Περίληψη:
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
Συγγραφείς:
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.
Λέξεις-κλειδιά:
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
