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. 2020 Apr 3:ehaa266. doi: 10.1093/eurheartj/ehaa266

Table 1.

Practical protection and prevention measures developed in cardiology

Key measures
  1. Staff and patient education

  2. Management of visitors

  3. Review infection prevention policies and procedures

  4. Pre-training of wearing protection clothing

  5. Environmental cleaning and hand hygiene

  6. Terminating the use of air conditioning and keep windows open for ventilation

  7. Division of the ward area into contaminated, transition, and clean regions to reduce cross-infection under the guidance of experts for infectious disease

  8. For suspected or confirmed patients with COVID-19 in our department before transfer to designated isolation wards of the hospital, the following measures are defined:

    Single-patient room equipped with air sanitizer, limit the range of patient activities, environmental cleaning and disinfection twice per day, contact precautions, designated medical team for patient management, external visits forbidden, patient required to wear mask, immediate transfer to COVID-19-specific wards once confirmed, disinfection, and disposal of patient items

  9. For patients excluded from infection: mask wearing, external visits forbidden

PPE applied
  1. Level 1 protection

    • Equipment: surgical mask (or N95 respirator), disposable cap, disposable isolation gown (or white coat), medical gloves (if necessary), rapid hand disinfection solution

    • Applied settings: clean or transition region of the workplace; general medical contact with non-infected patients

  2. Level 2 protection

    • Equipment: disposable cap, goggles (or facemask), N95 respirator, disposable protective overall, medical gloves, disposable shoe covers, rapid hand disinfection solution

    • Applied settings: general medical contact (not aerosol-generating procedures) with confirmed, suspected patients, or their close contacts, and patients with fever of undetermined origin

  3. Level 3 protection

    • Equipment: disposable cap, particulate respirator (or comprehensive respiratory apparatus), N95 respirator, disposable protective overall, medical gloves (two layers), disposable shoe covers (or protective boots), disposable waterproof isolation gown, rapid hand disinfection solution

    • Applied settings: aerosol-generating procedures (endotracheal intubation, nebulizer treatment, sputum induction, cardiopulmonary resuscitation, etc.), cardiovascular interventions (emergent coronary intervention, implantation of pacemakers or other assisting devices, etc.).

PPE, personal protection equipment.

Our measures are adapted from Regulation for Prevention and Control of Healthcare Associated Infection of Airborne Transmission Disease in Healthcare Facilities (People’s Republic of China, WS/T 511-2016).