COVID-19 Clinical Guidelines–Nutrition

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Enteral tube feeding safety in COVID-19 patients

Date: 2020 May 13
Developer: British Association of Parenteral and Enteral Nutrition (BAPEN)

Guideline Focus
Enteral tube feeding safety in patients with COVID-19

Patient Population
Patients with COVID-19

Major Interventions

  • Nutritional support considerations
  • Safe feeding tube placement practices, including indications for X-ray, pH testing, and need for specialized staff
  • Feeding tube maintenance and considerations for prone positioned patients
  • Feeding method options
  • Use of personal protective equipment (PPE) by staff

Route of nutrition support in patients requiring NIV & CPAP during the COVID-19 response

Date: 2020 Apr 17
Developer: British Association of Parenteral and Enteral Nutrition (BAPEN)

Guideline Focus
Route of nutrition support for non-invasive ventilation (NIV) or continuous positive airways pressure (CPAP) during the COVID-19 pandemic

Patient Population
Patients with COVID-19 infection

Major Interventions

  • Equipment considerations
  • Monitoring for and management of gastric distention
  • Patient positioning and role of prokinetic agents
  • Considerations for nasojejunal (NJ) tube placement
  • Role of, indications for, and considerations surrounding parenteral nutrition

Considerations for the management of home parenteral nutrition during the SARS-CoV-2 pandemic: a position paper from the Home Artificial Nutrition and Chronic Intestinal Failure Special Interest Group of ESPEN

Date: 2020 Jul
Developer: European Society for Clinical Nutrition and Metabolism (ESPEN)

Guideline Focus
Management of home parenteral nutrition during the COVID-19 pandemic

Patient Population
Patients requiring home parenteral nutrition during the COVID-19 pandemic

Major Interventions

  • Role of multidisciplinary team and use of telemedicine
  • Modifications to role of home care workers
  • Triaging of laboratory, imaging, and procedural testing based on urgency
  • Hospital admission and discharge considerations
  • Presentation of, and evaluation for, COVID-19 in patients with chronic intestinal failure

For access to additional guidelines, check out and search the entire ECRI Guidelines Trust® (EGT), a repository of objective, evidence-based clinical practice guidelines.

Return to the ECRI COVID-19 Resource Center