Positive Quick Screening Tests to Be Deemed Confirmed Cases 篩陽視同確診將開放 醫:可縮短給藥時間

The Central Epidemic Command Center announced that 6 categories of people, including the elderly and people under home isolation or quarantine can be listed as confirmed cases with a positive rapid test result confirmed by doctors. This new policy is expected to expand to the entire country later this week. 


Starting May 23, six categories, including home isolation, home quarantine, self-management, elderlies over the age of 65, indigenous peoples, and outlying island residents, will be deemed a positive COVID diagnosis if they got positive rapid test results confirmed by doctors. Chen Shih-chung, commander of the Central Epidemic Command Center, revealed that this policy will be expanded to everyone as soon as this week. Some experts agree with this new policy. If the diagnosis time can be shortened, drugs can be administered as soon as possible to reduce the risk of severe illness and death.

Huang Li-min, Honorary Chairperson, Infectious Diseases Society of Taiwan: “If the quick screening becomes positive, then the diagnosis is confirmed. This can save at least two to three days. That is very helpful for early treatment.”

Although the Omicron infection is mostly mild, there are still 12 children who have severe symptoms after infection. Three of them have died. A 10-year-old boy in Tainan who had no history of chronic disease resulted in encephalitis after infection. In addition to fever and limb convulsions, the child was also suspected of hallucinations by saying there were monsters in the toilet. In the end, he died on the 18th due to severe brain edema.

Wang Chieh-neng, Director, Pediatric Thoracic Intensive Care, NCKU Hospital: “Heat cramps usually occur in children under the age of five. So it is not normal for a five or six years old kid to have cramps, coma, lethargy, or talk nonsense, like this patient. Be careful in situations like this.”

The doctor pointed out that encephalitis in children after infection is rare in Europe and America. However, there have been a few cases in Japan, Hong Kong, Taiwan, and other Asian countries, all of which occur after diagnosis as the virus quickly attacks the child's brain. Parents are urged to vaccinate children under the age of 12 as soon as possible. Even if one vaccine dose is received, it will provide a certain degree of protection. 

 

 

今日起,居家隔離、居家檢疫、自主防疫、65歲以上、原住民族地區及離島地區居民等六大類對象,只要快篩陽性,經醫師判定後就視同確診新冠肺炎。指揮中心指揮官陳時中更透露,最快本週宣布,將擴大為全民適用。對此有專家表示認同,確診時間若能縮短,就可及早給藥,降低重症及死亡的風險。

台灣感染症醫學會名譽理事長黃立民認為:「快篩就變成陽性,就確診的話呢,至少可以省2到3天的時間,那這個對於及早治療是非常有幫助的。」

雖然Omicron感染大多為輕症,但仍有12例兒童染疫後重症,其中3例死亡。尤其台南10歲男童沒有慢性病史,染疫後合併猛爆性腦炎,除了發燒、四肢抽搐,還疑似出現幻覺,說廁所有妖怪,最後因腦水腫太嚴重,於18日搶救不治死亡。

成大醫院小兒胸腔暨重症科主任王玠能表示:「熱性痙攣通常是發生在5歲以下,所以如果5歲以上、6歲以上,這小朋友還會有抽筋,這是不太正常的,開始出現一些意識昏迷、嗜睡,或者是說胡言亂語,像這個病人這樣胡言亂語,亂說這個奇怪聽不懂的,像這樣的狀況,千萬要很小心。」

醫師指出,兒童染疫後合併腦炎情況,在歐美國家較少出現,反而是日本、香港及台灣等亞洲地區國家,已有少數案例發生,都屬於確診後,病毒快速攻擊兒童腦部。因此呼籲家長,12歲以下兒童還是儘量接種疫苗,即使打一劑,都具有一定程度的保護力。