3 Cases of Asymptomatic Infections in Qingdao All Related to Chest Hospital, Experts Say Still Not Sure They Are Nosocomial Infections | Qingdao City-Finance News



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The 3 cases of asymptomatic infections in Qingdao are related to the chest hospital. Experts say they cannot be determined as hospital infections.

Source: China News Weekly

The specific source of infection is under further investigation.

Image source: video screenshot

Our reporter / Du Wei

According to the Qingdao Municipal Health Commission, 3 new cases of asymptomatic novel coronavirus pneumonia infection were added in Qingdao on October 11, 2020.After epidemiological investigation, the expert group preliminarily judged that the previous 3 cases of asymptomatic infection were related to the city. In relation to the chest hospital, some independent areas of the hospital are responsible for the admission and treatment of new imported coronavirus infections. The specific source of infection is being investigated further.

Of the three patients, two were found by the hospital during nucleic acid testing of common patients, and one was found during immediate nucleic acid testing of identified close contacts. Among them, the 58-year-old male patient Han Moumou was hospitalized at the Municipal Thorax Hospital for tuberculosis on September 9 and was discharged on October 4. Because he was to be hospitalized again at the Municipal Hospital of Torax on October 12, he went to the nearest central hospital for a nucleic acid test on the morning of October 10, and the result was positive. On October 11, the Municipal Center for Disease Control and Prevention tested positive for nucleic acid. Patient Jiang Moumou, a 53-year-old woman, accompanied the intern at the Thorax Department 1 on the 2nd floor of the Municipal Thorax Hospital from July 21 to September 29. On October 10, the Central Hospital nucleic acid test came back positive. On October 11, the Municipal Center for Disease Control and Prevention tested positive for the new nucleic acid test. The third patient, Shao Moumou, a 57-year-old male, is the husband of Jiang Moumou and a taxi driver. On the morning of October 10, he went to the emergency department of the central hospital for a mild cerebral infarction. A nucleic acid test was performed for his hospitalization. , The result is positive. On October 11, the city’s Center for Disease Control and Prevention had a positive nucleic acid retest and the team of experts determined that the patient was asymptomatic.

Nucleic acid testing is required for patients and companions upon admission to the hospital.

Accompanying can go out

A nurse from the Qingdao Chest Hospital 2nd Thoracic Department confirmed to China News Weekly that the patient Han Moumou was admitted to the department, but did not know how he was infected. When a member of the medical staff of the hospital chest department introduced reporters to the hospital chest department floor layout, he said that the chest outpatient department is on the first floor, chest department 1 is on the second floor, chest department 2 is on the third floor, chest department 3 is on the fourth floor and chest 5 The department is on the fifth floor, that is, chest departments 1 and 2 where the two asymptomatic infected are up and down the stairs. Nucleic acid testing must be performed before all patients and their companions are admitted to the hospital, and the result is negative prior to admission. The patient’s nucleic acid test results are valid for 7 days and the escort is 14 days. Each patient can only have one escort. Nucleic acid tests are performed by medical personnel every 14 days.

Medical staff told China News Weekly that Jiang Moumou was a nurse hired by the family of the hospitalized patient, who after a negative nucleic acid test was admitted to the hospital to accompany him. However, during the escort period, after taking care of the patient’s diet and daily life, he can go out when he has free time, “We cannot stop this situation.” After the nursing staff accompany a patient, they can also go to other hospitals to find work and contact. Different people. The reporter learned from many doctors in Thoracic Departments 1 and 2 of the Thoracic Hospital that the size of the beds in these two departments is 50-60 and 45 respectively. In addition, the medical staff said that the area where the hospital is responsible for the treatment of new coronavirus infections imported from abroad is managed separately and is separate from the building where the chest department is located, and the distance between the two is about a kilometer.

