How health systems approached respiratory viral pandemics over time: a systematic review

Background Several healthcare systems facing respiratory viral infections outbreaks, like COVID-19, have not been prepared to manage them. Public health mitigation solutions ranging from isolation of infected or suspected cases to implementation of national lockdowns have proven their effectiveness...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Walter Ricciardi, Maria Luisa Di Pietro, Drieda Zaçe, Fidelia Cascini, Ilda Hoxhaj, Margherita Ferranti, Stefania Boccia
Formato:	article
Lenguaje:	EN
Publicado:	BMJ Publishing Group 2020
Materias:	Medicine (General) R5-920 Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/b9f300f6a15d4eaca813d0aafb15acb3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b9f300f6a15d4eaca813d0aafb15acb3
record_format	dspace
spelling	oai:doaj.org-article:b9f300f6a15d4eaca813d0aafb15acb32021-11-19T06:00:06ZHow health systems approached respiratory viral pandemics over time: a systematic review10.1136/bmjgh-2020-0036772059-7908https://doaj.org/article/b9f300f6a15d4eaca813d0aafb15acb32020-12-01T00:00:00Zhttps://gh.bmj.com/content/5/12/e003677.fullhttps://doaj.org/toc/2059-7908Background Several healthcare systems facing respiratory viral infections outbreaks, like COVID-19, have not been prepared to manage them. Public health mitigation solutions ranging from isolation of infected or suspected cases to implementation of national lockdowns have proven their effectiveness for the outbreak’s control. However, the adjustment of public health measures is crucial during transition phases to avoid new outbreaks. To address the need for designing evidence-based strategies, we performed a systematic review to identify healthcare systems interventions, experiences and recommendations that have been used to manage different respiratory viral infections outbreaks in the past.Methods PubMed, Web of Science, Scopus and Cochrane were searched to retrieve eligible studies of any study design, published in English until 17 April 2020. Double-blinded screening process was conducted by titles/abstracts and subsequently eligible full texts were read and pertinent data were extracted. When applicable, quality assessment was conducted for the included articles. We performed a narrative synthesis of each implemented public health approaches.Results We included a total of 24 articles addressing the public health approaches implemented for respiratory viral infections outbreaks for COVID-19, influenza A H1N1, MERS and severe acute respiratory syndrome . The identified approaches are ascribable to two main categories: healthcare system strategies and healthcare provider interventions. The key components of an effective response on respiratory viral outbreaks included the implementation of evidence-based contextual policies, intrahospital management actions, community healthcare facilities, non-pharmaceutical interventions, enhanced surveillance, workplace preventive measures, mental health interventions and communication plans.Conclusion The identified healthcare system strategies applied worldwide to face epidemics or pandemics are a useful knowledge base to inform decision-makers about control measures to be used in the transition phases of COVID-19 and beyond.Walter RicciardiMaria Luisa Di PietroDrieda ZaçeFidelia CasciniIlda HoxhajMargherita FerrantiStefania BocciaBMJ Publishing GrouparticleMedicine (General)R5-920Infectious and parasitic diseasesRC109-216ENBMJ Global Health, Vol 5, Iss 12 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920 Infectious and parasitic diseases RC109-216
spellingShingle	Medicine (General) R5-920 Infectious and parasitic diseases RC109-216 Walter Ricciardi Maria Luisa Di Pietro Drieda Zaçe Fidelia Cascini Ilda Hoxhaj Margherita Ferranti Stefania Boccia How health systems approached respiratory viral pandemics over time: a systematic review
description	Background Several healthcare systems facing respiratory viral infections outbreaks, like COVID-19, have not been prepared to manage them. Public health mitigation solutions ranging from isolation of infected or suspected cases to implementation of national lockdowns have proven their effectiveness for the outbreak’s control. However, the adjustment of public health measures is crucial during transition phases to avoid new outbreaks. To address the need for designing evidence-based strategies, we performed a systematic review to identify healthcare systems interventions, experiences and recommendations that have been used to manage different respiratory viral infections outbreaks in the past.Methods PubMed, Web of Science, Scopus and Cochrane were searched to retrieve eligible studies of any study design, published in English until 17 April 2020. Double-blinded screening process was conducted by titles/abstracts and subsequently eligible full texts were read and pertinent data were extracted. When applicable, quality assessment was conducted for the included articles. We performed a narrative synthesis of each implemented public health approaches.Results We included a total of 24 articles addressing the public health approaches implemented for respiratory viral infections outbreaks for COVID-19, influenza A H1N1, MERS and severe acute respiratory syndrome . The identified approaches are ascribable to two main categories: healthcare system strategies and healthcare provider interventions. The key components of an effective response on respiratory viral outbreaks included the implementation of evidence-based contextual policies, intrahospital management actions, community healthcare facilities, non-pharmaceutical interventions, enhanced surveillance, workplace preventive measures, mental health interventions and communication plans.Conclusion The identified healthcare system strategies applied worldwide to face epidemics or pandemics are a useful knowledge base to inform decision-makers about control measures to be used in the transition phases of COVID-19 and beyond.
format	article
author	Walter Ricciardi Maria Luisa Di Pietro Drieda Zaçe Fidelia Cascini Ilda Hoxhaj Margherita Ferranti Stefania Boccia
author_facet	Walter Ricciardi Maria Luisa Di Pietro Drieda Zaçe Fidelia Cascini Ilda Hoxhaj Margherita Ferranti Stefania Boccia
author_sort	Walter Ricciardi
title	How health systems approached respiratory viral pandemics over time: a systematic review
title_short	How health systems approached respiratory viral pandemics over time: a systematic review
title_full	How health systems approached respiratory viral pandemics over time: a systematic review
title_fullStr	How health systems approached respiratory viral pandemics over time: a systematic review
title_full_unstemmed	How health systems approached respiratory viral pandemics over time: a systematic review
title_sort	how health systems approached respiratory viral pandemics over time: a systematic review
publisher	BMJ Publishing Group
publishDate	2020
url	https://doaj.org/article/b9f300f6a15d4eaca813d0aafb15acb3
work_keys_str_mv	AT walterricciardi howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview AT marialuisadipietro howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview AT driedazace howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview AT fideliacascini howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview AT ildahoxhaj howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview AT margheritaferranti howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview AT stefaniaboccia howhealthsystemsapproachedrespiratoryviralpandemicsovertimeasystematicreview
_version_	1718420337781112832

How health systems approached respiratory viral pandemics over time: a systematic review

Ejemplares similares