This article is reproduced from [CCTV News];
At the press conference of Shanghai epidemic prevention and control held today, Zhang Wenhong, head of the Shanghai New Coronary Pneumonia Medical Treatment Expert Team and director of the Department of Infectious Diseases of Huashan Hospital, said: On March 15, the National Health and Medical Commission issued the “New Coronavirus Pneumonia Diagnosis and Treatment Program (Trial Version 9)” in response to social concerns. Zhang Wenhong said that this “Diagnosis and Treatment Plan” is the most scientific and best of all the current versions. From the first edition to the ninth edition, from knowing nothing about the new coronavirus, the earliest diagnosis and treatment plans were formulated based on medical experience. the most reasonable solution.
Zhang Wenhong said that the “Plan” is based on the current deepening of scientific understanding of the new coronavirus disease, and has made major adjustments in many aspects, advocating to improve the redundancy of medical resources by optimizing the diagnosis and treatment plan, and shortening the isolation period. to reduce the negative impact of isolation on normal life. It includes adjusting the nucleic acid detection criteria for discharge, classifying and treating cases, and allowing direct home isolation after discharge, and the time is shortened to 7 days. The clearer the understanding of this disease, the more precise our prevention and control principles will be. The change of the standard has greatly reduced the isolation time of the infected, which not only allows the infected to return to normal life as soon as possible, but also avoids the waste of medical resources or even a run.
Zhang Wenhong also mentioned that for the management of mild patients, the “Plan” further simplifies the treatment, focusing on the observation of the disease. As the prevalence of Omicron has become the current mainstream infection strain, the patients with Omicron variant strains are mainly asymptomatic infections and mild cases, and the demand for clinical specific treatment is significantly reduced, and more symptomatic treatment is required. Can be observed with the condition. Therefore, at the isolation point with certain medical conditions, the isolation and basic medical needs of the infected person can be completed. At the same time, it can release a large number of medical resources of designated hospitals. The treatment of mild patients in our Shanghai Public Health Center is mainly based on symptomatic and supportive treatment, and at the same time, close disease monitoring is carried out.
As for the CT value, Zhang Wenhong said that many people who see the virus now think that the lower the CT value, the better, but this is actually unscientific. Some patients do not turn negative for 4 months, should they be quarantined in designated hospitals for 4 months? Obviously it is not right, we have to give the most scientific nucleic acid discharge criteria.
Does it mean that when the nucleic acid level is low to a certain level, it is no longer infectious after discharge? What level makes the risk low enough? The new version of the “Diagnosis and Treatment Plan” is based on the international anti-epidemic for more than two consecutive years, and has done a lot of scientific research and formulated standards. The lowering of the standard means that patients will not be isolated in the hospital for very long, and they can be discharged earlier.
The latest “Diagnosis and Treatment” plan focuses on stratified treatment and stratified treatment for medical institutions. “We will stratify patients according to mild, severe and high-risk factors. Mild and ordinary patients will be stratified. Mild patients and asymptomatic people will be isolated in designated isolation points with medical conditions for observation. We More medical resources can be set aside to treat critically ill patients. The formulation of these major standards will make room for us to fight the epidemic in the future. The hierarchical management method will bring a lot of redundant medical resources needed for the optimization of medical resources. With the improvement of the margin, we will be sure in our hearts to fight the epidemic in the future.” Zhang Wenhong said.
(Reporter Yang Jing Wang Dianjia Cheng Yilin)