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Background:

Persons who use drugs (PWUD) are facing an epidemic during the global COVID-19 pandemic. In recent months, many medical institutions have released guidance documents to inform the management of PWUD as it pertains to COVID-19. Given the flurry of increasing guidance documents, we sought to synthesize the recommendations and identify consensus strategies to support PWUD during the pandemic.

Aim:

To review existing COVID-19 guidelines for PWUD to synthesize evidence and identify consensus and disagreement areas.

Methods:

We rapidly reviewed the grey literature (documents produced by organizations, including reports, working papers, government documents, white papers, and clinical guidelines) and published peer-reviewed articles using the World Health Organization guidelines. We organized recommendations by the substance use disorder considered (eg, opioid, stimulant …