Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries

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 a...

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Main Authors: Inglis, R, Barros, L, Checkley, W, Cizmeci, EA, Lelei-Mailu, F, Pattnaik, R, Papali, A, Schultz, MJ, Ferreira, JC
Other Authors: Covid-LMIC Task Force
Format: Journal article
Language:English
Published: American Society for Tropical Medicine and Hygiene 2020
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author Inglis, R
Barros, L
Checkley, W
Cizmeci, EA
Lelei-Mailu, F
Pattnaik, R
Papali, A
Schultz, MJ
Ferreira, JC
author2 Covid-LMIC Task Force
author_facet Covid-LMIC Task Force
Inglis, R
Barros, L
Checkley, W
Cizmeci, EA
Lelei-Mailu, F
Pattnaik, R
Papali, A
Schultz, MJ
Ferreira, JC
author_sort Inglis, R
collection OXFORD
description 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.
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spelling oxford-uuid:588ad83e-0f2e-42d1-89a9-8d17cd5684cc2022-03-26T17:04:08ZPragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countriesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:588ad83e-0f2e-42d1-89a9-8d17cd5684ccEnglishSymplectic ElementsAmerican Society for Tropical Medicine and Hygiene2020Inglis, RBarros, LCheckley, WCizmeci, EALelei-Mailu, FPattnaik, RPapali, ASchultz, MJFerreira, JCCovid-LMIC Task ForceMahidol-Oxford Research Unit (MORU)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.
spellingShingle Inglis, R
Barros, L
Checkley, W
Cizmeci, EA
Lelei-Mailu, F
Pattnaik, R
Papali, A
Schultz, MJ
Ferreira, JC
Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries
title Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries
title_full Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries
title_fullStr Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries
title_full_unstemmed Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries
title_short Pragmatic recommendations for safety while caring for hospitalized patients with COVID-19 in low- and middle-income countries
title_sort pragmatic recommendations for safety while caring for hospitalized patients with covid 19 in low and middle income countries
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