key: cord-1049716-rb91fchm authors: Peng, Jianhui; Xu, Liqi; Wang, Mingke; Qi, Yong title: Practical experiences on the prevention and treatment strategies to fight against COVID-19 in hospital date: 2020-05-05 journal: QJM DOI: 10.1093/qjmed/hcaa154 sha: 36824921855eb2269e4c22935db8d9c2b4b748ff doc_id: 1049716 cord_uid: rb91fchm nan Moreover, paperless medical records were implemented in our whole hospital, especially in isolation wards, which minimized the risks of hospital cross-infection. As reported by Sahu et al in this Journal, COVID-19 epidemic was the ongoing 3rd coronavirus outbreak of the 21st century, which resulted in many deaths worldwide 9 . We also adopted the following medical treatment strategies to improve clinical outcomes 3 . First, the case management system of "Classification on areas, types and levels" was implemented, whose core was to distinguish patient areas, patients and medical staff, and managed them accurately. Concretely, severe and critical cases were treated in the negative pressure unit and ICU (intensive care unit) in the charge of experienced ICU team. Newly confirmed and unstable cases were managed by respiratory teams to prevent them from becoming severe or critical cases. Stable and suspected cases were treated by infection team. Observation cases were treated by previous medical staff in the isolated wards. Medical staffs were also divided into three regular levels of management. Second, "Two early, three changes and three strictness" was another innovative way. "Two early" were early multidisciplinary diagnosis and treatment by multiple departments including respiratory, infection, critical care medicine, and traditional Chinese medicine, and early use of Chinese medicine treatment; "Three changes" were to realize intelligent, remote and systematic taking advantage of our hospital as the first internet and intelligent hospital in China; "three strictness" were strict checks, strict training and strict organization. Finally, "One person, one strategy" included: early use and whole process participation of traditional Chinese medicine, and strived to make each patient have the treatment of traditional Chinese medicine; One prescription for one person was to guarantee the personalized, high-quality treatment; Preventive measures in traditional Chinese medicine and medical diet therapy instruction were adopted based on the patient's entity and constitution. Additionally, our hospital adopted other preventive measures such as herbal tea, anti-epidemic sachets, Chinese medicine fumigation, Chinese foot bath powder, and so on. The goal was to make patients benefit from the treatment and recover quickly. In conclusion, COVID-19 outbreak does not respect geopolitical boundaries, and scientific proactive measures and medical treatment strategies are crucial to effectively respond to the epidemic 10 . We hope that our experiences would provide great assistance to the prevention, control and clinical practice of COVID-19 in all countries worldwide. Shenzhen' experience on containing 2019 novel coronavirus-infected pneumonia transmission After SARS "double no" again , why can Guangdong Second Provincial General Hospital do that Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan Practical experiences and suggestions on the eagle-eyed observer, a novel promising role for controlling nosocomial infection of the COVID-19 outbreak Initiation of a new infection control system for the COVID-19 outbreak Network consultation + medicine delivery to home rushed to the aid of Hubei by online help pregnant Recent insights into 2019-nCoV: a brief but comprehensive review Novel coronavirus (2019-nCoV): Update on 3rd coronavirus outbreak of 21st century Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention We thank all colleagues in Guangdong Second Provincial General Hospital for their efforts in COVID-19 fight.