2013-04-02
Shanghai Municipal Health Bureau has ordered the hospital, the daily reported cases of pneumonia. Hong Kong's Wen Wei Po Shanghai bureau reporter Shen dream Alexandra Photo
- Confirmed H7N9 in the same district hospitals to charge the five cases of patients with symptoms similar to
Hong Kong's Wen Wei Po (Reporter Zhang Luo Lan in Shanghai) Shanghai two cases belonging to the world's first case of human infection with the H7N9 avian flu death cases in the printing of panic. Despite the official Shanghai influenza, pneumonia incidence compared with the same period of last three years was no significant increase, but a Shanghai Hospital Respiratory doctor on condition of anonymity, revealed in an interview with this exclusive interview yesterday, the recent hospital with severe pneumonia of unknown increased significantly since March received five cases of the disease, but not in the official number.
Allegedly after the unknown pneumonia deaths in the beginning of last month, the City Health Bureau, on internal notice major hospitals to strengthen monitoring of unknown pneumonia, but did not require access to the medical staff of the hospital and the doctor who strengthen protection.
The official number of cases of confirmed and suspected human infection with the H7N9 avian flu deaths all occurred in the Minhang District of Shanghai Fifth People's Hospital (hereinafter referred to as the "Court"). But with the five branches of the same at the Minhang District, another large hospital, patients with similar symptoms. The above Hospital Respiratory infections departments a doctor since mid-March of this year, the hospital has treated five patients with ordinary pneumonia, 5 patients the day after admission condition deteriorated sharply, "X-light show admission check When only one side of the lung infection, but the second day of the X-ray and found the bilateral pulmonary All serious infection. "
Past full year twenty-three the this year half months five
The doctor said, five patients are not unrelated to each other there is no other contact. Four of them are male and one is female, between the ages of 60 to 70-year-old. Alleged that the hospital was on five patients with symptoms suspicious, take sputum submission was not found to have SARS and other viruses, and the moment can not confirm exactly which virus infection, so they will be classified as "unexplained severe pneumonia. " It has been revealed that, in previous years, the hospital throughout the year only two to three unexplained severe pneumonia, but this year only half a month to the already dense appear 5.
High-level antibiotic treatment side effects daily thousand Yuan
5 patients still in the hospital hospitalized senior antibiotics with hormone therapy, the condition is stable for the time being. The doctor pointed out that the drug treatment of this "unexplained severe pneumonia four generations of cephalosporins and carbapenem antibiotics, the high level of antibiotics for the treatment of serious bacterial infection, per person per day, with the price of antibiotics over 1000 not more than 200 yuan, and antibiotics for the treatment of ordinary pneumonia. "Allegedly, these drugs may be the liver, kidney damage, but if the weekday normal metabolism of the body, the side effects should not be great. In addition, because these patients have symptoms of respiratory failure soon, so they have to put on a ventilator.
When isolation precautions level of ordinary pneumonia is not much worse off than SARS
The doctor said, must find out the multi-resistant bacteria is still in line with the isolation conditions of these five patients has not been isolated, but admitted in the wards of ordinary infection, the course of the disease is estimated to be at least more than two weeks, the course of ordinary pneumonia one to two weeks. Nor doctor and nurse to take special protective measures, no gowns, only wear ordinary masks and were asked to wash his hands, and the current SARS outbreak, the medical staff to prevent a completely different level.
Despite the official announcement in Shanghai 2 infected with the H7N9 avian flu deaths, but in fact the Shanghai Health Bureau already has begun to strengthen monitoring of unexplained severe pneumonia. According to reports, the Minhang District Hospital in the beginning of last month, received instructions to take one day a reporting system "fever", "pneumonia", "fever and pneumonia. In accordance with the time to project should begin after the Fifth People's Hospital of Shanghai Minhang cases of unknown pneumonia deaths. http://paper.wenweipo.com/2013/04/02/YO1304020001.htm
