New hospital infection control measures announced in influenza program 2019

category:Health
 New hospital infection control measures announced in influenza program 2019


What are the differences between the new version of the plan and the 2018 version? Are there any changes in the Chinese and Western medicine oseltamivir and Lianhuaqingwen capsules (granules) recommended by the national health and health commission? The reporter of the new Beijing news will come to answer the questions one by one.

Changes in laboratory tests and imaging findings

In addition to the routine and biochemical examination of peripheral blood, arterial blood gas analysis and cerebrospinal fluid examination were added to the new version of the program. The plan points out that in the arterial blood gas analysis, the severe patients may have oxygen partial pressure, blood oxygen saturation, oxygenation index decrease, acid-base imbalance; in the CSF examination, the number of cells and protein in the central nervous system patients may be normal or increased, and the typical manifestation of acute necrotic encephalopathy is that the number of cells is approximately normal, and the protein is increased.

In the imaging performance, in the new version of the program, the children complicated with pneumonia in the lung flake shadow appears earlier, multiple and scattered distribution are more common, prone to over inflation, imaging performance changes rapidly, when the disease progresses, the focus expands fusion, and can show pneumothorax, mediastinal emphysema and other signs, and the acute necrotic encephalopathy CT or MRI can see symmetry, many Focal brain injury includes bilateral thalamus, periventricular white matter, inner capsule, putamen, superior tegmental part of brainstem (fourth ventricle, ventral side of mesencephalic aqueduct) and medulla of cerebellum.

Abidol, a new anticoagulant inhibitor

In the hospitalization treatment standard, the new version of the program has deleted two standards, namely women in the middle and late pregnancy and perinatal period and with organ dysfunction, and only kept significantly aggravating basic diseases and meeting the diagnosis standard of severe or critical influenza.

In the selection of anti influenza drugs, in addition to oseltamivir, zanamivir, palamivir and other three neuraminidase inhibitors, the new version of the program added the hemagglutinin inhibitor abidol, which can be used for the treatment of influenza A and B in adults. Because of the limited data of clinical application in our country, it is necessary to observe the curative effect and adverse reactions when using this drug.

In traditional Chinese medicine, Jinhua qinggan granule, Lianhua Qingwen capsule (granule), Qingkailing granule (capsule, soft capsule, tablet, oral liquid), Shufeng Jiedu Capsule, Yinqiao Jiedu, Sangju cold, Yinhuang preparation, Lianhua Qingre preparation are still recommended. At the same time, according to different symptoms, children can choose Chinese patent medicines such as childrens Kanggan granule, childrens daiqiqingre granule, childrens Feire Kechuan granule (oral liquid), childrens Kechuanling granule (oral liquid), antelope horn powder and so on.

Adding hospital infection control measures to the new plan

In addition, the new version of the program also added a part of hospital infection control measures. The plan points out that the pre examination and triage system of outpatient and emergency should be implemented and the patients should be divided. Provide hand hygiene, respiratory hygiene and coughing etiquette guidance, guide patients with respiratory symptoms and accompanying personnel to wear medical surgical masks.

Qualified medical institutions should separate suspected and confirmed influenza patients, and patients should wear medical surgical masks when going out for examination, transfer or transfer. Limit the visit or accompanying care of suspected or confirmed patients, reduce the influenza infection of inpatients; strengthen the ventilation of wards, and do a good job in cleaning and disinfecting the surface of objects in the consulting room, ward, office and duty room; dispose the medical wastes according to the requirements, and carry out the final disinfection after the patients are transferred out or out of the hospital. According to the principle of standard prevention, the medical staff should carry out appropriate personal protection according to the exposure risk. Wear medical surgical masks during work, and strictly implement hand hygiene. In case of fever or flu like symptoms, influenza screening shall be carried out in time. The medical staff suspected or diagnosed with influenza shall be isolated for treatment and shall not work with illness. Beijing News reporter Zhang Zhaohui editor Wang Lu proofread Liu Baoqing source: Beijing News Editor in charge: Zhao Changhong

Qualified medical institutions should separate suspected and confirmed influenza patients, and patients should wear medical surgical masks when going out for examination, transfer or transfer. Limit the visit or accompanying care of suspected or confirmed patients, reduce the influenza infection of inpatients; strengthen the ventilation of wards, and do a good job in cleaning and disinfecting the surface of objects in the consulting room, ward, office and duty room; dispose the medical wastes according to the requirements, and carry out the final disinfection after the patients are transferred out or out of the hospital.

According to the principle of standard prevention, the medical staff should carry out appropriate personal protection according to the exposure risk. Wear medical surgical masks during work, and strictly implement hand hygiene. In case of fever or flu like symptoms, influenza screening shall be carried out in time. The medical staff suspected or diagnosed with influenza shall be isolated for treatment and shall not work with illness.

Zhang Zhaohui, reporter of Beijing News

Editor Wang Lu proofreader Liu Baoqing