COVID-19 Clinical Guidelines–Special Populations

If we can assist your organization in the battle against COVID-19, whether or not you are a current member, please contact us today at clientservices@ecri.org.

2019-nCoV (coronavirus): recommendations and guidance for organ donor testing

Date: 2020 May 19
Developer: American Society of Transplantation (AST)

Guideline Focus
Organ donor testing

Patient Population
Patients receiving or donating organs during the COVID-19 pandemic

Guideline Topics

  • Exposure, clinical, and laboratory screening of potential donors for COVID-19
  • Deceased donor screening and testing based on risk stratification
  • Living donor screening and testing
  • Timing considerations for elective living donor transplantation

AGA Institute rapid recommendations for gastrointestinal procedures during the COVID-19 pandemic

Date: 2020 Mar 31
Developer: American Gastroenterological Association (AGA) Institute

Guideline Focus
Guidance for gastrointestinal procedures during the COVID-19 pandemic

Patient Population
Patients with COVID-19

Intended Users
Health care workers performing gastrointestinal procedures

Guideline Topics

  • Gastrointestinal and liver manifestations of COVID-19
  • Risks to health care workers performing endoscopy
  • Use of necessary personal protective equipment (PPE) and personnel considerations during endoscopy
  • Use of negative pressure rooms for procedures
  • Endoscopic decontamination and reprocessing protocols
  • Triaging of gastrointestinal procedures

American College of Rheumatology guidance for the management of adult patients with rheumatic disease during the COVID-19 pandemic

Date: 2020 Apr 29
Developer: American College of Rheumatology (ACRheum)

Guideline Focus
Management of rheumatic disease during the COVID-19 pandemic

Patient Population
Adult patients with rheumatic disease during the COVID-19 pandemic

Intended Users
Rheumatologists

Guideline Topics

  • Patient counseling and shared decision-making
  • Management of chronic medications and initiation of new medications
  • Treatment considerations for patients with COVID-19 disease or exposure

ASCO special report: a guide to cancer care delivery during the COVID-19 pandemic

Date: 2020 May 19
Developer: American Society of Clinical Oncology (ASCO)

Guideline Focus
Cancer care delivery during the COVID-19 pandemic

Patient Population
Patients with cancer during the COVID-19 pandemic

Intended Users
Clinicians

Guideline Topics

  • Patient triage, infection control, and COVID-19 testing
  • Staffing, inventory, and logistical considerations, including sanitation practices
  • Patient support and education
  • Use of telemedicine
  • Considerations for in-office medical oncology, radiation oncology, ancillary services, cancer screening, surgeries, and clinical trials

ASE statement on protection of patients and echocardiography service providers during the 2019 novel coronavirus outbreak

Date: 2020 Apr 1
Developer: American Society of Echocardiography (ASE)

Guideline Focus
Protection of patients and echocardiography service providers during the COVID-19 pandemic

Patient Population
Patients requiring echocardiography during the COVID-19 pandemic

Guideline Topics

  • Indications for transthoracic and transesophageal echocardiogram
  • Location of study and screening of outpatients
  • Protocol for echocardiogram technique, and exclusion of learners and at-risk staff
  • Cleaning and disinfecting of equipment and exam rooms

Care of patients with liver disease during the COVID-19 pandemic: EASL-ESCMID position paper

Date: 2020 Jun
Developer: European Association for the Study of the Liver (EASL)/European Society of Clinical Microbiology and Infectious Diseases (ESCMID)

Guideline Focus
Care of patients with advanced liver disease and those after liver transplantation during the COVID-19 pandemic

Patient Population
Patients with pre-existing liver disease during the COVID-19 pandemic

Guideline Topics

  • Outpatient management, including infection prevention, use of telemedicine, and deferral of routine imaging and diagnostic procedures
  • Inpatient care for patients with and without COVID-19
  • Pharmacological treatment options for patients with COVID-19
  • Ongoing treatment considerations for liver disease

