Chinanews.com, December 8. According to the website of the National Health and Medical Commission, recently, the Comprehensive Group of the Joint Prevention and Control Mechanism of the State Council in Response to the Novel Coronavirus Pneumonia Epidemic issued and formulated the "New Coronavirus Antigen Detection Application Plan".

The plan mentioned that when the antigen test is positive, the independent antigen test personnel will report the positive result of the antigen test to the local primary medical and health institution.

When there are no symptoms or mild symptoms, home isolation treatment should be carried out, and appropriate drugs should be selected for treatment according to the medication guidelines for home isolation treatment personnel.

When the symptoms worsen, the grassroots medical and health institutions in the jurisdiction shall assist in time to go to the fever clinic (consultation room) of the medical and health institutions for medical treatment.

The specific plan is as follows:

  1. Applicable objects

  (1) Personnel who need independent antigen detection.

  (2) People in densely populated places (large enterprises, construction sites, universities, etc.).

  (3) The elderly at home and the elderly in nursing homes.

  2. Personnel who need independent antigen detection

  All personnel can perform self-antigen testing at any time in accordance with the principle of autonomy and voluntariness.

  (1) Obtaining detection reagents.

Those who need independent antigen detection can purchase antigen detection reagents through retail pharmacies, online sales platforms and other channels for self-testing.

  (2) Frequency of testing.

Test at any time according to your own will.

  (3) Matters needing attention.

During the self-test, you can perform the test and interpret the results according to the requirements and procedures indicated in the instructions, or you can contact the contracted medical staff of the grassroots medical and health institutions to complete the antigen test under their remote guidance.

  (4) Disposal of test results.

  1. Antigen test positive.

Independent antigen testing personnel report positive results of antigen testing to the local grassroots medical and health institutions.

When there are no symptoms or mild symptoms, home isolation treatment should be carried out, and appropriate drugs should be selected for treatment according to the medication guidelines for home isolation treatment personnel.

When the symptoms worsen, the grassroots medical and health institutions in the jurisdiction shall assist in time to go to the fever clinic (consultation room) of the medical and health institutions for medical treatment.

  2. Negative antigen test.

You can work, study and live normally.

  3. People in crowded places

  (1) Obtaining detection reagents.

Such personnel purchase antigen detection reagents by themselves when conducting antigen detection; when participating in antigen detection required by their institutions, the institutions distribute antigen detection reagents.

  (2) Frequency of testing.

Such personnel can conduct antigen detection independently at any time, or carry out antigen detection at a specified frequency according to the requirements of their institutions (enterprises, construction sites, universities, etc.).

  (3) Matters needing attention.

Such personnel can perform antigen detection and result interpretation according to the requirements and procedures indicated in the instruction manual, or apply to the institution where they work, and conduct antigen detection under the guidance of personnel assigned by the institution.

  (4) Disposal of test results.

  1. Antigen test positive.

Report positive antigen test results to the institution and the local primary medical and health institution.

When there are no symptoms or mild symptoms, suspend work or study, conduct isolation treatment at home, and select appropriate drugs for treatment according to the medication guidelines for home isolation personnel.

When the symptoms get worse, go to the fever clinic (consultation room) of the medical institution established in the institution or the medical and health institution in the jurisdiction in time.

  2. Negative antigen test.

You can work, study and live normally.

  4. The elderly at home and the elderly in nursing institutions

  (1) Obtaining detection reagents.

Elderly people living at home and in nursing homes can purchase antigen detection reagents on their own.

The prefecture-level city/county where it is located shall distribute antigen detection reagents to the elderly free of charge according to the number of elderly people in the jurisdiction and the weekly frequency of antigen detection.

  (2) Frequency of testing.

Such personnel should carry out antigen detection twice a week, and they can also perform antigen detection independently at any time.

  (3) Matters needing attention.

Elderly people living at home should have their family members carry out antigen detection and result interpretation according to the requirements and procedures indicated in the instruction manual, or they can contact grassroots medical and health institutions to contract medical personnel to complete the antigen detection under their remote guidance.

The staff of the elderly care institution shall perform antigen detection and result interpretation for the elderly according to the requirements and procedures indicated in the instruction manual.

  (4) Disposal of test results.

  1. Antigen test positive.

The positive results of the antigen test should be reported to the local primary medical and health institutions by their family members or pension institutions.

When asymptomatic or with mild symptoms, the elderly living at home should follow the medication guidelines for home isolation personnel and choose appropriate drugs for home treatment under the guidance of contracted service medical personnel of grassroots medical and health institutions in the jurisdiction.

