New evidence-based clinical practice guideline timely supports hospital infection control of coronavirus disease 2019

Li, Sheyu; Zong, Zhiyong; Sun, Xin; Li, Weimin

In response to this emergence, the West China Hospital (WCH) of Sichuan University initiated the urgent evidence-based guideline approach (i.e., West China Urgent Recommendations, English version shown as Supplementary Material # ) that aimed to offer timely recommendations for healthcare practitioners and institutes about the hospital disease control during the viral epidemics. 4 Based on the MAGIC (making GRADE the irresistible choice) evidence ecosystem, 5 this urgent guideline approach was adapted specifically for the present outbreak and future public health emergencies. It should be one of the major contributions of the MAGIC China Center since its establishment in April 2019 with the joint efforts of the MAGIC Evidence Ecosystem Foundation and WCH. 6 In developing the urgent recommendations of hospital infection control of COVID-19, we recruited guideline committee members including clinicians, hospital managers, methodologists and other practitioners. Seven critical questions were raised from first-line healthcare practitioners who participated in a focused, methodologist-mediated topic selection meeting. Prioritizing the public and then the patients, committee members answered these questions using least-torecommendation (LTR) evidence with the help of methodologists. With rigorous evidence-based approaches, the multidisciplinary team completed the urgent recommendations within one week.