Ebola virus disease: Case management in the Institute of Infectious Diseases, University Hospital of Sassari, Sardinia, Italy

  • Giulia Bertoli University Hospital of Sassari, Sassari, Italy
  • Marco Mannazzu University Hospital of Sassari, Sassari, Italy
  • Giordano Madeddu University Hospital of Sassari, Sassari, Italy
  • Riccardo Are University Hospital of Sassari, Sassari, Italy
  • Alberto Muredda University Hospital of Sassari, Sassari, Italy
  • Sergio Babudieri University Hospital of Sassari, Sassari, Italy
  • Giovanna Calia University Hospital of Sassari, Sassari, Italy
  • Carla Lovigu University Hospital of Sassari, Sassari, Italy
  • Ivana Maida University Hospital of Sassari, Sassari, Italy
  • Luciana Contini Public Health Office, Sassari, Italy
  • Anna Miscali Public Health Office, Sassari, Italy
  • Salvatore Rubino University of Sassari, Sassari, Italy
  • Fiorenzo Delogu Public Health Office, Sassari, Italy
  • Maria Stella Mura University Hospital of Sassari, Sassari, Italy
Keywords: EVD, Italy

Abstract

Since the onset of the worst epidemic of Ebola virus disease in December 2013, 28,637 cases were reported as confirmed, probable, or suspected. Since the week of 3 January 2016, no more cases have been reported. The total number of deaths have amounted to 11,315 (39.5%). In developed countries, seven cases have been diagnosed: four in the United States, one in Spain, one in the United Kingdom, and one in Italy. On 20 July 2015, Italy was declared Ebola-free.

On 9 May 2015, an Italian health worker came back to Italy after a long stay in Sierra Leone working for a non-governmental organization. Forty-eight hours after his arrival, he noticed headache, weakness, muscle pains, and slight fever. The following day, he was safely transported to the Infectious Diseases Unit of University Hospital of Sassari. The patient was hospitalized for 19 hours until an Italian Air Force medical division transferred him to Rome, to the Lazzaro Spallanzani Institute. Nineteen people who had contacts with the patient were monitored daily for 21 days by the Public Health Office of Sassari and none presented any symptoms.

So far, neither vaccine nor treatment is available to be proposed on an international scale. Ebola is considered a re-emerging infectious disease which, unlike in the past, has been a worldwide emergency. This case study aimed to establish a discussion about the operative and logistic difficulties to be faced and about the discrepancy arising when protocols clash with the reality of facts.

Author Biographies

Giulia Bertoli, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Marco Mannazzu, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Giordano Madeddu, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Riccardo Are, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Alberto Muredda, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Sergio Babudieri, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Giovanna Calia, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Carla Lovigu, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Ivana Maida, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Salvatore Rubino, University of Sassari, Sassari, Italy
Microbiology Unit, Biomedical Science Department
Maria Stella Mura, University Hospital of Sassari, Sassari, Italy
Institute of Infectious Disease
Published
2016-05-31
How to Cite
1.
Bertoli G, Mannazzu M, Madeddu G, Are R, Muredda A, Babudieri S, Calia G, Lovigu C, Maida I, Contini L, Miscali A, Rubino S, Delogu F, Mura MS (2016) Ebola virus disease: Case management in the Institute of Infectious Diseases, University Hospital of Sassari, Sardinia, Italy. J Infect Dev Ctries 10:537-543. doi: 10.3855/jidc.8203
Section
Case Reports