Background: Coronavirus disease (Covid-19) is currently a worldwide pandemic
ongoing global health emergency caused by severe acute respiratory syndrome (SARS).
Critical health team have an essential role in the prevention of acquired Covid-19 in intensive
care unit through applying of hospital specific covid-19 precautions. Aim: This study aimed
to assess factors contributing to acquire covid-19 among critical ill patients in intensive care
units. Design: A descriptive exploratory design was utilized for the conduction of this study.
Setting: the study was carried out in intensive care units of Ain Shams University Hospital
(emergency and general medicine ICU). Study sample: A Purposive sample of seventy five
patients admitted to the previously mentioned setting. Tools: three tools were used to collect
data consisted of patient assessment tool, precautions measures against Covid-19 observational
checklist tool, and Covid-19 incidence in ICU tool. Results: revealed that, the majority of the
studied patients acquired Covid-19 in ICU, and the application of most precautions measures
against Covid-19 were not done or done incorrectly. In addition to, there were a highly
statistically significant relation between acquired Covid-19 in ICU, application of precautions
measures, past medical history and length of ICU stay. Conclusion: based on the findings of
the current study, it can be concluded that: the majority of studied patients acquired Covid-19
in ICU. As well factors contributing to acquire Covid-19 among critically ill patients in ICU
were non- compliance of health team to precautions measures against Covid-19, patients
present, past medical history and length of stay in ICU. Recommendations: developing
instructional guideline for improving medical health team performance regarding application
of precautions measures against Covid-19. In addition to, replication of the study on larger
sample selected from different areas in Egypt is recommended to obtain more generalizable data.