Translation of official orders and instructions for surgery. The main punishments for surgical, traumatological care, intensive care care
Safe medical center
Sanitary regime. Likuval-protective regime
The student is guilty of the nobility
- See that power of jubilant retribution.
- Functions of the jubilant vіddіlennya.
- Sanitary and epidemiological regime of liquor service, food, accommodation, treatment room.
- Nurse Specialist.
- Obov'yazki ward nurse.
- The main punishments for the sanitary regime.
- Classes of medical emergencies of that category of nebezpeka.
- Likuval-protective mode of LPZ.
Student can take
- Prepare disinfection for carrying out disinfection of various objects at a glance and that place.
- Carry out disinfection of objects at a glance and a place at the LPZ.
- Requirement to keep medical documentation.
- Watch for patients with different regimens of rukhovo activity.
- Dotrimuvatsya special hygiene nurses.
Nutrition for self-preparation:
Þ See jubilant rewards.
Þ Functions of judicious and preventive measures.
Þ Attachment of jubilant retribution.
What is the sanitary regime.
Þ The main punishments for the sanitary regime.
Þ Sanitary regime of judicious care, accommodation, treatment room.
Þ Modes of physical activity of patients.
Þ Nurse Specialist.
Þ The bindings of the nurse's lanyard
Sanepidrezhim - a complex of entrances, directing to the infestation of microorganisms in the LPZ, expanding in a new wine from the LPZ. Sanitary regime of the medical establishment is determined by your profile. The main vimogi to the sanitary-protidemic regime are regulated by instructions and orders and the Galuzev standard "Sterilization and disinfection of viruses of medical significance" (OST 42 - 21 - 2 - 85).
The main punishments for the sanitary regime
| No. 720 (204D) MOZ SRSR | About how to improve the organization and increase the quality specialized assistance we are ill with festering surgical disease |
| No. 320 dated 05.03.87. MOZ SRSR | Organization and organization of visits to the fight against tuberculosis |
| No. 408 dated 12.07.89. MOZ SRSR | About how to reduce the incidence of viral hepatitis in the country |
| No. 345 dated 26.11.97. Ministry of Health of the Russian Federation | About the thorough approach to the prevention of internal infections in obstetric hospitals |
| No. 295 dated 10/30/95. Ministry of Health of the Russian Federation | About Introduction to the Rules of Conduct obov'yaskovy honeyіtsinsky look at the VIL and the transition of practitioners of other professions, types, enterprises, establishments, which should undergo a general medical examination of the VIL |
| No. 170 dated 16.08.94. Ministry of Health of the Russian Federation. | About come in for a thorough prevention of treatment and treatment of VIL-infection Russian Federation |
| No. 335 dated 26.12. 98. Ministry of Health of the Russian Federation | About come in and fight harder against the expansion of SNIDu in the RRFSR |
| No. 375 dated 12/23/98. Ministry of Health of the Russian Federation | About come in for a better epidemiological view and prevention of meningococcal infection and purulent bacterial meningitis |
The responsibility for organizing and maintaining the complex of sanitary and preventive visits is based on the head physician head nurse LPZ, senior nurses are on duty.
One of the elements of the complex approach, which ensures the sanitary and protepidemic regime at the medical facility, is to ensure that regular monitoring of asepsis and antiseptics is possible, as they reach the path of disinfection and sterilization.
Asepsis- the whole complex of entries, directing to prevent the entry of microorganisms on sterile objects and wounds. It is within the reach of the smallest microbes and their superechka with a path of disinfection and sterilization.
Antiseptics- A complex of approaches, directing to the degradation of microorganism in the outer environment and in the body of a person. It is within the reach of reduced microbial paths of disinfection and antibacterial treatments. Razrіznyayut preventive antiseptics and likuvalnu. Preventive - carried out with the method of preventing the entry of microorganisms into the wound and into the human body general cleaning and etc.). Likuvalna antiseptic is directed to the fight against microorganisms, which have already been consumed in the body of a person (at a wound infected with infectious diseases).
