gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Guideline adaptation and synthesis of recommendations – a methodological challenge

Meeting Abstract

  • R. Cook - Bazian Ltd., London, UK
  • A. Jansen - European Centre For Disease Control, Stockholm, Sweden
  • K. Geary - Institute of Population Health, Nottingham, UK
  • R. Taft - Bazian Ltd., London, UK
  • J. Clapton - Bazian Ltd., London, UK

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP120

DOI: 10.3205/12gin232, URN: urn:nbn:de:0183-12gin2324

Published: July 10, 2012

© 2012 Cook et al.
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Outline

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Background: The ECDC identifies and assesses current and emerging threats to human health from communicable disease. In July 2010 it asked for evidence-based EU-wide guidance for the prevention and control of norovirus outbreaks in childcare facilities and schools. Guidance to support the implementation of health communication activities in these settings.

Context: Norovirus infections are common and account for 12% of severe gastroenteritis cases among children <5 years old. The virus cause 64,000 episodes of diarrhoea requiring hospitalization and 900,000 clinic visits among children in industrialised countries. About 15% of all reported outbreaks in Germany occur in semi-closed childcare facilities or schools. There are few guidelines available for this setting and the primary research available in the area is known to be sparse.

Description of best practice: An innovative proposal was developed to review, and grade existing primary and secondary research. A process to adapt existing guidelines on the prevention and control of norovirus outbreaks in non-school settings was developed. We will describe using an extension of existing grading systems for public health evidence and the modified ADAPTE process adopted to provide a synthesis of guideline messages.

Lessons for guideline developers, implementers, users: A focus on the key messages in existing guidelines and their applicability to a range of countries and settings will allow the health communication experts at ECDC to focus on the steps required for dissemination, implementation, and evaluation. The focus will facilitate the translation of what is already known into effective public health action.