Consensus statement for patients with genetic heart disease and COVID-19

Date: 2020 Apr 7
Developer: Cardiac Society of Australia and New Zealand (CSANZ)

Guideline Focus
Management of patients with genetic heart disease and COVID-19

Patient Population
Patients with genetic heart disease and COVID-19

Guideline Topics

  • Complication risk, exposure reduction, and importance of influenza vaccination
  • Continuation of current cardiac medications
  • Role of cardiologist in management of hospitalized patients
  • Considerations for specific conditions, including cardiomyopathy, Brugada syndrome, long QT syndrome, and catecholaminergic polymorphic ventricular tachycardia
  • Considerations for antipyretic treatment
  • Psychosocial support for families

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 May 28
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

Intended Users
Clinicians and home care workers

Guideline Topics

  • 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

Coronavirus (COVID-19) infection and abortion care: information for healthcare professionals. Version 3

Date: 2020 Jun 3
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)/ Royal College of Midwives (RCM)/Faculty of Sexual and Reproductive Healthcare (FSRH)/British Society of Abortion Care Providers (BSACP)

Guideline Focus
Abortion care management during the COVID-19 pandemic

Patient Population
Female adolescent and adult patients needing abortion care

Intended Users
Clinicians

Guideline Topics

  • Modifications to usual care, including use of teleconferencing
  • Indications for pre-abortion ultrasound and laboratory testing
  • Modifications to care for patients with COVID-19
  • Remote consent and safeguarding practices
  • Care collaboration and staffing issues

Coronavirus (COVID-19) infection in pregnancy: information for healthcare professionals. Version 10

Date: 2020 June 4
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)

Guideline Focus
COVID-19 infection in pregnancy

Intended Users
Clinicians

Patient Population
Pregnant female patients

Guideline Topics

  • Patient education, infection prevention, and increased risk for individuals of black and minority ethnic backgrounds
  • Intrapartum care, including possible modifications
  • Management of suspected or known COVID-19 before or during hospitalization, including venous thromboembolism (VTE) prophylaxis
  • Use of personal protective equipment (PPE) for labor and cesarean delivery
  • Management of moderate or severe COVID-19
  • Postnatal management, including neonatal care and infant feeding, and vertical transmission considerations

COVID-19 rapid guideline: chronic kidney disease

Date: 2020 May 15
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of chronic kidney disease during the COVID-19 pandemic

Patient Population
Adult patients with chronic kidney disease

Intended Users
Health care practitioners and staff involved in planning and delivering services

Guideline Topics

  • Patient communication and risk mitigation
  • Modifications to usual care, continuation of chronic medications, and monitoring considerations
  • Considerations for specialty referral, renal ultrasound, and hospital admission
  • Management of advanced kidney disease, including dialysis and transplantation
  • Role and management of health care workers with suspected COVID-19

COVID-19 rapid guideline: gastrointestinal and liver conditions treated with drugs affecting the immune response

Date: 2020 Apr 23
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of patients with gastrointestinal (GI) and liver conditions taking drugs affecting the immune response during COVID-19 pandemic

Patient Population
Children and adults with GI and liver conditions taking drugs affecting the immune response during COVID-19 pandemic

Intended Users
Health care personnel receiving, assessing and caring for patients who have known or suspected COVID-19

Guideline Topics

  • Communicating with patients and infection prevention
  • Management of patients with and without COVID-19, including initiation and maintenance of chronic medications
  • Modifications to usual care, including appointments, procedures, and provision of medications
  • Role and management of health care workers with suspected COVID-19

COVID-19 rapid guideline: interstitial lung disease

Date: 2020 May 15
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of interstitial lung disease during the COVID-19 pandemic

Patient Population
Adult patients with interstitial lung disease

Intended Users
Health care practitioners and staff involved in planning and delivering services

Guideline Topics

  • Patient communication and risk mitigation
  • Assessment of symptoms for COVID-19 and interstitial lung disease
  • Modifications to care, including new referrals, laboratory testing, procedures, and medication provision
  • Considerations for starting and continuing immunosuppressive therapy
  • Management of oxygen needs, pulmonary rehabilitation, and lung transplantation referral
  • Diagnostic and management considerations, including modifications to chronic medications

