新型冠状病毒肺炎疫情期间加强儿童发热门诊流程的管理指引(第一版)

Guidance on strengthening the management processes of children′s fever in outpatient department during the novel coronavirus pneumonia epidemic period(First Edition)

新型冠状病毒肺炎(NCP)为乙类传染病,按照甲类传染病预防和控制。近期,儿童NCP病例逐渐增多,儿童发热门诊成为阻击疫情的第一关口。加强儿童发热门诊流程的管理,对于及早发现疑似患儿,早隔离,早治疗和预防发生交叉感染十分重要。本文依据国家卫生健康委员会的有关诊疗、防控方案,基于各省市专家发热门诊的诊疗经验,提出了发热门诊防控策略,并从优化流程、预防交叉感染、医务人员的卫生防护及消毒等方面,详细概述了普通发热患儿与疑似患儿的预检分诊、疑似患儿、确诊患儿的诊治流程、处理原则和具体措施,为NCP情期加强发热门诊的管理及预防交叉感染提出了实用性的建议。

Novel Coronavirus Pneumonia(NCP)is a class B infectious disease,which is prevented and controlled according to class A infectious diseases.Recently,children′s NCP cases have gradually increased,and children′s fever outpatient department has become the first strategic pass to stop the epidemic.Strengthening the management of the fever diagnosis process is very important for early detection of suspected children,early isolation,early treatment and prevention of cross-infection.This article proposes prevention and control strategies for fever diagnosis,optimizes processes,prevents cross-infection,health protection and disinfection of medical staff,based on the relevant diagnosis,treatment,prevention and control programs of the National Health and Health Commission and on the diagnosis and treatment experience of experts in various provinces and cities.The present guidance summarizes current strategies on pre-diagnosis;triage,diagnosis,treatment,and prevention of 2019-nCoV infection in common fever,suspected and confirmed children,which provide practical suggestions on strengthening the management processes of children′s fever in outpatient department during the novel coronavirus pneumonia epidemic period.