Rapid test is positive, many F0 come to the hospital by themselves

HanoiA 70-year-old woman, on Le Thanh Nghi Street, on the morning of December 9 with her daughter went to Thanh Nhan Hospital after a quick self-test at home and the result was positive.

She said the family bought a quick test to take home to test themselves weekly. In the morning, she had a cough, hoarseness, and quickly tested positive, so her daughter took her to Thanh Nhan Hospital. The medical staff guided the mother and daughter into the screening clinic, took samples for PCR testing, and waited for the results in a separate isolation room. She has had two doses of the vaccine, it is not clear where she contracted the infection.

Answer VnExpressDoctor Nguyen Thi Thu Huong (Head of the Covid-19 treatment unit), Thanh Nhan Hospital, said that this woman is not the first case to test positive and self-enter the hospital. At one point, the hospital received 20 similar cases. Most people come to the hospital with anxiety, wanting to be treated for Covid-19 at a hospital instead of a collection facility. A few are not guided by local health workers, find it difficult to contact local health care providers, so they go to the hospital by themselves.

“This is against the current regulations on streamlining and receiving F0 in Hanoi, which is a lower-level medical facility that receives and classifies F0, and then moves to the appropriate treatment floor and is still able to receive.” Dr. Huong said.

Usually, with mild F0, the hospital will contact them and transfer them to a lower level hospital, such as the one in Thuong Thanh (Long Bien), Den Lu (Hoang Mai), the mild F0 treatment area at the University. Phenikaa. Those who are positive with signs of worsening, must be treated on the 2nd floor, will be admitted to the hospital. In addition, the Department of Health assigns treatment tiers F0 with first floor are primary and home health services; 2nd Floor including 19 district general hospitals, in charge of the city; floor 3 are city-level, grade-I and central-level hospitals.

Thanh Nhan Hospital is assigned to treat F0 on the 2-3rd floor, not accepting mild F0. The Institute is treating 120 F0, in which 20-30 cases require oxygen or more, there is no ECMO (cardiopulmonary outside of the body) intervention.

In Duc Giang HospitalDoctor Nguyen Van Thuong (director) said that every day he receives a few F0s that come by themselves after a quick test at home. Doctors took them to the isolation screening area, PCR test to confirm.

According to Dr. Thuong, the hospital has two processes for receiving F0. The first is the process from outside in, every F0 coming is notified in advance so that the hospital can prepare the reception steps. F0 is taken by a dedicated car, not allowed to move arbitrarily. Currently, Hanoi has 140 ambulances registered on the operating software system of the health sector; 500 drivers of 13 transport units were trained to ensure F0 transport in the area.

Process two is for the group detected at the hospital, in the screening ward. F0 positive PCR test was transferred to the hospital isolation ward and stratified according to the regulations of the Department of Health. “Some cases of negative test are returned, positive numbers are taken to the hospital treatment area for monitoring,” the doctor said. Currently, the hospital has about 158 ​​F0, more than 20 severe patients, the rest are moderate patients or have risk factors.

This process is also applied at other hospitals in the area. According to Assoc. Prof. Dr. Hoang Bui Hai (Deputy Director of Hospital for Treatment of Covid-19 Patients under Hanoi Medical University), the hospital only accepts patients who have tested positive and have prior contact via the line. hot. During the transfer to the hospital, the medical staff will complete all information and disease status so that it does not take much time to complete the procedure. At the emergency reception area, the doctor gives first aid, assesses the situation and then transfers the patient to the treatment room. Currently, the Hospital for the Treatment of Covid-19 patients takes care of more than 200 F0 patients, mostly mild and asymptomatic.

Doctor Cao Duc Chinh (Deputy Director of Ha Dong Hospital), in charge of expertise at the facility to treat Covid-19 patients in Phap Van – Tu Hiep, Hoang Mai, said that only patients tested positive for PCR. novelty in the treatment area. Currently, this facility treats more than 1,800 F0 in Hanoi. All F0s were transported to the local medical facility and the 115 emergency center.

Mr. Khong Minh Tuan (Deputy Director of the Hanoi Center for Disease Control – CDC) affirmed F0 after having a positive result, the medical facility should contact the hospital to collect the drug to receive F0, “trying to respond promptly” rather than F0 contacting the treatment facility itself. And the suspected F1 was also notified and instructed to isolate like an F0, tested confirmed, if positive, medical staff will come to take him to the hospital, not go himself. All procedures that need to be performed must be accurate, careful, and on the principle of not letting the epidemic break out.

“However, when to move the patient, to which facility depends on the streamlining regulations, the number of beds available, the patient’s condition and the response capacity of the health system at that time,” he said. Tuan said. Therefore, when F0 goes to the hospital on their own, the risk of infection and hospital overload increases. Hospitals must segregate, isolate suspected infected people and do confirmatory RT-PCR tests. The waiting time for results is long, often taking several hours, so there is a possibility of cross-contamination in the isolation ward.

Screening area for suspected infected people at Thanh Nhan hospital on the morning of December 9. Photo:Van Phong

Faced with that situation, Dr. Huong proposed the Department of Health to train district-level health workers and ward health centers to know how to stratify and monitor and guide F0 in a timely manner. The Department of Health trains medical staff with specialized knowledge of F0 care, so that they can trust and rest assured to monitor at home, avoid going directly to the hospital, causing difficulties and confusion in treatment flow.

For people, the doctor recommends that if the rapid test is positive at home, it is necessary to immediately report it to the local health facility where you live so that this unit can report to the Hanoi CDC, send someone to collect RT-PCR test samples. . While waiting for medical care, people should closely contact the ward medical staff to monitor any symptoms and go to the hospital immediately if there are signs of worsening. Ward health workers directly guide stratification, are responsible for classifying and help bring F0 to the collection place for treatment on the right floor, avoiding overload for medical facilities.

In the fourth outbreak (from April 27 to now), Hanoi recorded 14,925 infections, of which 5,443 were community cases. From October 11 to 12:00 on December 8, the city recorded 10,618 positive cases (average 186 cases per day) with 4,123 community infections.

In the face of complicated disease developments and the number of infections continuously increasing, the capital’s health sector leaders forecast that there will be thousands of positive cases per day. However, the city has achieved a high rate of vaccination against Covid-19 (over 95% of people aged 18 years and older receive full doses), so most of the cases are mild and asymptomatic (about 92%), which can be treated. treatment at home or mobile medical station, according to the Director of the Department of Health.

Currently, the city has implemented F1 isolation, mild F0 treatment at home in all 30 districts, towns and cities. Reviewing over 2.1 million households, more than 800,000 eligible households, currently 15,359 F1, hundreds of mild F0 have been treated at home.

Chile – Thuy An


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