Cochrane · intervention · CD013626

Use of antimicrobial mouthwashes (gargling) and nasal sprays by healthcare workers to protect them when treating patients with suspected or confirmed COVID‐19 infection

Burton, MJ, Clarkson, JE, Goulao, B, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
5
current version
GRADE rated
0
No studies
5
Included studies
0
as reported
No studies 5 · 100%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationHealthcare workers (HCWs) treating patients with suspected or confirmed COVID-19 infection; any healthcare settingInsufficient data
InterventionAny antimicrobial mouthwash and/or nasal spray (alone or in combination), at any concentration, delivered with any frequency or dosage to the HCWs, with or without the same intervention being given to the COVID-19 patientsInsufficient data
ComparisonNo treatment; saline; waterInsufficient data
OutcomesPrimary: incidence of symptomatic or test-positive COVID-19 infection in HCWs; anosmia (or disturbance in sense of smell). Secondary: viral content of aerosol (if intervention administered to patients); other adverse events (changes in microbiome in oral cavity, nasal cavity, oro- or nasopharynx); other adverse events (allergy, irritation/burning of nasal, oral or oropharyngeal mucosa, long-term staining of mucous membranes or teeth, accidental ingestion)Insufficient data
Study designsRandomised controlled trials (RCTs); quasi-RCTs; non-randomised controlled trials; prospective cohort studies; retrospective cohort studies; cross-sectional studies; controlled before-and-after studies (no minimum duration)Insufficient data
TimingPrimary outcomes assessed at a minimum of two weeks; no minimum follow-up for other outcomesInsufficient data

Search date: 2020-06. Databases: Cochrane Central Register of Controlled Trials (CENTRAL) (2020, Issue 6); Ovid MEDLINE; Ovid Embase; WHO COVID-19 Global literature on coronavirus disease; Cochrane COVID-19 Study Register

Questions and results

Any antimicrobial mouthwash and/or nasal spray (alone or in combination), at any concentration, delivered to healthcare workers, with or without the same intervention given to the patients with COVID-19 vs No treatment or saline or water

Population: Healthcare workers (HCWs) treating patients with suspected or confirmed COVID-19 infection
5 questions
OutcomeEffectEvidenceStatus / GRADE
Anosmia (or disturbance in sense of smell)
Minimum 2 weeks
No data available (no included studies)0 studiesNo studies
Changes in microbiome in oral cavity, nasal cavity, oro- or nasopharynx
No data available (no included studies)0 studiesNo studies
Incidence of symptomatic or test-positive COVID-19 infection in HCWs
Minimum 2 weeks
No data available (no included studies)0 studiesNo studies
Viral content of aerosol
No data available (no included studies)0 studiesNo studies
Other adverse events: allergy, irritation/burning of nasal, oral or oropharyngeal mucosa, long-term staining of mucous membranes or teeth, accidental ingestion
No data available (no included studies)0 studiesNo studies