Xinhua News Agency, Harbin, April 21 Question: Why do you pass 35 people to one person during the hospital? ——Investigation of New Coronary Pneumonia Infection Chain in Two Hospitals of Harbin
Xinhua News Agency "Xinhua Perspectives" reporters Qiang Yong and Yan Rui
During the hospital, one person infects 35 people and is admitted to an ordinary multi-person ward. Infected objects include medical staff ... Recently, a new patient diagnosed with a new coronary pneumonia in Heilongjiang has caused concern. Heilongjiang has launched relevant investigations and accountability, and has taken measures to plug the prevention and control loopholes.
One person has directly or indirectly transmitted 35 people while in hospital
Chen Mou, 87, who lives in Daowai District, Harbin, is a recently diagnosed patient with new coronary pneumonia. On April 17, Harbin City issued a circular to the New Coronary Pneumonia Epidemic Work Headquarters, urgently looking for people who had had an encounter with Chen from April 2 to April 9. It is reported that as of April 19, Chen Mou had directly or indirectly transmitted 35 people while in hospital.
On April 2nd, due to a headache, Chen Mou took a private car to Harbin Second Hospital for treatment. The doctor diagnosed a stroke and arranged for hospitalization. On the 6th, Chen was transferred to the First Affiliated Hospital of Harbin Medical University for treatment. On April 10, Chen was diagnosed with new coronary pneumonia.
It is understood that Chen was infected with new coronary pneumonia because of dinner. An investigation by the Harbin Center for Disease Control found that on March 29, Chen had dinner with 7 members of his family and son's friends. Son's friend Guo Mou was diagnosed with New Coronary Pneumonia on April 9. Afterwards, Chen Mou and his two sons were successively diagnosed.
Since then, the infection chain formed by Chen has rapidly spread through two hospitals in a large area.
On April 2, Chen Mou was admitted to the Second Hospital of Harbin. As of April 19, 24 medical staff, patients and family members in the same ward with him were successively diagnosed with new coronary pneumonia, including a doctor and two nurses. The infected doctor of the Second Hospital of Harbin City, Li Mou, is the attending doctor of Chen Mou's patients in the same ward; the nurse Liu Mou transported Chen to the CT room for examination.
On April 6th, due to fever symptoms, Chen Mou called 120 ambulances from his family and transferred them to the First Affiliated Hospital of Harbin Medical University with higher medical standards. On the same day, Chen was admitted to an 8-person ward in the Department of Respiratory Medicine. At present, a total of 11 patients in the same ward of the hospital, patients' family members and nanny have been diagnosed with new coronary pneumonia.
Why do the relevant hospitals and links fail to protect?
Since the outbreak, Heilongjiang Province has issued a number of relevant documents to prevent hospital infections. However, from the time of admission to the final diagnosis of Chen, many links in the middle did not play a protective role and fell behind.
From April 2nd to 6th, Chen had a fever during hospitalization in Harbin Second Hospital, but the hospital did not perform nucleic acid testing.
A hospital insider said that the document issued by Heilongjiang Province on April 14 made it clear that the province's secondary and above medical institutions should carry out nucleic acid and serum antibody tests on all admitted patients and accompanying staff, otherwise hospitalization and transfer will not be allowed. But previously, no nucleic acid testing was mandatory for patients admitted to the hospital. Relevant medical staff have a weak awareness of epidemic prevention and control, resulting in omissions.
On April 6, Chen was transferred to the First Affiliated Hospital of Harbin Medical University. The epidemic may have been discovered during the transfer, but this opportunity was once again ignored.
According to a person in the hospital's internal investigation team, the receiving doctor conducted medical consultations with Chen Mou on his physical condition, epidemiological history, contact history, and dinner gathering. The doctor noticed that the 120 transport personnel did not wear protective clothing, based on which it was determined that Chen should not be a confirmed case of new coronary pneumonia. After communicating with other doctors on WeChat, he diagnosed Chen as falling pneumonia, ruled out the possibility of new coronary pneumonia, and did not require him to perform nucleic acid testing.
The person said: "The doctors concerned are paralyzed mentally, overconfident, and continue to miss opportunities."
On the same day, Chen was placed in a hospital for respiratory medicine. An informed doctor said that the respiratory physician should review the patient. However, when arranging the ward, the relevant doctors were lucky enough to think, "There have been several passes before, don't worry." So, Chen was arranged to enter an 8-person ward instead of a single room for short-term isolation.
In addition, there are shortcomings in ward management. Peng Xiangwen, director of the medical department of the First Affiliated Hospital of Harbin Medical University, said that some relevant regulations have not been implemented. For example, "one sickness, one companion, one certificate" was not effectively implemented. Chen's escort has up to 3 people, and the escort card does not have photos and chips, which does not play the role of identification. The investigation confirmed that the chaotic movement of chaperones is also one of the reasons for the increase in nosocomial infections.
Learn deeply, plug various loopholes
The reporter learned that, at present, Chen is being treated in an infectious hospital in Heilongjiang Province, and Harbin has adopted 35 rescue treatment measures for all 35 cross-infected patients in the hospital.
At present, Heilongjiang has expanded the scope of investigation through epidemiological investigation and big data tracking. When tracking the close contacts of Chen Mou, the Harbin Disease Control Department found that Zhang, a Liaoning native, had accompanied his father in the first hospital affiliated to Harbin Medical University in early April. The disease control department informed Zhang himself across the province, suggesting that his nucleic acid be tested, and then Zhang was diagnosed.
On April 17, the Heilongjiang Provincial Commission for Discipline Inspection issued a notice to hold 18 party cadres and public officials accountable to Harbin Deputy Mayor Chen Yuanfei, Harbin Medical University Vice President Fu Songbin, Harbin Second Hospital Dean Xu Yong and others. Among them, Chen Yuanfei was given disciplinary action against the government affairs, Fu Songbin was given a warning within the party, the government affairs dealt with the penalty, and Xu Yong was dismissed from the party and administratively removed from office.
The infection also sounded the alarm for other regions. Persons from the epidemic prevention and control department said that it is a matter of urgency for medical institutions to quickly establish a diagnosis and treatment order that is compatible with the normal prevention and control of the epidemic, keep the "hospital door", strengthen the training of all staff hospitals, and implement classification and dynamics for different infection risk departments Management, strengthen the professional strength of key departments such as fever clinics. In addition, promote the effective implementation of graded diagnosis and treatment, and online consultation, and guide patients to seek medical treatment in a rational, orderly, and scattered manner.