Disinfection (disinfection)- Reduced pathogenic microflora.
Sterilization (safety) - reduction of microorganism and vegetative forms (spores), and induce products of their life (toxins).
Specialist Hygiene Nurse
- nurse uniform:
§ a white robe or a suit (trousers and a blouse) of light colors and white fabric. The dozhina of the bed under the dressing gown can change the dozhina of the dressing gown;
§ change the bathrobe at the world zabrudnennya, but not more than 2 - 3 times a day, treatment room- shchenno;
§ do not sit on lizhko patients;
§ clothes under a bathing gown (wool is not allowed);
§ the head is covered with a braid or a hat, all the hair is covered under a hat;
§ vzuttya - obrobka, scho pіddaєtsya, without high pіdbor, not knocking.
- Watch for the body:
§ good shower;
§ shodenny mittya nіg cold water;
§ mittya head at the world zabrudnennya (no more than 1 time per day);
§ look after the state bodies 2 times a day (more if necessary), change your sleep daily (panties, pantyhose).
- Looking after the hands:
§ mittya hands before that post-skin manipulation (social or hygienic consideration for needs);
§ cut nails on the hands 1 time per week (4 times per month), on the legs 1 time per 2 days (2 times per month), do not brush with nail polish (microorganisms accumulate under it),
§ koristuvatisya pom'yakshuvalnymi that pozhivnym hand creams. Remember! Hands are your main tool, stinks require a strong watch.
- Looking after the empty mouth:
§ brush your teeth in the evening and in the evening for all the rules from the sides (external and internal);
§ cares for the health of the teeth and is clear (not less than 2 times per day to see a dentist for a professional look around), sickness is clear and the teeth are dzherela іnfektsії and smell, which is not acceptable when talking with patients;
§ DO NOT SMOK ! Do not get used to the hedgehog in front of the cherguvannya chasnik, tsibulya, fish!
| No. to order, which one has seen the body | Rick see | Name the mandate | ||
| 288, MOZ SRSR | 23.03.19. | "On the approval of the instructions on the sanitary and protidemic regime of the medical clinic and on the procedure for the establishment by the bodies and regulations of the sanitary and epidemiological service of the sovereign sanitary watch over the sanitary camp of the LPZ" | ||
| 720, MOZ SRSR | 31.07.1978. | "About polypshenya medical assistance we are ill with purulent surgical ailments and we have come to the rescue to fight against internal infections " | ||
| SanPiN 2.1.3.2630-10 | 08.05.2010 | "Sanitary epidemiological help to organizations, yakі zdіysnyuyut medical activity " | ||
| OST 42-21-2-85 of the Ministry of Health of the Soviet Socialist Republic, approved project No. 770 of the Ministry of Health of the Soviet Socialist Republic | 01.01.1986. 10.06. | “Sterilization and disinfection for medical reasons. Metodi, save that regime" | ||
| 408, MOZ SRSR | 27.07.1989. | “About the possibility of coming to a lower level of illness on viral hepatitis in the country” | ||
| 254, MOZ SRSR | 03.09.1991. | "About the development of disinfection in the country" | ||
| 342, Ministry of Health of the Russian Federation | 26.11.1998. | "About the effort to come to the prevention of epidemic visceral typhus and the fight against pediculosis" | ||
| 249, Ministry of Health of the Russian Federation | 09.08.1997. | "About the nomenclature of specialties of the middle medical and pharmaceutical personnel" | ||
| 170, Ministry of Health of the Russian Federation | 16.08.1994. | “Come in for a thorough prevention and treatment of VIL-infection in the Russian Federation” | ||
| 174-D, Ministry of Health of the Republic of Belarus | 30.01.2012. | "About the emergency prevention of HIV infection" | ||
| SanPin 2.1.7.2790-10 | 09.12.2010 | « Sanitary and epidemiological help until the occasion with medical help" | ||
| SP. 3.1.5.2826-10 | 11.01.2011 | Sanitary and epidemiological rules "Prevention of HIV infection" | ||
