Chapter 251

"Cough, cough..."

The night was hazy, and the sound of coughing continued to spread from the wards, echoing in the corridors of the inpatient department.

The facilities of the town hospital are simple and crude. The isolation ward where Shen haoxuan is located is not a real isolation ward, but a common ward.

He was lying on one of the three beds, two of which were empty, with a needle in the back of his hand and a few bottles of drops. There was no TV in the ward. Fortunately, his mobile phone was not taken away, and the network signal was ok, so he could play with his mobile phone to relieve boredom.

Shen haoxuan pressed his mobile phone with both hands and sent a message to Liu Hui, a bad friend on wechat:

"it's really bad luck, pneumonia, isolated."

"I was going to the general ward. The doctor suddenly said that he needed to be isolated. Even my parents were quarantined."

"It must be the uncle on the bus who infected me. I may have to stay in the hospital for several days. I hope I can catch up with the exhibition in the city on Saturday. But after a long time, Liu Hui did not return.

Shen haoxuan coughed more and more. He had been taking some drops for more than half an hour. It seems that the fever has not subsided, and the cough is more serious

He once again checked the circle of friends that Deng nuotong sent today: "next station, Shenshi University, thank you for the past, look forward to the future, come on!"

"Hehe, cough..." Shen haoxuan can't help laughing and feels much better. In the past, I was looking forward to the summer vacation for a few more days, but now I'm looking forward to the University opening soon. At this time, the mobile phone received a shock from wechat. When he saw it, it was sent by Liu Hui:

"Oh, I started coughing in the evening, and now I have a fever of 39 degrees"

"may be infected by you, pneumonia? Isn't it "

" my mother gave me cold medicine to take, do you want to go to the hospital now "

looking at these messages, Shen haoxuan felt sorry for his good friend's heart, and he murmured uneasily that I was infected? Besides Liu Hui, there won't be anyone else, right?

He thought of his parents, several other friends, and so many people on the exhibition

Don't think about it. Shen haoxuan coughs and tells himself, which has the infection so fierce, SARS also won't be.

It's just pneumonia. The doctor can handle it. It's better to stay in hospital for a few days.

Shen haoxuan pressed his mobile phone to reply: "come to the hospital and see it. Blame me. When we are ready, I'll treat you to a meal"

There were 30 cases, 40 cases and 50 cases.

If there were not so many patients and a large number of vacant wards in Jiangxing town hospital, we would not have been able to cope with the outbreak tonight. But each patient has to be isolated separately, and the ward is still not enough. Everyone who is still in the hospital this evening is busy.

CDC has ordered the town to block the hospital. Patients suspected of infection can come in, but no one can leave.

"Ah, Xiao Lin, when the tenth patient appears, you should pay attention to it."

Zhao Yutao changed his tone. He was already wearing a triple mask. From time to time, he found opportunities to slip away from the emergency room and did not want to contact patients.

Huang Lin ignored him. Although she also wore multiple masks, she stuck to the emergency room and took time to call her classmates and teachers to ask for their opinions.

The teacher gave her an idea, could it be Legionella pneumonia?

Not to mention the town level hospitals, even in the top three hospitals, Legionnaires' disease is often misdiagnosed as common pneumonia. Because this is not a common disease, ordinary doctors usually lack of understanding of it. Moreover, the clinical manifestations of Legionnaires disease are complex, and routine examination lacks specificity. It is necessary to do serological test to check Legionella antibody to confirm.

"Legionnaires disease." Huang Lin read some literature on the Internet, it is a bit like, but not all like, the patient's condition is developing too fast.

And some news made her extremely uneasy. Recently, there were outbreaks of Legionnaires disease in many cities around the world.

Huang Lin immediately reported this possibility to the people in the hospital infection department, only to know that there was a prevention and control document in the early days to convey the need to be careful of Legionnaires disease. However, prevention and control documents are always coming, prevention and control work has been done, and the air conditioning and refrigeration system of the hospital has been cleaned up.

Legionnaires' disease often breeds and breaks out in hospitals. However, the first-episode patient, Wang Guoxin, came to see a doctor several years ago and was not infected in the hospital.

At 21:45 p.m., an hour or more after the report, the expert group sent by the city's disease control department to do epidemiological investigation arrived.

The hospital infection department and medical staff met in the lobby of the hospital were stunned. The group leader he Feng He, deputy group leader Li Wen and the other two were all wearing a set of white protective clothing and comprehensive respiratory protective equipment, and their skin was not exposed at all.

