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

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_83A304D45993
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method.
Journal
The Lancet. Infectious diseases
Author(s)
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.
ISSN
1474-4457 (Electronic)
ISSN-L
1473-3099
Publication state
Published
Issued date
03/2022
Peer-reviewed
Oui
Volume
22
Number
3
Pages
e74-e87
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
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.
Keywords
COVID-19, COVID-19 Vaccines/administration & dosage, Consensus, Delphi Technique, Health Personnel/standards, Humans, Infection Control/standards, Infectious Disease Transmission, Patient-to-Professional/prevention & control, Intensive Care Units/standards, Personal Protective Equipment/standards, SARS-CoV-2/isolation & purification
Pubmed
Web of science
Open Access
Yes
Create date
03/12/2021 14:03
Last modification date
25/01/2024 8:39
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