People's Daily: Wuhan unidentified pneumonia can not be identified as SARS, 7 cases are critically ill

 

[latest news: ා Wuhan pneumonia can't be determined as SARS, most of the cases are business households of South China Seafood City] according to the news from the relevant departments of Hubei Province, since December, Wuhan has continued to carry out influenza and related disease monitoring, 27 cases of viral pneumonia were found, all of which were diagnosed as viral pneumonia / pulmonary infection. Of the 27 cases, 7 were critically ill, the rest were controllable, and 2 were expected to be discharged in the near future.

 

The survey found that most of the cases of pneumonia were business households in South China Seafood City. At present, the related virus typing test, isolation treatment, terminal disinfection and other work are in progress.

 

Many hospitals in Wuhan said that the cause of the disease is not clear, it can not be concluded that it is the online rumors of SARS virus, other severe pneumonia is more likely. And even if it is SARS virus, there has been a mature prevention and treatment system before, and the public need not panic.

 

Official website of Wuhan Health Committee: a report on the current situation of pneumonia in our city

 

Recently, some medical institutions found that many cases of pneumonia received were related to South China Seafood City. After receiving the report, the municipal health and Health Committee immediately carried out case search and retrospective investigation in the city's medical and health institutions. At present, 27 cases have been found, including 7 cases of serious illness, the rest of the cases are stable and controllable, and 2 cases are expected to be discharged in the near future. The main clinical manifestations were fever, dyspnea in a few patients, and double lung infiltrative lesions on chest radiograph. At present, all cases have been isolated for treatment. The follow-up investigation and medical observation of close contacts are in progress. The hygiene investigation and environmental sanitation disposal of South China Seafood City are in progress.

 

Wuhan city organized Tongji Hospital, provincial CDC, Wuhan Institute of Virology, Chinese Academy of Sciences, Wuhan infectious disease hospital and Wuhan CDC and other units of clinical medicine, epidemiology, virology experts for consultation, experts from the condition, treatment outcome, epidemiological investigation, laboratory preliminary detection and other aspects of the analysis that the above cases are viral pneumonia. So far, no obvious phenomenon of human to human transmission has been found in the investigation, and no infection of medical staff has been found. At present, the detection of pathogens and the investigation of the causes of infection are in progress.

 

Viral pneumonia is common in winter and spring. It can spread or break out. The main clinical manifestations are fever, aching all over, dyspnea in a few parts and infiltration shadow of lung. Viral pneumonia is related to the virulence of the virus, the route of infection, the age of the host and the immune status. Influenza virus is the most common virus that causes viral pneumonia, others are parainfluenza virus, cytomegalovirus, adenovirus, rhinovirus, coronavirus, etc. The diagnosis depends on the etiological examination, including virus isolation, serological examination and detection of virus antigen and nucleic acid. The disease can be prevented and controlled. In terms of prevention, it can keep indoor air circulation, avoid public places with closed and non circulating air and places where people are concentrated, and wear masks when going out. The clinical treatment is mainly symptomatic, which requires bed rest. If you have the above symptoms, especially the persistent fever, you should go to the medical institution in time.

 

December 31, 2019

 

According to the Hubei Provincial Health and Health Commission and the Propaganda Department of Wuhan municipal Party committee, the expert group of the national health and Health Commission arrived in Wuhan on December 31 and is carrying out relevant testing and verification.

 

Cases of pneumonia of unknown origin

 

The so-called unexplained pneumonia cases refer to the following four cases of pneumonia that can not be diagnosed clearly at the same time: fever (≥ 38 ℃); imaging features of pneumonia or acute respiratory distress syndrome; the total number of white blood cells in the early stage of the disease is decreased or normal, or the number of lymphocyte classification is reduced; the disease has no significant improvement after 3-5 days of standardized antibiotic treatment.

 

Medical staff of medical institutions should carefully understand the history of patients with pneumonia of unknown causes, especially the contact history of poultry. All medical institutions should separate the patients with pneumonia of unknown cause. At the same time, the hospital shall not shirk the responsibility of critically ill patients.

 

medical institution

 

1. The medical staff shall wear work clothes and follow the standard prevention principle in the diagnosis and treatment work, wear surgical masks when contacting all patients, and strictly implement hand hygiene.

 

2. Medical staff should be familiar with the epidemiological and clinical characteristics of influenza and pay attention to prevention.

 

3. Before and after diagnosis and treatment, the isolation protective articles shall be put on and off correctly. Carry out hand hygiene carefully, conduct personal hygiene disposal when finishing work, and pay attention to the protection of respiratory tract and mucous membrane.

 

4. Strictly abide by the rules and regulations of disinfection and droplet isolation, and wear latex gloves, goggles / protective screens, and isolation clothes when carrying out operations that may cause splashing.

 

5. If the medical staff has respiratory symptoms such as fever, cough, sore throat, etc., they should be treated in time to avoid infecting others with the disease.

 

6. After the patient is transferred out, the air and bed unit shall be disinfected.

 

7. Strengthen the cleaning and disinfection of medical devices, contaminated articles, object surfaces, ground, etc. at least twice a day, and select the correct disinfectant (it is better to select the disinfectant that can kill the virus on the environmental surface) for disinfection treatment according to the actual situation.

 

1. Surface sanitary wipes:

It can kill Klebsiella pneumoniae.

 

2. Anjie disinfectant:

3. Antibacterial hand sanitizer (wash hands frequently and do a good job in hand hygiene):

Chlorhexidine gluconate 0.3% ± 0.03% (w / W), glycerin, collagen, vitamin E, long-term protection after hand washing.

 

4. Deluxe hand sanitizer

 

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