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

Autor: Nasa, P. Azoulay, E. Chakrabarti, A. Divatia, J.V. Jain, R. Rodrigues, C. Rosenthal, V.D. Alhazzani, W. Arabi, Y.M. Bakker, J. Bassetti, M. De Waele, J. Dimopoulos, G. Du, B. Einav, S. Evans, L. Finfer, S. Guérin, C. Hammond, N.E. Jaber, S. Kleinpell, R.M. Koh, Y. Kollef, M. Levy, M.M. Machado, F.R. Mancebo, J. Martin-Loeches, I. Mer, M. Niederman, M.S. Pelosi, P. Perner, A. Peter, J.V. Phua, J. Piquilloud, L. Pletz, M.W. Rhodes, A. Schultz, M.J. Singer, M. Timsit, J.-F. Venkatesh, B. Vincent, J.-L. Welte, T. Myatra, S.N.
Jazyk: angličtina
Rok vydání: 2022
Popis: 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. © 2022 Elsevier Ltd
Databáze: OpenAIRE