Litchi News Beijing Work Department Reporter / Kou Cheng
On the afternoon of March 18, the State Council New Office held a press conference on strictly grasping the prevention and control of the epidemic. Recently, the ninth edition of the "Diagnosis and Treatment Plan for Novel Coronavirus Pneumonia" released by the National Health commission has made important adjustments to the treatment of mild patients and the Ct value of nucleic acid detection.
At the press conference, Jiao Yahui, director of the Medical Administration Bureau of the National Health Commission, made an interpretation of this, and she made it clear that the revision of the ninth version of the diagnosis and treatment plan does not mean the relaxation of the prevention and control policy, and all localities still have to do a good job in the prevention and control of the new crown pneumonia epidemic as always.
The main contents of the revision include the detection and reporting of cases, and the addition of antigen detection to the detection of cases has formed a strategy of antigen detection and nucleic acid detection. In addition, with regard to the admission and treatment of cases, this revision proposes a strategy for classified admission.
Regarding the classification and treatment of cases, Jiao Yahui introduced that mild cases are no longer admitted to designated hospitals, and mild cases and asymptomatic infected people take centralized isolation and management measures. For ordinary, severe and critical cases, as well as these cases with high-risk factors, they are concentrated in designated hospitals.
At the same time, Jiao Yahui particularly clarified that centralized isolation management facilities should be strictly distinguished from the isolation points that are closely connected, including inbound personnel. Because mild cases and asymptomatic infected people are nucleic acid positive, and close contacts are generally nucleic acid negative, they should be strictly distinguished.
The second question about discharge criteria is the Ct value. This time in the ninth version of the diagnosis and treatment plan proposed that in the Ct value twice ≥ 35, the interval of 24 hours, of course, including some hospitalized cases after the symptoms disappeared, including pneumonia symptoms have been alleviated, if these criteria are met, you can be discharged or released from centralized isolation management.
Jiao Yahui said that practical studies have proved that in convalescent patients, when the Ct value ≥ 35, the live virus cannot be isolated from the sample, which means that some patients are no longer infectious. Therefore, patients like this can be discharged home, and the management after discharge is adjusted from the past 14 days of isolation management to 7 days of home health monitoring. This adjustment was also made so that medical resources could be used more fully.
Jiao Yahui stressed that the adjustment of the ninth version of the diagnosis and treatment plan does not mean that the prevention and control policy is relaxed, but more scientific, more accurate and more targeted.