procedures such as the placing of intravenous lines and the
handling of blood, secretions, catheters and suction devices are carried out
under barrier nursing conditions. Hospital staff should have individual gowns,
gloves and masks. Gloves and masks must not be reused unless disinfected.
Patients who die from the disease should be promptly buried or cremated.
As the primary mode of person-to-person transmission is contact with contaminated
blood, secretions or body fluids, any person who has had close physical contact
with patients should be kept under strict surveillance, i.e. body temperature
checks twice a day, with immediate hospitalization and strict isolation recommended
in case of temperatures above 38.3°C (101°F). Casual contacts should
be placed on alert and asked to report any fever. Surveillance of suspected
cases should continue for three weeks after the date of their last contact.
Hospital personnel who come into close contact with patients or contaminated
materials without barrier nursing attire must be considered exposed and put
under close supervised surveillance.