Pragmatic Recommendations for Safety while Caring for Hospitalized Patients with COVID-19 in Low- and Middle-Income Countries.
Am J Trop Med Hyg
; 104(3_Suppl): 12-24, 2020 Dec 22.
Article
in English
| MEDLINE | ID: covidwho-1000463
ABSTRACT
Infection prevention and control measures to control the spread of COVID-19 are challenging to implement in many low- and middle-income countries (LMICs). This is compounded by the fact that most recommendations are based on evidence that mainly originates in high-income countries. There are often availability, affordability, and feasibility barriers to applying such recommendations in LMICs, and therefore, there is a need for developing recommendations that are achievable in LMICs. We used a modified version of the GRADE method to select important questions, searched the literature for relevant evidence, and formulated pragmatic recommendations for safety while caring for patients with COVID-19 in LMICs. We selected five questions related to safety, covering minimal requirements for personal protective equipment (PPE), recommendations for extended use and reuse of PPE, restriction on the number of times healthcare workers enter patients' rooms, hand hygiene, and environmental ventilation. We formulated 21 recommendations that are feasible and affordable in LMICs.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Safety
/
Infection Control
/
Practice Guidelines as Topic
/
Delivery of Health Care
/
Developing Countries
/
COVID-19
/
Medical Staff, Hospital
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Am J Trop Med Hyg
Year:
2020
Document Type:
Article
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