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Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Yes, she did get experimental treatment in the form of serum from a recovered survivor.

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Cleaner of the apartment of the sick nurse takes no precautions to remove his cleaning suit - Video

In full view of everybody, the cleaner opened the rear door of the truck, then removed his protective suit in the middle of the road and placed it in a plastic bag.

No need to understand Spanish to view the video....

:banghead:
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Letter from a Spanish Ebola specialist doctor from Sierra Leone

Approximate Google translation

Freetown (Sierra Leona) 7 October 2014.

...

Madam Minister of Health, with all due respect, something went wrong. And honestly, I think the information you are being given in the media in Spain on the sad and unfortunate case of an infected colleague, while still being true, are not entirely accurate. Here, on the ground, where the day-to-day lives this disease, we have another way of seeing things, and certainly other very different responses to the Government and some colleagues are giving.

[a very good description of how to put on and take off protective clothing and explanation of the training of health personnel follows in the article]
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

It is becoming increasingly apparent to me that there is a huge education/ sensitisation campaign required for both healthcare providers, ancilliary staff and the public, that needs to focus on facts, and not reassuring messages which lead people to take stupid risks with thier own health and their colleagues, like this....

Individuals need to understand that it is their lives, and those of their close contacts (especially their families) that they are playing with, if they do not ensure staff have the correct information, and staff dealing with ebola and hygeine need to ensure they rigidly stick to guidance.

If 'we' (as in western nations) fail to do this, we are going to end up with quite extensive transmission chains of our own for each introduction, in whichever country ebola turns up in.

Our systems can handle this - yes. But if we get too many parralel introductions, we are going to stress the systems badly, needlessly, and it will cost lives.

I am sure the US CDC has something planned, and I hope the ECDC takes the lead in Europe to disseminate the right information to the respective audiences. Its 'get your act together' time.

An outbreak anywhere is a potential threat to all of us, everywhere. It really is time to stop the dont worry messages, and give everyone the real information so that they develop a healthy respect for this disease so we do actually stop it in its tracks.

For ebola the term 'healthy paranoia' applies for HCWs and ancilliary staff.

FrenchieGirl said:
Yes, she did get experimental treatment in the form of serum from a recovered survivor.


----------------

Cleaner of the apartment of the sick nurse takes no precautions to remove his cleaning suit - Video

In full view of everybody, the cleaner opened the rear door of the truck, then removed his protective suit in the middle of the road and placed it in a plastic bag.

No need to understand Spanish to view the video....

:banghead:
Click to expand...
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

automatic translation

Romero said to paramedic to protected them and to go to a separate hospital entrance
http://sante.lefigaro.fr/actualite/2014/10/09/22885-ebola-prise-charge-hasardeuse-espagne


An ambulance carelessly

The two paramedics who sought Teresa Romero home to take her to the hospital Alcorcon also revealed flaws in their level. While the caregiver had said operators she could be carrying the Ebola virus, the information was not taken seriously, the doctor who had visited previously at his bedside with discarded the hypothesis since she showed only a mild fever (37.2 ?). The paramedics opted for a vehicle without special protection against contagious diseases.

Arriving on the advice of the patient, they would have tried to protect themselves with the equipment they had: a gown and a paper mask, gloves. They have reminded their superiors to make clear what to do, and it would have insisted that they still lead the patient to the hospital. Their indications, Teresa Romero was filed in Alcorcon hospital by a separate entrance, but the ambulance, the finished work, continued to run all day, carrying seven other patients. It was not until the official announcement of the illness of the caregiver that the vehicle was disinfected.
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Isn't there a video made by WHO/CDC showing correct use of PPEs - that can be translated into every language and shown to every health care provider or person with a reason to use a PPE??? Even without a translation, something must be appropriate for global use.

.
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

If not, one should be made.

There are a number of videos I have been able to find on youtube. These apply to a Biological Level C pathogen, and ebola is a Level D, but formal guidance seems to aimed at Level 2 PPE.

However, I think this is useful as a training video regardless, as even if a more basic facemask is used in current practice (as opposed to what is shown in the video), the rest of the procedures should apply wherever possible.

PPE: Biological Level C - Donning
https://www.youtube.com/watch?v=T5knZceQ1xA

PPE: Biological Level C - Doffing (Removal)
https://www.youtube.com/watch?v=ls69Tib1PjU
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

They mentioned the PPE safety checklist. I looked (googled images) & couldn't find a good one. The few that showed in a thumbnail were not allowed when I clicked on the thumbnail - under US army protection.

Here's one for casual ebola contact - like reports, etc. Not suitable for hospital setting, but had some interesting comments for novices. It might be suitable for cleaning workers outside a hospital setting (like the cleaner in Spain).

.
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

I found this screenshot of instructions how to use PPE on my PC, can't remember where I got it, don't know if it's useful:
 

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Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

G.Verkerk said:
I found this screenshot of instructions how to use PPE on my PC, can't remember where I got it, don't know if it's useful:
Click to expand...

That looks like a good basic instruction set - perhaps to be printed on the wrapping for each PPE (or at least the ones sold on Amazon - supplies of which are quickly being depleted).

.
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

G. Verkerk - this is probably the PPE level that most HCWs will be expected to use... Good find
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

I'd like to add: "Apply duct tape on all overlaps." as finishing touch...
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

AnnaLisa said:
Yet another dose?

http://www.independent.co.uk/life-s...lable-dose-of-zmapp-in-the-world-9781740.html
Click to expand...

I've been guessing with this, though to be clear I don't know, that a few doses were purchased by other governments to be held in case of just such an emergency.

All of the existing doses would therefore have been accounted for, unavailable. I don't suspect there were very many in the first place; it doesn't sound like an easy process, growing and purifying from GM tobacco, and they were still just investigating its use, so their grow operation was probably not very large.

I would imagine that getting this medicine to scale well is going to be difficult, if it does prove to be helpful. Wonder what their yield per plant is and what sort of shelf life it winds up with.
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

AlaskaDenise said:
In some countries the patients family must do the hospital caregiving, including meal preparation.

.
Click to expand...

Yes, I think most of us who practice in North America & Europe would be pretty surprised at how things are done in other parts of the world. On the other hand, my personal opinion is we have gone so high tech in the US that we are now scrambling to trying to preserve the best of that personalized care.

(Reuters) - Spanish health workers angry about the government's handling of an Ebola outbreak jeered Prime Minister Mariano Rajoy and pelted his car with surgical gloves on Friday at a Madrid hospital where a nurse lay seriously ill with the virus.http://www.reuters.com/article/2014/10/10/us-health-ebola-spain-idUSKCN0HZ0U920141010

I don't know why, probably because of the symbolism of the gloves, I read that article and thought of of The Pink Glove Dance for breast cancer awareness. It's tragic that a hospital can go from a pretty fun place & rewarding place to work to one where a staff person might feel at risk. And of course, there's no comparison to what the HCW's in West Africa have had to deal with. They don't have any spare pink gloves to dance with.
 
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission

Dani said:
I can't say that I blame them: Madrid Hospital staff Quite Over Ebola Fears
Click to expand...

I cannot say I find this in any way surprising, and its a pattern that will be repeated in any country where a nocosomial infection occurs.

This is the reason why the highest standards of PPE and training need to be applied for HCWs now, and also for staff of any companies or individuals involved in decontamination or other support services, including lab technicians.

The developed world and WHO really needs to rethink its guidance and precautions quickly, if it wants to keep its healthcare systems operational in an outbreak situation.
 
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