Original title: How to manage confirmed cases of new coronavirus after being cured and discharged from hospital? Hainan experts: Continue to monitor home health for 7 days, do a good job in nucleic acid testing
New Hainan Client, Nanhai.com, Nanguo Metropolis Daily August 29 (Reporter Wang Hongxu) On August 29, the Hainan Provincial Information Office held the 64th Hainan Province COVID-19 epidemic prevention and control press conference. The reporter learned that the epidemic in Hainan has maintained a downward trend. As of August 28, the province has a total of 12,707 cases of cured and discharged from hospital. So, how to manage the confirmed cases of novel coronavirus pneumonia after being cured and discharged from the hospital?
After the confirmed cases of new coronavirus, 7 days of home health monitoring will be conducted after being cured and discharged from the hospital, Li Wenxiu, deputy head of the comprehensive group of the Hainan Provincial COVID-19 Epidemic Prevention and Control Command, deputy head of the medical treatment group, and member of the Party Committee and deputy director of the Provincial Health Commission, said that after the confirmed cases of new coronavirus pneumonia are cured and discharged from the hospital, 7 days of home health monitoring will be continued. Home health monitoring is mainly managed by the community, so this work has requirements for both community and home health monitoring personnel.
Hainan Provincial COVID-19 Prevention and Control Command Press Conference (Session 64). Photo by Liu Yang
Community needs to register and create books. Inquire and collect information every morning and evening
and the community needs to register and create books. Street (town), community (village) staff should strengthen investigation and information registration, timely grasp the information of personnel returning to the local home health monitoring, register and register in accordance with the requirements of "one household, one file" or "one person, one file", include it in the community grid management, issue home health monitoring notices, inform home health monitoring related requirements, do a good job in health monitoring and education, and urge them to do a good job in home health monitoring as required. Also find out the situation of special people at home health monitoring such as pregnant women and dialysis patients, establish a ledger, and provide necessary living security and caring services.
monitoring information collection. Streets (towns) and communities (villages) can regularly inquire and collect information on temperature, symptoms and other information of home health monitoring personnel twice a day by establishing WeChat groups, mini programs, etc. by establishing WeChat groups, mini programs, etc. In the morning and evening, people can report it immediately, and a special person will contact a 120 negative pressure ambulance to get nearest to send it to the fever clinic or designated medical institution for medical treatment.
Home health monitoring personnel take temperature measurements every morning and evening. Do a good job of symptom testing.
Home health monitoring personnel take body temperature once a day in the morning and evening. Do a good job of symptom monitoring and report truthfully to the community (village). If you experience symptoms such as fever, dry cough, fatigue, sore throat, loss of smell (taste), diarrhea, etc., you should immediately inform the community staff, and cooperate with medical institutions for treatment. When visiting the medical staff, truthfully inform the medical staff of the epidemiological history of .
Choose to live in a room with better ventilation and try to keep it relatively independent; if conditions permit, try to use a separate bathroom to avoid sharing the bathroom with other family members; the room should be equipped with thermometer , tissues, medical protective masks, disposable gloves, disinfectants and other personal protective equipment , disinfection products and trash cans with lids.
Do not go out during home health monitoring. If you are seeking medical treatment, you must take personal protection when going out, and wear N95/KN95 particulate protective masks in a standardized manner to avoid taking public transportation.
Do a good job in sanitation and cleaning of home environment and cooperate with nucleic acid testing
In terms of sanitation and epidemic prevention, during the health monitoring of confirmed cases of new crown, keep the home ventilated, and try to open doors and windows to ventilate every day; do a good job in sanitation and cleaning of shared areas such as bathrooms and bathrooms; regularly disinfect the surfaces of daily high-frequency contact items such as door handles, mobile phones, switches, etc.; do a good job in hand hygiene , pay attention to cough etiquette, cover the mouth and nose with tissues when coughing or sneezing or cover the mouth and nose with the inner side of the elbow, throw used tissues into the trash can, wash hands or disinfect hands immediately if you come into contact with respiratory secretions; try not to share daily necessities with other members of the family, avoid close contact with family members, and recommend separate meals when dining.
cooperates to complete nucleic acid testing according to prevention and control requirements. Home health monitoring personnel complete nucleic acid testing on the 4th and 7th day after they are discharged from the hospital (cabin), and implement single-person and home sampling.
Respiratory tract specimens "positive" nucleic acid should be made immediately
Li Wenxiu said that for the interpretation of nucleic acid test results, once medical and health institutions at all levels and types find that respiratory tract specimens "positive" for home health monitoring personnel, they should immediately make an analysis:
If there are no symptoms and signs, and the nucleic acid test Ct value ≥35, no longer manage and determine close contacts; if the nucleic acid test Ct value <35,>Ct value , etc., quickly evaluate its transmission risk, and take corresponding management measures. If there is a risk of transmission, the infected person will be managed as the person being infected, and close contacts who have frequent contacts such as living and working together will not be judged; if there is no risk of transmission, close contacts will no longer be managed and judged.
If there are clinical manifestations such as fever and cough, or if CT imaging shows that the lung lesions are aggravated, the local municipal and county commands should connect to designated medical institutions for treatment and transfer, and classify management and treatment according to the condition and infectiousness. If the nucleic acid detection Ct value is ≥35, there is no need to trace or control the close contacts; if the nucleic acid detection Ct value is <35,>
(Wang Hongxu)
