Ebola virus disease nosocomial infections in the Democratic Republic of the Congo: a descriptive study of cases during the 2018–2020 outbreak

• DOI: 10.1016/j.ijid.2021.11.039
• Publication Date: 2021-12-07T01:08:10Z
• Authors: April Baller; Maria Clara Padoveze; Patrick Mirindi; Carmen Emily Hazim; Jonathan Lotemo; Jerome Pfaffmann; Aminata Ndiaye; Simone Carter; Marie-Amelie Dega...; Samuel Mangala; Berthe Banzua; Chantal Umutoni; N'Deye Rosalie Niang; Landry Kabego; Abdoulaye Ouedraogo; Bienvenue Houdjo; Didier Mwesha; Kevin Babila Ousman; Amy Kolwaite; David D. Blaney; Mary J. Choi; Raymond Pallawo; Anais Legand; Benjamin Park; Pierre Formenty; Joel M. Montgomery; Abdou Salam Gueye; Benedetta Allegranzi; N'da Kona Michel Yao; Ibrahima Soce Fall
• Keywords: Case fatality rate

To describe the characteristics of nosocomial cases Ebola virus disease (EVD) in Democratic Republic Congo between July 2018 and May 2020 order to inform future interventions.Nosocomial EVD were identified during outbreak response surveillance, a retrospective analysis was conducted according demographic type health facility (HF).Of 3481 EVD, 579 (16.6%) nosocomial. Of these, 332 occurred women (57.3%). Patients visitors accounted for 419 (72.4%), which 79 (18.9%) aged 6-≤18 years 108 (25.8%) ≤5 years. Health workers (HWs) remaining 160 (27.6%) cases. The case fatality rate (CFR) HWs (66/160, 41.3%) significantly lower than CFR patients (292/419, 69.7%) (P<0.001). higher among (54/79, 68.4%) (89/108, 82.4%). Referral HFs (>39 beds) had highest prevalence (148/579, 25.6%). Among with at least one infection, 50.0% (98/196) privately owned.Nurses traditional healers should be targeted infection prevention control training, supportive supervision provided mitigate transmission.