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dc.contributor.authorSubramaniam, A
dc.contributor.authorPonnapa Reddy, M
dc.contributor.authorKadam, U
dc.contributor.authorZubarev, A
dc.contributor.authorLim, Z
dc.contributor.authorAnstey, C
dc.contributor.authorBihari, S
dc.contributor.authorHaji, J
dc.contributor.authorLuo, J
dc.contributor.authorMitra, S
dc.contributor.authorRamanathan, K
dc.contributor.authorRajamani, A
dc.contributor.authorRubulotta, F
dc.contributor.authorSvensk, E
dc.contributor.authorShekar, K
dc.date.accessioned2021-09-03T02:36:15Z
dc.date.available2021-09-03T02:36:15Z
dc.date.issued2021
dc.identifier.issn1036-7314
dc.identifier.doi10.1016/j.aucc.2021.06.015
dc.identifier.urihttp://hdl.handle.net/10072/407534
dc.description.abstractBackground: Clinical guidelines on infection control strategies in healthcare workers (HCWs) play an important role in protecting them during the severe acute respiratory syndrome coronavirus 2 pandemic. Poorly constructed guidelines that are incomprehensive and/or ambiguous may compromise HCWs’ safety. Objective: The objective of this study was to develop and validate a tool to appraise guidelines on infection control strategies in HCWs based on the guidelines published early in the coronavirus disease 2019 pandemic. Design, setting, and outcomes: A three-stage, web-based, Delphi consensus-building process among a panel of diverse HCWs and healthcare managers was performed. The tool was validated by appraising 40 international, specialty-specific, and procedure-specific guidelines along with national guidelines from countries with a wide range of gross national income. Results: Overall consensus (≥75%) was reached at the end of three rounds for all six domains included in the tool. The Delphi panel recommended an ideal infection control guideline should encompass six domains: general characteristics (domain 1), engineering recommendations (domain 2), personal protective equipment (PPE) use (domain 3), and administrative aspects (domain 4-6) of infection control. The appraisal tool performed well across the six domains, and the inter-rater agreement was excellent for the 40 guidelines. All included guidelines performed relatively better in domains 1–3 than in domains 4–6, and this was more evident in guidelines originating from lower income countries. Conclusion: The guideline appraisal tool was robust and easy to use. Engineering recommendations aspects of infection control, administrative measures that promote optimal PPE use, and HCW wellbeing were generally lacking in assessed guidelines. This tool may enable health systems to adopt high-quality HCW infection control guidelines during the severe acute respiratory syndrome coronavirus 2 pandemic and may also provide a framework for future guideline development.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherElsevier BV
dc.relation.ispartofjournalAustralian Critical Care
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchImmunology
dc.subject.fieldofresearchMedical microbiology
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode3204
dc.subject.fieldofresearchcode3207
dc.subject.keywordsCOVID-19
dc.subject.keywordsGuideline appraisal tool
dc.subject.keywordsHealthcare workers
dc.subject.keywordsInfection control guidelines
dc.subject.keywordsPPE guidelines
dc.titleDevelopment and validation of a tool to appraise guidelines on SARS-CoV-2 infection control strategies in healthcare workers
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationSubramaniam, A; Ponnapa Reddy, M; Kadam, U; Zubarev, A; Lim, Z; Anstey, C; Bihari, S; Haji, J; Luo, J; Mitra, S; Ramanathan, K; Rajamani, A; Rubulotta, F; Svensk, E; Shekar, K, Development and validation of a tool to appraise guidelines on SARS-CoV-2 infection control strategies in healthcare workers, Australian Critical Care, 2021
dcterms.dateAccepted2021-06-24
dcterms.licensehttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2021-09-02T01:58:21Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.rights.copyright© 2021 Australian College of Critical Care Nurses Ltd. Published by Elsevier Australia. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorAnstey, Chris


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