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病例密切接触者的居家医学观察指南(双语)

来源:湖北省委外办网站      时间:2020-02-09

新型冠状病毒感染的肺炎确诊病例的密切接触者应从和病人接触的最后一天起采取医学观察14天。在家中观察期间需与医学观察人员保持联系,并需要了解病情观察和护理要点,掌握家庭预防的洗手、通风、防护和消毒措施。

在居家医学观察期间的具体建议如下:

(一)将密切接触者安置在通风良好的单人房间,拒绝一切探访。

(二)限制密切接触者活动,最小化密切接触者和家庭成员活动共享区域。确保共享区域(厨房、浴室等)通风良好(保持窗户开启)。

(三)家庭成员应住在不同房间,如条件不允许,和密切接触者至少保持1米距离。哺乳期母亲可继续母乳喂养婴儿。

(四)其他家庭成员进入密切接触者居住空间时应佩戴口罩,口罩需紧贴面部,在居住空间中不要触碰和调整口罩。口罩因分泌物变湿、变脏,必须立即更换。摘下并丢弃口罩之后,进行双手清洗。

(五)与密切接触者有任何直接接触,或离开密接接触者居住空间后,需清洁双手。准备食物、饭前便后也均应清洁双手。如果双手不是很脏,可用酒精免洗液清洁。如双手比较脏,则使用肥皂和清水清洗。(注意酒精使用安全,如意外吞食用或引发火灾)。

(六)使用肥皂和清水洗手时,最好使用一次性擦手纸。如果没有,用洁净的毛巾擦拭,毛巾变湿时需要更换。

(七)偶然咳嗽或打喷嚏时用来捂住口鼻的材料可直接丢弃,或者使用之后正确清洗(如用普通的肥皂/洗涤剂和清水清洗手帕)。

(八)家属应尽量减少与密切接触者及其用品接触。如避免共用牙刷、香烟、餐具、饭菜、饮料、毛巾、浴巾、床单等。餐具使用后应使用洗涤剂和清水清洗。

(九)推荐使用含氯消毒剂和过氧乙酸消毒剂,每天频繁清洁、消毒家庭成员经常触碰的物品,如床头柜、床架及其他卧室家具。至少每天清洁、消毒浴室和厕所表面一次。

(十)使用普通洗衣皂和清水清洗密切接触者衣物、床单、浴巾、毛巾等,或者用洗衣机以60-90摄氏度和普通家用洗衣液清洗,然后完全干燥上述物品。将密切接触者使用的床品放入洗衣袋。不要甩动衣物,避免直接接触皮肤和自己的衣服。

(十一)戴好一次性手套和保护性衣物(如塑料围裙)再去清洁和触碰被密切接触者的人体分泌物污染的物体表面、衣物或床品。戴手套前、脱手套后要进行双手清洁及消毒。

(十二)若确诊病例的密切接触者出现可疑症状,包括发热、咳嗽、咽痛、胸闷、呼吸困难、轻度纳差、乏力、精神稍差、恶心呕吐、腹泻、头痛、心慌、结膜炎、轻度四肢或腰背部肌肉酸痛等,应立即就医。具体指导建议如下:

1.前往医院的路上,病人应该佩戴医用外科口罩或N95口罩。

2.如果可以,避免乘坐公共交通工具前往医院,路上打开车窗。

3.时刻佩戴口罩和随时保持手卫生。在路上和医院时,尽可能远离其他人(至少1米)。

4.若路途中污染了交通工具,建议使用含氯消毒剂或过氧乙酸消毒剂,对所有被呼吸道分泌物或体液污染的表面进行消毒。

 

Home Quarantine Guide for Close Contacts of the Novel Coronavirus-Infected Pneumonia

Close contacts of confirmed cases of the novel coronavirus-infected pneumonia should be put under medical quarantine for 14 days since last contact with the patient. When quarantined at home, close contacts should keep in touch with medical workers, watch for their symptoms and learn more about home health care. It is also necessary to follow precautions on hand washing, ventilation, epidemic prevention and disinfection in homes. Suggestions on home quarantine are as follows.

I. Close contacts should stay in well-ventilated single rooms while refusing all visits.

II. Restrict the activities of close contacts, and minimize their shared spaces with household members. Keep such shared spaces as kitchen and bathroom well ventilated with windows open.

III. Household members should not live in the same room with close contacts. If not possible, keep a distance of at least one meter. Mothers can continue breastfeeding their infants.

IV. Household members should wear a mask covering mouth and nose before entering the living spaces of close contacts. Do not touch or adjust the mask in the living space and replace the mask once it turns moist or dirty with secretions. Wash hands immediately after removing and discarding the mask.

V. Clean hands after one has any direct contact with or leaves the living space of close contacts. Hand washing is also necessary before preparing food, before meals, and after using the toilet. Use alcohol-based hand sanitizer if one’s hands are not visibly dirty while wash with soap and running water otherwise. Follow safety instructions. Guard against accidental ingestion of and fire caused by sanitizers.

VI. Wash hands with soap and water and then wipe them with a disposable handkerchief. If not available, use a towel. Replace the towel when it becomes wet.

VII. The materials used to cover your nose and mouth when coughing or sneezing should be discarded, or washed immediately. Handkerchiefs can be washed with soap or detergent and running water.

VIII. Household members should minimize contact with close contacts and their items. Avoid sharing toothbrushes, cigarettes, tableware, food, drinks, towels, bath towels, and bed sheets. Tableware should be washed with detergent and water.

IX. Use disinfectants containing chlorine or peracetic acid to clean and disinfect all frequently touched surfaces such as bedside tables, bed frames and other bedroom furniture. Bathrooms and toilets should be cleaned and disinfected at least once a day.

X. Wash the person’s clothes, sheets, bath towels and towels with soap and water or by a washing machine at 60-90 degrees Celsius with detergent and then get the items dried. Put bedding used by close contacts in a laundry bag. Avoid direct contact with one’s skin and clothes.

XI. Wear disposable gloves and protective clothing such as a plastic apron before cleaning and touching surfaces of items, clothing, or bedding that have on them secretions from close contacts. Clean and disinfect hands before wearing gloves and after removing them.

XII. Seek prompt medical attention in case close contacts develop suspicious symptoms. Such symptoms include fever, cough, pharyngalgia, chest distress, dyspnea, mildly poor appetite, fatigue, mild lethargy, nausea, diarrhea, headache, palpitation, conjunctivitis, and mildly sore limb or back muscles, etc. Specific suggestions are as follows:

1. Wear a surgical or N95 mask.

2. If available, do not use public transportation and keep the car window open.

3. Wear a facemask and keep hands clean at all times. Stay at least one meter away from other people on the way to or in the hospital.

4. Use disinfectants containing chlorine or peracetic acid to sterilize the vehicle that is contaminated by the respiratory secretions or body fluids.