新型冠状病毒肺炎疑似病例诊断及管理专家共识·齐鲁医院标准

doi:10.6040/j.issn.1671-7554.0.2020.176

摘要/Abstract

摘要： 为建立新型冠状病毒肺炎疑似病例筛查、诊断、处理及院内感染防控标准体系,加强对疑似病例的管理,根据近期发表的有关新型冠状病毒肺炎流行病学特征、临床特点的文献及国家卫健委、山东省和济南市下发的有关新型冠状病毒肺炎的防控文件,结合山东大学齐鲁医院具体临床实践,制订出新型冠状病毒肺炎疑似病例管理方案,经医院新型冠状病毒肺炎诊治专家组充分讨论,形成共识性文件。该共识提出了新型冠状病毒肺炎分级诊断标准及相应处理措施、发热患者的诊断及处理流程、新型冠状病毒肺炎核酸检测的标准操作规程及流程、密切接触者的隔离流程及疑似病例的解除隔离标准等,对临床具体实践有重要的指导意义。

关键词: 新型冠状病毒肺炎, 疑似病例, 齐鲁医院标准, 核酸检测, 诊断, 处理, 防控

Abstract: To establish a standardised method of screening, diagnosis and management of suspected cases with coronavirus disease 2019(COVID-19)so as to enhance management of COVID-19 suspected cases, the recent literatures and relevant documents about COVID-19 made by the national and provincial health committees were reviewed. By incorporating the most recent knowledge on COVID-19 and our local practices, the protocol that includes diagnostic criteria, and prevention and control measures for this infectious disease was devised. The protocol has been drafted and extensively reviewed by Consensus Group of Diagnosis and Treatment for Coronavirus Disease 2019, Qilu Hospital of Shandong University. The diagnostic and managements criteria of COVID-19 were proposed with clinical classifications. The protocol reviewed the procedure of 2019 novel coronavirus(2019-nCoV)nucleic acids test and focused on the clinical management of any suspected fever patients. It also highlights the procedure for dealing with close contacts of infected individuals and the discharge criteria of suspected cases. This consensus will contribute to the on-going provincial and national effort on prevention and control of COVID-19.

Key words: Coronavirus disease 2019, Suspected case, Criteria of Qilu Hospital, 2019 novel coronavirus nucleic acids test, Diagnosis, Management, Prevention and control

中图分类号:

R563.1

山东大学齐鲁医院新型冠状病毒肺炎诊治专家组. 新型冠状病毒肺炎疑似病例诊断及管理专家共识·齐鲁医院标准[J]. 山东大学学报 (医学版), 2020, 58(3): 1-7.

Consensus Group of Diagnosis and Treatment for Coronavirus Disease 2019, Qilu Hospital of Shandong University. Diagnosis, management, prevention and control for suspected cases of coronavirus disease 2019, Qilu Hospital criteria[J]. Journal of Shandong University (Health Sciences), 2020, 58(3): 1-7.

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