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KMID : 0387320220320030304
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Korean Journal of Health Policy and Administration
2022 Volume.32 No. 3 p.304 ~ p.316
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Comparative Analysis of COVID-19 Infection Prevention Control Guidelines from Seven Countries: Implications on COVID-19 Response and Future Guidelines Development
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Jeong Yool-Won
Lee Sun-Hee
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Abstract
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Background: As prevention of coronavirus disease 2019 (COVID-19) transmission in healthcare settings has become a criticalcomponent in its effective management, COVID-19 specific infection prevention and control (IPC) guidelines were developed andimplemented by numerous countries. Although largely based on the current evidence-base, guidelines show much heterogeneity, asthey are influenced by respective health system capacities, epidemiological risk, and socioeconomic status. This study aims to analyzethe variations and concurrences of these guidelines to draw policy implications for COVID-19 response and future guidelinesdevelopment.
Methods: The contents of the COVID-19 IPC guidelines were analyzed using the categories and codes developed based on “WorldHealth Organization guidelines on core components.” Data analysis involved reviewing, appraising and synthesizing data fromguidelines, which were then arranged into categories and codes. Selection of countries was based on the country income level,availability of COVID-19 specific IPC guideline developed at a national or district level.
Results: The guidelines particularly agreed on IPC measures regarding application of standard precautions and providing informationto patients and visitors, monitoring and audit of IPC activities and staff illnesses, and management of built environment/equipments.
The guidelines showed considerable differences in certain components, such as workplace safety measures and criteria fordiscontinuation of precautions. Several guidelines also contained unique features which enabled a more systematic response toCOVID-19.
Conclusion: The guidelines generally complied with the current evidence-based COVID-19 management but also revealed variancesstemming from differences in local health system capacity. Several unique features should be considered for benchmark in futureguidelines development.
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KEYWORD
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Infection control, COVID-19, Guideline, Comparative study
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