June 25, 2022

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China deploys CT in fever clinics to avoid hospital infection

China deploys CT in fever clinics to avoid hospital infection

China deploys CT in fever clinics to avoid hospital infection. China Official order: separate CT for fever clinics will be conducted nationwide to avoid COVID-19 infection in hospitals.

Recently, at a press conference held by the Joint Prevention and Control Mechanism of the State Council of China, Jiao Yahui, Inspector of the Medical Administration and Hospital Administration of the National Health Commission of China, said that in the future, the grid layout of fever clinics and fever clinics in Wuhan, Hubei will be promoted nationwide.


What is the experience of fever clinic in Wuhan, China? According to the staff of the Wuhan Municipal Health Commission’s Medical Administration and Medical Administration Office, there are 62 designated hospitals in the city with fever clinics, all of which are located in hospitals above the second level. In order to reduce the risk of hospitalization, the fever clinics of 62 hospitals are equipped with independent CT and rescue equipment.

China deploys CT in fever clinics to avoid hospital infection, China Official order: separate CT for fever clinics will be conducted nationwide to avoid COVID-19 infection in hospitals.

 

Sharing CT once caused more infection in hospitals


Speaking of independent CT equipment, I have to mention the small-scale epidemic that occurred in Qingdao, China in October.


According to the Qingdao Municipal Health Commission, on October 11, three cases of asymptomatic infections of COVID-19 pneumonia were found in Qingdao. It was found that the two infected persons from Qingdao Port had left a closed ward during the isolation and observation period in Qingdao Chest Hospital. CT room examination. The CT room was infected with the virus due to the non-standardized prevention and control disinfection, which infected the inpatient Li Mo and the accompanying Niu who went to the same CT room for examination the next morning, and brought the virus into the tuberculosis area, resulting in this epidemic. Spread in the hospital.


This incident also sounded the alarm for the protection of hospitals in major hospitals across the country.


In this regard, Jiao Yahui said that the prevention and control of hospital infection in medical institutions has always been the focus of management, and it is also the bottom line and red line that cannot be broken. Whether in daily medical management or in the prevention and control of the COVID-19 pneumonia epidemic, hospitals must be Sensing prevention and control is the top priority and relevant measures are taken to advance.


In response to the problems exposed by the Qingdao epidemic, Jiao Yahui reiterated that it is necessary to strictly distinguish between COVID-19 patients and non-COVID-19 patients. The designated hospitals must be independent. If they cannot be independent, they must strictly separate the flow of people, materials, and air in separate areas. Cross sharing of these facilities and equipment is absolutely not allowed. In response to these exposed problems, we need to further strengthen the requirements.


Jiao Yahui emphasized that in the prevention and control of the COVID-19 pneumonia epidemic, nosocomial infection prevention and control is the top priority. The goal is “zero infection in medical institutions” and the principle of “zero tolerance” for nosocomial infections.


Therefore, strengthening the renovation and construction of fever clinics across the country, especially increasing the establishment of CT examination rooms in fever clinics, has also become a long-term need to prepare for the epidemic.


Fever clinic lacks not only CT, but also imaging doctors


In February of this year, the National Health Commission of China issued the “Diagnosis and Treatment Plan for Pneumonia Infected by the Novel Coronavirus (Trial Version 5)”, and the CT imaging results were included in the clinical diagnostic criteria of Hubei Province. It is understood that after the release of the plan, many domestic hospitals have also opened fever clinics.


With the normalization of epidemic prevention and control, it is an ideal situation to be able to independently set up hospitals, wards, and fever clinics with independent CT. However, it is understood that the shortage of CT equipment in major hospitals throughout the country during the epidemic period, especially in fever clinics, is a pain point for epidemic prevention.


According to the latest statistics of the China Medical Equipment Association: At present, the per capita possession of CT machines in China is only 8 per million people, and the number of CT in fever clinics is shockingly small. It is understood that most domestic fever clinics are not equipped with separate CT. Take Shanghai as an example. According to a recent report by “Shangguan”, as a first-tier city, only 26.3% of current fever clinics in 117 hospitals have CT equipment.


Medical imaging examinations such as CT are playing an increasingly important role in the prevention of the COVID-19. However, compared with the difficulty of urgently purchasing CT equipment, professional imaging doctors face a huge gap, and it is even more difficult to set up a CT fever clinic. Data shows that the current annual growth rate of medical imaging data in some countries is about 30%, while the growth rate of physicians is only 4.1%.


An imaging doctor at a hospital in Shanghai, China, told the “Medical Doctors”: “At present, there is a huge shortage of imaging doctors in China. Most public hospitals often face the embarrassment of not being able to recruit doctors. During the epidemic, imaging doctors are temporarily transferred to fever clinics. Work happens frequently.”


Industry insiders believe that equipment is on one side and talents on the other. Under the normalized prevention and control of the epidemic, how to balance the two sides, prevent the spread of the epidemic, and strictly prevent hospital feelings, may require more thorough consideration for hospital management.


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