Preparing for the H1N1 influenza pandemic medical treatment preparation plan

In order to effectively cope with the possible influenza A (H1N1) pandemic, scientifically, standardizedly and effectively carry out medical treatment and minimize the harm to public health and life safety, this work plan is specially formulated.

First, attach great importance to strengthening leadership

According to the analysis of the World Health Organization, the whole population is susceptible to influenza A (H1N1) virus. With the advent of autumn and winter in the northern hemisphere, the risk of a large-scale epidemic of influenza A (H1N1) is significantly increased, which may bring health and economic and social development to the population. Great harm. To do a good job in the medical treatment of the pandemic h1n1 influenza pandemic is of great significance for safeguarding the health and safety of the people, promoting the steady development of the city's economy, and maintaining social harmony and stability. All types of medical institutions at all levels should fully understand the importance of coping with the possible medical treatment of influenza A h1n1 pandemic, and prepare for medical treatment according to work requirements. The bureau set up a leading group to deal with the H1N1 influenza pandemic medical treatment, and is responsible for the organization and leadership of the H1N1 influenza pandemic medical treatment. At the same time, a district-level clinical expert group was set up to guide the medical treatment of influenza A (H1N1) in the whole district.

Second, combined with the actual work, classification and treatment of influenza A h1n1 cases

According to the requirements of the Ministry of Health, according to the different reverberation levels of the overall plan for influenza A h1n1 influenza pandemic, classified medical treatment is implemented.

Home-based isolation treatment for mild cases of H1n1.

In accordance with the requirements of the Ministry of Health "A H1n1 Influenza Patients with Infant Isolation Treatment Management Program" and relevant regulations, according to the medical treatment needs of the H1N1 influenza in our district, the status of medical resources and the ability to treat, take home treatment for the mild cases that meet the standards. Measures. If a home-based treatment is taken for a mild case that meets the criteria, it must be determined by the doctor in the hospital and the relevant medical plan and the specific condition of the patient, and the patient's consent is obtained. For home-based patients, there should be a dedicated medical staff in the primary health care institution to conduct body temperature monitoring and condition observation on mild cases of home treatment. For home-based treatment of mild cases, the frequency of home visits should not be less than 1 time / 2 days; at non-home visit time, the body temperature and condition can be understood by telephone, etc., at least 2 times a day. Once the condition changes, it is necessary to promptly transfer to a designated hospital for treatment. It is necessary to strictly implement the responsibility of the work, and those who have problems should be held accountable for the relevant health administrative departments, medical institutions and medical personnel.

Cases of influenza A (H1N1) requiring hospitalization should be treated in a centralized hospital.

In accordance with the principle of “concentrating patients, pooling experts, pooling resources, and focusing on treatment”, the designated district people's hospitals are treated as a designated hospital for the treatment of influenza A (H1N1). At the same time, the district hospital was identified as a backup hospital. When the number of patients exceeded the capacity of the district people's hospital, the district Chinese hospital was enrolled in the case of influenza A (H1N1).

Attach great importance to the medical treatment of severe cases

Severe cases of influenza A (H1N1) should be treated in a centralized hospital. The Municipal Public Health Treatment Center, the First Affiliated Hospital of the First Affiliated Hospital, the Southwest Hospital, the Second Hospital of the City, the City No. 9 Hospital, the Three Gorges Central Hospital, and the Fuling Central Hospital are the designated hospitals for serious cases in the city. After the confirmed cases are confirmed by the municipal expert group, the city emergency center, first aid sub-center or first-aid station will be transferred to the hospital for treatment of severe cases. The patient's transshipment work is coordinated and coordinated by the health administrative department of the patient's location, and the referral hospital cooperates with the emergency medical institution.

Third, strict implementation of hospital infection control requirements

All types of medical institutions at all levels should attach great importance to the infection control of influenza A h1n1 influenza hospitals, strictly follow the requirements of the "Technical Guidelines for Influenza A H1n1 Influenza Hospital Control", formulate relevant management systems, improve work practices and procedures, and establish and implement staff positions. Responsibility system. According to the epidemiological characteristics of influenza A (H1N1), the three basic links of infectious sources, transmission routes and susceptible populations should be implemented, and various measures should be implemented to effectively carry out disinfection and isolation work and scientifically implement personal protection of medical personnel. In accordance with the "Administrative Measures for Pre-examination and Differentiation of Medical Institutions", the outpatient and emergency consultation procedures should be standardized, and relatively independent epidemiological examinations and isolation observation rooms should be established in places that are easy to isolate and facilitate patient visits. The fever clinic should ensure adequate waiting and visiting space, improve ventilation conditions, and promptly divert patients. It is necessary to strengthen laboratory biosafety management and strict laboratory quality control. It is necessary to strengthen the management of wards, closely monitor the symptoms of hospitalized cases, and find that patients suspected of contracting influenza A (H1N1) should be isolated in time to avoid infection of other patients. To strengthen visit management, there is fever, flow

Visiting personnel with symptoms should be restricted to enter the ward. To strengthen the personal protection of medical staff, medical staff with fever and flu symptoms should be avoided to contact patients. The environmental layout of designated hospitals should meet the hospital infection control requirements, and the flow of people should be strengthened.

And the management of logistics, strict implementation of the visitation system to prevent cross-infection in the hospital.

Fourth, do a good job in case transfer

The District Emergency Center is the transfer agency for the H1N1 influenza case in our district. When a medical institution transfers a case of influenza A (H1N1) requiring hospitalization, it is necessary to notify the district emergency center to transfer the case to the designated hospital. The District Emergency Center shall, in accordance with the relevant provisions of the “H1n1 Influenza Case Transfer Work Plan”, set up a special regional parking and transport ambulance vehicle, configure decontamination facilities, and be equipped with specialized medical personnel, drivers and ambulance vehicles to transport the H1N1 influenza cases. jobs. Medical institutions and transshipment agencies should make records of case transfer and transfer to the Health Bureau in time.

5. Prepare medical treatment materials and medical personnel

Medical treatment materials preparation. All medical institutions, especially designated hospitals, should reserve relevant medicines, protective equipment and necessary facilities and equipment, and ensure that the stocks are in good condition. The designated hospitals and backup hospitals should reserve the right amount of beds. All units are requested to submit the “Investigation Form for the H1n1 Influenza Pandemic Material Reserve” on the electronic official website “Publishing Information” to the Luo Junjun Department of the Medical Affairs Bureau of the Health Bureau before 5:00 pm on September 26.

Medical staff preparation. Established a H1N1 influenza medical team.

Conduct medical personnel training and drills. On the basis of the early training of all staff members, all medical institutions should organize medical personnel to re-train and learn to familiarize themselves with the prevention and control of A-type h1n1 influenza, treatment principles, work procedures, and so on. The bureau will organize the drills of designated hospitals to vacate, case diversion and transshipment, and hospital infection prevention and control.

Attached file: 1. Chongqing Municipal Health Bureau's Leading Group for the Treatment of Influenza A H1N1 Pandemic

2. Hechuan District, Chongqing City, the clinical expert group for the treatment of influenza A h1n1 influenza pandemic

3. Investigation report on the pandemic h1n1 pandemic material reserve

4. Hechuan District, Chongqing, responds to the H1N1 influenza pandemic medical team