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Incorporating ethics into infectious disease clinical practice guidelines.

Elda Righi1, Dafna Yahav2, Asma Nasim3

  • 1Guys and St Thomas's NHS Foundation Trust, London, UK; Dipartimento di Diagnostica e Sanità Pubblica, Università di Verona, Verona, Italy.

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
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PubMed
Summary
This summary is machine-generated.

Integrating ethics into infectious disease clinical practice guidelines (CPGs) is complex. This study highlights the need for scientific societies to develop specific ethics guidelines for infectious disease CPGs to address this gap.

Keywords:
Clinical practice guidelinesEthics principlesInfectious diseases

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Area of Science:

  • Medical Ethics
  • Infectious Diseases
  • Clinical Practice Guidelines

Background:

  • Incorporating ethics into clinical practice guidelines (CPGs) presents challenges, especially for infectious diseases (ID) due to complex ethical considerations and diverse at-risk populations.
  • The European Society of Clinical Microbiology and Infectious Diseases initiated the OPENING project to address this gap.

Purpose of the Study:

  • To generate guidelines for the systematic inclusion of ethics principles into ID CPGs.
  • To review existing literature and guidance on ethics in CPGs.

Main Methods:

  • Conducted a scoping review of articles (1990-2024) on ethics inclusion in CPGs.
  • Reviewed guidance documents from international societies on incorporating ethics.
  • Outlined the inclusion of main ethics principles in ID CPGs based on findings.

Main Results:

  • Retrieved 21 articles (1994-2024), none specifically focused on infectious disease ethics (IDE).
  • Key themes included equity principles, consideration of subgroups, and patient involvement in CPG development.
  • A structured framework for systematic IDE principle inclusion was proposed.

Conclusions:

  • There is a notable lack of recommendations for incorporating ethics into ID CPGs.
  • Scientific societies must develop and integrate ethics guidelines into ID CPGs to fill this critical gap.