COVID 19 rapid guideline: renal transplantation

Date: 2020 Jun 19
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Renal transplantation during the COVID-19 pandemic

Patient Population
Adult and pediatric patients who need or have had a kidney transplant or are donating a kidney during the COVID-19 pandemic

Intended Users
Health care practitioners, health care staff involved in planning and delivering services, and commissioners

Guideline Topics

  • Administrative and organizational considerations for regional renal networks and transplant programs
  • Infection control measures and precautions for transplant recipients and donors
  • Management of transplant wait list status for patients with COVID-19
  • Modifications to management at the time of transplant
  • Communicating with patients and minimizing in person interactions
  • Role of self-isolating health care team members

Fetal interventions in the setting of COVID-19 pandemic: statement from the North American Fetal Therapy Network (NAFTNet)

Date: 2020 Apr 26
Developer: North American Fetal Therapy Network (NAFTNet)

Guideline Focus
Fetal interventions during the COVID-19 pandemic

Patient Population
Patients undergoing fetal interventions during the COVID-19 pandemic

Intended Users
Clinicians

Guideline Topics

  • Informed consent and preoperative COVID-19 testing
  • Risk mitigation for anesthesia and procedures
  • Use of personal protective equipment (PPE), staffing considerations, and equipment cleaning
  • Alterations to scheduling, research protocols, staffing, and patient travel

Guidance for rationalising early pregnancy services in the evolving coronavirus (COVID-19) pandemic: information for healthcare professionals. Version 1.2

Date: 2020 May 15
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)

Guideline Focus
Management of early pregnancy services during the COVID-19 pandemic

Patient Population
Female adolescent and adult patients requiring early pregnancy services

Intended Users
Clinicians

Guideline Topics

  • Patient screening and triage
  • Staffing management and coordination
  • Management of miscarriage, ectopic pregnancy, and pregnancy of unknown viability or location
  • Considerations for anti-D, RhD status assessment, and nausea/vomiting management

ISUOG interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium: information for healthcare professionals - an update

Date: 2020 Jun
Developer: International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)

Guideline Focus
COVID-19 infection during pregnancy and puerperium

Patient Population
Female pregnant and postpartum patients with COVID-19

Intended Users
Health care workers

Guideline Topics

  • Isolation measures and use of personal protective equipment (PPE) by health care workers
  • Considerations for multidisciplinary teams, management, and treatment
  • Use of chest imaging in management
  • Timing and mode of delivery, and anesthesia considerations
  • Guidance on vertical transmission
  • Considerations surrounding breastfeeding and mother-infant separation
  • Considerations for performing ultrasounds, including equipment disinfection

Joint RCOG, BSGE and BGCS guidance for the management of abnormal uterine bleeding in the evolving Coronavirus (COVID-19) pandemic

Date: 2020 May 18
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)/ British Society for Gynaecological Endoscopy (BSGE)/British Gynaecological Cancer Society (BGCS)

Guideline Focus
Management of abnormal uterine bleeding during the COVID-19 pandemic

Patient Population
Female adult patients with abnormal uterine bleeding

Intended Users
Clinicians

Guideline Topics

  • Remote evaluation and management of heavy menstrual bleeding, and indications for urgent and nonurgent in-person evaluation
  • Indications for in-person evaluation of intermenstrual bleeding
  • Remote and in-person evaluation of postmenopausal bleeding, including approach to work-up and modifications to care for patients with COVID-19
  • Remote evaluation of post coital bleeding and indications for referral for in-person management

Management and care of tracheostomised patients with prolonged disorders of consciousness during the COVID-19 crisis

Date: 2020 Apr
Developer: Royal College of Physicians (RCP)

Guideline Focus
Management and care of tracheostomised patients with prolonged disorders of consciousness during the COVID-19 pandemic

