Three doctors from the Affiliated Hospital of Yangzhou University confirmed the diagnosis

In August 16th, novel coronavirus pneumonia was diagnosed by 3 media doctors in the Western District Hospital Affiliated to Yangzhou University. Red Star News noted that the flow adjustment information of the three doctors had been made public as early as August 12. On the same day, Jiangsu Provincial Health Commission issued a circular pointing out that this was an infection of medical personnel caused by the “lax implementation of hospital feeling system, insufficient allocation of full-time staff for feeling control, unreasonable layout of fever clinic, and inadequate personal protection of relevant medical personnel”.

According to Yangzhou daily, the West Hospital of Yangzhou University Affiliated Hospital has been vacated and transformed into a designated standby hospital for treatment.

In addition, the infection of medical staff in this round of epidemic in Yangzhou is not only in the Affiliated Hospital of Yangzhou University. After combing the flow adjustment information of confirmed patients officially released in Yangzhou recently, the Red Star News reporter noticed that in the flow adjustment information of hundreds of confirmed personnel, it can be found that the addresses of two medical institutions, Yangzhou Hospital of traditional Chinese medicine and Jiangsu Subei people’s Hospital, do appear.

On August 16, a staff member of the hospital office of Yangzhou Hospital of traditional Chinese medicine told Red Star news that it was inconvenient for the hospital to respond to this matter, subject to the official release. A staff member of Subei people’s Hospital in Jiangsu Province told Red Star news that a medical staff in the hospital was indeed diagnosed“ That’s not a doctor. She went to support Nanjing and caused the infection. Now it has been handled. Other medical staff in the hospital have checked it. At present, there should be no problem. ”

Since the outbreak of novel coronavirus pneumonia, there have been hospital infection incidents in hospitals and even fixed treatment hospitals. Novel coronavirus pneumonia hospital issued a notice in August 9th, calling for further strengthening the prevention and control of nosocomial infection in the new crown pneumonia treatment designated hospital. Fu Hua, a professor at the school of public health of Fudan University in Shanghai, previously said that at present, China has more detailed requirements and sufficient experience in both nosocomial infection prevention and control and Xinguan prevention and control. Although the infectivity of delta strain is enhanced, the hospital, as the front line of anti epidemic, is also responsible for preventing nosocomial infection. If the hospital does not pay attention to many details, there is a possibility of hospital feeling.

▲ pictures on the official website of Subei people’s Hospital

Three doctors from the West Hospital of the Affiliated Hospital of Yangzhou University confirmed the new crown

The local Health Commission informed that the implementation of the hospital feeling system was not strict

In August 11th, 37 novel coronavirus pneumonia cases were confirmed in Yangzhou. According to surging news, the newly confirmed cases 465, 466 and 467 on that day were doctors of the Western Hospital of the Affiliated Hospital of Yangzhou University.

According to official information:

465 confirmed cases worked at No. 45 Taizhou road from July 31 to August 2. From August 3 to 9, I worked at No. 368, Hanjiang middle road and stayed in the dormitory. In August 10th, COVID-19 nucleic acid test results were positive. It was diagnosed as a confirmed case on August 11, ordinary type. Confirmed cases 466 and confirmed cases 465 are closely connected. Work at No. 368, Hanjiang middle road from July 31 to August 10. From August 3 to 10, stay in the dormitory of the unit. In August 11th, COVID-19 nucleic acid test results were positive, the same day was diagnosed as confirmed cases, ordinary type. 467 confirmed cases, 465 confirmed cases were closely connected, and went to work at No. 368, Hanjiang Middle Road on July 31. From the afternoon of August 1 to Century Lianhua Supermarket (Yangzhou Jinghuacheng store). Work in the unit from August 2 to 10 and stay in the unit dormitory from August 3 to 10. In August 10th, COVID-19 nucleic acid test results were positive. It was diagnosed as a confirmed case on August 11, mild.

According to the science and technology daily, Jiangsu Provincial Health Commission issued a circular (August 12) pointing out that this was an infection of medical personnel caused by the hospital’s “lax implementation of hospital infection system, insufficient allocation of full-time staff for infection control, unreasonable layout of fever clinics, and inadequate personal protection of relevant medical personnel”, All medical institutions in the province are required to improve the epidemic prevention and control and further implement various measures for hospital infection prevention and control.

