Guide to home treatment of infected people in Covid-19

　　First, the applicable object

　　(1) An asymptomatic or mildly infected person without serious underlying diseases.

　　(two) the basic disease is in a stable period, and there is no serious organ dysfunction such as heart, liver, lung, kidney and brain that needs hospitalization.

　　Second, the home environment requirements

　　(1) When conditions permit, home-based therapists should live in relatively independent rooms of the family and use separate bathrooms as much as possible.

　　(two) the family should be equipped with a thermometer (for infected persons), paper towels, masks, disposable gloves, disinfectants and other personal protective equipment, and disinfection products and garbage cans with covers.

　　Third, the management requirements

　　(a) community (village) and basic medical and health institutions work requirements.

　　1. establish contact. Give play to the important role of organization, mobilization, guidance, service, security and management of the community (grassroots) working mechanism for epidemic prevention and control in various places. Grassroots medical and health institutions openly consult the telephone to inform the matters needing attention in home treatment, and bring home treatment personnel into grid management. For elderly people living alone in empty nests, patients with basic diseases, pregnant women, hemodialysis patients and other special personnel in home treatment, establish a ledger to ensure the necessary medical services.

　　2. Give guidance. Home-based therapists carry out antigen testing according to the specifications, and can ask primary medical and health institutions to give guidance when necessary. Grassroots medical and health institutions give necessary symptomatic treatment and oral medication guidance to those in need.

　　3. Assist in seeking medical treatment. Community or grass-roots medical and health institutions should know their main conditions in time after receiving the demand from home therapists for assistance in arranging medical treatment. Grass-roots medical and health institutions should guide critically ill patients to do emergency treatment and help them to be transported to relevant hospitals in a closed loop as soon as possible. To the county (city, district) as a unit, the establishment of higher-level hospitals and urban and rural communities, the rapid transfer channel.

　　4. Psychological assistance. Establish a smooth psychological counseling hotline with cities as the unit. Grassroots medical and health institutions and communities should take the initiative to inform home therapists of the psychological hotline, so as to facilitate them to seek psychological support and psychological counseling. For those who find serious psychological or mental health problems, they can report to the local (city, county) mental health medical institutions and refer them when necessary.

　　5. Personal protection. When in contact with home therapists, you should do a good job of self-protection and keep a distance of more than 1 meter as far as possible.

　　(2) Self-management requirements of home therapists.

　　1. Health monitoring and symptomatic treatment. Home-based therapists should take temperature measurement and self-health monitoring once every morning and evening. If there are symptoms such as fever and cough, they can take symptomatic treatment or oral medication. When necessary, you can also contact the medical staff of primary health care institutions or consult relevant medical institutions through Internet medical forms. Asymptomatic people don’t need medication. When taking medicine, home therapists should take it according to the drug instructions to avoid blind use of antibacterial drugs. If you have a basic disease, there is no need to change the dosage of the basic disease treatment drugs being used when the condition is stable.

　　2. Referral treatment. In case of the following situations, you can transfer to the relevant hospital for treatment by self-driving or 120 ambulance.

　　(1) dyspnea or shortness of breath.

　　(2) After drug treatment, the body temperature remained higher than 38.5℃ for more than 3 days.

　　(3) The original underlying diseases are obviously aggravated and uncontrollable.

　　(4) Children have drowsiness, persistent refusal to eat, feeding difficulties, persistent diarrhea or vomiting.

　　(5) Pregnant women have symptoms such as headache, dizziness, palpitation and breathlessness, or abdominal pain, vaginal bleeding or bleeding, abnormal fetal movement, etc.

　　3. control going out. Home therapists don’t have to go out or accept visits. For those who really need to go out because of medical treatment, they should do personal protection all the time, arrive at the medical institution point-to-point, return home point-to-point after medical treatment, and try not to take public transportation as much as possible.

　　4. Personal protection. Home therapists should be well protected and try not to contact with other family members. If the home therapist is a lactating mother, she can continue to breastfeed her baby on the basis of personal protection.

　　5. Antigen self-test. Home therapists need to conduct antigen self-test and report the results according to the relevant epidemic prevention requirements.

　　6. Infection prevention and control requirements.

　　(1) Open doors and windows regularly for ventilation every day to keep indoor air circulation. If natural ventilation is not available, exhaust fans can be used for mechanical ventilation.

　　(2) Do a good job in ventilation and disinfection of shared areas such as toilets and bathrooms.

　　(3) Wash hands or disinfect hands when preparing food, defecating before and after meals, taking off masks, etc.

　　(4) Cover your nose and mouth with paper towels when coughing or sneezing, or cover your nose and mouth with the inside of your elbow, and throw the used paper towels into the trash can.

　　(5) Do not share daily necessities with other family members, and the tableware should be cleaned and disinfected after use.

　　(6) The surfaces of articles that may be contacted by home therapists in daily life and the towels, clothes and quilts used by them should be cleaned and disinfected in time, and the personal belongings of infected persons should be placed separately.

　　(7) If the family shares the bathroom, the home-based therapists should disinfect the bathroom every time they use it; If family therapists use a separate bathroom, they can be disinfected once a day.

　　(8) Used paper towels, masks, disposable gloves and other domestic garbage are put into plastic bags and placed in special garbage bins.

　　(9) Disinfect the articles contaminated by saliva and sputum at any time.

　　Fourth, the conditions for ending home treatment

　　For example, the symptoms of home-based therapists are obviously improved or have no obvious symptoms, the self-test antigen is negative and the Ct value of Covid-19 nucleic acid is detected twice in a row ≥ 35 (the interval between the two tests is more than 24 hours), which can end the home treatment and return to normal life and go out.

　　V. Safeguard requirements

　　(a) the lead unit in charge of community (grass-roots, rural) work in the leading mechanism of epidemic prevention and control in various places should give full play to its role and effectively take responsibility. Grassroots medical and health institutions shall establish a 24-hour duty system, and designate special personnel to undertake the health consultation work of home treatment for infected people. The community (village) shall make arrangements for nucleic acid detection, garbage removal and environmental disinfection, and find and solve problems in time.

　　(2) It is necessary to organize medical institutions to provide rehabilitation guidance and psychological support for home-based personnel through online and offline methods such as remote guidance and Internet medical treatment. Primary medical and health institutions should strengthen inspection guidance and health monitoring for home-based rehabilitation personnel in their jurisdictions through the Internet and other means. Secondary and tertiary hospitals should provide consultation guidance for primary medical institutions through telemedicine.

　　(three) all localities should strengthen the basic medical and health institutions commonly used drugs, antigen detection reagents, finger clip oximeter and other reserves, and effectively meet the needs of home treatment personnel for medication and health monitoring.

　　(IV) Medical institutions should strictly implement the responsibility system for first diagnosis and the emergency rescue system, and should not shirk or refuse to treat Covid-19 infected people at home, especially emergency patients, to see a doctor in medical institutions for any reason.

Attachment details > > > > > >

1. Reference table of commonly used drugs for home treatment of infected people in Covid-19.

2. Guidelines for detection of antigens for home treatment of infected persons in Covid-19.