COVID-19 (Corona Virus Disease)

Al fine di offrire agli operatori sanitari, pazienti, cittadini e decisori gli elementi utili a combattere l’epidemia di COVID-19, nel rispetto delle norme vigenti e delle migliori evidenze disponibili, il CNEC ha predisposto questo spazio dedicato alla raccolta dei documenti scientifici più attendibili sull’emergenza sanitaria legata al focolaio di infezione da SARS-CoV-2.

La rassegna, in continuo aggiornamento, comprende revisioni sistematiche di letteratura, Linee Guida evidence e consensus based e position statements di organizzazioni scientifiche e agenzie sanitarie internazionali, oltre alle disposizioni del Ministero della Salute inerenti la malattia. Le tematiche affrontate vanno dalle questioni di prevenzione e controllo dell’infezione, in una prospettiva di salute pubblica, alla cura e assistenza dei singoli casi in ambito ospedaliero e territoriale, come pure l’appropriatezza d’uso delle risorse sanitarie e professionali, segnatamente nell’area critica (Terapie Intensive e Sub-Intensive). Sono inclusi anche documenti che affrontano le problematiche etiche di accesso alle cure in condizioni di limitata disponibilità di mezzi e personale sanitario.

 Revisioni sistematiche/living guidelines di alta qualità metodologica

Ministero della salute

  • Circolare del Ministero della salute 9 marzo 2020. COVID-19. Aggiornamento della definizione di caso. 0007922-09/03/2020-DGPRE (scarica file)
  • Circolare del Ministero della salute 29 febbraio 2020. Linee di indirizzo assistenziali del paziente critico affetto da COVID-19. 0002619-29/02/2020-GAB-GAB-P (scarica file)
  • Circolare del Ministero della salute 22 febbraio 2020. COVID-2019. Nuove indicazioni e chiarimenti. 0005443-22/02/2020-DGPRE-DGPRE-P (scarica file)

European Centre for Disease Prevention and Control

  • ECDC. Rapid increase of a SARS-CoV-2 variant with multiple spike protein mutations observed in the United Kingdom Stockholm: ECDC; 2020 (scarica file)
  • ECDC. The use of evidence in decision-making during public health emergencies, 5-6 December 2018. Stockholm: ECDC; 2019 (scarica file)
  • ECDC. Uso delle mascherine in pubblico, 8 Aprile 2020. Stockholm: ECDC; 2020 (scarica file)
  • ECDC. Interim guidance for environmental cleaning in non-healthcare facilities exposed to SARS-CoV-2, 18 February 2020. ECDC: Stockholm; 2020 (scarica file)
  • ECDC. Discharge criteria for confirmed COVID-19 cases – When is it safe to discharge COVID-19 cases from the hospital or end home isolation? ECDC: Stockholm; 2020 (scarica file)
  • ECDC. Guidance for wearing and removing personal protective equipment in healthcare settings for the care of patients with suspected or confirmed COVID-19, February 2020. Stockholm: ECDC; 2020 (scarica file)
  • ECDC. Contact tracing: public health management of persons, including healthcare workers, who have had contact with COVID-19 cases in the European Union – third update, 18 November 2020. Stockholm: ECDC; 2020 (scarica file)
  • ECDC. Contact tracing for COVID-19: current evidence, options for scale-up and an assessment of resources needed, April 2020 . ECDC: Stockholm; 2020 (scarica file)
  • ECDC. Infection prevention and control and preparedness for COVID-19 in healthcare settings, 6 October 2020. ECDC: Stockholm; 2020 (scarica file)
  • ECDC. Guidelines for the implementation of non pharmaceutical interventions against COVID-19, 24 September 2020. ECDC: Stockholm; 2020 (scarica file)

