TY - JOUR
T1 - Infection control in the intensive care unit
T2 - expert consensus statements for SARS-CoV-2 using a Delphi method
AU - Nasa, Prashant
AU - Azoulay, Elie
AU - Chakrabarti, Arunaloke
AU - Divatia, Jigeeshu V.
AU - Jain, Ravi
AU - Rodrigues, Camilla
AU - Rosenthal, Victor D.
AU - Alhazzani, Waleed
AU - Arabi, Yaseen M.
AU - Bakker, Jan
AU - Bassetti, Matteo
AU - De Waele, Jan
AU - Dimopoulos, George
AU - Du, Bin
AU - Einav, Sharon
AU - Evans, Laura
AU - Finfer, Simon
AU - Guérin, Claude
AU - Hammond, Naomi E.
AU - Jaber, Samir
AU - Kleinpell, Ruth M.
AU - Koh, Younsuck
AU - Kollef, Marin
AU - Levy, Mitchell M.
AU - Machado, Flavia R.
AU - Mancebo, Jordi
AU - Martin-Loeches, Ignacio
AU - Mer, Mervyn
AU - Niederman, Michael S.
AU - Pelosi, Paolo
AU - Perner, Anders
AU - Peter, John V.
AU - Phua, Jason
AU - Piquilloud, Lise
AU - Pletz, Mathias W.
AU - Rhodes, Andrew
AU - Schultz, Marcus J.
AU - Singer, Mervyn
AU - Timsit, Jéan François
AU - Venkatesh, Balasubramanian
AU - Vincent, Jean Louis
AU - Welte, Tobias
AU - Myatra, Sheila N.
N1 - Publisher Copyright: © 2022 Elsevier Ltd
PY - 2022/3
Y1 - 2022/3
N2 - During the current COVID-19 pandemic, health-care workers and uninfected patients in intensive care units (ICUs) are at risk of being infected with SARS-CoV-2 as a result of transmission from infected patients and health-care workers. In the absence of high-quality evidence on the transmission of SARS-CoV-2, clinical practice of infection control and prevention in ICUs varies widely. Using a Delphi process, international experts in intensive care, infectious diseases, and infection control developed consensus statements on infection control for SARS-CoV-2 in an ICU. Consensus was achieved for 31 (94%) of 33 statements, from which 25 clinical practice statements were issued. These statements include guidance on ICU design and engineering, health-care worker safety, visiting policy, personal protective equipment, patients and procedures, disinfection, and sterilisation. Consensus was not reached on optimal return to work criteria for health-care workers who were infected with SARS-CoV-2 or the acceptable disinfection strategy for heat-sensitive instruments used for airway management of patients with SARS-CoV-2 infection. Well designed studies are needed to assess the effects of these practice statements and address the remaining uncertainties.
AB - During the current COVID-19 pandemic, health-care workers and uninfected patients in intensive care units (ICUs) are at risk of being infected with SARS-CoV-2 as a result of transmission from infected patients and health-care workers. In the absence of high-quality evidence on the transmission of SARS-CoV-2, clinical practice of infection control and prevention in ICUs varies widely. Using a Delphi process, international experts in intensive care, infectious diseases, and infection control developed consensus statements on infection control for SARS-CoV-2 in an ICU. Consensus was achieved for 31 (94%) of 33 statements, from which 25 clinical practice statements were issued. These statements include guidance on ICU design and engineering, health-care worker safety, visiting policy, personal protective equipment, patients and procedures, disinfection, and sterilisation. Consensus was not reached on optimal return to work criteria for health-care workers who were infected with SARS-CoV-2 or the acceptable disinfection strategy for heat-sensitive instruments used for airway management of patients with SARS-CoV-2 infection. Well designed studies are needed to assess the effects of these practice statements and address the remaining uncertainties.
UR - http://www.scopus.com/inward/record.url?scp=85124997973&partnerID=8YFLogxK
U2 - 10.1016/S1473-3099(21)00626-5
DO - 10.1016/S1473-3099(21)00626-5
M3 - Review article
C2 - 34774188
AN - SCOPUS:85124997973
SN - 1473-3099
VL - 22
SP - e74-e87
JO - The Lancet Infectious Diseases
JF - The Lancet Infectious Diseases
IS - 3
ER -