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.