Evidence map›Paper›PMID 33355072›Full record

ArticleThe American journal of tropical medicine and hygiene2020

Pragmatic Recommendations for Safety while Caring for Hospitalized Patients with COVID-19 in Low- and Middle-Income Countries.

Rebecca Inglis, Lia Barros, William Checkley, Elif A Cizmeci, Faith Lelei-Mailu, Rajyabardhan Pattnaik, Alfred Papali, Marcus J Schultz, Juliana C Ferreira, COVID-LMIC Task Force and the Mahidol-Oxford Research Unit (MORU)

Abstract read
In one paragraph

Article in The American journal of tropical medicine and hygiene, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rebecca Inglis1Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Mahosot Hospital, Vientiane, Lao People's Democratic Republic.
Lia Barros2Division of Cardiology, University of Washington, Seattle, Washington.
William Checkley3Division of Pulmonary and Critical Care, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Elif A Cizmeci5Interdepartmental Division of Critical Care Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Faith Lelei-Mailu6Department of Quality Health and Safety, AIC Kijabe Hospital, Kijabe, Kenya.
Rajyabardhan Pattnaik7Division of Critical Care Medicine, Ispat General Hospital, Rourkela, India.
Alfred Papali8Division of Pulmonary and Critical Care Medicine, Atrium Health, Charlotte, North Carolina.
Marcus J Schultz9Department of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Juliana C Ferreira12Divisao de Pneumologia, Instituto do Coracao, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
COVID-LMIC Task Force and the Mahidol-Oxford Research Unit (MORU)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Developing CountriesMedical Staff, HospitalPractice Guidelines as TopicSafetyCOVID-19Delivery of Health CareHand HygieneHumansInfection ControlPersonal Protective EquipmentSARS-CoV-2Ventilation

Identifiers

PMID33355072
PMCPMC7957241

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.