Patient Population
Patients with tracheostomies and prolonged disorders of consciousness in inpatient and outpatient settings during the COVID-19 pandemic

Guideline Topics

  • Principles and planning for treatment escalation
  • Infection risk reduction and use of personal protective equipment (PPE)
  • Considerations for resource-limited circumstances

Management of acute myocardial infarction during the COVID-19 pandemic

Date: 2020 Apr 20
Developer: Society for Cardiovascular Angiography and Interventions (SCAI)/American College of Cardiology (ACC)/American College of Emergency Physicians (ACEP)

Guideline Focus
Management of acute myocardial infarction (AMI) during the COVID-19 pandemic

Patient Population
Patients with AMI during the COVID-19 pandemic

Guideline Topics

  • Management of specific clinical scenarios, including possible and definite ST-elevation myocardial infarction (STEMI) presenting to primary percutaneous coronary intervention (PCI) centers and referral centers, non-STEMI, out-of-hospital cardiac arrest, and futile prognosis
  • Use of personal protective equipment (PPE) by staff in the cardiac catheterization lab, by prehospital care providers, and by patients
  • Role of ED evaluation for all STEMI patients prior to cardiac catheterization lab activation
  • Modifications to intubation protocol and patient disposition
  • Considerations for regional systems of STEMI care
  • Algorithms for patient management during the COVID-19 pandemic

Patient management and clinical recommendations during the coronavirus (COVID-19) pandemic

Date: 2020 Mar 17 (Update 5: 2020 Jun 8)
Developer: American Society for Reproductive Medicine (ASRM)

Guideline Focus
Management of patients with infertility during the COVID-19 pandemic

Patient Population
Patients undergoing treatment for infertility during the COVID-19 pandemic

Guideline Topics

  • Risk mitigation, social distancing, patient travel, and considerations for health care workers undergoing fertility treatment
  • Management of urgent and “in-cycle” patients
  • Modifications to appointment, surgical, and procedure scheduling, including use of telehealth
  • Laboratory considerations, including staffing and specimen handling
  • Emotional and psychological support of patients and staff, including considerations for presence of partners
  • Preparation and protocols for resumption of care, including formal risk assessment, personal protective equipment (PPE) use, considerations for third-party reproduction, policies, and procedures

Position statement on the management of cardiac electrophysiology and cardiac implantable electronic devices in Australia during the COVID-19 pandemic: a living document from the Heart Rhythm Council COVID-19 Pandemic working group, Cardiac Society of Australia and New Zealand. Version 3

Date: 2020 Jun 11
Developer: Cardiac Society of Australia and New Zealand (CSANZ)

Guideline Focus
Management of cardiac electrophysiology and cardiac implantable electronic devices during the COVID-19 pandemic

Patient Population
Adult and pediatric patients with cardiac arrhythmias during the COVID-19 pandemic

Intended Users
Cardiologists

Guideline Topics

  • Modifications to care provision based on capacity level, including screening, tele-conferencing, use of clinical based teams, and rescheduling of non-urgent appointments and procedures
  • Monitoring and follow up of patients with implantable devices, including remote monitoring
  • Guidance on use of ambulatory monitoring, including Holter monitors and exercise stress tests
  • Delineation of procedures by urgency and related scheduling modification considerations
  • Arrhythmic implications of COVID-19
  • Considerations for children and adults with congenital heart disease

Practice recommendations for lung cancer radiotherapy during the COVID-19 pandemic: an ESTRO-ASTRO consensus statement

Date: 2020 May
Developer: European Society for Radiotherapy and Oncology (ESTRO) / American Society for Radiation Oncology (ASTRO)

Guideline Focus
Management of lung cancer radiotherapy during the COVID-19 pandemic

Patient Population
Patients requiring lung cancer radiotherapy during the COVID-19 pandemic

Guideline Topics

  • Treatment modifications for risk mitigation based on clinical scenario
  • Treatment modifications in the setting of reduced radiotherapy resources
  • Guidance on treatment postponement and fractionation adjustments based on clinical scenario
  • Treatment modifications for patients with COVID-19
  • Criteria for patient triaging

