文献类型：期刊文献

英文题名：How are countries responding differently to COVID-19: a systematic review of guidelines on isolation measures

作者：Xie, Guangmei[1,2];Wang, Li[1,2];Zhang, Jun[3]

第一作者：Xie, Guangmei

通信作者：Zhang, J[1]

机构：[1]Gansu Maternal & Child Hlth Care Hosp, Reprod Med Ctr, Lanzhou, Gansu, Peoples R China;[2]Gansu Prov Cent Hosp, Reprod Med Ctr, Lanzhou, Gansu, Peoples R China;[3]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Gansu, Peoples R China

第一机构：Gansu Maternal & Child Hlth Care Hosp, Reprod Med Ctr, Lanzhou, Gansu, Peoples R China

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Gansu, Peoples R China.|[107352f23a9081f8152fc]甘肃中医药大学护理学院;[10735]甘肃中医药大学;

年份：2023

卷号：11

外文期刊名：FRONTIERS IN PUBLIC HEALTH

收录：;Scopus(收录号：2-s2.0-85171162847);WOS:【SSCI(收录号:WOS:001066977500001)，SCI-EXPANDED(收录号:WOS:001066977500001)】；

基金：This research was funded by the Nature Science Foundation of Gansu Province (grant 21JR7RA659).

语种：英文

外文关键词：COVID-19; isolation; guidance; guidelines; systematic review

摘要：Introduction: Isolation strategies have been implemented in numerous countries worldwide during the ongoing community transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, various countries and organizations have implemented their isolation measures at varying intensities, even during the same period. Therefore, we systematically reviewed the key information contained in currently available guidelines regarding the isolation of the general population, aiming to better identify the heterogeneity of the current isolation strategies.Methods: We conducted searches in four evidence-based medicine (EBM) databases and five guideline websites to identify guidelines, guidance, protocols, and policy documents published by authoritative advisory bodies or healthcare organizations, which provided information on the implementation of isolation for general populations with COVID-19. One author extracted data using a standardized data extraction checklist, and a second author double-checked all extractions for completeness and correctness. Discrepancies were resolved through discussion. The information extracted from the included articles was summarized both narratively and using tables.Results: We included 15 articles that provided information on isolation measures recommended by nine different countries and organizations. The included articles consistently recommended isolating individuals with a positive COVID-19 test, regardless of the presence of symptoms. However, there were variations in the duration of isolation, and substantial differences also existed in the criteria for ending the isolation of COVID-19 patients.Conclusion: Different countries and organizations have substantial differences in their isolation policies. This reminds us that scientifically sound guidelines on isolation that balance the risk of prematurely ending isolation with the burden of prolonged isolation are a crucial topic of discussion when faced with a pandemic.