Infection control in the intensive care unit: expert consensus statements for SARS-CoV-2 using a Delphi method
Por:
Nasa, P, Azoulay, E, Chakrabarti, A, Divatia, JV, Jain, R, Rodrigues, C, Rosenthal, VD, Alhazzani, W, Arabi, YM, Bakker, J, Bassetti, M, De Waele, J, Dimopoulos, G, Du, B, Einav, S, Evans, L, Finfer, S, Guerin, C, Hammond, NE, Jaber, S, Kleinpell, RM, Koh, Y, Kollef, M, Levy, MM, Machado, FR, Mancebo, J, Martin-Loeches, I, Mer, M, Niederman, MS, Pelosi, P, Perner, A, Peter, JV, Phua, J, Piquilloud, L, Pletz, MW, Rhodes, A, Schultz, MJ, Singer, M, Timsit, JF, Venkatesh, B, Vincent, JL, Welte, T, Myatra, S
Publicada:
1 mar 2022
Ahead of Print:
1 feb 2022
Resumen:
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.
Filiaciones:
Nasa, P:
NMC Special Hosp, Dubai, U Arab Emirates
Azoulay, E:
Univ Paris, St Louis Teaching Hosp, AP HP, Paris, France
Chakrabarti, A:
Postgrad Inst Med Educ & Res, Chandigarh, India
Divatia, JV:
Tata Mem Hosp, Homi Bhabha Natl Inst, Mumbai, Maharashtra, India
Jain, R:
Mahatma Gandhi Med Coll & Hosp, Jaipur, Rajasthan, India
Rodrigues, C:
PD Hinduja Natl Hosp & Med Res Ctr, Mumbai, Maharashtra, India
Rosenthal, VD:
Int Nosocomial Infect Control Consortium, Miami, FL USA
Alhazzani, W:
McMaster Univ, Hamilton, ON, Canada
Arabi, YM:
King Saud Bin Abdulaziz Univ Hlth Sci, Riyadh, Saudi Arabia
King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia
Bakker, J:
NYU, Grossman Sch Med, New York, NY USA
Columbia Univ, Vagelos Coll Phys & Surg, New York, NY USA
Erasmus Univ, Med Ctr, Rotterdam, Netherlands
Pontificia Univ Catolica Chile, Santiago, Chile
Bassetti, M:
Univ Genoa, Dept Hlth Sci, Genoa, Italy
De Waele, J:
Ghent Univ Hosp, Ghent, Belgium
Dimopoulos, G:
Attikon Univ Hosp, Athens, Greece
Natl & Kapodistrian Univ Athens, Sch Med, Athens, Greece
Du, B:
Peking Union Med Coll & Chinese Acad Med Sci, Peking Union Med Coll Hosp, State Key Lab Rare Complex & Crit Dis, Beijing, Peoples R China
Einav, S:
Shaare Zedek Med Ctr, Jerusalem, Israel
Hebrew Univ Jerusalem, Fac Med, Jerusalem, Israel
Evans, L:
Univ Washington, Seattle, WA USA
Finfer, S:
Univ New South Wales, George Inst Global Hlth, Sydney, NSW, Australia
Imperial Coll London, London, England
Guerin, C:
Univ Lyon, Lyon, France
Inst Mondor Rech Biomed, Creteil, France
Hammond, NE:
Univ New South Wales, George Inst Global Hlth, Sydney, NSW, Australia
Royal North Shore Hosp, Malcolm Fisher Dept Intens Care, Adelaide, SA, Australia
Jaber, S:
Montpellier Univ Hosp, Hop St Eloi, Montpellier, France
Kleinpell, RM:
Vanderbilt Univ, Sch Nursing, Nashville, TN 37240 USA
Koh, Y:
Univ Ulsan, Coll Med, Seoul, South Korea
Kollef, M:
Washington Univ, Sch Med, St Louis, MO USA
Levy, MM:
Brown Univ, Warren Alpert Med Sch, Providence, RI 02912 USA
Machado, FR:
Univ Fed Sao Paulo, Hosp Sao Paulo, Sao Paulo, Brazil
Mancebo, J:
Hosp Santa Creu & Sant Pau, Barcelona, Spain
Martin-Loeches, I:
St James Hosp, Dublin, Ireland
Mer, M:
Charlotte Maxeke Johannesburg Acad Hosp, Johannesburg, South Africa
Univ Witwatersrand, Fac Hlth Sci, Johannesburg, South Africa
Niederman, MS:
Weill Cornell Med Ctr, New York, NY USA
Pelosi, P:
San Martino Policlin Hosp, IRCCS Oncol & Neurosci, Genoa, Italy
Univ Genoa, Genoa, Italy
Perner, A:
Copenhagen Univ Hosp, Rigshosp, Copenhagen, Denmark
Peter, JV:
Christian Med Coll & Hosp, Vellore, Tamil Nadu, India
Phua, J:
Alexandra Hosp, Singapore, Singapore
Natl Univ Singapore Hosp, Singapore, Singapore
Natl Univ Hlth Syst, Singapore, Singapore
Piquilloud, L:
Univ Hosp & Univ Lausanne, Lausanne, Switzerland
Pletz, MW:
Jena Univ Hosp, Inst Infect Dis & Infect Control, Jena, Germany
Rhodes, A:
St Georges Univ Hosp NHS Fdn Trust, London, England
Schultz, MJ:
Amsterdam Univ Med Ctr, Locatie AMC, Amsterdam, Netherlands
Mahidol Univ, Mahidol OxfordTrop Med Res Unit, Bangkok, Thailand
Univ Oxford, Nuffield Dept Med, Oxford, England
Singer, M:
UCL, London, England
Timsit, JF:
Univ Paris, Hop Bichat Med, AP HP, IAME, Paris, France
Venkatesh, B:
Wesley Hosp, Brisbane, Qld, Australia
Vincent, JL:
Univ Libre Bruxelles, Brussels, Belgium
Welte, T:
German Ctr Lung Res, Hannover, Germany
Myatra, S:
Tata Mem Hosp, Homi Bhabha Natl Inst, Dept Anaesthesia Crit Care & Pain, Mumbai, Maharashtra, India
Green Submitted, Bronze, Green Published
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