Hospital Preparedness for COVID-19: The Known and The Known Unknown

In late March 2020, we faced a nosocomial outbreak of novel coronavirus disease 2019 (COVID-19) at Keio University Hospital, Tokyo, Japan. Presently, COVID-19 is an unprecedented worldwide biohazard, and can occur in any hospital time. Therefore, reviewed the literature regarding preparedness, initial management COVID-19, surveillance healthcare workers (HCWs) to find information that would be generally useful for physicians when confronted with COVID-19. terms each should develop incident system establish designated multidisciplinary medical team. To initiate case management, suspected based on patient symptoms and/or high-risk history then confirmed by viral testing, such as reverse transcription polymerase chain reaction (RT-PCR) analysis. Although some patients will become critically ill, guidelines respiratory failure septic shock non-COVID-19 cases followed supportive treatment. Antiviral medications carefully selected because available confused large volume preprint unreliable data. HCWs who have come into contact generate new in-hospital clusters cases. Quarantine following tracking risk stratification effective preventing transmission, essentials include monitoring different types symptoms, delegation supervision, continuation regardless RT-PCR results. Preparation recommended before first encountered.