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Management Strategy of Corona Virus Disease-2019 in Quarantine Zones Outside Hospitals: Analysis of 1232 Cases from a District in Wuhan

15 Pages Posted: 14 Apr 2020

See all articles by Xiaojian Zhu

Xiaojian Zhu

Huazhong University of Science and Technology - Department of Hematology

Jue Wang

Huazhong University of Science and Technology - Department of Hematology

Hao Wang

QiaoKou HanZheng Street Community Health Service Center

Yutong Tang

Huazhong University of Science and Technology - Department of Hematology

Shu Zhou

Huazhong University of Science and Technology - Department of Hematology

Yuxiao Zhang

Wuhan University - School of Health Sciences

Lianzhen Wang

Wuhan No. 1 Hospital

Shengxin Liu

The Third People's Hospital of Hubei Province

Yanmin Zhang

Wuhan No. 1 Hospital

Wen Liu

Huazhong University of Science and Technology - Department of Hematology

Wenlan Fu

The Third People's Hospital of Hubei Province

Yuanping Cai

Wuhan Fourth Hospital

Yu Tao

Huazhong University of Science and Technology - Department of Hematology

Fang Liu

The Third People's Hospital of Hubei Province

Jun Zhou

The Third People's Hospital of Hubei Province

More...

Abstract

The Corona Virus Disease 2019 (COVID-19) has evolved into a global pandemic in the early 2020. Management strategy outside hospitals of the suspected cases, close contacts and discharged patients might be as important as treatment in hospital. We analyzed information from 1232 cases at 14 hotels (requisitioned as quarantine zones) in Qiaokou district, Wuhan during Feb 8th to March 4th 2020. Abide by the unquarantine and hospitalization standard, 603 (48 · 94%) cases were released from quarantine zones; 540 (43·83%) cases were sent to hospital for further medical care. 89 (7·22%) cases remained on quarantine up to the end of the analysis. The reasons for cases sent to the hospital for treatment were either positive for COVID-19 nucleic acid test, progression in pulmonary CT scan, or aggravation of symptoms. 11/59 patients switched from negative to positive for nucleic acid test during stayed in quarantine zones after being discharged from the hospitals. In total, hospitalization and positive rate for COVID-19 nucleic acid test both decreased over time. The quarantine measures were important and played a pivotal role in identification of cardinal number, cutting off the transmission, reducing the scope of prevention and rehabilitation therapy. This protocol adopted in Wuhan provided countries worldwide with valuable experience.

Funding Statement: The authors stated that there is no funding source.

Declaration of Interests: The authors declare that they have no conflict of interest.

Ethics Approval Statement: The research protocol was assessed and approved by the Ethical Committee of the Tongji Hospital, Tongji medical college, Huazhong University of Science and Technology.

Keywords: Corona Virus Disease 2019; Novel coronavirus pneumonia; quarantine zones

Suggested Citation

Zhu, Xiaojian and Wang, Jue and Wang, Hao and Tang, Yutong and Zhou, Shu and Zhang, Yuxiao and Wang, Lianzhen and Liu, Shengxin and Zhang, Yanmin and Liu, Wen and Fu, Wenlan and Cai, Yuanping and Tao, Yu and Liu, Fang and Zhou, Jun, Management Strategy of Corona Virus Disease-2019 in Quarantine Zones Outside Hospitals: Analysis of 1232 Cases from a District in Wuhan (4/1/2020). Available at SSRN: https://ssrn.com/abstract=3566252 or http://dx.doi.org/10.2139/ssrn.3566252

Xiaojian Zhu

Huazhong University of Science and Technology - Department of Hematology

China

Jue Wang

Huazhong University of Science and Technology - Department of Hematology

China

Hao Wang

QiaoKou HanZheng Street Community Health Service Center

Wuhan
China

Yutong Tang

Huazhong University of Science and Technology - Department of Hematology

1277 Jiefang Avenue
Wuhan, 430022
China

Shu Zhou

Huazhong University of Science and Technology - Department of Hematology

1277 Jiefang Avenue
Wuhan, 430022
China

Yuxiao Zhang

Wuhan University - School of Health Sciences

Wuhan
China

Lianzhen Wang

Wuhan No. 1 Hospital

Wuhan, 430022
China

Shengxin Liu

The Third People's Hospital of Hubei Province

Wuhan, 430030
China

Yanmin Zhang

Wuhan No. 1 Hospital

Wuhan, 430022
China

Wen Liu

Huazhong University of Science and Technology - Department of Hematology

1277 Jiefang Avenue
Wuhan, 430022
China

Wenlan Fu

The Third People's Hospital of Hubei Province

Wuhan, 430030
China

Yuanping Cai

Wuhan Fourth Hospital

No. 473, Hanzheng Road
Wuhan, Hubei 321000
China

Yu Tao

Huazhong University of Science and Technology - Department of Hematology

China

Fang Liu

The Third People's Hospital of Hubei Province ( email )

Wuhan, 430030
China

Jun Zhou (Contact Author)

The Third People's Hospital of Hubei Province ( email )

Wuhan, 430030
China