Serveur d'exploration sur le Covid à Stanford

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Infectious Diseases Society of America Guidelines on Infection Prevention for Health Care Personnel Caring for Patients with Suspected or Known COVID-19.

Identifieur interne : 000502 ( Main/Exploration ); précédent : 000501; suivant : 000503

Infectious Diseases Society of America Guidelines on Infection Prevention for Health Care Personnel Caring for Patients with Suspected or Known COVID-19.

Auteurs : John B. Lynch [États-Unis] ; Perica Davitkov [États-Unis] ; Deverick J. Anderson [États-Unis] ; Adarsh Bhimraj [États-Unis] ; Vincent Chi-Chung Cheng [République populaire de Chine] ; Judith Guzman-Cottrill [États-Unis] ; Jasmine Dhindsa [États-Unis] ; Abhijit Duggal [États-Unis] ; Mamta K. Jain [États-Unis] ; Grace M. Lee [États-Unis] ; Stephen Y. Liang [États-Unis] ; Allison Mcgeer [Canada] ; Valery Lavergne [Canada] ; M Hassan Murad [États-Unis] ; Reem A. Mustafa [États-Unis] ; Rebecca L. Morgan [Canada] ; Yngve Falck-Ytter [États-Unis] ; Shahnaz Sultan [États-Unis]

Source :

RBID : pubmed:32716496

Abstract

BACKGROUND

SARS-CoV-2 is a highly transmissible virus that can infect health care personnel and patients in health care settings. Specific care activities, in particular aerosol-generating procedures, may have a higher risk of transmission. The rapid emergence and global spread of SARS-CoV-2 has created significant challenges in health care facilities, particularly with severe shortages of personal protective equipment (PPE) used to protect health care personnel (HCP). Evidence-based recommendations for what PPE to use in conventional, contingency, and crisis standards of care are needed. Where evidence is lacking, the development of specific research questions can help direct funders and investigators.

OBJECTIVE

Develop evidence-based rapid guidelines intended to support HCP in their decisions about infection prevention when caring for patients with suspected or known COVID-19.

METHODS

IDSA formed a multidisciplinary guideline panel including front-line clinicians, infectious disease specialists, experts in infection control and guideline methodologists with representation from the disciplines of preventive care, public health, medical microbiology, pediatrics, critical care medicine and gastroenterology. The process followed a rapid recommendation checklist. The panel prioritized questions and outcomes. Then a systematic review of the peer-reviewed and grey literature was conducted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the certainty of evidence and make recommendations.

RESULTS

The IDSA guideline panel agreed on eight recommendations and provided narrative summaries of other interventions undergoing evaluations.

CONCLUSIONS

Using a combination of direct and indirect evidence, the panel was able to provide recommendations for eight specific questions on the use of PPE for HCP providing care for patients with suspected or known COVID-19. Where evidence was lacking, attempts were made to provide potential avenues for investigation. There remain significant gaps in the understanding of the transmission dynamics of SARS-CoV-2 and PPE recommendations may need to be modified in response to new evidence.


DOI: 10.1093/cid/ciaa1063
PubMed: 32716496
PubMed Central: PMC7454357


Affiliations:


