Table 1.
Study Eligibility Criteria
| Study characteristic | Include criteria | Exclude criteria |
|---|---|---|
| Population | Adults, children, or simulated patients with probable or confirmed COVID-19 (SARs-CoV-2), SARS, MERS, or influenza. For experimental studies (simulation studies) examining effects of nebulization on droplet dispersal, these studies may include non-patients or patient simulators. | Animal studies |
| Intervention | Nebulized delivery of a medication (e.g., albuterol) or placebo solution (e.g., saline). Nebulizers include pneumatic jet compression, ultrasonic, vibrating mesh/horn and microprocessor-controlled breath actuated types. | NIV (e.g., BiPAP, CPAP); high-flow nasal oxygen; large-volume nebulizers |
| Comparator | None or other drug delivery (e.g., metered dose inhalers, dry powder, or slow-mist inhaler) | None |
| Outcomes | Confirmed and probable cases of the specific viral infection (i.e., measures of transmission risk). For experimental/simulation studies, virus recovery (e.g., by RNA sequencing) or droplet dispersion at different distances/time points. | None |
| Setting | Any inpatient setting, emergency department or outpatient setting. Experimental/simulation studies may take place in nonclinical settings. | Studies of fugitive emissions that did not involve patient simulation |
| Timing | Any | None |
| designs | Systematic reviews, trials (randomized and nonrandomized), cohort studies, case-control studies, case series, case reports, experimental/simulation studies of droplet/virus dispersion. | None |
BiPAP, bilevel positive airway pressure; COVID-19, coronavirus disease 2019; CPAP, continuous positive airway pressure; MERS, Middle East respiratory syndrome; NIV, noninvasive ventilation; RNA, ribonucleic acid; SARS, severe acute respiratory syndrome; SARs-CoV-2, severe acute respiratory syndrome coronavirus 2.