Disease control of 2019 novel coronavirus infection in hospital: West China urgent recommendation_Chinese Journal of Evidence-Based Medicine

Authors：

LI Sheyu ^1,2 ^# , HUANG Wenzhi ³ ^# , LIAO Xuelian ⁴ , LI Diandian ⁵ , DU Lingyao ⁶ , SONG Jiajia ⁷ , ZHOU Yiwu ⁸ , ZHAO Shuzhen ⁹ , WANG Ying ⁶ , CAO Xiaoyi ¹⁰ , WANG Jing ² , LIU Jiali ² , WANG Yuning ² , ZHU Shichao ³ , LI Ling ² , HAO Qiukui ¹¹ , ZONG Zhiyong ^3,6 ,  SUN Xin ^2,11 ,  LI Weimin ⁵

1. Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
2. Chinese Evidence-based Medicine Center and MAGIC-China Center, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
3. Department of Infection Control, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
4. Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
5. Department of Respiratory Medicine and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
6. Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
7. Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
8. Department of Emergency Medicine, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
9. Outpatient Department, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
10. Nursing Department, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
11. National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;

Corresponding author：

SUN Xin, Email: sunx79@hotmail.com; LI Weimin, Email: weimi003@yahoo.com

Keywords：

2019-Novel coronavirus infection; Public health crisis; Infection control; Hospital management; Disaster medicine; West China urgent recommendation

DOI：

10.7507/1672-2531.202001121

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China is facing the serious situation of 2019-novel coronavirus (2019-nCoV) infection. The health care institutions have actively participated in the prevention, diagnosis, and treatment of the disease. Proper regulation of in-hospital policy may help control virus spreading. We developed seven key clinical questions about the prevention and control of 2019-novel coronavirus infection in hospital, and provided recommendations based on the best available evidence and expert experience. We interpreted the recommendations for better feasibility in Chinese hospital. The current recommendations provide evidence and reference for the domestic medical institutions to reasonably adjust the hospital workflow during 2019-nCoV infection period..

Citation： LI Sheyu, HUANG Wenzhi, LIAO Xuelian, LI Diandian, DU Lingyao, SONG Jiajia, ZHOU Yiwu, ZHAO Shuzhen, WANG Ying, CAO Xiaoyi, WANG Jing, LIU Jiali, WANG Yuning, ZHU Shichao, LI Ling, HAO Qiukui, ZONG Zhiyong, SUN Xin, LI Weimin. Disease control of 2019 novel coronavirus infection in hospital: West China urgent recommendation. Chinese Journal of Evidence-Based Medicine, 2020, 20(2): 125-133. doi: 10.7507/1672-2531.202001121 Copy

