[Wuhan Pneumonia] 12 female patients who have been admitted to the non-negative ward by accident

Burst

Written by: Zhu Yashuang and Yu Ruijing

2020-01-25 19:19

The number of confirmed cases of pneumonia in Wuhan in Hong Kong has increased to five. When a female patient and two family members went to Tuen Mun Hospital for treatment the day before (23rd), a family of three was placed in the trauma ward of a non-negative pressure ward for 2 hours, during which the trauma ward There are other patients outside the X-ray waiting area.

Tuen Mun Hospital said that at the time of the incident, the only negative pressure ward in the hospital had other patients. Because the trauma ward is equipped with an efficient filtering system and is relatively spacious, the doctors involved want to consult three families at the same time. "Intuition feels that (trauma ward) is suitable." . Because the air from the trauma ward may flow out of the room, the experts considered that it might affect the X-ray waiting area outside the ward. Among them, 11 patients were listed as close contacts with an A & E security officer and needed to be isolated.

A female pneumonia patient from Wuhan spent two hours in the emergency trauma unit of Tuen Mun Hospital. (Photo by Yu Ruijing)

Female patient stays in trauma ward for two hours with daughter and son-in-law

Guo Delin, the director of infection control at Tuen Mun Hospital, apologized to the affected people on behalf of Tuen Mun Hospital. He said that the incident was about a 62-year-old female patient who went to Tuen Mun Hospital at about 8.30 pm on January 23 with her daughter and son-in-law. The nurse at the triage station asked the patient for medical records and travel history. The female patient was from Wuhan, and her temperature was detected to find that she had a fever, so she and her family of three were arranged to wait for a doctor in the suspected infection area of ​​the triage station. At about 10 pm, the doctor saw the three patients and thought they might be infected. Although there was a negative pressure room in the hospital, there were patients using it at the time. The doctor wanted to arrange a room suitable for a family of three to wait together, so he arranged an emergency room. The largest ward (trauma ward) has a filter in the trauma ward, and the door is often closed. Dr. Guo refers to "intuitively feels fit", so they are arranged to wait in the room for the isolation ward. Until about 12 pm, the female patient was placed in the isolation ward and she stayed in the trauma ward for about 2 hours.

Tuen Mun Hospital received a notification from the Centre for Health Protection yesterday. The female patient was confirmed to be infected with the new coronavirus. The hospital immediately transferred her to the Hospital Authority Infectious Diseases Center of Princess Margaret Hospital for medical treatment; her accompanying daughter and son-in-law have been listed by the Centre for Health Protection. Close contacts are currently undergoing isolation monitoring in isolation camps.

Non-negative pressure ward air exits the "cold lane"

Guo Delin pointed out that because there is no negative pressure device in the room, the air will circulate. When the door is opened and closed, the air will exit the "cold alley." Because the trauma ward is facing the X-ray position, other patients will go to the X-ray position. After reviewing the situation, they were suspected to be at risk of infection, so the incident was reported to the HA Head Office and the Department of Health, and experts were invited to Tuen Mun Hospital to see if other patients would be affected. Experts came to inspect today.

Experts visited Tuen Mun Hospital this afternoon. (Photo by Chen Nuoxi)

X-ray waiting area affected 11 patients and 1 security guard in close contact

Today, the Chief Infection Control Director and health protection experts of the Hospital Authority inspected the air outflow opportunities and affected areas in the trauma ward. It is believed that the affected area is the X-ray waiting area, but because the door of the trauma ward has been closed for a long time, people in the X-ray waiting area are infected The risk is not high. Mo Junqiang, deputy administrative director of Tuen Mun Hospital, said that the expert checked the list of patients appearing in the X-ray waiting area and found that 11 of them met the definition of close contact, including 4 men and 7 women, aged 18 to 88, of which Five are still hospitalized in Tuen Mun Hospital and 6 have been discharged. The hospital and the CHP will follow up the situation of 11 patients. They will also follow up whether they were accompanied at the time or appeared in the X-ray waiting area. Approved patients will undergo quarantine. Another male insurer on duty in the X-ray area of ​​the emergency room also needed to be isolated. Mo Junqiang also said that the Tuen Mun Hospital was cleaned and disinfected regularly every day. After each use, the trauma ward was cleaned and disinfected according to established procedures.

"I don't believe it will affect the central air conditioning in the hospital."

The trauma ward is a positive pressure ward and is located in the emergency room. Mo Junqiang pointed out that there is a high-efficiency filtration system in the room. The high-efficiency filtration system can filter out bacteria and viruses in the ward, including known airborne viruses. Normal operation, "I don't believe it will affect the central air conditioning in the hospital."

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The doctor involved has experience in arranging trauma wards for three people at the same time

Mo Junqiang said that because the patient is a family of three, the doctor in question hopes to find a spacious ward for consultation with three people at the same time. Since the trauma ward is an independent ward, there is no consultation, and he is a very experienced Doctors. Guo Delin said, "My colleagues are happy, because the impact is so great." He said that the hospital will follow up. There is only one negative pressure ward in the hospital, but there are two consultation rooms with independent air ventilation systems. If the negative pressure ward is used, it is ideal to arrange patients in two consultation rooms. Since the trauma ward is used from time to time, it will be indicated in the future that patients with infectious diseases cannot be placed to remind medical personnel to avoid similar incidents. He also said that patients with fever were arranged to wait at the triage station with masks to separate them from non-fever patients.

Guo Delin pointed out that Tuen Mun Hospital has always had a lot of emergency patients. The medical staff is constantly working, "not necessarily a lot of stranded." If the community breaks out, it will be a problem faced by emergency hospitals in Hong Kong. The Hospital Authority will consider how to handle a larger number of patients. The emergency level has now been upgraded. It will reduce non-emergency services and strengthen emergency services because the public needs to make adjustments.

A 62-year-old female patient was diagnosed with the third case of Wuhan pneumonia yesterday (24th). She went to the Accident and Emergency Department of Tuen Mun Hospital the night before and is now in stable condition. Zhong Jianli, Director of Quality and Safety of the Hospital Authority, today (25th) received a call from the infection control officer of Tuen Mun Hospital, revealing that the medical staff had not sent the female patient to the negative pressure ward according to the procedure and stayed in the non-negative pressure ward for about 3 To 4 hours, the incident may affect employees or patients, Zhong Jianli apologized to the public for the incident.

[Wuhan Pneumonia. The doctor has stayed] The patient has stayed in the non-negative pressure room and is in close contact with the patient and needs to be isolated

[Wuhan pneumonia] Tuen Mun Hospital confirmed apology for failure to enter negative pressure ward

Wuhan Pneumonia Tuen Mun Hospital