Centers for Disease Prevention and Control

  • CDC. Interim Guidelines for COVID-19 Antibody Testing (vai alla pagina)
  • CDC. Considerations for Wearing Masks (vai alla pagina)
  • CDC. Interim Guidance for Implementing Safety Practices for Critical Infrastructure Workers Who May Have Had Exposure to a Person with Suspected or Confirmed COVID-19  (scarica file)
  • CDC. Strategies for Optimizing the Supply of Isolation Gowns (vai alla pagina)
  • CDC. Pandemic Planning. Options to Prolong Existing and Surge Capacity Supplies of Respirators during Infection with Novel Influenza A Viruses Associated with Severe Disease (vai alla pagina)
  • CDC. Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings (vai alla pagina)
  • CDC. Strategies for Optimizing the Supply of N95 Respirators (vai alla pagina)
  • CDC. Preparing for COVID-19 in Nursing Homes (vai alla pagina)
  • CDC. Coronavirus Disease 2019 (COVID-19) Preparedness Checklist for Nursing Homes and other Long-Term Care Settings (scarica file)
  • CDC. Preparedness Tools for Healthcare Professionals and Facilities Responding to Coronavirus (COVID-19) (vai alla pagina)
  • CDC. Comprehensive Hospital Preparedness Checklist for Coronavirus Disease 2019 (COVID-19) (scarica file)
  • CDC. Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19) (vai alla pagina)
  • CDC. Collection and Submission of Postmortem Specimens from Deceased Persons with Known or Suspected COVID-19 (vai alla pagina)
  • CDC. Interim Guidance for Implementing Home Care of People Not Requiring Hospitalization for Coronavirus Disease 2019 (COVID-19) (vai alla pagina)
  • CDC. Clinical Care Guidance for Healthcare Professionals about Coronavirus (COVID-19) (vai alla pagina)
  • CDC. Discontinuation of Transmission-Based Precautions and Disposition of Patients with COVID-19 in Healthcare Settings (Interim Guidance) (vai alla pagina)
  • CDC. Interim Recommendations for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points/Emergency Communication Centers (PSAP/ECCs) in the United States During the Coronavirus Disease (COVID-19) Pandemic (vai alla pagina)
  • CDC. Interim Infection Control Guidance for Public Health Personnel Evaluating Persons Under Investigation (PUIs) and Asymptomatic Close Contacts of Confirmed Cases at Their Home or Non-Home Residential Settings (vai alla pagina)
  • CDC. Interim U.S. Guidance for Risk Assessment and Work Restrictions for Healthcare Personnel with Potential Exposure to COVID-19) (vai alla pagina)
  • CDC. Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) (vai alla pagina)

World Health Organization

  • WHO. Considerations for school-related public health measures in the context of COVID-19 14 September 2020 (scarica file)
  • WHO. Critical preparedness, readiness and response actions for COVID-19. 4 November 2020 (scarica file)
  • WHO. Responding to community spread of COVID-19. WHO/COVID-9/Community Transmission/2020.1 (scarica file)
  • WHO. Home care for patients with suspected novel coronavirus (COVID-19) infection presenting with mild symptoms, and management of their contacts. 12 August 2020 (scarica file)

Altri documenti

  • Vitacca M, et al. Documento di Consenso Italiano sulla Riabilitazione Pneumologica nei pazienti post insufficienza respiratoria da CoViD-19: risultati di un processo Delphi (2020) (scarica file)
  • The National Academies of Science Engineering Medicine. Evidence-Based Practice for Public Health Emergency Preparedness and Response (2020) (scarica file)
  • ADA Interim Guidance for Minimizing Risk of COVID-19 Transmission (scarica file)
  • Berlinger N. Ethical Framework for Health Care Institutions Responding to Novel Coronavirus SARS-CoV-2 (COVID-19). Guidelines for Institutional Ethics Services Responding to COVID-19. The Hastings Center – March 16, 2020 (scarica file)
  • MacIntyre CR et al. The efficacy of medical masks and respirators against respiratory infection in healthcare workers. Influenza Other Respi Viruses. 2017;11:511–517 (scarica file)
  • CDPH. Implementing Respiratory Protection Programs in Hospitals. California Department of Public Health 2015 (scarica file)
  •  MacIntyre CR, Chughtai AA. Facemasks for the prevention of infection in healthcare and community settings. BMJ. 2015 Apr 9;350:h694. (full text disponibile agli abbonati: accesso libero: abstract e infografica) (scarica file)
  • CADTH. Respiratory Precautions for Protection from Bioaerosols or Infectious Agents: A Review of the Clinical Effectiveness and Guidelines Canadian Agency for Drugs and Technologies in Health (2014) (scarica file)
  • Fondazione GIMBE. Efficacia delle misure di distanziamento sociale per contrastare le pandemie influenzali. Evidence 2020;12(3): e1000207 (scarica file)
  • Hellewell J. et al. Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts. Lancet Glob Health 2020. Published Online February 28, 2020 https://doi.org/10.1016/S2214109X(20)30074-7. (scarica file)
  • Brooks S.K. et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 2020; 395: 912–20. Published Online February 26, 2020. https://doi.org/10.1016/S0140-6736(20)30460-8 (scarica file)
  • G. Persad et al. Principles for allocation of scarce medical interventions. The Lancet, Vol. 373, No. 9661, p423–431 Published: January 31, 2009 (scarica file)
  • D. B. White et al. Who Should Receive Life Support During a Public Health Emergency? Using Ethical Principles to Improve Allocation Decisions. Ann Intern Med. 2009 January 20; 150(2): 132–138 (scarica file)

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