TY - JOUR
TI - Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method
AU - Nasa, P.
AU - Azoulay, E.
AU - Chakrabarti, A.
AU - Divatia, J.V.
AU - Jain, R.
AU - Rodrigues, C.
AU - Rosenthal, V.D.
AU - Alhazzani, W.
AU - Arabi, Y.M.
AU - Bakker, J.
AU - Bassetti, M.
AU - De Waele, J.
AU - Dimopoulos, G.
AU - Du, B.
AU - Einav, S.
AU - Evans, L.
AU - Finfer, S.
AU - Guérin, C.
AU - Hammond, N.E.
AU - Jaber, S.
AU - Kleinpell, R.M.
AU - Koh, Y.
AU - Kollef, M.
AU - Levy, M.M.
AU - Machado, F.R.
AU - Mancebo, J.
AU - Martin-Loeches, I.
AU - Mer, M.
AU - Niederman, M.S.
AU - Pelosi, P.
AU - Perner, A.
AU - Peter, J.V.
AU - Phua, J.
AU - Piquilloud, L.
AU - Pletz, M.W.
AU - Rhodes, A.
AU - Schultz, M.J.
AU - Singer, M.
AU - Timsit, J.-F.
AU - Venkatesh, B.
AU - Vincent, J.-L.
AU - Welte, T.
AU - Myatra, S.N.
JO - The Lancet Infectious Diseases
PY - 2022
VL - 22
TODO - 3
SP - e74-e87
PB - Elsevier Ireland Ltd
SN - null
TODO - 10.1016/S1473-3099(21)00626-5
TODO - 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
TODO - 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
ER -