Practice recommendations for risk-adapted head and neck cancer radiotherapy during the COVID-19 pandemic: an ASTRO-ESTRO consensus statement

Date: 2020 Apr 14
Developer: European Society for Radiotherapy and Oncology (ESTRO)/American Society for Radiation Oncology (ASTRO)

Guideline Focus
Risk-adapted head and neck cancer radiotherapy during the COVID-19 pandemic

Patient Population
Patients with head and neck cancer requiring radiotherapy during the COVID-19 pandemic

Guideline Topics

  • Prioritization of treatment based on clinical scenario and resource availability
  • Treatment modifications for patients with intercurrent COVID-19 infection
  • Guidance on dose-fractionation, concomitant chemotherapy, and induction chemotherapy
  • Considerations for medical treatment modifications if operating rooms are closed
  • Adjustments to outpatient clinic appointments and supportive care

Recommendations by the Sociedad Española de Patología Digestiva (SEPD) and Asociación Española de Gastroenterología (AEG), both in general and on the operation of gastrointestinal endoscopy and gastroenterology units, concerning the current SARSCoV-2 pandemic (March, 18)

Date: 2020 Apr
Developer: Sociedad Espanola De Patologia Digestiva (SEPD)/Asociacion Espanola De Gastroenterologia (AEG)

Guideline Focus
Guidance for endoscopy during the COVID-19 pandemic

Patient Population
Patients requiring endoscopy during the COVID-19 pandemic

Guideline Topics

  • Personnel considerations, including team formation and scheduling
  • Delay of endoscopic procedures when possible for patients with and without COVID-19
  • Stratification of infection risk based on procedure type
  • Preparation of patients, including screening, companion requirements, and hand washing
  • Personal protective equipment (PPE) use for procedures stratified by exposure risk level
  • Checklist for procedure preparedness
  • Processing of endoscopes and cleaning of procedure rooms

Rural and remote cardiology during the COVID-19 pandemic: CSANZ consensus statement

Date: 2020 Apr 11
Developer: Cardiac Society of Australia and New Zealand (CSANZ)

Guideline Focus
Rural and remote cardiology during COVID-19 pandemic

Patient Population
Patients requiring cardiac care during COVID-19 pandemic

Guideline Topics

  • Use of telehealth and remote access to team meetings
  • Access to care, stocking of supplies, and transfer of unstable patients
  • Modifications to, and maintenance of, outpatient cardiac care
  • Provision of personal protective equipment (PPE) for health care workers and onsite COVID PCR testing
  • Considerations surrounding redeployment of specialist cardiac nursing staff
  • Need for a modified regional and rural plan to support access to pacing and defibrillator services
  • Continuation of referrals for urgent cardiothoracic surgery

The Canadian Society of Breast Imaging (CSBI) and the Canadian Association of Radiology (CAR) guidelines for breast imaging during the COVID-19 pandemic

Date: 2020 Apr 2
Developer: Canadian Association of Radiology (CAR)/Canadian Society of Breast Imaging (CSBI)

Guideline Focus
Breast imaging during the COVID-19 pandemic

Patient Population
Patients requiring breast imaging during the COVID-19 pandemic

Guideline Topics

  • Personal protective equipment (PPE) for patients and staff
  • Role of offsite radiologist review and necessary equipment
  • Postponement of low priority imaging
  • Performance of high priority imaging for patients with and without concern for COVID-19

Clinical insights for hepatology and liver transplant providers during the COVID-19 pandemic

Date: 2020 Apr 7
Developer: American Association for the Study of Liver Diseases (AASLD)

Guideline Focus
Hepatology and liver transplantation considerations during the COVID-19 pandemic