1.	央视新闻客户端. 肺炎疫情 24 小时: 党中央成立应对疫情工作领导小组 30 个省市自治区已启动一级公共卫生事件响应. Available from: http://m.news.cctv.com/2020/01/25/ARTIVdXxhUzobSvozuL6cQ44200125.shtml.
2.	Nanshan C, Min Z, Xuan D, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 2020.
3.	Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 2020.
4.	国家卫生健康委员会, 国家中医药管理局. 新型冠状病毒感染的肺炎诊疗方案(试行第四版). Available from: https://baijiahao.baidu.com/s?id=1656942672030972389&wfr=spider&for=pc.
5.	新华社. 习近平主持中共中央政治局常务委员会会议研究新型冠状病毒感染的肺炎疫情防控工作. Available from: http://www.gov.cn/xinwen/2020-01/25/content_5472188.htm.
6.	孙鑫, 李玲, 李舍予, 等. 促进高质量临床实践指南快速制订与有效使用: MAGIC体系与中国行动. 中国循证医学杂志, 2020, 20(1): 2-6.
7.	Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490.
8.	Sorensen BS, Zane RD, Wante BE, et al. Hospital emergency response checklist: an all-hazards tool for hospital administrators and emergency managers. Available from: https://www.who.int/docs/default-source/documents/publications/hospital-emergency-response-checklist.pdf.
9.	California. Emergency Medical Services Authority, Ballay C. Hospital incident command system guidebook. Available from: https://emsa.ca.gov/disaster-medical-services-division-hospital-incident-command-system/.
10.	伍冀湘, 吕鹏, 黄卫祖. 应急指挥系统在SARS定点医院中的实践. 中华医院管理杂志, 2003, (10): 11-14.
11.	Tsai MC, Arnold JL, Chuang CC, et al. Implementation of the hospital emergency incident command system during an outbreak of severe acute respiratory syndrome (SARS) at a hospital in Taiwan, ROC. J Emerg Med, 2005, 28(2): 185-196.
12.	Koenig KL. Identify, isolate, inform: a 3-pronged approach to management of public health emergencies. Disaster Med Public Health Prep, 2015, 9(1): 86-87.
13.	Koenig KL, Alassaf W, Burns MJ. Identify-isolate-inform: a tool for initial detection and management of measles patients in the emergency department. West J Emerg Med, 2015, 16(2): 212-219.
14.	Koenig KL. Identify-Isolate-Inform: A modified tool for initial detection and management of Middle East respiratory syndrome patients in the emergency department. West J Emerg Med, 2015, 16(5): 619-624.
15.	McNeill G, Bryden D. Do either early warning systems or emergency response teams improve hospital patient survival? A systematic review. Resuscitation, 2013, 84(12): 1652-1667.
16.	Liao X, Wang Bo, Kang Y. Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units. The experience in Sichuan Province, China. Intensive Care Med, 2020.
17.	国家卫生健康委员会. 新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行). Available from: http://www.gov.cn/zhengce/zhengceku/2020-01/28/content_5472673.htm.
18.	王妍潼, 黄文治, 宋佳佳, 等. 预防医务人员新型冠状病毒感染华西医院分级个人防护方案. 待发表.
19.	Jefferson T, Foxlee R, Mar CD, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ, 2008, 336(7635): 77-80.
20.	WHO. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. World Health Organization, 2014.
21.	国家卫生健康委员会, 国家中医药管理局. 新型冠状病毒感染的肺炎防控方案(第三版). Available from: http://www.gov.cn/zhengce/zhengceku/2020-01/29/content_5472893.htm.
22.	全国人大常委会. 中华人民共和国传染病防治法(2013 修正). 主席令第 5 号. 发布日期 2013-06-29, 实施日期 2013-06-29.
23.	Rabenau HF, Cinatl J, Morgenstern B, et al. Stability and inactivation of SARS coronavirus. Med Microbiol Immunol, 2005, 194(1-2): 1-6.
24.	Kim JY, Song JY, Yoon YK, et al. Middle east respiratory syndrome infection control and prevention guideline for healthcare facilities. Infect Chemother, 2015, 47(4): 278-302.
25.	Seto WH, Tsang D, Yung RW, et al. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS). Lancet, 2003, 361(9368): 1519-1520.
26.	Tran K, Cimon K, Severn M, et al. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One, 2012, 7(4): e35797.
27.	WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected (Interim guidance). Available from: https://www.who.int/docs/default-source/coronaviruse/20200126-ncov-ipc-during-health-care.pdf.
28.	Markwell H, Godkin D. Visitor restrictions during a public health emergency: ethical issues and guidelines for policy development. Ministry of Health and Long Term Care, 2004.
29.	Currie K, Curran E, Strachan E, et al. Temporary suspension of visiting during norovirus outbreaks in NHS Boards and the independent care home sector in Scotland: a cross-sectional survey of practice. J Hosp Infect, 2016, 92(3): 253-258.
30.	尹红, 汪爱民. 探讨预防严重急性呼吸综合征输入与传播的探视制度. 上海护理, 2004, 4(2): 49-50.
31.	McCleary L, Munro M, Jackson L, et al. Impact of SARS visiting restrictions on relatives of long-term care residents. Journal of Social Work in Long-Term Care, 2006, 3(3-4): 3-20.

