Gu Yanan accosted, "In fact, whether to do influenza nucleic acid testing or not does not have much impact on the treatment of the patient, the doctor will judge whether it is a bacterial infection or a viral infection according to the patient's blood test results, if it is a viral infection, the corresponding antiviral treatment will be carried out, if you must wait for the test results, the treatment time may be delayed." ”

Xiao Chu: "Isn't there a special drug oseltamivir for the flu now?" If it is confirmed that it is the flu, then it is better to use oseltamivir. ”

Gu Yanan: "Only severe patients will use oseltamivir, and simple antiviral treatment for mild influenza is generally good, and oseltamivir has side effects, so you can't eat it casually." ”

Men from the ......emergency response team were discussing the recent arrival of the flu season when there was a knock on the door of the emergency office.

A middle-aged man in his 40s stood in the doorway, dressed in a black tracksuit and carrying a black plastic bag in his hand, poking his head into the emergency office.

Several members of the emergency team stopped discussing, and Lu Li asked the middle-aged man, "Who are you looking for?" ”

The middle-aged man was carrying a black plastic bag, looking a little nervous, "I asked the security guard downstairs just now, and he said that this is the emergency office, and I will look for the emergency team." ”

"What's the matter with you?"

"I bought a pound of braised beef in the braised goods store downstairs last night, and ate more than half of it at night, but it started to have diarrhea in the middle of the night, and it was very bad, so I wanted to come to the CDC to do a test to see if it was a problem with braised beef, if so, I had to find the braised goods store to compensate, I almost died last night, I pulled seven or eight times, went to the community hospital to hang the hanging water, and this morning it was a little better."

It was another individual who came to send samples for testing, and Lu Li began to explain, "Hello, that's the case, our CDC does not collect samples from individuals, only tests the reported epidemic samples.

We also have the principle of territorial management, like yours, you should let the doctor at the hospital make a judgment, and if you suspect the possibility of food poisoning, the hospital will report it to the local district CDC.

When the regional CDC receives a report of the epidemic, it will send someone to the hospital and your home to investigate and take samples, and then test the samples. ”

The middle-aged man understood and knew that his situation should be handled by the hospital and the local CDC, but he was still unwilling and continued to ask: "Isn't it okay for me to spend money on this brine test?" ”

Lu Li shook his head, "No, it's not about money, it's about the fact that our CDC doesn't collect samples for individuals."

Besides, even if we do this test for you, you can't use the report to hold you accountable, because the sample you brought yourself does not indicate that you bought it from that brine store, and the test results can only show whether there is a corresponding pathogen in the brine goods you sent to us, and it does not mean that the brine goods are related to your disease, or that there is any problem with the brine store you mentioned.

If you want to investigate the cause or hold you accountable, someone from the district disease control or food and drug administration must go to the hospital to collect biological samples from you, and go to your home to sample the food you have eaten, as well as samples from the marinade store, so that the results can be legally valid. ”

The middle-aged man finally figured it out, took the brine goods in his hand and left, and muttered as he left, "Okay, I'll go to the hospital and call the district disease control and food and drug administration department, as long as someone is in charge of this matter." ”

The middle-aged man who came to the emergency office to consult about food poisoning testing, Lu Li shook his head and said: "I have dealt with many such consultations today, it seems that I have to sort out the handling process of this kind of thing, and post it on the Internet for everyone to see, saving everyone time by calling and coming to the office." ”

Gu Yanan: "Okay, then leave the sorting things to Lu Li, you sort out the information well, try to make it as simple and easy to understand as possible, let me take a look after sorting it out, if it's okay, you can hang it on our center's website." ”

Lu Li immediately began to tidy up on the computer, the office phone on the desk rang again, Lu Li didn't have time to answer the phone, and shouted, "I'm busy here, who has time to help come over and answer the office phone." ”

Gu Yanan was printing materials next to the printer, not far from the office phone, and turned around to pick up the phone.

The call was from the Dongcheng District Disease Control and Prevention, and the scarlet fever epidemic in Xiaguang Road Primary School was reported to the Municipal Disease Control and Prevention.

Dongcheng District Disease Control Department Zhang Section Chief, "Director Gu, the school doctor of Xiaguang Road Primary School in our jurisdiction reported a suspected scarlet fever epidemic, just now our district disease control has sent someone to take samples of students, only 11 students with fever and rash, mainly distributed in two classes, just now went to the scene of the disease control personnel focused on collecting 30 student samples from these two classes, and now they are on the way to the Municipal Center for Disease Control and Prevention laboratory." ”

"Okay, I will notify the laboratory to collect the sample, and the results will be fed back to you in time, how is the situation of the students during the on-site sampling? Are there any hospitalizations? ”

"The students are still in class, the symptoms are relatively mild, according to the first grade class 3 class teacher Li reflected, there is a student who has had fever symptoms two days ago, the day before yesterday at home for a day off, yesterday morning when I went to school began to have a rash all over the body, was notified by the teacher that the parents took home, should have gone to the hospital."

Gu Yanan pressed the office phone on the speakerphone, and gave Wang Xiaoxiao a look, Wang Xiaoxiao immediately understood, logged in to the epidemic system network, and saw a message that had just been reported from the hospital, "Sister Yanan, there is information, the First People's Hospital of Lianhai City reported a clinically diagnosed case of scarlet fever at 9:40 this morning, the patient's name is Li Xiaofei, 7 years old, studying in Class 3 of the first grade of Xiaguang Road Primary School in Dongcheng District, and his home address is 402, Unit 2, Building 14, Binhai Garden, Dongcheng District. ”

The patient reported by the hospital was indeed a student at Xiaguang Road Elementary School.

Gu Yanan replied to Section Chief Zhang of Dongcheng District CDC on the phone, "I will send people from the emergency team to take samples and investigate the cases in the hospital, and your district CDC is responsible for the control of the epidemic in Xiaguang Road Primary School." Inspect all teachers and students in the school to see if there are any cases in the incubation period, and do a good job in the isolation and treatment of students with fever and rash to avoid new cases. ”

"Okay, I'll arrange for someone to communicate with the school."

Ending the call with Dongcheng District Disease Control, Gu Yanan assigned tasks to the members of the emergency team, "Zhou Lao and Gao Fei went to help Dongcheng District Disease Control and do a good job in the prevention and control measures of Xiaguang Road Primary School, Xiao Chu and Xiaoxiao went to the First People's Hospital with me to do the flow of inpatient students, and Lu Li stayed in the office to continue to sort out the information." ”

——

The First People's Hospital of Lianhai City, Infectious Disease Ward.

Li Xiaofei's isolation ward.

After antibiotic treatment, Li Xiaofei's symptoms were much less than when he was first admitted to the hospital.

Gu Yanan took Xiao Chu and Wang Xiaoxiao to sample Li Xiaofei and do the basic flow survey.

Gu Jiashu, as Li Xiaofei's attending doctor, accompanied him.

Li Xiaofei's grandparents also stood aside.

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