@article{3100356, title = "Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method", author = "Nasa, P. and Azoulay, E. and Chakrabarti, A. and Divatia, J.V. and Jain, R. and Rodrigues, C. and Rosenthal, V.D. and Alhazzani, W. and Arabi, Y.M. and Bakker, J. and Bassetti, M. and De Waele, J. and Dimopoulos, G. and Du, B. and Einav, S. and Evans, L. and Finfer, S. and Guérin, C. and Hammond, N.E. and Jaber, S. and Kleinpell, R.M. and Koh, Y. and Kollef, M. and Levy, M.M. and Machado, F.R. and Mancebo, J. and Martin-Loeches, I. and Mer, M. and Niederman, M.S. and Pelosi, P. and Perner, A. and Peter, J.V. and Phua, J. and Piquilloud, L. and Pletz, M.W. and Rhodes, A. and Schultz, M.J. and Singer, M. and Timsit, J.-F. and Venkatesh, B. and Vincent, J.-L. and Welte, T. and Myatra, S.N.", journal = "The Lancet Infectious Diseases", year = "2022", volume = "22", number = "3", pages = "e74-e87", publisher = "Elsevier Ireland Ltd", doi = "10.1016/S1473-3099(21)00626-5", keywords = "administration and dosage; consensus; Delphi study; disease transmission; health care personnel; human; infection control; intensive care unit; isolation and purification; prevention and control; protective equipment, Consensus; COVID-19; COVID-19 Vaccines; Delphi Technique; Health Personnel; Humans; Infection Control; Infectious Disease Transmission, Patient-to-Professional; Intensive Care Units; Personal Protective Equipment; SARS-CoV-2", 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. © 2022 Elsevier Ltd" }