March 11 (Xinhua) -- According to the official website of the National Health Commission on March 11, after research, the State Council's Joint Prevention and Control Mechanism for New Coronavirus Pneumonia decided to add antigen testing as a supplement to nucleic acid testing, and organized the development of the "New Coronavirus Antigen Testing Application Program (for Trial Implementation)".

New coronavirus antigen detection application program

(Trial)

In order to guide the scientific and rational application of the new coronavirus antigen test, standardize the disposal management after a positive antigen test, to further improve the "early detection" ability, the development of this program.

A, antigen testing for people

(A) to primary health care institutions, with respiratory, fever and other symptoms and the emergence of symptoms within 5 days of the personnel.

(B) Isolation and observation personnel, including home isolation and observation, close and sub-close, inbound isolation and observation, sealing and control area and control area personnel.

(C) community residents with antigen self-testing needs.

Second, the application of antigen detection in primary health care institutions

Primary health care institutions in the reception of people with respiratory, fever and other symptoms and the appearance of symptoms within 5 days, institutions with nucleic acid testing capabilities, should be preferred for nucleic acid testing; do not have the ability to test for nucleic acid, antigen testing.

(A) the main conditions to be met. To ensure quality and safety, to avoid cross-infection between doctors and patients, primary health care institutions to carry out antigen testing need to meet the following conditions: 1. sample collection, testing personnel should be trained in biosafety and technical training, and pass the examination. 2. with biosafety cabinets and other appropriate instruments and equipment, testing process to protect medical personnel. 3. 4. the establishment of antigen testing positive personnel reporting, transfer system and workflow.

(B) the disposal of test results.

1. For antigen-test-positive personnel, the primary health care institution should immediately report to the district CDC department, and the emergency center should transfer the antigen-positive personnel to the medical institution that sets up the fever clinic for nucleic acid testing in accordance with the guidelines for the transfer of personnel related to the new crown pneumonia outbreak.

2. For those who test negative for antigen, primary care providers should provide symptomatic treatment, home observation, daily antigen testing for 5 consecutive days from the day of consultation, avoid social activities, wear masks properly, and wash hands and ventilate frequently. If the antigen result is negative until the symptoms disappear, no other interventions may be taken. Once the antigen result is positive, the positive person must immediately report to the community (village or town) where he/she is located, and the community (village or town) will contact the emergency center to transfer him/her to the medical institution where the fever clinic is set up for nucleic acid testing in accordance with the guidelines for the transfer of people related to the new crown pneumonia outbreak; the sampling swabs, sampling tubes, and testing cards used by the positive person will be transferred to the medical institution in a sealed bag for disposal as medical waste.

(C) the availability of detection reagents. Primary medical and health care institutions equipped with antigen detection reagents into the centralized bidding and procurement, can be done through the provincial centralized procurement, and constantly reduce the price of detection reagents to reduce the burden of testing costs.

Third, the application of antigen detection for personnel under isolation observation

Home isolation and observation, close and sub-close, inbound isolation and observation, sealing control area and control area personnel, by the relevant management departments (such as communities, villages, towns, isolation points, etc.) to do a good job of organization and management. Nucleic acid testing is conducted during the isolation and observation period in accordance with the current requirements of the relevant prevention and control programs, and an antigenic self-test is conducted daily for the first 5 days.

(A) the main conditions to be met. Isolation observation personnel to carry out antigen testing need to meet the following conditions: 1. the establishment of antigen self-test management process, including antigen testing reagents to receive, personnel information verification, monitoring the testing process, reporting results, etc. 2. isolation observation personnel need to carefully read the instructions, in accordance with the requirements and processes specified, standardized sampling, spiking, results interpretation and other operations; conditional management departments to test the process of Supervision and management to ensure that the test results are true and credible. 3. Do a good job of waste disposal. Testing after the use of sampling swabs, sampling tubes, test cards, etc., whether the results are negative or positive, are placed in sealed bags by the management of medical waste reference or according to procedures.

(B) the disposal of test results. Positive antigen detection, nucleic acid testing must be confirmed immediately.

(C) the availability of detection reagents. By the organization of isolated observation of the management (such as communities, villages, towns, isolation sites, etc.) is responsible for the purchase, distribution, management and other related work of antigen detection reagents.

Fourth, the community residents antigen detection applications

Community residents with self-testing needs, through retail pharmacies, online sales platforms and other channels, to purchase their own antigen detection reagents for self-testing.

(A) matters requiring attention. To ensure the quality of sampling and testing, residents need to read the instructions carefully, in accordance with the prescribed requirements and processes, the standardized sampling, spiking, result interpretation and other operations.

(B) the disposition of test results.

1. If the antigen test is positive, regardless of whether there are respiratory or fever symptoms, residents should immediately report to their community (village or town), which will contact the emergency center in accordance with the guidelines for the transfer of personnel related to the new crown pneumonia epidemic, and transfer the residents to a medical institution that sets up a fever clinic for nucleic acid testing. The sampling swabs, sampling tubes, test cards, etc. used by positive people are put into sealed bags and transferred to medical institutions for disposal as medical waste.

2. If the antigen test is negative, asymptomatic residents can be closely observed and then undergo antigen testing or nucleic acid testing when needed; for residents with symptoms, it is recommended that they go to a medical institution with a fever clinic as soon as possible and undergo nucleic acid testing; if it is inconvenient to go to a medical institution, they should isolate themselves at home, avoid going out and perform antigen self-testing once a day for five consecutive days.

V. Confirmation of nucleic acid testing

Nucleic acid testing is the basis for confirming the diagnosis of new coronavirus infection. In the process of confirming nucleic acid test, if the nucleic acid test is positive, regardless of whether the antigen test result is positive or negative, take appropriate measures according to the new coronavirus infected or confirmed patients with new coronavirus pneumonia; if the nucleic acid test is negative but the antigen test is positive, take measures such as centralized isolation and close observation as if the new coronavirus infected, and continuously carry out nucleic acid test.

Sixth, personnel training and public education

In the process of applying antigen testing, all localities should do a solid job in the training of medical personnel in primary health care institutions, so that they fully grasp the characteristics of antigen testing and operational points to ensure accurate and reliable test results, and to patients and residents to do a good job of antigen testing-related knowledge of public education. The public should carefully follow the basic requirements and procedures when performing antigen self-testing, and when needed, perform nucleic acid testing to confirm.

Translated with www.DeepL.com/Translator (free version)