Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review
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 in...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
2020-07-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400336&tlng=en |
| _version_ | 1818987429741199360 |
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| author | Ronald Luiz Gomes Flumignan Luis Carlos Uta Nakano Patricia Irene Ferreira Pascoal Brena Costa dos Santos Rebeca Mangabeira Correia Beatriz Périco Silveira Fabio Akio Takihi Carolina Dutra Queiroz Flumignan Jorge Eduardo de Amorim Álvaro Nagib Atallah |
| author_facet | Ronald Luiz Gomes Flumignan Luis Carlos Uta Nakano Patricia Irene Ferreira Pascoal Brena Costa dos Santos Rebeca Mangabeira Correia Beatriz Périco Silveira Fabio Akio Takihi Carolina Dutra Queiroz Flumignan Jorge Eduardo de Amorim Álvaro Nagib Atallah |
| author_sort | Ronald Luiz Gomes Flumignan |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T19:06:33Z |
| format | Article |
| id | doaj.art-672380f0b4074047a2737aa70805ffd0 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-20T19:06:33Z |
| publishDate | 2020-07-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-672380f0b4074047a2737aa70805ffd02022-12-21T19:29:17ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602020-07-01138433634410.1590/1516-3180.2020.029105062020Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative reviewRonald Luiz Gomes Flumignanhttps://orcid.org/0000-0001-6440-8011Luis Carlos Uta Nakanohttps://orcid.org/0000-0002-7996-3269Patricia Irene Ferreira Pascoalhttps://orcid.org/0000-0002-9872-4749Brena Costa dos Santoshttps://orcid.org/0000-0002-3422-8324Rebeca Mangabeira Correiahttps://orcid.org/0000-0002-5107-4216Beatriz Périco Silveirahttps://orcid.org/0000-0003-2516-1524Fabio Akio Takihihttps://orcid.org/0000-0002-1252-6339Carolina Dutra Queiroz Flumignanhttps://orcid.org/0000-0001-9943-3583Jorge Eduardo de Amorimhttps://orcid.org/0000-0001-7149-1597Álvaro Nagib Atallahhttps://orcid.org/0000-0003-0890-594XABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400336&tlng=enCoronavirus infectionsCoronavirusReview [publication type]Evidence-based practicePandemicsQuarantinePersonal protective equipmentSevere acute respiratory syndromeInfection prevention protocolsEvidence synthesisRapid reviews |
| spellingShingle | Ronald Luiz Gomes Flumignan Luis Carlos Uta Nakano Patricia Irene Ferreira Pascoal Brena Costa dos Santos Rebeca Mangabeira Correia Beatriz Périco Silveira Fabio Akio Takihi Carolina Dutra Queiroz Flumignan Jorge Eduardo de Amorim Álvaro Nagib Atallah Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review São Paulo Medical Journal Coronavirus infections Coronavirus Review [publication type] Evidence-based practice Pandemics Quarantine Personal protective equipment Severe acute respiratory syndrome Infection prevention protocols Evidence synthesis Rapid reviews |
| title | Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review |
| title_full | Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review |
| title_fullStr | Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review |
| title_full_unstemmed | Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review |
| title_short | Evidence from Cochrane systematic reviews for controlling the dissemination of COVID-19 infection. A narrative review |
| title_sort | evidence from cochrane systematic reviews for controlling the dissemination of covid 19 infection a narrative review |
| topic | Coronavirus infections Coronavirus Review [publication type] Evidence-based practice Pandemics Quarantine Personal protective equipment Severe acute respiratory syndrome Infection prevention protocols Evidence synthesis Rapid reviews |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802020000400336&tlng=en |
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