According to the Qingdao Municipal Health Commission, the three asymptomatic infections have been transferred to designated hospitals for isolation and observation. The Municipal Lead Group for the Coordination of the Prevention and Control of Epidemics and the Economic Operation Work (Command Headquarters) quickly carried out epidemiological investigations and immediately performed nucleic acid tests for all close contacts, close contacts of close contacts and general contacts that were investigated. A totally closed control was implemented during the night in key places such as the buildings of the residential units of the 3 cases of asymptomatic infections, the Municipal Thorax Hospital and the Emergency Department of the Central Hospital, and the environment was completely eliminated.

The aforementioned chest hospital medical staff told China News Weekly that yesterday and the day before yesterday, from ordinary employees to the dean, they had performed nucleic acid tests for two consecutive days. The results have not yet come out. Today there is news that the nucleic acid test can continue. All hospitalized patients have also undergone nucleic acid testing.

The map shows that the community where Han, Jiang and Shao patients live is about 3 kilometers from Qingdao Central Hospital and about 11 kilometers from Qingdao Chest Hospital. The reporter called the Luoyang Road Sub-District Office, Shibei District, where Han Moumou lived. Street staff said that the relevant person in charge of the sub-district had already affected the community due to the epidemic and that no further information could be provided. The reporter called the Qingdao Municipal Health Commission, but no one answered.

Qingdao Chest Hospital was formed by merging the former Qingdao Fourth People’s Hospital and the Qingdao Tuberculosis Treatment and Prevention Institute, and is a health institution under the Qingdao Health Commission.

It is not certain that it is a hospital infection.

Feng Zijian, deputy director of the Chinese Center for Disease Control and Prevention, told China News Weekly that he is now consulting with relevant parties in Shandong to understand the research. The cause of the hospital infection cannot yet be determined.

Jiang Rongmeng, chief physician of the Beijing Ditan Hospital Infection Center affiliated with Capital Medical University and director of the Office of the National Center for Infectious Disease Medical Quality Control, said in an interview with China News Weekly that, according to the information currently available, it is impossible to conclude that it is a nosocomial infection. “The husband of the caregiver is a driver and can be exposed to the virus outside and infect his wife.”

As for the source of the virus, Jiang Rongmeng analyzed that from Wuhan to the northeast, to Dalian and Xinjiang, local cases should be cut. The country is now entering the normalization of prevention and control. The newly released seventh edition of the coronavirus pneumonia prevention and control plan also includes the close connection with centralized isolation medical observation.

But it is worth noting that on September 24, 2020, Qingdao City, Shandong ProvinceQingdao portDuring regular routine inspections by Dagang Company’s “all-in-one inspection” staff, two loading and unloading workers were found to be successively infected with the novel coronavirus and asymptomatic. After that, two IgM antibody tests were performed on the two people, who turned out to be infected early. On October 9, the Qingdao Health and Health Commission issued a report on the testing status, and the close contact and close contact of the two asymptomatic infected people were released from centralized isolation for medical observation. In epidemics in various places in recent months, cold chain transport has become a possible channel for the introduction of viruses. Jiang Rongmeng said that there is a possibility that the virus will be introduced through cold chain transport, but as for the association with the three asymptomatic infections this time, it is impossible to judge.

The Dalian Center for Disease Control and Prevention officially issued an advisory at noon today, which reads: I am currently living in our city and have an intersection with the itinerary of asymptomatic infections in Qingdao. Especially since September 27, I have been to the Qingdao Chest Hospital and have contacted patients in the hospital. Those who have been in contact with the people mentioned above, those who have been in contact with recent immigration from Qingdao and the citizens of the Shibei district of Qingdao, take the initiative to call the municipal CDC inquiry hotlines at all levels and report relevant information to the community where they are located. Medical institutions conduct nucleic acid tests and implement the relevant prevention and control measures. Attached are city and county CDC hotline numbers. Citizens are requested to wear good personal protection. After returning from Qingdao City, they should follow the relevant prevention and control measures of our city.


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