Thanks to China Medical News for tweeting the link to this report in Guangming Online: Beijing Wei Planning Commission: unexplained pneumonia patients must be treated in isolation. Excerpt from a Google translation:
Yesterday, the Beijing Municipal Health and Family Planning Commission issued a notice requirement, medical institutions for medical personnel for treatment of patients with unexplained pneumonia patients to carefully understand the history, especially the history of contact with poultry. Various medical institutions where patients admitted with pneumonia of unknown cause, single room isolation and treatment should be carried out.
There may distribute H7N9
Recently, the Beijing area has found two cases of human infection with the H7N9 avian influenza in severe cases. Showed high fever, coughing up blood, how dirty bad so fast progress, the prognosis is poor. Unexplained pneumonia become a common feature of these diseases.
Currently the city does not exclude the possibility of the recurrence of sporadic cases, in order to do the rescue work, the Municipal Health and Family Planning Commission met the requirements of medical institutions at all levels in patients with unexplained pneumonia should seriously history, timely and accurate sampling, and timely use of antiviral drugs.
Not only large hospital doctors to ask patients with history of exposure to poultry, community health centers admissions of patients with the above history, to guide the patient immediately to the county Regional Medical Center over the establishment of fever clinics of medical institutions for treatment.
For patients with unexplained pneumonia have a clear history of exposure to poultry, the hospital as soon as possible to collect the patient's lower respiratory tract specimens, in particular, to focus on the acquisition of lower respiratory tract specimens. According to the diagnostic needs of medical institutions, continuous samples tested at least three days in order to confirm the diagnosis. For the collection of specimens should be carried out rapid detection of influenza virus antigen and H7N9 avian influenza virus nucleic acid double testing.
Experts should intervene before diagnosis
Due to the recent cases have found the characteristics of fast progress, in order to treat in a timely manner, the various medical institutions for patients with unexplained pneumonia have a clear history of exposure to poultry, without waiting for the test results are positive, can-line antiretroviral therapy. Or for pathogen detection, although negative, but clinical suspicion of cases, antiviral treatment should still and pay attention to timely and reasonable use of Chinese medicine.