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 |