Kristina Rudd, MD, MPH & 3 Mentees Feature in AJTMH COVID-19 Management Supplement for Resource-Limited Settings

The international COVID–LMIC Task Force published a collection of 10 journal articles on January 12, 2021 that offer guidance on severe COVID-19 management in resource-limited settings of low- and middle-income countries (LMIC). Kristina Rudd, MD, MPH is a member of the Task Force and lead author of one article in the supplement that was published in The American Journal of Tropical Medicine and Hygiene.

The AJTMH supplement is targeted to bedside practitioners at district hospitals in LMICs and provides pragmatic recommendations for the care of seriously ill patients with COVID-19. All recommendations were vetted by critical care doctors and nurses with deep experience in resource-limited healthcare settings.

“This is an excellent resource to help clinicians in areas with limited healthcare resources make informed care decisions for their COVID-19 patients,” said Kristina Rudd, MD, MPH, who has broad clinical experience in East Africa and is an assistant professor in the Department of Critical Care Medicine at the University of Pittsburgh.

Dr. Rudd added that there are more than 10,000 journal articles on COVID-19 published every month. Keeping up with the latest research is a luxury that most often is not available to practitioners in LMICs.

Many of the 39 members of the Task Force are trained in critical care or emergency medicine and are either based in LMICs or have extensive work and research experience in LMICs.

The Task Force reviewed current literature on a wide range of aspects of the management of severe COVID-19, focusing on evidence generated in LMICs. The resulting evidence-informed set of pragmatic recommendations enables healthcare providers to manage various aspects of COVID-19, including patient triage, prevention and treatment of acute kidney injury, and management of shock. The supplement was published online first and will be released in print in early 2021.

Three of Dr. Rudd’s mentees at the CRISMA Center in the Department of Critical Care Medicine were co-authors on papers in the supplement series:

  • Jason Brotherton, MD, a first-year critical care medicine fellow, has spent four years working at two hospitals in Kenya where he expanded critical care delivery, capacity and sustainability.
  • Varun Shetty, MD is a critical care attending at UPMC Hamot, adjunct faculty member in the Department of Critical Care Medicine, and a 2020 graduate of the fellowship program.

Drs. Brotherton and Shetty are co-authors on two papers: Pragmatic Recommendations for Therapeutics of Hospitalized COVID-19 Patients in Low- and Middle-Income Countries” and Pragmatic Recommendations for the Management of COVID-19 Patients with Shock in Low- and Middle-Income Countries

Dr. Rudd is also co-author on Pragmatic Recommendations for Identification and Triage of Patients with COVID-19 Disease in Low- and Middle-Income Countries.

The COVID-LMIC Task Force was led by three intensivists. Dr. Alfred Papali, Division of Pulmonary and Critical Care Medicine, Atrium Health, North Carolina and Drs. Arjen Dondorp and Marcus Shultz are both affiliated with Mahidol–Oxford Tropical Medicine Research Unit, at Mahidol University, Thailand; Nuffield Department of Medicine, University of Oxford; and Department of Intensive Care, Amsterdam University Medical Centers, The Netherlands.