According to the Beijing News, a person in charge of the investigation at the Affiliated Hospital of Yangzhou University recalled that one of the three doctors received a confirmed patient. The doctor wore secondary protective equipment and continued to work for more than 10 hours. Originally, the mask had to be replaced once every 4 hours. Because of more sweating, the mask was soaked for two or three hours and the isolation decreased. At present, it is unclear whether the three doctors were infected by patients or each other.

▲ Affiliated Hospital of Yangzhou University

According to the Internet, there are other hospital medical staff in Yangzhou diagnosed?

Subei people’s Hospital: there is indeed a medical staff confirmed

According to online news, the infection of medical staff in this round of epidemic in Yangzhou may not only occur in the Affiliated Hospital of Yangzhou University. After combing the flow adjustment information of confirmed patients officially released in Yangzhou recently, Red Star News reporter noticed that it can be found in the flow adjustment information of hundreds of confirmed personnel that the addresses of two other medical institutions do appear.

In August 7th, 36 novel coronavirus pneumonia cases were confirmed in Yangzhou. Among them, 275 confirmed cases worked at No. 577, Wenchang Middle Road, Yangzhou from July 27 to August 5. Red Star News reporter found that No. 577, Wenchang Middle Road, Yangzhou is Yangzhou Hospital of traditional Chinese medicine. On August 16, a staff member of the hospital office of Yangzhou Hospital of traditional Chinese medicine told Red Star news that it was inconvenient for the hospital to respond to this matter, subject to the official release.

According to the official information, on August 8, there were 38 newly confirmed cases in Yangzhou. Among them, 345 confirmed cases worked at No. 98, Nantong West Road from July 28 to August 5 and August 7. Red Star News reporter noted that No. 98 Nantong West Road is Jiangsu Subei people’s hospital. On August 16, a staff member of the hospital told the Red Star News reporter that there was indeed a medical staff diagnosis in the hospital“ That’s not a doctor. She went to support Nanjing and caused the infection. Now it has been handled. Other medical staff in the hospital have checked it. At present, there should be no problem. ”

Expert: if you don’t pay attention to the details, you may have a sense of hospital

As early as 2006, the former Ministry of health promulgated the measures for the management of nosocomial infection (hereinafter referred to as the measures)《 The measures put forward that hospitals with more than 100 inpatient beds should establish a hospital infection management committee and an independent hospital infection management department.

At the same time, the Measures specify:

If a medical institution, in violation of the provisions of these measures, fails to take preventive and control measures or fails to take control measures in time in the event of nosocomial infection, resulting in the outbreak of nosocomial infection, the spread of infectious diseases or other serious consequences, the person in charge and the person directly responsible shall be given administrative sanctions of demotion, dismissal or dismissal; If the circumstances are serious, the practice certificate of the relevant responsible person may be revoked according to law in accordance with Article 69 of the law on the prevention and control of infectious diseases; If a crime is constituted, criminal responsibility shall be investigated according to law.

According to the guidelines for the control of nosocomial infection outbreak (hereinafter referred to as the guidelines) issued by the former national health and Family Planning Commission in 2016, many terms such as “nosocomial infection” and “nosocomial infection outbreak” are defined.

It is clear in the guide that the so-called “nosocomial infection” refers to the infection obtained by inpatients in the hospital, including the infection in the hospital and the infection obtained in the hospital and after discharge; However, it does not include infections that have started before admission or are in the incubation period at the time of admission. The infection acquired by hospital staff in the hospital also belongs to nosocomial infection.

“Nosocomial infection outbreak” refers to the phenomenon that more than 3 cases of homologous infection of the same kind occur in a short time in patients in medical institutions or their departments《 The guidelines also point out that the incidence rate of infection is significantly higher than that before the outbreak of suspected hospital infection, and there is an epidemiological correlation between the cases of cluster infection and hospital infection.

Fu Hua, professor and doctoral supervisor of the school of public health of Fudan University in Shanghai, pointed out in an interview with Red Star News reporters that at present, China has more detailed requirements and sufficient experience in both hospital infection prevention and control and new crown prevention and control. Although the transmission of delta strain is enhanced, the hospital, as the front line of anti epidemic, does a good job in every detail, It is also the responsibility of the hospital to prevent hospital feeling.

Fu Hua suggested that the hospital may have a sense of hospital if it does not pay attention to many details“ Whether the disinfection is in place, even if a protective suit is placed in the wrong position, the ventilation is not timely and complete, and the management of accompanying family members is not in place. Any small detail may lead to nosocomial infection. ” Fu Hua said that hospitals, especially infectious disease hospitals, originally had a large flow of people, coupled with the rapid spread of delta virus, so the probability of nosocomial infection will increase.