Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method Academic Article uri icon

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abstract

  • 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.

authors

  • Nasa, Prashant
  • Azoulay, Elie
  • Chakrabarti, Arunaloke
  • Divatia, Jigeeshu V
  • Jain, Ravi
  • Rodrigues, Camilla
  • Rosenthal, Victor D
  • Al-Hazzani, Waleed
  • Arabi, Yaseen M
  • Bakker, Jan
  • Bassetti, Matteo
  • De Waele, Jan
  • Dimopoulos, George
  • Du, Bin
  • Einav, Sharon
  • Evans, Laura
  • Finfer, Simon
  • Guérin, Claude
  • Hammond, Naomi E
  • Jaber, Samir
  • Kleinpell, Ruth M
  • Koh, Younsuck
  • Kollef, Marin
  • Levy, Mitchell M
  • Machado, Flavia R
  • Mancebo, Jordi
  • Martin-Loeches, Ignacio
  • Mer, Mervyn
  • Niederman, Michael S
  • Pelosi, Paolo
  • Perner, Anders
  • Peter, John V
  • Phua, Jason
  • Piquilloud, Lise
  • Pletz, Mathias W
  • Rhodes, Andrew
  • Schultz, Marcus J
  • Singer, Mervyn
  • Timsit, Jéan-François
  • Venkatesh, Balasubramanian
  • Vincent, Jean-Louis
  • Welte, Tobias
  • Myatra, Sheila N

publication date

  • March 2022