Implementation of a Symptomatic Approach Leads to Increased Efficiency of a Cholera Treatment Unit

Eduardo Ticona Hospital Nacional Dos de Mayo, Lima, Perú; Universidad Nacional Mayor de San Marcos, Lima, Peru; Universidad de San Martin de Porres, Lima, Peru; Departments of Infectious Diseases and Medical Microbiology, St. George's University Hospital, London, United Kingdom; Department of Global Health, University of Washington, Seattle, Washington; Department of International Health, Johns Hopkins University, Baltimore, Maryland

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Daniela E. Kirwan Hospital Nacional Dos de Mayo, Lima, Perú; Universidad Nacional Mayor de San Marcos, Lima, Peru; Universidad de San Martin de Porres, Lima, Peru; Departments of Infectious Diseases and Medical Microbiology, St. George's University Hospital, London, United Kingdom; Department of Global Health, University of Washington, Seattle, Washington; Department of International Health, Johns Hopkins University, Baltimore, Maryland

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Jaime Soria Hospital Nacional Dos de Mayo, Lima, Perú; Universidad Nacional Mayor de San Marcos, Lima, Peru; Universidad de San Martin de Porres, Lima, Peru; Departments of Infectious Diseases and Medical Microbiology, St. George's University Hospital, London, United Kingdom; Department of Global Health, University of Washington, Seattle, Washington; Department of International Health, Johns Hopkins University, Baltimore, Maryland

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Robert H. Gilman Hospital Nacional Dos de Mayo, Lima, Perú; Universidad Nacional Mayor de San Marcos, Lima, Peru; Universidad de San Martin de Porres, Lima, Peru; Departments of Infectious Diseases and Medical Microbiology, St. George's University Hospital, London, United Kingdom; Department of Global Health, University of Washington, Seattle, Washington; Department of International Health, Johns Hopkins University, Baltimore, Maryland

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Cholera is a disease of poverty that remains prevalent in resource-limited countries. The abrupt emergence of an epidemic frequently takes communities and health systems by surprise. Spread is rapid and initial mortality high: delays in organizing an appropriate response, lack of health worker training, and high patient numbers contribute to high rates of complications and deaths.

Author Notes

* Address correspondence to Eduardo Ticona, Hospital Nacional Dos de Mayo Av. Grau Nro. 1300 Parque Historia de la Medicina Peruana, Lima 11, Perú. E-mail: eticonacrg@gmail.com

Financial support: Self-financed.

Authors' addresses: Eduardo Ticona and Jaime Soria, Hospital Nacional Dos De Mayo, Infectious Diseases, Lima, Peru, E-mail: eticonacrg@gmail.com and jaime9504@yahoo.es. Daniela E. Kirwan, St. George?s University, Departments of Infectious Diseases and Medical Microbiology, London, UK, E-mail: dannikirwan@yahoo.com. Robert H. Gilman, Johns Hopkins University, Department of International Health, Baltimore, MD, E-mail: gilmanbob@gmail.com.

  • 1.

    Sack DA, Sack RB, Chaignat CL, 2006. Getting serious about cholera. N Engl J Med 355: 649651.

  • 2.

    Seas C, Gotuzzo E, 2009. Vibrio cholera. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Churchill and Livingstone, eds. Philadelphia, PA: Elsevier, 27772791.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    WHO, 2003. Cholera: the prototype “global” disease. Communicable Diseases 2002: Global Defense against the Infectious Diseases Threat. Hourfar MK et al., eds. Geneva: World Health Organization, 7475.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Chin CS, Sorenson J, Harris JB, Robins WP, Charles RC, Jean-Charles RR, Bullard J, Webster DR, Kasarskis A, Peluso P, Paxinos EE, Yamaichi Y, Calderwood SB, Mekalanos JJ, Schadt EE, Waldor MK, 2011. The origin of the Haitian cholera outbreakstrain. N Engl J Med 364: 3342.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Eberhart-Phillips J, Besser RE, Tormey MP, Koo D, Feikin D, Araneta MR, Wells J, Kilman L, Rutherford GW, Griffin PM, Baron R, Mascola L, 1996. An outbreak of cholera from food served on an international aircraft. Epidemiol Infect 116: 913.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    WHO, 2010. Oral Rehydration Salts to Reduce Mortality from Cholera. Geneva: World Health Organization.

  • 7.

    Bahamonde Harvez C, Ávila VS, 2013. La epidemia de cólera en América Latina: reemergencia y morbimortalidad. Rev Panam Salud Publica 33: 4046.

  • 8.

    Barzilay EJ, Schaad N, Magloire R, Mung KS, Boncy J, Dahourou GA, Mintz ED, Steenland MW, Vertefeuille JF, Tappero JW, 2013. Cholera surveillance during the Haiti epidemic: the first 2 years. N Engl J Med 368: 599609.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Sack DA, Sack RB, Nair GB, Siddique AK, 2004. Cholera. Lancet 363: 223233.

  • 10.

    Guevart E, Noeske J, Solle J, Essomba JM, Edjenguele M, Bita A, Mouangue A, Manga B, 2006. Factors contributing to endemic cholera in Douala, Cameroon. Med Trop 66: 283291.

  • 11.

    Piarroux R, 2002. Management of a cholera epidemic by a humanitarian organization. Med Trop 62: 361367.

  • 12.

    Gotuzzo E, Cieza J, Estremadoyro L, Seas C, 1994. Cholera. Lessons from the epidemic in Peru. Infect Dis Clin North Am 8: 183205.

  • 13.

    Kakar F, Ahmadzai AH, Habib N, Taqdeer A, Hartman AF, 2008. A successful response to an outbreak of cholera in Afghanistan. Trop Doct 38: 1720.

  • 14.

    Bauernfeind A, Croisier A, Fesselet J-F, Herp M, Le Saoût E, Mc Cluskey J, Welmoet Tuynman W, 2004. Cholera Guidelines. Blok L, Henkens M, Thomas E, eds. Paris, France: Medecins Sans Frontieres.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Global Task Force on Cholera Control, 2010. Cholera Outbreak: Assessing the Outbreak Response and Improving Preparedness. Geneva: World Health Organization.

  • 16.

    WHO, 1993. Guidelines for Cholera Control. Geneva: World Health Organization.

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