卡塔尔案例破五万后降低出院标准，即使阳性也出院和解除隔离

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多哈：​卡塔尔的大多数COVID-19患者现在将在第一次拭子测试阳性十四天后离开医疗机构。迄今为止，许多患者在医院或隔离设施中停留的时间超过14天，是因为要求他们在出院之前必须两次PCR检测为阴性。新方案将使患者尽快回家并恢复正常生活，这对他们也有好处。

Doha: The majority of patients with COVID-19 in Qatar will now be discharged from healthcare facilities fourteen days after their first positive swab. To date, many patients have remained in hospital or isolation facilities for longer than fourteen days as their discharge required them to have two negative PCR test results before leaving the facility. The new protocol will benefit patients by enabling them to return home and back to normal life as quickly as possible.

新冠患者出院的新方案是一个振奋人心的进步，这也使卡塔尔与最新的科学证据保持一致，该证据表明，从第一次出现拭子测试阳性开始十天后，大多数患者不在具有新冠病毒传染性”，哈马德医学公司（HMC）的病毒学家Naema Al Molawi博士说。

“The new protocol for discharging patients with COVID-19 is an encouraging step forward and brings Qatar in line with the most recent scientific evidence showing that after ten days from the first positive swab, the majority of patients are no longer contagious with COVID-19,” said Dr Naema Al Molawi, Virologist at Hamad Medical Corporation (HMC).

“到目前为止，我们的出院流程要求患者等待两次阴性拭子才能回家。然而，隐形的试验结果可能需要数周，因为有些人的身体里有病毒的痕迹。然而，从世界各地的指导方针来看，包括英国、美国、德国的，都表明在10天后病人不在具有传染性。在卡塔尔，从拭子阳性到出院定为14天。

“Our process for discharge so far has required patients to wait for two negative swabs before being able to return home. However, a negative test result can take a number of weeks to come through because for some people the body still contains traces of the virus. However, guidance from around the world, including the United Kingdom, United States, and Germany shows that patients are no longer contagious after ten days. In Qatar, we will go a step further with a fourteen-day period between the first positive swab and discharge,” added Dr. Al Molawi.

新的出院政策适用于那些不需要医学治疗的病人。任何中度至重度症状的且需要持续医学治疗的病人将继续在医疗设施内进行治疗直至症状消失。

The new discharge policy applies only to those patients who do not require medical support. Any patient with moderate to severe symptoms that require ongoing medical treatment will continue to be cared for in a medical facility until their symptoms subside.

“在新政策下，无症状患者-那些没有表现出症状的人员-在第一次检测出来后14天后解除隔离。对于轻症患者，在诊断后14天或症状缓解后至少五天中较长的时间后，可以终止隔离。”Hazm Mebaireek综合医院感染控制负责人Nasser Al Ansari解释到。

“Under the new policy asymptomatic patients – those who display no symptoms – will be discharged fourteen days from initial diagnosis. For mildly symptomatic patients, isolation can be discontinued fourteen days from diagnosis and a minimum of five days from resolution of symptoms, whichever is longer,” explained Dr. Nasser Al Ansari, Head of Infection Control at Hazm Mebaireek General Hospital.

“在过去的几周中，我们发现从COVID-19完全康复的患者人数有所增加。这非常令人鼓舞，我们希望这一数字在不久的将来会继续增加。尽管有些人可能因该病毒而病重，但绝大多数患者可以完全康复，并且仅会出现轻微症状。重要的是，人们必须了解世界各地有清楚的证据表明，经过十天的病毒测试呈阳性，人们不再具有传染性。这意味着他们无法将病毒传播给其他人，因此可以返回家园并开始恢复正常生活，” Al Ansari博士说

“Over the past few weeks we have been seeing an increase in the number of patients making a full recovery from COVID-19. This is very encouraging, and we expect the number to continue to increase in the near future. While some people can become seriously ill as a result of the virus, the vast majority of patients make a full recovery and experience only mild symptoms. It is important that people understand there is clear evidence from around the world that after ten days of testing positive for the virus people are no longer contagious. This means they cannot pass the virus on to other people and can therefore return home and start to get back to their normal lives,” said Dr. Al Ansari.

从医院或隔离设施出院后，患者应遵循医疗专业人员的指示，包括下载并激活Ehteraz移动应用程序。他们还应该在家庭隔离区隔离-出于任何原因不要离开家-再过一周，并且他们的Ehteraz在这段时间将显示黄色二维码。【那那些工地的工人呢，回去后，他们没有自己的住房，只有集体宿舍】

Upon discharge from a hospital or isolation facility, patients should follow the instructions provided by medical professionals, including downloading and activating the Ehteraz mobile application. They should also remain in home quarantine – not leaving home for any reason – for an additional week and their Ehteraz status will remain yellow for this period of time.

经修订的政策已获得公共卫生部的批准，其依据是有关病毒动力学的最新科学知识以及美国和欧洲疾病控制与预防中心指南以及世界卫生组织指南的最新变化。 ”，传染病中心医学总监兼COVID-19医学总监Muna Al Maslamani博士解释说。

“The revised policy, which was approved by the Ministry of Public Health, is based on the latest scientific knowledge about the dynamics of the virus and the recent changes in US and European Centers for Disease Control and Prevention guidelines as well as World Health Organization guidelines,” explained Dr. Muna Al Maslamani, Medical Director, Communicable Disease Center and the Medical Director for COVID-19.

“该政策将适用于绝大多数COVID-19患者；但是，也有一些例外。如果患者返回一个包括一个或多个60岁以上人群的家庭，并且被认为是适当的，则在出院前将进行额外的COVID-19测试。如果检测结果为阳性，则患者将在医院或隔离设施中再呆7天，然后无需再次检测即可出院。此外，因严重的COVID-19症状而需要急诊的住院患者，尤其是老年患者和患有慢性疾病的患者，将由治疗医师根据具体情况进行判断，然后再继续隔离。”Al Maslamani。

“The policy will apply to the vast majority of COVID-19 patients; however, there are some exceptions. If the patient is returning to a household which includes one or more people over 60 years of age, and it is judged appropriate, an additional COVID-19 test will be done prior to discharge. If the test is positive the patient will remain in a hospital or isolation facility for further seven days and will then be discharged without a repeat test. Additionally, hospitalized patients, especially older patients and those with chronic conditions, who had required acute care because of severe COVID-19 symptoms, will be judged on a case-by-case basis by the treating physician before discontinuing isolation,” added Dr. Al Maslamani.

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