Recently, the National Health and Wellness Commission and state administration of traditional chinese medicine organized the revision of the novel coronavirus Diagnosis and Treatment Plan (Trial Ninth Edition) and formed the novel coronavirus Infection Diagnosis and Treatment Plan (Trial Tenth Edition). The key revisions are as follows:
The name of the disease has been adjusted.
According to the "Overall Plan for Implementing" Class B and B Management "for novel coronavirus Infection by the Comprehensive Group of the State Council Joint Prevention and Control Mechanism, the name of the disease was changed from" novel coronavirus "Renamed "novel coronavirus Infection". With the continuous variation of Covid-19, the virulence of Omicron virus weakened after it became the main epidemic strain. The main symptoms of human infection were cough, fever, sore throat and so on, and only a few infected people would progress to pneumonia.
No longer judge "suspected cases"
With the increasing richness of diagnostic methods and the continuous improvement of diagnostic efficiency,At present, Covid-19 infection can be diagnosed promptly, quickly and accurately by nucleic acid and antigen detection.In most cases, there will be no cases where the epidemiological history and clinical manifestations are consistent with the characteristics of the disease, but the pathogen detection can not be clear for a long time.
Increase the positive test of Covid-19 antigen as diagnostic criteria.
Antigen detection has good detection sensitivity for infected people with high viral load.With the maturity of antigen detection technology and the improvement of detection accuracy, Covid-19 infected people, especially those with strong infectivity, can be diagnosed in time through antigen detection.Considering that most infected people are treated at home, the antigen detection operation is simple and convenient, which is convenient for infected people to carry out rapid self-detection.
Further optimize "clinical typing"
With the constant variation of the virus, especially since the epidemic of Omicron strain, the pathogenicity of the virus has been gradually weakened, and the characteristics of the disease have changed obviously. Most infected people have mild symptoms and the proportion of pneumonia has been greatly reduced.In order to better reflect the characteristics of the disease, the tenth edition of the plan adjusted the clinical classification, mainly according to the severity of the infected person’s illness, divided into "light, medium, heavy and critical", which is more in line with clinical practice.
Cases are no longer required to be "centralized and isolated"
With the implementation of Class B and B management measures, Covid-19 infected people can choose home treatment or medical institutions according to the needs of treatment, and all kinds of medical institutions can treat Covid-19 infected people.
Further improved the treatment method.
The anti-Covid-19 drugs that have been approved for marketing in China will be included in the new diagnosis and treatment plan to further enrich the antiviral treatment methods.
Further improve the diagnostic criteria and early warning indicators for severe and critical cases, and scientifically and accurately judge severe cases of infection in Covid-19. At the same time,The elderly who have not been vaccinated in the whole process will be added to the high-risk group of severe diseases, and the monitoring of vital signs, especially the monitoring index of finger oxygen saturation after rest and activity, will be added to the early warning index of severe diseases..
Further strengthening the concept of co-treatment of Covid-19’s infection and basic diseases, emphasizing the need to strengthen the monitoring of related indicators of infected people’s basic diseases and give corresponding treatment for basic diseases, which is more conducive to promoting patients’ comprehensive recovery.
Further optimize the clinical manifestations and treatment-related contents of children’s cases, put forward the characteristics of children infected with Omicron strain in combination with clinical practice, and improved the early warning indicators of severe cases in children.It provides a treatment plan for special situations such as acute laryngitis and nervous system complications that may occur in children infected.
Further improved the related content of Chinese medicine treatment.Strengthen the guidance of traditional Chinese medicine treatment for severe and critical cases, and increase the method of medication with symptoms, which is more suitable for clinical practice.On this basis, the Chinese medicine treatment plan for children’s cases is further improved, acupuncture treatment methods are added, and corresponding Chinese medicine treatment measures are provided in combination with the obvious cough of some patients in recovery period.
Adjust the "discharge standard"
The tenth version of the plan no longer requires the results of nucleic acid detection when the infected person leaves the hospital, but the clinician makes a comprehensive judgment based on the patient’s Covid-19 infection, diagnosis and treatment of basic diseases or other diseases, and health recovery.
When the patient’s condition is obviously improved, his vital signs are stable, his body temperature is normal for more than 24 hours, lung imaging shows that acute exudative lesions are obviously improved, and he can be converted to oral medication, and there are no complications that need further treatment, he can consider leaving the hospital.
Adjust the prevention and control of infection in medical institutions
After the adjustment of the epidemic prevention and control policy, all medical institutions have the possibility to accept cases of Covid-19 infection. The tenth edition of the diagnosis and treatment plan has adjusted the relevant contents of infection prevention and control in medical institutions.
Further implement the system of pre-examination and triage for outpatient and emergency departments and do a good job of patient diversion. At the same time, instruct patients and accompanying personnel to wear medical surgical masks or medical protective masks, and provide instructions on hand hygiene, respiratory hygiene and cough etiquette.
Strengthen the cleaning, disinfection and ventilation of consultation rooms, wards, offices and duty rooms.
Implement personal protection requirements of medical staff according to exposure risks.
Standardize the treatment of medical waste and implement terminal disinfection after patients are transferred out or discharged from hospital.
▌ This article Source: CCTV News WeChat WeChat official account (ID: CCTV News Center)
Producer/Editor-in-Chief Bing Xu/Ma Wenjia
Headquarters reporter/Shi Yingchun
Editor/Yu Zijing Drawing/Gao Mengru
Image source/vision china