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Question to those working on Ebola in charge of feeding patients

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Mija Ververs

Normal user

3 Dec 2018, 22:47

Dear colleagues.
In 2014, WHO launched interim guidelines on Nutritional care of children and adults with Ebola Virus Disease. I would like to know whether these guidelines have been useful in your work in Ebola Treatment Centers.

1. Did you use these guidelines then or are you currently using them in DRC? (I know that the 2014 WHO guidelines are also now established for DRC in a more or less similar form).

2. If you have not been using them then or now in DRC, is there a specific reason for that?

3. Do you think these guidelines are useful? Are they practical? Feasible? Clear? If not, why? How should they be adjusted?

4. Have you developed other guidance that you are using to feed the EVD infected patients?

5. Lastly, does anyone know whether these 2014 WHO guidelines ever have been evaluated? (how they were used, etc)


I very much appreciate your thoughts on this. Thanks so much!
Mija

Indi Trehan

Normal user

6 Dec 2018, 00:48

Dear Mija,

I worked in an ETC in Sierra Leone in 2015.

We did not find the WHO Guideline particularly useful or practical in a real ETC setting. They are a good idea but simply didn't work for us and so we wrote our own guidelines. Our version was certainly not perfect but given the resources and time constraints we had, we felt this was the best we could do at the moment. The general principle was to go to push heavily on RUTF or BP-100 feedings given that local foods were actually not being eaten and would sit there and rot in the heat. You can see our guidelines at: https://drive.google.com/file/d/0B2VaL2OcPk-4X25sYnpMdGkxLVE/view?usp=sharing

I don't think anyone has evaluated the guidelines or nutritional recommendations for Ebola patients, but if there is an opportunity to evaluate the nutritional recommendations further, I would be happy to collaborate and help out.

indi

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