| SP 1.3.2322-08 | 02.06.2009 | Sanitary rules that norm "Safety of work with microorganisms of III-IV groups of pathogenicity and helminths" | ||
| Order No. 259-D of the Ministry of Health of the Republic of Belarus | 30.04.2003 | "About the prevention of respiratory ailment syndrome (SARS) in RB". | ||
| Order No. 60-D of the Ministry of Health of the Republic of Belarus | 07.07.1996 | "About conducting a medical review of VIL / SNID." | ||
| SP 3.1.2825-10 | 30.12.2010 | Sanitary and epidemiological rules "Prevention viral hepatitis BUT" | ||
| Order No. 36 of the Ministry of Health of the Russian Federation | 03.02.1997 | "About the thorough approach to the prevention of diphtheria." | ||
| Order No. 678-D of the Ministry of Health of the Republic of Belarus | 19.10.2001 | “About the readiness of the LPZ and the centers of the DSEN to the vindication of the fires of the GOI.” | ||
| Order No. 139 of the Ministry of Health of the SRSR | 02.03.1989 | "About how to reduce the incidence of typhus and paratyphoid fever in the country." | ||
| Order No. 475 of the Ministry of Health of the SRSR | 16.08.1989 | "About the further thorough prevention of illness in the acute intestinal infection in the country." | ||
| Instruction of the Ministry of Health of the Soviet Socialist Republic | 24.03.1989 | "Zbirannya, zberіgannya that zdavannya bruhtu medical sprouts disposable zastosuvannya іz plasticheskikh mas". | ||
| M.U. 3.1. 2313-08 | 15.01.2008 | Methodical instructions "We help you to save money, reduce the disposal of injection syringes, one-time zastosuvannya." | ||
| Order No. 302N of the Ministry of Health of the Russian Federation | “About the order of carrying out the previous periodic medical examinations». | |||
| Order No. 109 of the Ministry of Health of the Russian Federation | "Come in for the prevention of tuberculosis in the country." | |||
| Order No. 65 of the Ministry of Health of the Russian Federation | 01.06.1999 | "About preventive medical examination". | ||
Disinfection methods:
1. Physical method (hot heat, water vapor, fire, bactericidal lamps).
2. Chemical method - selection of chemical disinfectants.
3. Mechanical method - vibrating, vitrifying.
Before sterilization cleaning all medical products are taken from the method of removing protein, fat, mechanical impurities, and medicinal preparations.
Sterilization - a method that ensures the death of vegetative, spore forms and organisms. All substances are sterilized, which are in contact with the wound surface, blood (OST 42-21-2-85 was introduced into the regulation by order of the Ministry of Health of the Soviet Socialist Republic No. 770 of 10.06.85. ).
Today, before the cob of the robot, I prepare disinfection with this rank:
Wash disinfection:
1) presence of containers with disinfectant;
2) outwardly zanurennya in disinfection;
3) all containers with disinfectant labeling and zastosovuyutsya for recognition;
4) rozvodzhu disinfectant zasib, vicorist peaceful utensils;
5) to the skin capacity I will attach a tag with the mark of divorce: date, signature of the nurse.
In this hour, new highly effective disinfectants with a mild effect are victorious, so that you can disinfect yourself and pre-sterilize the treatment of medically recognized diseases.
The protection of miyuchyh and disinfecting agents is placed in a container (package) of a virobnik, with a label, on shelves, at a specially recognized place.
May be okremі єmnostі z working razinami desinfektsiynyh zabіv, scho vikoristovuyutsya for the processing of various objects.
Containers with working variances of disinfection facilities may fit snugly on the lids, may read readable inscriptions, labels from the designated order, yogo concentration, recognition, date of preparation, boundary term of applicability to variance.
When working with disinfection methods, I finish all foreign entries, including the zasosuvannya zasobiv іndivіdualnogo zakhistu, znachenyh in the instruction іz zastosuvannya.
