Sharma Jeetendra, Nasa Prashant, Reddy Kesavarapu Subba, Kuragayala Swarna Deepak, Sahi Shikha, Gopal Palepu, Chaudhary Dhruva, Dixit Subhal B, Samavedam Srinivas
Department of Critical Care, Artemis Health Institute, Gurugram, Haryana, India.
Department of Critical Care Medicine, NMC Specialty Hospital, Dubai, UAE.
Indian J Crit Care Med. 2020 Nov;24(Suppl 5):S280-S289. doi: 10.5005/jp-journals-10071-23607.
Coronavirus disease-2019 (COVID-19) has very high rates of hospital-related transmission among healthcare workers (HCWs), mandating the need for careful intensive care unit (ICU) designing, optimization of staff resources, implementation of vigorous infection control practices, environmental disinfection, meticulous sample collection, and criteria for staff quarantine. Most of the ICUs are not designed to deal with airborne viral infections and require redesigning for the safety of HCWs and patients. Infection control practices related to the prevention of spread of COVD-19 are unique and are well described. The training of staff on infection control practices reduces the infection rate among HCWs significantly. Adequate staffing not only helps in infection control but also prevents burnout of the staff. In case of infection to HCW, the staff must be assessed systematically, and institute's infection control committee should guide for isolation period as well as return to work based upon standard recommendations. This article focuses on infection control and prevention measures required in ICU during the COVID-19 pandemic. Sharma J, Nasa P, Reddy KS, Kuragayala SD, Sahi S, Gopal P, . Infection Prevention and Control for ICU during COVID-19 Pandemic: Position Paper of the Indian Society of Critical Care Medicine. Indian J Crit Care Med 2020;24(Suppl 5):S280-S289.
2019冠状病毒病（COVID-19）在医护人员中与医院相关的传播率非常高，这就要求精心设计重症监护病房（ICU）、优化人员资源、实施严格的感染控制措施、进行环境消毒、细致地采集样本以及制定人员隔离标准。大多数ICU并非为应对空气传播的病毒感染而设计，需要重新设计以保障医护人员和患者的安全。与预防COVID-19传播相关的感染控制措施独具特色且已有详尽描述。对工作人员进行感染控制措施培训可显著降低医护人员中的感染率。充足的人员配备不仅有助于感染控制，还能防止工作人员倦怠。如果医护人员感染，必须对其进行系统评估，机构的感染控制委员会应根据标准建议指导隔离期以及复工事宜。本文重点关注COVID-19大流行期间ICU所需的感染控制和预防措施。 夏尔马J、纳萨P、雷迪KS、库拉加亚拉SD、萨希S、戈帕尔P等。《COVID-19大流行期间ICU的感染预防与控制：印度重症监护医学学会立场文件》。《印度重症监护医学杂志》2020年；24（增刊5）：S280 - S289。
