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Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review.
Flumignan, Ronald Luiz Gomes; Nakano, Luis Carlos Uta; Pascoal, Patricia Irene Ferreira; Santos, Brena Costa Dos; Correia, Rebeca Mangabeira; Silveira, Beatriz Périco; Takihi, Fabio Akio; Flumignan, Carolina Dutra Queiroz; Amorim, Jorge Eduardo de; Atallah, Álvaro Nagib.
  • Flumignan RLG; MD, PhD. Vascular Surgeon and Adjunct Professor, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Nakano LCU; MD, MSc, PhD. Vascular Surgeon and Adjunct Professor, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Pascoal PIF; MD. Vascular Surgeon and Volunteer Researcher, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Santos BCD; MD. Resident, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Correia RM; MD. Resident, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Silveira BP; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Takihi FA; Undergraduate Medical Student, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Flumignan CDQ; MD, PhD. Vascular Surgeon and Volunteer Researcher, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Amorim JE; MD, MSc, PhD. Vascular Surgeon and Adjunct Professor, Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
  • Atallah ÁN; MD, MSc, PhD. Physician and Full Professor, Division of Emergency Medicine and Evidence-Based Medicine, Department of Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil; Founder and Director of the Cochrane Brazil Center, São Paulo (SP),
Sao Paulo Med J ; 138(4): 336-344, 2020.
Article in English | MEDLINE | ID: covidwho-636844
Semantic information from SemMedBD (by NLM)
1. Quarantine TREATS Persons
Subject
Quarantine
Predicate
TREATS
Object
Persons
2. Health Personnel USES Gown
Subject
Health Personnel
Predicate
USES
Object
Gown
3. Quarantine TREATS Persons
Subject
Quarantine
Predicate
TREATS
Object
Persons
4. Health Personnel USES Gown
Subject
Health Personnel
Predicate
USES
Object
Gown
ABSTRACT

BACKGROUND:

COVID-19 infection has high transmissibility and several measures have been adopted for controlling its dissemination.

OBJECTIVE:

To identify and summarize the evidence from Cochrane systematic reviews (SRs) regarding measures for controlling the dissemination of COVID-19 infection. DESIGN AND

SETTING:

This review of Cochrane SRs was carried out in the Division of Vascular and Endovascular Surgery and in the Division of Emergency Medicine and Evidence-Based Medicine of Universidade Federal de São Paulo, Brazil.

METHODS:

A comprehensive search in the Cochrane Database of Systematic Reviews retrieved all Cochrane SRs directly related to measures for controlling COVID-19 dissemination. The main characteristics and results of all the SRs included were summarized and discussed.

RESULTS:

Three Cochrane SRs were included in the qualitative synthesis. These evaluated population-based and individual measures for controlling the dissemination of COVID-19.

CONCLUSION:

Low-certainty evidence shows that quarantine for people exposed to confirmed or suspected COVID-19 cases prevented 44% to 81% of incident cases and 31% to 63% of deaths, compared with situations of no measures. Moreover, the sooner the quarantine measures were implemented, the greater the cost savings were. High-confidence evidence showed that clear communication about infection control and prevention guidelines was vital for successful implementation. Low-certainty evidence showed that healthcare professionals with long gowns were less exposed to contamination than were those using coveralls. In addition, coveralls were more difficult to doff. Further SRs on controlling the dissemination of COVID-19 infection are desirable.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Coronavirus Infections Subject: Pneumonia, Viral / Coronavirus Infections Type of study: Broad_synthesis / Evidence synthesis / Prognostic study / Qualitative research Language: English Journal: Sao Paulo Med J Clinical aspect: Therapy Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Coronavirus Infections Subject: Pneumonia, Viral / Coronavirus Infections Type of study: Broad_synthesis / Evidence synthesis / Prognostic study / Qualitative research Language: English Journal: Sao Paulo Med J Clinical aspect: Therapy Year: 2020
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