{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T09:42:33Z","timestamp":1787737353110,"version":"build-2784847793"},"reference-count":9,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,2,4]]},"abstract":"<jats:p>The outbreak of Ebola virus disease (EVD) in West Africa has outstripped available resources. Novel strategies are desperately needed to streamline operations. The present norm of requiring negative results on polymerase chain reaction for EVD convalescent patients to be discharged is not evidence-based and often results in asymptomatic patients competing for beds in dangerously crowded Ebola Treatment Units, posing risks to ward staff and patients and the community if infected persons are turned away. We summarize the relevant data and call for a change in discharge criteria for convalescent patients that can safely help reduce the strain on resources and direct energies where they are most needed. In the longer term, research is needed to assess the true infectivity of EVD convalescent patients to establish evidence-based criteria and guidelines for discharge.<\/jats:p>","DOI":"10.4269\/ajtmh.14-0719","type":"journal-article","created":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T05:01:27Z","timestamp":1417496487000},"page":"238-239","source":"Crossref","is-referenced-by-count":18,"title":["Rethinking the Discharge Policy for Ebola Convalescents in an Accelerating Epidemic"],"prefix":"10.4269","volume":"92","author":[{"given":"Tim","family":"O'Dempsey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Humarr","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel G.","family":"Bausch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"R1","article-title":"WHO Statement on the Meeting of the International Health Regulations Emergency Committee Regarding the 2014 Ebola Outbreak in West Africa","author":"World Health Organization","year":"2014"},{"key":"R2","series-title":"PLoS Negl Trop Dis","first-page":"e3056","article-title":"Outbreak of Ebola virus disease in Guinea: where ecology meets economy","volume":"8","author":"Bausch","year":"2014"},{"key":"R3","series-title":"N Engl J Med","first-page":"1084","article-title":"Ebola: underscoring the global disparities in health care resources","volume":"371","author":"Fauci","year":"2014"},{"key":"R4","series-title":"Clinical Management of Patients with Viral Hemorrhagic Fever","author":"World Health Organization","year":"2014"},{"issue":"(Suppl 1)","key":"R5","series-title":"J Infect Dis","first-page":"S177","article-title":"Clinical virology of Ebola hemorrhagic fever (EHF): virus, virus antigen, and IgG and IgM antibody findings among EHF patients in Kikwit, Democratic Republic of the Congo, 1995","volume":"179","author":"Ksiazek","year":"1999"},{"issue":"(Suppl 1)","key":"R6","series-title":"J Infect Dis","first-page":"S87","article-title":"Transmission of Ebola hemorrhagic fever: a study of risk factors in family members, Kikwit, Democratic Republic of the Congo, 1995. Commission de Lutte contre les Epidemies a Kikwit","volume":"179","author":"Dowell","year":"1999"},{"issue":"(Suppl 1)","key":"R7","series-title":"J Infect Dis","first-page":"S28","article-title":"Clinical, virologic, and immunologic follow-up of convalescent Ebola hemorrhagic fever patients and their household contacts, Kikwit, Democratic Republic of the Congo. Commission de Lutte contre les Epidemies a Kikwit","volume":"179","author":"Rowe","year":"1999"},{"issue":"(Suppl 2)","key":"R8","series-title":"J Infect Dis","first-page":"S142","article-title":"Assessment of the risk of Ebola virus transmission from bodily fluids and fomites","volume":"196","author":"Bausch","year":"2007"},{"issue":"(Suppl 1)","key":"R9","series-title":"J Infect Dis","first-page":"S170","article-title":"Persistence and genetic stability of Ebola virus during the outbreak in Kikwit, Democratic Republic of the Congo, 1995","volume":"179","author":"Rodriguez","year":"1999"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/92\/2\/article-p238.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/92\/2\/article-p238.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/92\/2\/article-p238.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T19:30:42Z","timestamp":1723059042000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/92\/2\/article-p238.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,4]]},"references-count":9,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.14-0719","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,4]]}}}