1. 央视新闻客户端. 肺炎疫情 24 小时: 党中央成立应对疫情工作领导小组 30 个省市自治区已启动一级公共卫生事件响应. Available from: http://m.news.cctv.com/2020/01/25/ARTIVdXxhUzobSvozuL6cQ44200125.shtml.
2. Nanshan C, Min Z, Xuan D, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 2020.
3. Li Q, Guan X, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 2020.
4. 国家卫生健康委员会, 国家中医药管理局. 新型冠状病毒感染的肺炎诊疗方案(试行第四版). Available from: https://baijiahao.baidu.com/s?id=1656942672030972389&wfr=spider&for=pc.
5. 新华社. 习近平主持中共中央政治局常务委员会会议研究新型冠状病毒感染的肺炎疫情防控工作. Available from: http://www.gov.cn/xinwen/2020-01/25/content_5472188.htm.
6. 孙鑫, 李玲, 李舍予, 等. 促进高质量临床实践指南快速制订与有效使用: MAGIC体系与中国行动. 中国循证医学杂志, 2020, 20(1): 2-6.
7. Atkins D, Best D, Briss PA, et al. Grading quality of evidence and strength of recommendations. BMJ, 2004, 328(7454): 1490.
8. Sorensen BS, Zane RD, Wante BE, et al. Hospital emergency response checklist: an all-hazards tool for hospital administrators and emergency managers. Available from: https://www.who.int/docs/default-source/documents/publications/hospital-emergency-response-checklist.pdf.
9. California. Emergency Medical Services Authority, Ballay C. Hospital incident command system guidebook. Available from: https://emsa.ca.gov/disaster-medical-services-division-hospital-incident-command-system/.
10. 伍冀湘, 吕鹏, 黄卫祖. 应急指挥系统在SARS定点医院中的实践. 中华医院管理杂志, 2003, (10): 11-14.
11. Tsai MC, Arnold JL, Chuang CC, et al. Implementation of the hospital emergency incident command system during an outbreak of severe acute respiratory syndrome (SARS) at a hospital in Taiwan, ROC. J Emerg Med, 2005, 28(2): 185-196.
12. Koenig KL. Identify, isolate, inform: a 3-pronged approach to management of public health emergencies. Disaster Med Public Health Prep, 2015, 9(1): 86-87.
13. Koenig KL, Alassaf W, Burns MJ. Identify-isolate-inform: a tool for initial detection and management of measles patients in the emergency department. West J Emerg Med, 2015, 16(2): 212-219.
14. Koenig KL. Identify-Isolate-Inform: A modified tool for initial detection and management of Middle East respiratory syndrome patients in the emergency department. West J Emerg Med, 2015, 16(5): 619-624.
15. McNeill G, Bryden D. Do either early warning systems or emergency response teams improve hospital patient survival? A systematic review. Resuscitation, 2013, 84(12): 1652-1667.
16. Liao X, Wang Bo, Kang Y. Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units. The experience in Sichuan Province, China. Intensive Care Med, 2020.
17. 国家卫生健康委员会. 新型冠状病毒感染的肺炎防控中常见医用防护用品使用范围指引(试行). Available from: http://www.gov.cn/zhengce/zhengceku/2020-01/28/content_5472673.htm.
18. 王妍潼, 黄文治, 宋佳佳, 等. 预防医务人员新型冠状病毒感染华西医院分级个人防护方案. 待发表.
19. Jefferson T, Foxlee R, Mar CD, et al. Physical interventions to interrupt or reduce the spread of respiratory viruses: systematic review. BMJ, 2008, 336(7635): 77-80.
20. WHO. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. World Health Organization, 2014.
21. 国家卫生健康委员会, 国家中医药管理局. 新型冠状病毒感染的肺炎防控方案(第三版). Available from: http://www.gov.cn/zhengce/zhengceku/2020-01/29/content_5472893.htm.
22. 全国人大常委会. 中华人民共和国传染病防治法(2013 修正). 主席令第 5 号. 发布日期 2013-06-29, 实施日期 2013-06-29.
23. Rabenau HF, Cinatl J, Morgenstern B, et al. Stability and inactivation of SARS coronavirus. Med Microbiol Immunol, 2005, 194(1-2): 1-6.
24. Kim JY, Song JY, Yoon YK, et al. Middle east respiratory syndrome infection control and prevention guideline for healthcare facilities. Infect Chemother, 2015, 47(4): 278-302.
25. Seto WH, Tsang D, Yung RW, et al. Effectiveness of precautions against droplets and contact in prevention of nosocomial transmission of severe acute respiratory syndrome (SARS). Lancet, 2003, 361(9368): 1519-1520.
26. Tran K, Cimon K, Severn M, et al. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One, 2012, 7(4): e35797.
27. WHO. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected (Interim guidance). Available from: https://www.who.int/docs/default-source/coronaviruse/20200126-ncov-ipc-during-health-care.pdf.
28. Markwell H, Godkin D. Visitor restrictions during a public health emergency: ethical issues and guidelines for policy development. Ministry of Health and Long Term Care, 2004.
29. Currie K, Curran E, Strachan E, et al. Temporary suspension of visiting during norovirus outbreaks in NHS Boards and the independent care home sector in Scotland: a cross-sectional survey of practice. J Hosp Infect, 2016, 92(3): 253-258.
30. 尹红, 汪爱民. 探讨预防严重急性呼吸综合征输入与传播的探视制度. 上海护理, 2004, 4(2): 49-50.
31. McCleary L, Munro M, Jackson L, et al. Impact of SARS visiting restrictions on relatives of long-term care residents. Journal of Social Work in Long-Term Care, 2006, 3(3-4): 3-20.

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