Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method
Issued Date
2022-03-01
Resource Type
ISSN
14733099
eISSN
14744457
Scopus ID
2-s2.0-85124997973
Pubmed ID
34774188
Journal Title
The Lancet Infectious Diseases
Volume
22
Issue
3
Start Page
e74
End Page
e87
Rights Holder(s)
SCOPUS
Bibliographic Citation
The Lancet Infectious Diseases Vol.22 No.3 (2022) , e74-e87
Suggested Citation
Nasa P. Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method. The Lancet Infectious Diseases Vol.22 No.3 (2022) , e74-e87. e87. doi:10.1016/S1473-3099(21)00626-5 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/86076
Title
Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method
Author(s)
Author's Affiliation
Université Paris Cité
IRCCS San Martino Polyclinic Hospital
Institut Mondor de Recherche Biomédicale
National University Health System
Université de Lyon
King Saud bin Abdulaziz University for Health Sciences
Universitair Ziekenhuis Gent
School of Medicine
St George's University Hospitals NHS Foundation Trust
Erasmus MC
McMaster University
National University Hospital
Pontificia Universidad Católica de Chile
UNSW Sydney
Hôpital Saint Eloi
The Wesley Hospital
Università degli Studi di Genova
Vanderbilt University School of Nursing
NYU Grossman School of Medicine
Universitätsklinikum Jena und Medizinische Fakultät
Shaare Zedek Medical Center
Washington University School of Medicine in St. Louis
P.D. Hinduja National Hospital and Medical Research Centre
University College London
Faculty of Medicine
Weill Cornell Medical Center
Tata Memorial Hospital
University of the Witwatersrand, Johannesburg
Attikon University Hospital
University of Washington
Imperial College London
Universidade Federal de São Paulo
Mahidol University
Vagelos College of Physicians and Surgeons
The Warren Alpert Medical School
Hospital de La Santa Creu I Sant Pau
Nuffield Department of Medicine
Peking Union Medical College Hospital
Rigshospitalet
Charlotte Maxeke Johannesburg Academic Hospital
University of Ulsan College of Medicine
St James's Hospital
Amsterdam UMC - University of Amsterdam
Gandhi Medical College
Christian Medical College, Vellore
Université de Lausanne (UNIL)
Université Libre de Bruxelles
Postgraduate Institute of Medical Education & Research, Chandigarh
Royal North Shore Hospital
International Nosocomial Infection Control Consortium (INICC) Foundation
German Center for Lung Research
NMC Speciality Hospital
IRCCS San Martino Polyclinic Hospital
Institut Mondor de Recherche Biomédicale
National University Health System
Université de Lyon
King Saud bin Abdulaziz University for Health Sciences
Universitair Ziekenhuis Gent
School of Medicine
St George's University Hospitals NHS Foundation Trust
Erasmus MC
McMaster University
National University Hospital
Pontificia Universidad Católica de Chile
UNSW Sydney
Hôpital Saint Eloi
The Wesley Hospital
Università degli Studi di Genova
Vanderbilt University School of Nursing
NYU Grossman School of Medicine
Universitätsklinikum Jena und Medizinische Fakultät
Shaare Zedek Medical Center
Washington University School of Medicine in St. Louis
P.D. Hinduja National Hospital and Medical Research Centre
University College London
Faculty of Medicine
Weill Cornell Medical Center
Tata Memorial Hospital
University of the Witwatersrand, Johannesburg
Attikon University Hospital
University of Washington
Imperial College London
Universidade Federal de São Paulo
Mahidol University
Vagelos College of Physicians and Surgeons
The Warren Alpert Medical School
Hospital de La Santa Creu I Sant Pau
Nuffield Department of Medicine
Peking Union Medical College Hospital
Rigshospitalet
Charlotte Maxeke Johannesburg Academic Hospital
University of Ulsan College of Medicine
St James's Hospital
Amsterdam UMC - University of Amsterdam
Gandhi Medical College
Christian Medical College, Vellore
Université de Lausanne (UNIL)
Université Libre de Bruxelles
Postgraduate Institute of Medical Education & Research, Chandigarh
Royal North Shore Hospital
International Nosocomial Infection Control Consortium (INICC) Foundation
German Center for Lung Research
NMC Speciality Hospital
Other Contributor(s)
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.