1 INTRODUCTION
Currently, coronavirus disease 2019 (COVID-19) poses a significant threat to global health. World Health Organization (WHO) has declared this outbreak as a “public health emergency of international concern” on January 31, 2020.11World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 -11 March 2020. Geneva: World Health Organization; 2020Within the first two months of the outbreak, the epidemic spread rapidly around the country and the world. it was inferred that the nosocomial infection rate could reach 41% without rapid intervention.22Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, Wang B, Xiang H, Cheng Z, Xiong Y, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020 Feb 7. doi: 10.1001/jama.2020.1585. In the absence of vaccines and specific treatment, the only available tools to control person-to-person transmittable diseases in healthcare settings are isolation, quarantine and infection control. Gastrointestinal surgical ward is characteristed by more emergency and more selective operations. How to balance emergency or outpatient patients and COVID-19 control has become a challenge to our ward. On the basis of the Chinese Law on the Prevention and Control of Infectious Diseases,33Standing Committee of the National People’s Congress. Law on prevention and control of infectious diseases of the People’s Republic of China (2013-6-29, Revised). China, Standing Committee of the National People’s Congress, June 29, 2013. http://www.gov.cn/banshi/2005- 08/01/content_19023.htm. the Chinese Clinical Guideline for COVID-19 Diagnosis and Treatment (5th edition)44National Health Committee of the People’s Republic of China. Chinese Clinical guideline for COVID-19 diagnosis and treatment (5th Edition). China, National Health Committee, February 4, 2020.http://www.nhc.gov.cn/yzygj/s7653p/202002/3b09b894ac9b4204a79db5b8912d4440.shtml. and Guideline of prevention and control of COVID-19 in medical institution (1st Edition),55National Health Committee of the People’s Republic of China. Guideline of prevention and control of COVID-19 in medical institution (1st Edition). China, National Health Committee, January 22, 2020. http://www.nhc.gov.cn/yzygj/s7659/202001/b91fdab7c304431eb082d67847d27e14.shtml. we updated the ward management rules and procedures, optimized the personnel access process and strengthened infection control in our gastrointestinal surgery ward. And so far, our hospitalization rate reached 80% with zero infections among patients and medical staff, the following report is our ward management practice.