Viral hemorrhagic fevers: advancing the level of treatment

<p>Abstract</p> <p>The management of viral hemorrhagic fevers (VHFs) has mainly focused on strict infection control measures, while standard clinical interventions that are provided to patients with other life-threatening conditions are rarely offered to patients with VHFs. Despite...

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Main Authors: Ippolito Giuseppe, Feldmann Heinz, Lanini Simone, Vairo Francesco, Di Caro Antonino, Capobianchi Maria, Nicastri Emanuele
Format: Article
Language:English
Published: BMC 2012-03-01
Series:BMC Medicine
Subjects:
Online Access:http://www.biomedcentral.com/1741-7015/10/31
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author Ippolito Giuseppe
Feldmann Heinz
Lanini Simone
Vairo Francesco
Di Caro Antonino
Capobianchi Maria
Nicastri Emanuele
author_facet Ippolito Giuseppe
Feldmann Heinz
Lanini Simone
Vairo Francesco
Di Caro Antonino
Capobianchi Maria
Nicastri Emanuele
author_sort Ippolito Giuseppe
collection DOAJ
description <p>Abstract</p> <p>The management of viral hemorrhagic fevers (VHFs) has mainly focused on strict infection control measures, while standard clinical interventions that are provided to patients with other life-threatening conditions are rarely offered to patients with VHFs. Despite its complexity, a proper clinical case management of VHFs is neither futile nor is it lacking in scientific rationale. Given that patient outcomes improve when treatment is started as soon as possible, development and implementation of protocols to promptly identify and treat patients in the earliest phases of diseases are urgently needed. Different pharmacological options have been proposed to manage patients and, as for other life-threatening conditions, advanced life support has been proved effective to address multiorgan failure. In addition, high throughput screening of small molecular libraries has emerged as a novel promising way to find new candidates drugs for VHFs therapy and a relevant number of new molecules are currently under investigation. Here we discuss the current knowledge about VHF clinical management to propose a way to step up the approach to VHFs beyond the mere application of infection control measures.</p>
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spelling doaj.art-6056c3de53c24d6cb89abcbb2d5e2be02022-12-21T18:50:14ZengBMCBMC Medicine1741-70152012-03-011013110.1186/1741-7015-10-31Viral hemorrhagic fevers: advancing the level of treatmentIppolito GiuseppeFeldmann HeinzLanini SimoneVairo FrancescoDi Caro AntoninoCapobianchi MariaNicastri Emanuele<p>Abstract</p> <p>The management of viral hemorrhagic fevers (VHFs) has mainly focused on strict infection control measures, while standard clinical interventions that are provided to patients with other life-threatening conditions are rarely offered to patients with VHFs. Despite its complexity, a proper clinical case management of VHFs is neither futile nor is it lacking in scientific rationale. Given that patient outcomes improve when treatment is started as soon as possible, development and implementation of protocols to promptly identify and treat patients in the earliest phases of diseases are urgently needed. Different pharmacological options have been proposed to manage patients and, as for other life-threatening conditions, advanced life support has been proved effective to address multiorgan failure. In addition, high throughput screening of small molecular libraries has emerged as a novel promising way to find new candidates drugs for VHFs therapy and a relevant number of new molecules are currently under investigation. Here we discuss the current knowledge about VHF clinical management to propose a way to step up the approach to VHFs beyond the mere application of infection control measures.</p>http://www.biomedcentral.com/1741-7015/10/31clinical managementinnovative therapeuticsviral hemorrhagic fever
spellingShingle Ippolito Giuseppe
Feldmann Heinz
Lanini Simone
Vairo Francesco
Di Caro Antonino
Capobianchi Maria
Nicastri Emanuele
Viral hemorrhagic fevers: advancing the level of treatment
BMC Medicine
clinical management
innovative therapeutics
viral hemorrhagic fever
title Viral hemorrhagic fevers: advancing the level of treatment
title_full Viral hemorrhagic fevers: advancing the level of treatment
title_fullStr Viral hemorrhagic fevers: advancing the level of treatment
title_full_unstemmed Viral hemorrhagic fevers: advancing the level of treatment
title_short Viral hemorrhagic fevers: advancing the level of treatment
title_sort viral hemorrhagic fevers advancing the level of treatment
topic clinical management
innovative therapeutics
viral hemorrhagic fever
url http://www.biomedcentral.com/1741-7015/10/31
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AT vairofrancesco viralhemorrhagicfeversadvancingtheleveloftreatment
AT dicaroantonino viralhemorrhagicfeversadvancingtheleveloftreatment
AT capobianchimaria viralhemorrhagicfeversadvancingtheleveloftreatment
AT nicastriemanuele viralhemorrhagicfeversadvancingtheleveloftreatment