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Although there is so far no evidence of airborne transmission, we recommend a cautious approach due to lack of studies excluding this mode of transmission [1].
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1. World Health Organization. Infection prevention and control of epidemic-and pandemic prone acute respiratory infections in health care. WHO guidelines 2014 [17 January 2020]. Available from: https://www.who.int/csr/bioriskreduction/infection_control/publication/en/.
It draws on interim advice produced by WHO [2] and national agencies [3-6], or expert opinion.
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2. World Health Organization. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected. Interim Guidance Geneva2020. WHO/2019-nCoV/IPC/v2020.1:[Available from: https://www.who.int/publications-detail/infection-prevention-and-control-during-health-care-when-novelcoronavirus-(ncov)-infection-is-suspected.
It draws on interim advice produced by WHO [2] and national agencies [3-6], or expert opinion.
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Ensure access to timely virological investigations in accordance with the algorithm for laboratory diagnosis of 2019-nCoV [3].
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a confirmed case, or a suspected case of 2019-nCoV, should wear PPE for contact, droplet and airborne transmission of pathogens: FFP2 or FFP3 respirator tested for fitting, eye protection (i.e. goggles or face shield), long-sleeved water-resistant gown and gloves; 3.2.3 Aerosol generating procedures (AGS) include tracheal intubation, bronchial suctioning, bronchoscopy, and sputum induction have been linked to increased risk of transmission of coronaviruses and require particular protection measures [3].
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3. 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-e.
ECDC TECHNICAL REPORT Infection prevention and control for the care of patients with 2019-nCoV in healthcare settings 3.2.4 Healthcare workers should strictly follow the procedures for putting on (‘donning’) of PPE and for safe removal in correct sequence (‘doffing’) of PPE [7].
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Environmental cleaning and waste management 3.3.1 Staff engaged in environmental cleaning and waste management should wear appropriate PPE, as indicated in the ECDC Tutorial on critical aspects of the safe use of PPE [7].
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7. European Centre for Disease Prevention and Control (ECDC). Safe use of personal protective equipment in the treatment of infectious diseases of high consequence Stockholm: ECDC; 2014. Available from: https://www.ecdc.europa.eu/sites/default/files/media/en/publications/Publications/safe-use-of-ppe.pdf.