To control pre-sterilization cleaning, I will carry out:
1) azopiram test(Alcohol solution to azopiram + 3% to water peroxide, all in equal quantity, prepared before ingestion) control for the presence of adherent blood;
2) phenolphthalein test(1% of phenolphthalein varieties) control for the presence of a mild disease.
Sterilization I will spend in the treatment room in a dry-heat cabinet, after the previous disinfection and pre-sterilization dressing. Sterilization of instruments will be carried out by a repeated method in a dry heat oven at a temperature of 180 0 C, exposure for 1 year. To control the sterility of instruments, the vicorist indicator "Vinar", placing them at five points: several along the edges of the sterilizer, one in the middle. After the completion of sterilization, the indicator changes the color to a dark brown color, I save it and stick it in the sterilization control journal.
Trimming the mitt: for a look around that carried out, whether we are ill, sterile mittens are worn, on the skin individually. After the work is completed, all mittens are subject to disinfection (San Pin 2.1.3.2630-10). I’m going to one of the disinfectants for 1 year, utilizing it as class B.
Sterilization methods:
Table 5
steam method
Bixi with a filter - the term of savings - 20 decibels.
Without filter - 3 dobi.
Rozkriti - 6 years.
At the skin of the bix, 3 tests are laid - uphill, the middle one down.
Table 6
Chemical method
Warehouse of emergency first aid kit
Vidpovidno to order No. 174D of the Ministry of Health of the Republic of Belarus dated January 30, 2012. to the emergency first-aid kit for first aid to the medical practitioner in case of an emergency, enter:
1. ethyl alcohol 70% - 50ml,
2. 5% alcohol solution for iodine - 20 ml,
3. adhesive plaster,
4. cotton bags sterile No. 20 - 1 pack.,
5. Sterile gauze servlets No. 10 - 1 pack.
6. sterile bandage - 1 pc.,
7. express test for VIL - 2 pcs. -
save centrally, from a place accessible to medical practitioners, including night hours and weekends.
In the world, according to the material, the replenishment of the first-aid kit is guiltily carried out in a negligent way.
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
SHEET
September 13, 1998
N 2510/7571-98-32
The Ministry of Health Protection of the Russian Federation sends for information and kerrivnitstva Changes of official instructions to the regulatory nature of the Ministry of Health of Ukraine and the Ministry of Health of Russia for 1992-1997 with the camp on 1 September 1998 (addition).
Addendum: on 46 arches.
First Protector
Minister of Health Protection
Russian Federation
G.G.ONISHCHENKO
addendum
to the sheet of the Ministry of Health of Russia
dated 13.08.98 p. N 2510/7571-98-32
PERELIK
DYISNIH PUNISHMENT OF NORMATIVE CHARACTER
MINISTRY OF HEALTH OF RUSSIA I MINISTRY OF HEALTH OF RUSSIA
FOR 1992-1997 ROCKY
1. Order of the Ministry of Health of the RRFSR N 27, dated 23.01.92 p. "About rozpodіl funktsіy z lіkarskogo zabezpechennya zakladіv zladі zdorov'ya zdorov'ya naselenie RRFSR".
2. Order of the Ministry of Health of the RRFSR N 32, dated January 27, 1992. "On the arrangement of medical services for contingents attached to the polyclinics of the Ministry of Health of the RRFSR".
3. Ordinance of the Ministry of Health of the RRFSR N 34 dated 29.01.92 r "On the inadmissibility of the confusion of settlements near commercial structures to practitioners of the Ministry of Health of the RRFSR".
4. Order of the Ministry of Health of the RRFSR N 45, dated February 10, 1992, "On the ordering of the preventive chips and allergy tests".
5. Order of the Ministry of Health of the RRFSR N 58 dated 20.02.92 p. "About rozpodіl funktsіy іz zabezpechenny zakladіv zapravіv zdorovі zdorov'ya i populyany RRFSR medіkoy tehnіkoy".
