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

Nasa, Prashant; Azoulay, Elie; Chakrabarti, Arunaloke; Divatia, Jigeeshu; Jain, Ravi; Rodrigues, Camilla; Rosenthal, Victor; ... Myatra, Sheila; + view all (2022) Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method. Lancet Infectious Diseases , 22 (3) E74-E87. 10.1016/S1473-3099(21)00626-5. Green open access

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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.

Type: Article
Title: Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S1473-3099(21)00626-5
Publisher version: https://doi.org/10.1016/S1473-3099(21)00626-5
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: COVID-19, HOSPITALS, Infectious Diseases, Life Sciences & Biomedicine, Science & Technology, TRANSMISSION
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Experimental and Translational Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10160342
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