Social News
Written by: Chen Qianting
2020-03-30 07:00
Last updated: 2020-03-30 07:00The number of confirmed pneumonia cases in Hong Kong has reached 642 cases (including 641 confirmed cases and 1 suspected case) at noon today (29th). The utilization rate of negative pressure wards in public hospitals is as high as 74%. "Isolation room", more than 400 converted negative pressure beds can be used.
Xu Shuchang, an expert consultant to the Government's Anti-epidemic Steering Committee and chair professor of the Department of Respiratory Diseases of the Chinese University of Hong Kong, pointed out that the Hospital Authority currently cooperates with the government's containment strategy and needs to isolate asymptomatic people to the point where no virus can be detected in the body, but 80% of patients currently It is a mild condition. If you put these patients in the front-line isolation room according to the guidelines of the World Health Organization, "you have to deal with many hospitals." He revealed that patients who have been clinically stable for more than 10 days can be transferred to a modified second-line isolation room. If the second-line room is full, and the patient has a separate room at home, he may consider returning to home for isolation. .
Xu Shuchang revealed that he is studying whether it is suitable to transfer stable patients to the second-line isolation ward according to the clinical characteristics of the patients. (Profile picture / Photo by Lu Yiming)
He Wanxia, the chief administrative manager of the Hospital Authority, mentioned at a press conference on Sunday (29th) that more wards will be explored as second-line isolation wards, and patients with stable conditions will be diverted to these wards in the future to vacate the first-line wards for new diagnosis. Patient.
Xu: Eighty percent of patients have low symptoms of mild virus
CUHK Respiratory Professor Xu Shuchang said in an interview that the Hospital Authority is currently cooperating with the government's "containment" strategy. Even if the patient has no symptoms, if the virus is still detected with the virus, they need to be isolated for treatment. Eighty percent of the patients have mild symptoms, and most of them have low viral load.
However, the current rehabilitation standards are based on WHO and international standards. When the patient's symptoms have improved, they need to be negative for two consecutive virus tests taken 24 hours apart before they can be regarded as rehabilitation. Xu pointed out that the definition is not the level of the virus, but whether there is still a virus in the body. He frankly stated that if you follow this definition, "you have to deal with many hospitals."
If the patient is stable and there is a separate house in the home, consider sending home
Xu Shuchang revealed that there were several confirmed patients in Margaret Hospital who had been hospitalized for more than three weeks, and they could not grow the virus when they cultured the virus, that is, the virus in the body was only the dead gene of the virus, not a live virus, but he acknowledged that there were not many data Experts are discussing whether to transfer stable patients to second-tier wards in the future or according to the patient's clinical signs. If the second-line room is also full, and the patient has a separate room at home, consider going home for isolation, but he emphasized that the patient's home cannot be isolated at the early stage of diagnosis, because it may trigger a big outbreak in the community.
He went on to point out that the relevant clinical guidelines include monitoring for at least 10 to 12 days after the patient is diagnosed. If the patient's symptoms have improved, he has a complete fever, does not need to smell oxygen, and his lungs are not abnormal, he may consider moving to a second-line isolation ward If it is clinically impossible to determine whether the patient continues to have symptoms, a test for culturing the virus will be arranged to determine whether there is a live virus in the body, but the culture takes time and cost, and not every patient will do it.
It is expected that the peak of imported cases will be maintained for one to two weeks in Hong Kong.
In the United Kingdom and Spain, some international conference centers were converted into temporary wards. Xu Shuchang believes that there are no similar venues in Hong Kong. He also believes that Hong Kong can still cope with them temporarily, and the number of confirmed cases is lower than in other places. Recently, the number of imported cases has increased sharply. Xu Shuchang pointed out that overseas people have already returned to Hong Kong. It is expected that the peak will be temporarily maintained for an additional one to two weeks.
▼ Epidemic prevention banned more than four people to close multiple facilities ▼
+10
+9
+8
[New crown pneumonia] 74% of negative pressure isolation rooms are used. Hospital Authority is paralyzed like foreign hospitals
[New crown pneumonia] 44 confirmed patients to be admitted to the Hospital Authority: Most patients wait for one day
[New Crown Pneumonia] Another 7 people in the bar group are infected and another 6 headless cases have been to the bar
[New Crown Pneumonia] Yuan Guoyong advocates testing 7,500 people every day, otherwise the "prohibition of gathering" is not effective
[New crown pneumonia] virus test extended to all foreign arrivals asymptomatic saliva sample bottles
New crown pneumonia