Elderly care institutions choose relatively independent rooms, and choose appropriate medicines for treatment in accordance with the medication guidelines for home isolation personnel and under the guidance of medical staff in internal medical institutions.

No matter if you are an elderly person living in a home or an elderly care institution, when symptoms get worse, you should go to a tertiary hospital for treatment in time.

  2. Negative antigen test.

Can live a normal life.

  (5) Storage of detection reagents.

The primary medical and health institutions are used as a unit to reserve, and each primary medical and health institution reserves antigen detection reagents according to 15-20% of the total serving population.

  5. Relevant work requirements

  (1) The industry and information technology departments should organize antigen detection reagent manufacturers to increase production capacity reasonably, increase production according to market demand, and ensure that demand is met.

  (2) Retail pharmacies that have legally obtained a drug business license and medical device business enterprises that have legally obtained a corresponding medical device business license may sell antigen detection reagents approved by the national drug regulatory department through physical stores and e-commerce channels.

Drug supervision and other departments shall strengthen the supervision of retail pharmacies and related e-commerce operators in accordance with their duties to ensure that the quality of antigen detection reagents is qualified.

  (3) Large-scale enterprises, construction sites, universities and other personnel-intensive institutions should purchase a certain amount of antigen detection reagents in advance and reserve a certain amount of antigen detection reagents according to the number of personnel and detection needs.

  (4) The governments of prefecture-level cities/districts and counties should equip a certain amount of antigen detection reagents and reserve appropriate amount of antigen detection reagents according to the number of elderly people in their jurisdiction and the frequency of testing, and the communities/elderly care institutions to which the elderly belong.

  (5) The health departments of all provinces (autonomous regions, municipalities directly under the Central Government) should formulate relevant regulations on the reporting of positive antigen test results, and facilitate all types of personnel to report antigen test results by developing APP applets and improving information system functions. Announced to the society in various ways.

  (6) The health administrative department should provide antigen detection training to the medical staff of grass-roots medical and health institutions (community health service centers/township health centers) to ensure that the medical staff of grass-roots medical and health institutions can provide technical guidance for those who need antigen detection.

Grass-roots medical and health institutions should focus on mastering the antigen detection status of the elderly who have contracted services and managed their health, so as to detect risks in a timely manner and effectively deal with them.

appendix

Antigen self-test instructions for residents

  1. Reagent acquisition

  Community residents who intend to conduct antigen self-test can obtain it through the following channels:

  (1) Self-purchase through channels such as retail pharmacies and online sales platforms;

  (2) Apply to the community where you live.

  2. Self-test process

  (1) Antigen self-test preparation.

1. Wash your hands.

2. Read the instructions of the antigen reagent to understand the self-test process and precautions.

3. Check the shelf life and integrity of the reagents.

4. The ambient temperature is 14°C-30°C, avoid humidity.

Place the antigen test card in a flat and clean place after unpacking.

  (2) Sample collection.

Those over the age of 14 can take nasal swab samples by themselves.

Blow your nose with toilet paper first.

Carefully unpack the nasal swab to avoid touching the swab head with your hands.

Then tilt your head slightly, hold the tail of the swab in one hand and stick it into one nostril, slowly go back along the bottom of the lower nasal passage for 1-1.5 cm, and then stick it to the nasal cavity and rotate it at least 4 times (staying for no less than 15 seconds), then Repeat for the other nasal cavity using the same swab.

Self-examiners aged 2-14 should be sampled by other adults.

Figure Schematic diagram of the antigen self-test process (refer to the specific kit instructions)

  (3) Antigen detection.

  1. According to the reagent instructions, put the nasal swab after collecting the sample into the sampling tube immediately, swirl the swab head in the preservation solution for at least 30 seconds, and squeeze the swab head through the outer wall of the sampling tube for at least 30 seconds 5 times to ensure that the sample is fully eluted in the sampling tube.

  2. Squeeze the liquid from the swab head through the outer wall of the sampling tube by hand, then discard the swab.

After the sampling tube is capped, drop the liquid vertically into the sample hole of the test card.

  3. According to the reagent instructions, wait for a certain period of time before interpreting the results.

  Positive result: Both "C" and "T" show red or purple bands, and the color of the band at "T" can be dark or light, all of which are positive results.

  Negative result: A red or purple band is shown at "C" and no band is shown at "T".

  Invalid result: No red or purple band is shown at "C", regardless of whether a band is shown at "T".

If the result is invalid, you need to take the test strip again and retest.

  3. Results report

  Local health departments and grassroots medical and health institutions announce the reporting channels of antigen test results to the public.

After the residents are tested, they shall report the results to the primary medical and health institutions as required.