The concept and belief in the idea of “biocontainment” has undergone significant evolution during the past 20 years. The authors believe that the time is right to move to the next phase of this evolution to reassess establishment of formal standards for what constitutes a biocontainment unit and what diseases might be considered for admission to a biocontainment unit.
Get full access to this article
View all access options for this article.
References
1.
KortepeterMG, KwonEH, HewlettAL, SmithPW, CieslakTJ. Containment care units for managing patients with highly hazardous infectious diseases: a concept whose time has come. J Infect Dis, 2016; 214(suppl 3):S137-S141.
2.
Centers for Disease Control and Prevention. Imported case of Marburg hemorrhagic fever—Colorado, 2008. MMWR Morb Mortal Wkly Rep, 2009; 58(49):1377-1381.
3.
Centers for Disease Control and Prevention. Imported Lassa fever—New Jersey, 2004. MMWR Morb Mortal Wkly Rep, 2004; 53(38):894-897.
4.
Poor planning, communication lead to missteps in care of Ebola patient. ED Manag, 2015; 27(11):121-126.
5.
KortepeterMG, SmithPW, HewlettA, CieslakTJ. Caring for patients with Ebola: a challenge in any care facility. Ann Int Med, 2015; 162(1):68-69.
6.
Centers for Disease Control and Prevention. Interim guidance for U.S. hospital preparedness for patients under investigation (PUIs) or with confirmed Ebola virus disease (EVD): a framework for a tiered approach. Updated August28, 2015. https://www.cdc.gov/vhf/ebola/healthcare-us/preparing/hospitals.html. Accessed December4, 2018.
7.
GibbsSG, LoweJJ, LeAB, HersteinJJ, BiddingerPD. Ebola virus disease preparations do not protect the United States against other infectious outbreaks. Am J Pub Health, 2018; 108(10):1327-1329.
8.
KratochvilCJ, EvansL, RibnerBS, et al.The National Ebola Training and Education Center: preparing the United States for Ebola and other special pathogens. Health Secur, 2017; 15(3):253-260.
9.
SmithPW, AndersonAO, ChristopherGW, et al.Designing a biocontainment unit to care for patients with serious communicable diseases: a consensus statement. Biosecur Bioterror, 2006; 4(4):351-365.
10.
BannisterB, PuroV, FuscoFM, HeptonstallJ, IppolitoG; EUNID Working Group. Framework for the design and operation of high-level isolation units: consensus of the European network of infectious diseases. Lancet Infect Dis, 2009; 9(1):45-56.
11.
BrougquiP, PuroV, FuscoFM, et al; EUNID Working Group. Infection control in the management of highly pathogenic infectious diseases: consensus of the European Network of Infectious Diseases. Lancet Infect Dis, 2009; 9(5):301-311.
12.
HersteinJJ, BiddingerPD, KraftCS, et al.Current capabilities and capacity of Ebola treatment centers in the United States. Infect Control Hosp Epidemiol, 2016; 37(3):313-318.