Then everyone in the emergency room also saw that Zhao Yutao quickly put on a double mask.

Huang Lin has been psychologically prepared. The people who control the disease also suspect the Legionnaires' disease. Air borne

After understanding, he Feng and others and Huang Lin talked about the patient's condition and walked to the isolation ward area. They first went to see Wang Guoxin. His condition continued to deteriorate, and he had already developed symptoms of unconsciousness. A large group of blood sputum just came out, and the strong smell of blood and putrefaction filled the ward.

"These medical wastes can't be treated as usual." He Feng specially ordered the people of the hospital infection department.After seeing several patients, especially Shen haoxuan, he confirmed that this was an epidemic outbreak.

"Manzhan?"

After Shen haoxuan was infected, he participated in an exhibition with more than 3000 tourists, which made he Feng's heart filled.

He Feng quickly made a number of calls, asking the CDC to take it seriously, upgrade the epidemic control work, and apply for temporary control and blockade of Jiangxing town.

But he knew that the time was too fast, there were too few test results to support, and it was a big night, and the efficiency would not be much higher. If it was not for the recent outbreak of Legionnaires' disease all over the world, and if there were documents coming down from the higher authorities, he would have been called back immediately.

Now, because he reported suspected Legionnaires' disease, and the doctor on duty Huang Lin also expressed this opinion, the disease control and various departments were still nervous.

Is it Legionnaires' disease? Or what other pneumonia?

It's too late to take the serum for antibody detection. It takes a week or two for the patient to produce antibodies. However, the bacterial culture that the town hospital is doing is even longer.

However, in recent years, nucleic acid amplification technology has become mature, and the cognition of microorganisms has shifted from external structural characteristics to internal gene structure characteristics, and detection has also shifted from biochemical and immune methods to gene level detection. PCR technology can quickly complete the preliminary detection, and effectively respond to such public health emergencies.

However, the conditions of the township hospital are limited and there is no PCR laboratory. Either send the samples out or bring the equipment in.

As early as on the way to the time, he Feng applied to transport the PCR equipment into Jiangxing town.

It was also because of the importance attached to Legionnaires' disease that he was quickly approved.

In the early morning, a batch of instruments and equipment finally arrived at the town hospital, along with a group of testing technicians, also wearing protective clothing. After setting up PCR equipment in a small laboratory of the hospital, they immediately used 22 nucleic acid detection kits for rapid screening of respiratory pathogens.

Whether it is an epidemic virus, parainfluenza virus, coronavirus, Legionella pneumophila, Mycoplasma pneumoniae, etc., it can be detected with its DNA.

It was also at this time that Li Wen, who was in charge of guiding the work of the medical department, hurried into the laboratory, and his face was very ugly under his breathing mask.

"What's the matter?" He Feng asked, in the heart already knew not to be right.

"Dr. Huang Lin has cough symptoms." Li Wenhan said, "another doctor Zhao Yutao in the emergency department and several nurses also had symptoms."

He Feng's eyebrows suddenly twisted Dr. Huang Lin has been on duty for only 6 hours now, which is even shorter than the average incubation period of 36 hours for non pneumonia Legionnaires' disease

This whole hospital is an epidemic area.

Although PCR technology is very fast, it is relatively speaking, from early morning to the next morning, people in the laboratory are busy, waiting.

It's not a virus, it's not Streptococcus, it's not Chlamydia

Legionella pneumophila! DNA structure showed that it was a new type of Legionella.

As soon as the result of this test came out, he Feng, who stayed up all night, was somewhat happy. The pathogen is in the known range, although the onset of the disease is rapid, but with the treatment and control of Legionnaires disease should be able to quell the epidemic. Although Legionella is airborne, it relies heavily on aerosols as a carrier

Just when he Feng felt happy, he suddenly coughed and his lungs became stuffy because of the strange feeling in his throat.

For a moment, he Feng stood in this small laboratory, pale, some whirling. All the experimenters around were in a daze.

"Three level protective clothing doesn't work, three-level protective clothing doesn't work..."

He Feng murmured blankly, and suddenly burst out a series of coughing, at the same time gushing out the sadness and fear, so that he almost fell on the ground.

Human to human, air borne.

Infectious power can penetrate the third level of protective clothing

I'm afraid most of the visitors who Shen haoxuan attended the exhibition were infected.

The whole town of Jiangxing is an epidemic area.

The whole Shanhai city is an epidemic area

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