Patient Population
Patients with liver disease

Intended Users
Hepatologists

Guideline Topics

  • Management, and additional testing, for patients with COVID-19 and elevated liver enzymes
  • Diagnostic testing for patients with suspected COVID-19
  • Care of patients with liver disease during the pandemic, and guidance for patients awaiting liver transplantation, including ethical considerations
  • Care of post-liver transplant and immunosuppressed patients
  • Medication considerations, including drug-drug interactions
  • Protection of health care workers, utilization of telemedicine, and modifications to procedure scheduling, clinical research, and medical education

COVID-19 rapid guideline: dialysis service delivery

Date: 2020 Mar 20
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Dialysis delivery during the COVID-19 pandemic

Patient Population
Patients on dialysis

Guideline Topics

  • Patient education, communication, and risk reduction
  • Infection prevention for patients and health care workers
  • Patient triage, screening, cohorting, and transport
  • Operational planning and staffing considerations
  • Protocols for home dialysis and dialysis units

COVID-19 rapid guideline: rheumatological autoimmune, inflammatory and metabolic bone disorders

Date: 2020 Apr 3
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of patients with rheumatological autoimmune, inflammatory, and metabolic bone disorders during the COVID-19 pandemic

Patient Population
Adult and pediatric patients with rheumatological autoimmune, inflammatory, and metabolic bone disorders with and without COVID-19

Guideline Topics

  • Communicating with patients and infection prevention
  • Minimizing potential exposure in patients not known to have COVID-19
  • Infection control and medication management in patients with known or suspected COVID-19
  • Ongoing treatment considerations including NSAIDS, corticosteroids, biological treatments, immunoglobulins, bisphosphonates, denosumab, prostaglandins, and drug monitoring
  • Modifying practices for standard care including new referrals and inpatient wards
  • Role and management of self-isolating healthcare team members

COVID-19 rapid guideline: severe asthma

Date: 2020 Apr 3
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of patients with severe asthma during the COVID-19 pandemic

Patient Population
Adult and pediatric patients with severe asthma

Guideline Topics

  • Communicating with patients and infection prevention
  • Considerations for bronchoscopy and pulmonary function tests
  • Management of biological treatments and corticosteroids
  • Care of respiratory equipment
  • Modifications to usual care

COVID-19 rapid guideline: community-based care of patients with chronic obstructive pulmonary disease (COPD)

Date: 2020 Apr 9
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Community-based care of patients with COPD during the COVID-19 pandemic

Patient Population
Patients with COPD during the COVID-19 pandemic

Guideline Topics

  • Patient education, communication, and risk reduction
  • Factors associated with worse outcomes in COPD patients
  • Ongoing disease management and treatment considerations
  • Equipment use and cleaning
  • Provision of necessary prescriptions and modifications to usual care
  • Personal protective equipment (PPE) for health care team members and role of self-isolating health care team members

COVID-19 rapid guideline: cystic fibrosis

Date: 2020 Apr 9
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of patients with cystic fibrosis during the COVID-19 pandemic

Patient Population
Patients with cystic fibrosis during the COVID-19 pandemic

Guideline Topics

  • Patient education, communication, and risk reduction
  • Management considerations for patients with COVID-19
  • Provision of necessary prescriptions and modifications to usual care
  • Management and role of self-isolating health care team members

COVID-19 rapid guideline: delivery of radiotherapy

Date: 2020 Mar 28
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Delivery of radiotherapy during the COVID-19 pandemic

Patient Population
Patients requiring radiotherapy

Guideline Topics

  • Patient education, communication, and infection control
  • Care for patients suspected or known to have COVID-19
  • Assessment and management of patients with symptoms of COVID-19
  • Patient cohorting and scheduling for risk reduction
  • Guidance on isolation of staff and utilization of isolated staff to support care provision
  • Prioritization of treatments based on risk stratification and modification of care for risk reduction

COVID-19 rapid guideline: delivery of systemic anticancer treatments

Date: 2020 Mar 20
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Provision of anticancer treatment during the COVID-19 pandemic

Patient Population
Patients with cancer

Guideline Topics

  • Patient education, communication, and risk reduction
  • Infection prevention for patients and health care workers
  • Protocol for patients with symptoms of COVID-19
  • Guidance on isolation of staff and utilization of isolated staff to support care provision
  • Guidance on prioritizing patients for treatment
  • Role of treatment modifications and treatment break policy

