{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:25:36Z","timestamp":1790616336387,"version":"4.1.0"},"reference-count":17,"publisher":"CAIRN","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,22]]},"abstract":"<jats:p>Introduction\u00a0: Dans le contexte d\u2019une \u00e9pid\u00e9mie, l\u2019identification de cas suspects , parmi des cas alertes ou contacts , conduit \u00e0 prendre en charge des personnes dont seulement une minorit\u00e9 deviendront des cas confirm\u00e9s apr\u00e8s un diagnostic de laboratoire. Comment les cas suspects sont-ils trait\u00e9s et vivent-ils leur prise en charge jusqu\u2019au test\u00a0? Avec quels effets m\u00e9dicaux et sociaux\u00a0? M\u00e9thode\u00a0: Une \u00e9tude qualitative a \u00e9t\u00e9 men\u00e9e dans deux pays en situation de haut risque \u00e9pid\u00e9mique pour Ebola en 2015-2016 (S\u00e9n\u00e9gal, C\u00f4te d\u2019Ivoire). Sur la base d\u2019entretiens aupr\u00e8s de personnes ayant \u00e9t\u00e9 cas suspects et de soignants, 12\u00a0itin\u00e9raires de prise en charge ont \u00e9t\u00e9 retrac\u00e9s concernant 20 personnes. R\u00e9sultats\u00a0: Les r\u00e9cits r\u00e9v\u00e8lent la perception de d\u00e9faillances\u00a0: moyens et pr\u00e9paration des services insuffisants\u00a0; besoins vitaux et sympt\u00f4mes peu trait\u00e9s\u00a0; absence d\u2019\u00e9coute, d\u2019explication et de consid\u00e9ration pour l\u2019entourage\u00a0; souffrance des patients du fait d\u2019un isolement producteur de violence\u00a0; effets sociaux secondaires non g\u00e9r\u00e9s. Ces r\u00e9sultats peuvent \u00eatre expliqu\u00e9s notamment par la focalisation des soignants sur le diagnostic d\u2019Ebola au d\u00e9triment de la personne malade, la crainte de la contagion et la pr\u00e9paration insuffisante des espaces d\u2019isolement au moment de la prise en charge. Conclusion\u00a0: L\u2019\u00e9tude montre les \u00e9cueils possibles des dispositifs de surveillance, qui peuvent identifier un nombre croissant de cas suspects, si les services qui les accueillent ne sont pas suffisamment pr\u00e9par\u00e9s. Les recommandations issues de ces r\u00e9sultats devraient guider notamment la d\u00e9finition des proc\u00e9dures op\u00e9rationnelles et la formation des professionnels de sant\u00e9.<\/jats:p>","DOI":"10.3917\/spub.185.0565","type":"journal-article","created":{"date-parts":[[2018,11,7]],"date-time":"2018-11-07T01:25:51Z","timestamp":1541553951000},"page":"565-574","source":"Crossref","is-referenced-by-count":9,"title":["Patients n\u00e9glig\u00e9s, effets impr\u00e9vus. L\u2019exp\u00e9rience des cas suspects de maladie \u00e0 virus Ebola"],"prefix":"10.3917","volume":"Vol. 30","author":[{"given":"Alice","family":"Desclaux","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magne Sandrine","family":"Malan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Egrot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Akind\u00e8s","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khoudia","family":"Sow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"crossref","unstructured":"1WHO Ebola Response Team. After Ebola in West Africa \u2014 Unpredictable Risks, Preventable Epidemics. 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