What to do if you come into contact with a suspected patient? Isolate early! Protect carefully!

Given the limited knowledge of novel coronavirus pneumonia and patterns of transmission, WHO strongly recommends that suspected infected persons should be isolated and monitored in hospitals to ensure that patients receive effective treatment and to protect public health safety. If exposed to a suspected case, home isolation may be considered. During home isolation, the patient will need to remain in contact with healthcare workers throughout the entire period until fully recovered. The healthcare provider will need to monitor the development of symptoms to assess the patient’s health status. Contact can be made by phone, ideally with regular visits such as daily face-to-face visits, and specialized diagnostic tests can be performed if needed. In addition, family members should learn how to maintain personal hygiene, learn basic infection prevention and control methods, learn how to care for suspected infected family members as safely as possible, and learn how to avoid transmission within the family. Specific recommendations are as follows: 1. Place in a well-ventilated single room. 2. Limit the number of caregivers for the patient, ideally arranging for care by a person who is in good health and does not have a chronic illness. 3. Refuse all visits. 3. Family members should stay in different rooms, and if conditions do not permit, keep at least 1 meter away from the quarantined person. [Nursing mothers may continue to breastfeed their babies]. 4. Limit the activities of the isolated person and minimize the shared area for the activities of the isolated person and family members. Ensure that the shared area (kitchen, bathroom, etc.) is well ventilated (keep the windows open). 5. Caregivers sharing a room with an isolated person should wear a mask, which is tightly fitted to the face and prohibits touching and adjusting during the wearing process. The mask must be replaced immediately when it becomes wet and dirty due to secretions. Wash hands after removing and discarding the mask.6. Clean hands after any direct contact with the isolated person or after entering the patient’s isolation space. Similarly, before and after food preparation, before eating, after toileting and when hands look dirty. If hands are not visibly dirty, clean them with alcohol-based leave-on solution. If hands are dirty to the naked eye, use soap and water to clean them. (Pay attention to the safety of alcohol use, such as accidentally swallowed with or caused a fire) 7, the use of soap and water when washing hands, it is best to use disposable hand towels. If not, wipe with a clean towel, towels need to be replaced when wet. 8, all people respiratory hygiene should be protected at all times, especially by the isolation of people. Respiratory hygiene refers to the need to wear a medical mask, cloth mask, or cover with tissue paper and bent elbows when coughing and sneezing, and to clean hands immediately after coughing and sneezing.9. Discard materials used to cover the mouth and nose directly or wash them properly after use (e.g., wash the handkerchiefs with ordinary soap/detergent and water).10. Avoid direct contact with human secretions, especially mouth or respiratory tract Avoid direct contact with human secretions, especially oral or respiratory secretions, and avoid direct contact with feces.11. Use disposable gloves for oral and respiratory care for the isolated person, and for handling of feces, urine, and waste (The state may consider taking measures to ensure that the waste is disposed of in sanitary landfills, rather than in unregulated open dumps. (States may consider measures to ensure that waste is disposed of in sanitary landfills rather than in unregulated open landfills, and need to prevent transmission of infection from waste in landfills). 12. Avoid other forms of contact with the person being quarantined or with contaminated items in the quarantine space. For example, avoid sharing toothbrushes, cigarettes, tableware, meals, drinks, towels, washcloths, bed sheets, etc.. Tableware should be washed with detergent and water after use and not discarded directly.13. Use common household disinfectants (most household bleaches contain 5% sodium hypochlorite) containing diluted bleach (bleach: water = 1:99) Frequent cleaning and disinfection of frequently touched items such as headboards, bed frames, and other bedroom furniture on a daily basis. Clean and disinfect bathroom and toilet surfaces at least once a day.14. Wash isolated person’s clothing, bed linen, bath towels, towels, etc. with ordinary laundry soap and water, or wash them in a washing machine at 60-90 degrees Celsius and ordinary household laundry detergent, and then dry the above items completely. Put the contaminated bedding into a laundry bag. Do not shake the contaminated clothes and avoid direct contact with your skin and your own clothes.15. Wear disposable gloves and protective clothing (e.g., plastic aprons) before cleaning and touching surfaces of objects, clothing or bedding contaminated by human secretions. Clean hands before wearing gloves and after removing gloves. All persons (including healthcare workers) who may have had contact with a suspected infected patient should be placed under a 14-day health observation period. The observation period is counted from the last day of contact with the patient. Seek medical attention as soon as any symptoms occur, especially fever, respiratory symptoms such as cough, shortness of breath or diarrhea! Content source: FGCU Red Cross