The case is diagnosed can depend on the standard " Sit in the right seat "

The case is diagnosed can depend on the standard " Sit in the right seat "
The case is diagnosed can depend on the standard " Sit in the right seat "
It is reported ' The intersection of reporter and Zheng dexterous) A few days ago, China CDC (Center for Disease Prevention and Control) Issue <>,To enterorrhagia Escherichia coli (EHEC) O104H4 has stipulated strict strick precaution and control measure. Require clinical diagnosed case, make a definite diagnosis of case, suspected case, should report to in time according to scheme, and require its hospital treatment in principle. Define 3 kinds of case diagnostic standards Definition that the first definite diagnosis case must be checked according to China CDC and is confirmed that regional, EHEC-O104H4 suspected case is, have travelled or lived in the prevailing area of this disease in 10 days before the onset, before or it have illness coming on at 10 day with disease clinical diagnosis /last case to keep in close touch, and the person who accords with one of the following conditions ( 1) There are symptoms such as courageous and upright diarrhoea or belly convulsion pain,etc., evidence of laboratory does not diagnose as the others are not EHEC-O104H4 the infeted; ( 2) Have getting ill to dissolve courageous and upright anaemia blood capillary ' The broken erythrocyte of peripheral blood slide is greater than or equal to 2%) , blood platelet reduce and kidney give much trouble ' The hematuria, proteinuria, acute kidney are damaged) When the person who dissolves poisonous syndrome clinical manifestation of the courageous and upright urine. It makes a definite diagnosis of cases to be, it is getting following for suspected case to possess: Separate from the excrement and urine sample to EHEC-O104H4 bacterial strain, stx1 and/or stx2 gene measures the masculine gender; Measure from the excrement and urine sample to stx1 and/or stx2 gene positively, aggR, wzy( O104) at the same time With fliC( H4) It is all positive that the gene is measured. Clinical diagnosed case, in with break out in the epidemic situation, with make a definite diagnosis of case epidemiology, closely related with, and get rid of the suspected cases of other diseases. According to this scheme, when the medical organization finds suspected case, clinical diagnosed case or makes a definite diagnosis of the case, should report the requirement appears in the newspaper according to infective diarrhoea, and mark out suspected, clinical diagnosis or making a definite diagnosis of EHEC-O104H4 to infect in infectious disease reports the card; Gather excrement and urine and other relevant samples in time, in order to measure. This scheme is required, every province (district, city) The first must be checked by China CDC while making a definite diagnosis of the case. Suspected case break out in conformity with hospital treatment too epidemic situation implement zero the intersection of reporting system and the regulation of these scheme, should take measure of 4 prevention and control while distributing the case. First, find suspected case, should require its hospital treatment in principle. Second, the medical organization answers to the case in hospital according to the relevant guideline of making a diagnosis, prevent and control hospital of this disease to infect. Third, the health organ of the community should follow up a case by regular visits to and offer essential guidance to the therapeutic light disease case at home regularly; Pay close attention to its health status to the persons who keep in close touch. Disease should launch epidemiology to investigate to accuse of, guide a patient family members or relevant personnel and do the excrement well and are polluted the disinfecting of articles in time in the organization. Should take measure of 3 prevention and control when the epidemic situation breaks out. First, under the local government's unified leadership, the joint working group composed of such departments as hygiene, education, propaganda, agriculture, quality supervising, industry and commerce and food medicines supervise is established, study and make the scheme of prevention and control of epidemic situation together, control the epidemic situation in time. Second, monitor voluntarily in the enteric diseases clinic and nephrology of the medical organization, start suspected case daily or a reports, diarrhoea epidemic situation dynamic reports,etc. to report to the mechanism. Include EHEC-O104H4 in the food in the local food security risk and monitor the scheme. Third, launch " three tubes one are killed " (are in charge of water, in charge of the excrement, in charge of the diet, eliminate flies) ,Strengthen the sanitary control management of food and drinking water. This scheme requires clearly, when the epidemic situation is controlled, should organize to the development trend of the epidemic situation and control the result to assess in time. Make a definite diagnosis of case, have newly have illness coming on example, in the 10 day take place, in the same way finally, are assessed and agrees by the expert panel, can change the prevention and control over to regularly to monitor and prevent and cure.


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