COVID-19 rapid guideline: dermatological conditions treated with drugs affecting the immune response

Date: 2020 Apr 9
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Treatment of dermatological conditions with drugs affecting the immune response during the COVID-19 pandemic

Patient Population
Adult and pediatric patients with dermatological conditions treated with drugs affecting the immune response during the COVID-19 pandemic

Guideline Topics

  • Patient education, communication, and risk reduction
  • Provision of necessary prescriptions and modifications to usual care
  • Initiation of new treatments for patients with and without COVID-19
  • Management of topical and systemic medications for patients with COVID-19
  • Personal Protective Equipment (PPE) for health care team members and role of self-isolating health care team members

COVID-19 rapid guideline: haematopoietic stem cell transplantation

Date: 2020 Apr 1
Developer: National Institute for Health and Care Excellence (NICE)

Guideline Focus
Management of hematopoietic stem cell transplantation during the COVID-19 pandemic

Patient Population
Adult and pediatric patients requiring hematopoietic stem cell transplantation

Guideline Topics

  • Patient education, communication, and infection control
  • Assessment and management of patients with symptoms of COVID-19
  • Pre-transplant management for recipients and donors with and without COVID-19
  • Post-transplant care for recipients
  • Guidance on isolation of staff and utilization of isolated staff to support care provision
  • Prioritization of treatment based on risk stratification and modification of care for risk reduction

Guidance for cardiac electrophysiology during the coronavirus (COVID-19) pandemic from the Heart Rhythm Society COVID-19 Task Force; Electrophysiology Section of the American College of Cardiology; and the Electrocardiography and Arrhythmias Committee of the Council on Clinical Cardiology, American Heart Association

Date: 2020 Apr 1
Developer: Heart Rhythm Society (HRS)/American College of Cardiology (ACC)/American Heart Association (AHA)

Guideline Focus
Cardiac electrophysiology during the COVID-19 pandemic

Patient Population
Patients with cardiac arrhythmias with and without COVID-19

Guideline Topics

  • Measures to minimize exposure risk
  • Guidance on urgent, semi-urgent, elective cardiac procedure classification
  • Impact of COVID-19 on cardiac arrhythmias
  • Triaging of invasive and non-invasive procedures
  • Modifications to office visit schedule, use of telemedicine, and remote device monitoring
  • Use of personal protective equipment (PPE) by health care workers and resource conservation
  • Management of cardiopulmonary resuscitation (CPR), advanced cardiovascular life support (ACLS), and arrhythmia for COVID-19 patients

Management of referral, triage, waitlist and reassessment of cardiac patients during the COVID-19 pandemic

Date: 2020 Apr 7
Developer: Canadian Cardiovascular Society

Guideline Focus
Management of cardiac patients during the COVID-19 pandemic

Patient Population
Patients with cardiac conditions during the COVID-19 pandemic

Guideline Topics

  • Modifications to clinical visits, including utilization of telemedicine
  • Triaging of urgent and non-urgent diagnostic testing
  • Modifications to scheduling of elective and urgent therapeutic procedures
  • Planning for resumption of services

The use of bronchoscopy during the COVID-19 pandemic: CHEST/AABIP guideline and Expert Panel report

Date: 2020 May 1
Developer: American College of Chest Physicians (CHEST)/American Association for Bronchology and Interventional Pulmonology (AABIP)

Guideline Focus
Use of bronchoscopy during the COVID-19 pandemic

Patient Population
Patients requiring bronchoscopy during the COVID-19 pandemic

Intended Users
Health care workers

Guideline Topics

  • Use of appropriate personal protective equipment (PPE) in procedure and recovery rooms
  • Pre-bronchoscopy testing for COVID-19
  • Considerations for patients with known or suspected lung cancer
  • Timing of routine bronchoscopy following COVID-19 infection

Return to the ECRI COVID-19 Resource Center