SHEA-endorsed guidelines "Infection Prevention in Patients with Suspected or Known COVID-19" https://www.idsociety.org/practice-guideline/covid-19-guideline-infection-prevention/, developed with IDSA and PIDS members, were released on the IDSA website yesterday. Dr. Guzman-Cottrill served as SHEA's official representative, with several other SHEA members on the panel. The SHEA Guidelines Committee and Board provided a thorough review prior to the vote on endorsement.

This guideline is part two of a 3-part document also composed of Treatment and Management (SHEA representative Dr. O'Horo; SHEA-endorsed http://www.shea-online.org/index.php/practice-resources) and Diagnostics (SHEA representative Dr. Loeb, coming soon).

Each section will be published in CID, but will be updated on the IDSA website when new information emerges. CID will refer back to the website for the most current information. The guideline is also provided on the SHEA Practices Resources page

The guideline is made up of eight recommendations developed under the GRADE methodology to assess certainty of evidence and strength of recommendation:

  1. Masks: healthcare personnel caring for patients with suspected or known COVID-19 use either a surgical mask or N95 (or N99 or PAPR) respirator as part of appropriate PPE (Strong recommendation, moderate certainty of evidence)
  2. Masks in shortage scenarios: healthcare personnel caring for patients with suspected or known COVID-19 use a surgical mask or re-processed respirator instead of no mask as part of appropriate PPE.
  3. Gloves: no recommendation for use of double gloves vs. single gloves due to lack of evidence
  4. Shoe covers: no recommendation for use shoe covers due to lack of evidence
  5. N95 masks for AGPs: healthcare personnel involved with aerosol-generating procedures (AGPs) on suspected or known COVID-19 patients use an N95 (or N99 or PAPR) respirator instead of a surgical mask, as part of appropriate PPE
  6. Reprocessed N95 masks for AGPs: if respirators are in shortage, healthcare personnel involved with AGPs on suspected or known COVID-19 patients use re-processed N95 respirators should be reused instead of surgical masks
  7. Extend use of N95s through face shields and surgical masks for AGPs: If re-processed respirators are being used, the panel recommends healthcare personnel involved in AGPs on suspected or confirmed COVID-19 patients use a face shield or surgical mask over the reused respirator to aid extended use, instead of using a surgical mask alone, assuming correct donning and doffing techniques of PPE
  8. Reuse of N95s with face shields and surgical masks for AGPs: To allow for reuse of re-processed respirators during contingency or crisis settings, healthcare personnel involved with AGPs on suspected or known COVID-19 patients add a face shield or surgical mask as a cover for the N95 respirator instead of a using an N95 mask alone

The IPC guideline includes access without registration to the SHEA Prevention CHKC video on Donning and Doffing PPE www.PreventionCHKC.org, second video.