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<region type="state">Kansas</region>
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<nlm:affiliation>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario.</nlm:affiliation>
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<region type="province">Ontario</region>
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<wicri:cityArea>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton</wicri:cityArea>
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<name sortKey="Falck Ytter, Yngve" sort="Falck Ytter, Yngve" uniqKey="Falck Ytter Y" first="Yngve" last="Falck-Ytter">Yngve Falck-Ytter</name>
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<region type="state">Ohio</region>
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<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Minnesota</region>
</placeName>
<wicri:cityArea>Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis VA Health care System, Minneapolis</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title>
<idno type="eISSN">1537-6591</idno>
<imprint>
<date when="2020" type="published">2020</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>SARS-CoV-2 is a highly transmissible virus that can infect health care personnel and patients in health care settings. Specific care activities, in particular aerosol-generating procedures, may have a higher risk of transmission. The rapid emergence and global spread of SARS-CoV-2 has created significant challenges in health care facilities, particularly with severe shortages of personal protective equipment (PPE) used to protect health care personnel (HCP). Evidence-based recommendations for what PPE to use in conventional, contingency, and crisis standards of care are needed. Where evidence is lacking, the development of specific research questions can help direct funders and investigators.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>Develop evidence-based rapid guidelines intended to support HCP in their decisions about infection prevention when caring for patients with suspected or known COVID-19.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>IDSA formed a multidisciplinary guideline panel including front-line clinicians, infectious disease specialists, experts in infection control and guideline methodologists with representation from the disciplines of preventive care, public health, medical microbiology, pediatrics, critical care medicine and gastroenterology. The process followed a rapid recommendation checklist. The panel prioritized questions and outcomes. Then a systematic review of the peer-reviewed and grey literature was conducted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the certainty of evidence and make recommendations.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>The IDSA guideline panel agreed on eight recommendations and provided narrative summaries of other interventions undergoing evaluations.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Using a combination of direct and indirect evidence, the panel was able to provide recommendations for eight specific questions on the use of PPE for HCP providing care for patients with suspected or known COVID-19. Where evidence was lacking, attempts were made to provide potential avenues for investigation. There remain significant gaps in the understanding of the transmission dynamics of SARS-CoV-2 and PPE recommendations may need to be modified in response to new evidence.</p>
</div>
</front>
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<DateRevised>
<Year>2020</Year>
<Month>09</Month>
<Day>01</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1537-6591</ISSN>
<JournalIssue CitedMedium="Internet">
<PubDate>
<Year>2020</Year>
<Month>Jul</Month>
<Day>27</Day>
</PubDate>
</JournalIssue>
<Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title>
<ISOAbbreviation>Clin Infect Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Infectious Diseases Society of America Guidelines on Infection Prevention for Health Care Personnel Caring for Patients with Suspected or Known COVID-19.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">SARS-CoV-2 is a highly transmissible virus that can infect health care personnel and patients in health care settings. Specific care activities, in particular aerosol-generating procedures, may have a higher risk of transmission. The rapid emergence and global spread of SARS-CoV-2 has created significant challenges in health care facilities, particularly with severe shortages of personal protective equipment (PPE) used to protect health care personnel (HCP). Evidence-based recommendations for what PPE to use in conventional, contingency, and crisis standards of care are needed. Where evidence is lacking, the development of specific research questions can help direct funders and investigators.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Develop evidence-based rapid guidelines intended to support HCP in their decisions about infection prevention when caring for patients with suspected or known COVID-19.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">IDSA formed a multidisciplinary guideline panel including front-line clinicians, infectious disease specialists, experts in infection control and guideline methodologists with representation from the disciplines of preventive care, public health, medical microbiology, pediatrics, critical care medicine and gastroenterology. The process followed a rapid recommendation checklist. The panel prioritized questions and outcomes. Then a systematic review of the peer-reviewed and grey literature was conducted. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the certainty of evidence and make recommendations.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The IDSA guideline panel agreed on eight recommendations and provided narrative summaries of other interventions undergoing evaluations.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Using a combination of direct and indirect evidence, the panel was able to provide recommendations for eight specific questions on the use of PPE for HCP providing care for patients with suspected or known COVID-19. Where evidence was lacking, attempts were made to provide potential avenues for investigation. There remain significant gaps in the understanding of the transmission dynamics of SARS-CoV-2 and PPE recommendations may need to be modified in response to new evidence.</AbstractText>
