Rising pressure for review of infection control guidance

A new Royal College of Nursing report has shown that the government’s coronavirus infection control guidelines, which are used across the UK, are ‘flawed and need replacing’.

Written by independent experts, the report analysed a literature review which underpins the current guidance and found that the review met just four of the 18 criteria the experts deemed essential. Crucially, it found that the review failed to consider a key way in which coronavirus is transmitted – airborne infection – about which growing evidence has emerged during the pandemic.

The experts concluded the review provided only a ‘superficial account’ of the available coronavirus evidence and that the current guidelines based on the review need replacing.

The report highlights that the guidelines omit detail on the importance of ventilation and advise that higher level personal protective equipment (PPE) must only be provided in certain high-risk settings like intensive care, but that it’s up to individual health trusts to decide whether or not to provide them more widely to other staff.   

The report authors said: “UK infection prevention and control (IPC) guidance to prevent the spread of Covid-19 in health care settings, and the rapid reviews of the literature on which it was based, still identify droplet spread and hands as the major route, based on early advice from the World Health Organization (WHO). Updated evidence indicates that aerosol spread is much more significant and the original advice from the WHO has been superseded. The UK guidelines are still based on this outdated evidence, however. They urgently need thorough revision and replacing.”  

Donna Kinnair, RCN chief executive, said: “We have been battling this pandemic for more than a year now. 'Following the science’ is a hollow boast when we have evidence showing the flaws. The report and its findings must launch an official review and not be swept under the carpet as an inconvenience.

“Health care workers need to know everything possible is being done to keep them protected. It is inadequate to say they have masks if they aren’t fit for purpose. Staff are scared for themselves and their families and left any longer it’ll turn to anger.”