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Variation of National and International Guidelines on Respiratory Protection for Health Care Professionals During the COVID-19 Pandemic

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To identify the key insights or developments described in this article
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: May 27, 2021.

Published: August 4, 2021. doi:10.1001/jamanetworkopen.2021.19257

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2021 Birgand G et al. JAMA Network Open.

Corresponding Author: Gabriel Birgand, PhD, National Institute for Health Research Health Protection Research Unit in Healthcare Associated Infections and Antimicrobial Resistance at Imperial College London, Hammersmith Campus, Du Cane Road, London W12 0NN, UK (g.birgand@imperial.ac.uk).

Author Contributions: Dr Birgand had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Birgand, Mutters, Lucet.

Acquisition, analysis, or interpretation of data: Birgand, Mutters, Otter, Eichel, Lepelletier, Morgan.

Drafting of the manuscript: Birgand, Mutters, Morgan, Lucet.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Birgand.

Administrative, technical, or material support: Birgand, Otter, Eichel, Lepelletier, Morgan.

Supervision: Lucet.

Conflict of Interest Disclosures: Dr Birgand reported receiving grants from the UK Economic and Social Research Council outside the submitted work. Dr Otter reported receiving personal fees from Gama Healthcare outside the submitted work. Dr Morgan reported receiving grants from the US Department of Veterans Affairs, US Agency for Healthcare Research and Quality, and US Centers for Disease Control and Prevention and reimbursement for conference speaking or coordination from the Infectious Diseases Society of America, Society for Healthcare Epidemiology of America, and Lown Institute outside the submitted work. No other disclosures were reported.

Funding/Support: The study was supported by the UK Economic and Social Research Council as part of the Antimicrobial Cross Council initiative supported by the 7 UK research councils and the UK Global Challenges Research Fund.

Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Disclaimer: The views expressed are those of the authors and not necessarily those of the UK National Health Service, UK National Institute for Health Research, England Department of Health, or Public Health England.

Meeting Presentation: This study was presented at the virtual 31st European Congress of Clinical Microbiology and Infectious Diseases; July 9 through 12, 2021.

Additional Contributions: Nina Zhu, PhD (Imperial College London); Anne Savey, MD (Regional Centre for Infection control Auvergne Rhone Alpes); and Karine Blanckaert, MD (Regional Centre for Infection control Pays de la Loire) contributed to the review of guidelines.

References
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Morawska  L , Cao  J .  Airborne transmission of SARS-CoV-2: the world should face the reality.   Environ Int. 2020;139:105730. doi:10.1016/j.envint.2020.105730 PubMedGoogle Scholar
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Chagla  Z , Hota  S , Khan  S , Mertz  D ; International Hospital and Community Epidemiology Group.  Airborne transmission of COVID-19.   Clin Infect Dis. 2020;ciaa1118. doi:10.1093/cid/ciaa1118PubMedGoogle Scholar
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Tran  K , Cimon  K , Severn  M , Pessoa-Silva  CL , Conly  J .  Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review.   PLoS One. 2012;7(4):e35797. doi:10.1371/journal.pone.0035797 PubMedGoogle Scholar
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Klompas  M , Baker  M , Rhee  C .  What is an aerosol-generating procedure?   JAMA Surg. 2021;156(2):113-114. doi:10.1001/jamasurg.2020.6643 PubMedGoogle ScholarCrossref
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Klompas  M , Morris  CA , Sinclair  J , Pearson  M , Shenoy  ES .  Universal masking in hospitals in the COVID-19 era.   N Engl J Med. 2020;382(21):e63. doi:10.1056/NEJMp2006372 PubMedGoogle Scholar
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