<CopyrightInformation>© The Author(s) 2020. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.</CopyrightInformation>
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<Author ValidYN="Y">
<LastName>Lynch</LastName>
<ForeName>John B</ForeName>
<Initials>JB</Initials>
<AffiliationInfo>
<Affiliation>Department of Medicine, Division of Allergy and Infectious Diseases, University of Washington, Seattle, Washington.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Davitkov</LastName>
<ForeName>Perica</ForeName>
<Initials>P</Initials>
<AffiliationInfo>
<Affiliation>VA Northeast Ohio Healthcare System, Case Western Reserve University School of Medicine, Cleveland, Ohio.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Anderson</LastName>
<ForeName>Deverick J</ForeName>
<Initials>DJ</Initials>
<AffiliationInfo>
<Affiliation>Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University School of Medicine, Durham, North Carolina.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bhimraj</LastName>
<ForeName>Adarsh</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Infectious Diseases, Cleveland Clinic, Cleveland, Ohio.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cheng</LastName>
<ForeName>Vincent Chi-Chung</ForeName>
<Initials>VC</Initials>
<AffiliationInfo>
<Affiliation>Queen Mary Hospital, Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Guzman-Cottrill</LastName>
<ForeName>Judith</ForeName>
<Initials>J</Initials>
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<Affiliation>Department of Pediatrics, Division of Infectious Diseases, Oregon Health and Science University, Portland, Oregon.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Dhindsa</LastName>
<ForeName>Jasmine</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Renown Health, University of Nevada, Reno, Nevada.</Affiliation>
</AffiliationInfo>
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<LastName>Duggal</LastName>
<ForeName>Abhijit</ForeName>
<Initials>A</Initials>
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</AffiliationInfo>
</Author>
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<LastName>Jain</LastName>
<ForeName>Mamta K</ForeName>
<Initials>MK</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine, Division of Infectious Diseases, UT Southwestern Medical Center, Dallas, Texas.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lee</LastName>
<ForeName>Grace M</ForeName>
<Initials>GM</Initials>
<AffiliationInfo>
<Affiliation>Department of Pediatrics-Infectious Disease, Stanford University School of Medicine, Stanford, California.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Liang</LastName>
<ForeName>Stephen Y</ForeName>
<Initials>SY</Initials>
<AffiliationInfo>
<Affiliation>Divisions of Infectious Diseases and Emergency Medicine, Washington University School of Medicine, St. Louis, Missouri.</Affiliation>
</AffiliationInfo>
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<LastName>McGeer</LastName>
<ForeName>Allison</ForeName>
<Initials>A</Initials>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lavergne</LastName>
<ForeName>Valery</ForeName>
<Initials>V</Initials>
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</AffiliationInfo>
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<LastName>Murad</LastName>
<ForeName>M Hassan</ForeName>
<Initials>MH</Initials>
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<Affiliation>Division of Preventive Medicine, Mayo Clinic, Rochester, Minnesota.</Affiliation>
</AffiliationInfo>
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<ForeName>Reem A</ForeName>
<Initials>RA</Initials>
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<Affiliation>Division of Nephrology and Hypertension, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Morgan</LastName>
<ForeName>Rebecca L</ForeName>
<Initials>RL</Initials>
<AffiliationInfo>
<Affiliation>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Falck-Ytter</LastName>
<ForeName>Yngve</ForeName>
<Initials>Y</Initials>
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<Affiliation>VA Northeast Ohio Healthcare System, Case Western Reserve University School of Medicine, Cleveland, Ohio.</Affiliation>
</AffiliationInfo>
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<LastName>Sultan</LastName>
<ForeName>Shahnaz</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis VA Health care System, Minneapolis, Minnesota.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
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<Month>07</Month>
<Day>27</Day>
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<Country>United States</Country>
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<ISSNLinking>1058-4838</ISSNLinking>
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<Month>04</Month>
<Day>30</Day>
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<Month>7</Month>
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<li>Canada</li>
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<li>Californie</li>
<li>Caroline du Nord</li>
<li>Kansas</li>
<li>Minnesota</li>
<li>Missouri (État)</li>
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<name sortKey="Duggal, Abhijit" sort="Duggal, Abhijit" uniqKey="Duggal A" first="Abhijit" last="Duggal">Abhijit Duggal</name>
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<name sortKey="Jain, Mamta K" sort="Jain, Mamta K" uniqKey="Jain M" first="Mamta K" last="Jain">Mamta K. Jain</name>
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<name sortKey="Murad, M Hassan" sort="Murad, M Hassan" uniqKey="Murad M" first="M Hassan" last="Murad">M Hassan Murad</name>
<name sortKey="Mustafa, Reem A" sort="Mustafa, Reem A" uniqKey="Mustafa R" first="Reem A" last="Mustafa">Reem A. Mustafa</name>
<name sortKey="Sultan, Shahnaz" sort="Sultan, Shahnaz" uniqKey="Sultan S" first="Shahnaz" last="Sultan">Shahnaz Sultan</name>
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<name sortKey="Cheng, Vincent Chi Chung" sort="Cheng, Vincent Chi Chung" uniqKey="Cheng V" first="Vincent Chi-Chung" last="Cheng">Vincent Chi-Chung Cheng</name>
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<country name="Canada">
<region name="Ontario">
<name sortKey="Mcgeer, Allison" sort="Mcgeer, Allison" uniqKey="Mcgeer A" first="Allison" last="Mcgeer">Allison Mcgeer</name>
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