6. Order of the Ministry of Health of the RRFSR N 61 issued on 25.02.92 p. "About the creation of a reserve of medical supplies".
7. Order of the Ministry of Health of the RRFSR N 69 dated 05.03.92 p. "About the confirmation of the norms of natural costs for pharmacies, which should be applied for the self-service method."
8. Order of the Ministry of Health of the RRFSR N 72 issued 09.03.92 p. "About seeing the products, work, services and outputs of the production, the implementation of such fences is free."
9. Order of the Ministry of Health of the RRFSR N 79 dated 09.03.92 p. "On the change of that additional order of the Ministry of Health of the RRFSR in 04.11.91 p. N 173".
10. Ordinance of the Ministry of Health of the RRFSR N 80 dated 03.13.92 p. "About the creation of reserves of medical facilities of the Ministry of Health of the RRFSR".
11. Order of the Ministry of Health of the RRFSR N 82 issued on 16.03.92 p. "About the change of the minds of the transfer to the deputies of the fugitives and the development of the Sverdlovins".
12. Order of the Ministry of Health of the RRFSR N 89 dated 19.03.92 p. "About addition to the order of the Ministry of Health of the RRFSR N 79 dated 09.03.92".
13. Order of the Ministry of Health of the RRFSR N 90 dated 19.03.92 p. "On the confirmation of the Regulations on the Licuval-Diagnostic Association of the Ministry of Health of the RRFSR".
14. Order of the Ministry of Health of the RRFSR N 93, dated 20.03.92 p. "About entering the law of the RRFSR "On medical insurance of the population of the RRFSR" (Decree of the RRFSR Council N 41 issued on 23.01.92).
15. Order of the Ministry of Health of Ukraine N 136 issued 23.04.92 p. "About the rational choice of reserves of medical benefits and the possibilities of medical recognition".
16. Order of the Ministry of Health of Russia N 144 dated April 28, 1992. "About the promotion of the bagatorium structure of the higher medical and pharmaceutical education in the Russian Federation".
17. Order of the State Committee for Sanitary and Epidemiological Monitoring under the Presidential Russian Federation and the Ministry of Health of Ukraine N 49/164 dated 18.05.92. "About ordering the submission of statistical data".
18. Order of the Ministry of Health of Ukraine N 161 dated 15.05.92 p. "About the need for licenses for export and import of medicinal products, syrovina and medical possession".
19. Order of the Ministry of Health of Russia N 166 dated 21.05.92 p. "About later information about the Ministry of Health of the Russian Federation".
20. Order of the Ministry of Health of Ukraine N 173 dated 04.06.92 p. "About the zaprovadzhennya of the lost specialty of doctors-interniv".
21. Order of the Ministry of Health of Ukraine and the Ministry of Education of Ukraine N 186/272 dated 30.06.92 p. "About the perfection of the system of medical care for children in lighting installations".
22. Order of the Ministry of Health of Ukraine N 199 dated 10.07.92 p. "About the state registration of normative acts of the Ministry of Health of Russia".
23. Order of the Ministry of Health of Russia N 200 dated 10.07.92 p. "About the advanced system of expertise, standardization, certification, registration, control of the quality of medical, preventive, diagnostic tools and medical equipment."
24. Order of the Ministry of Health of Russia N 218 dated 03.08.92 p. "About the order of directing the citizens of the Russian Federation to litigation, the recruitment of medical fahivtsiv for the cordon and the reception of foreign hulks to litigation in the Russian Federation."
25. Order of the Ministry of Health of Russia N 229 dated 18.08.92 p. "On the provision of the balance of life of the necessary and the most important medical benefits and informational security of the work of the Expert for the sake of medical benefits at the Ministry of Health of the Russian Federation."
26. Order of the Ministry of Health of Ukraine N 235 dated 25.08.92. "About the organization of clinical trials of medicinal preparations on healthy volunteers".
27. Ordinance of the Ministry of Health of Ukraine N 237 dated 26.08.92 p. "About the gradual transition of that organization of primary medical assistance following the principle of a doctor of general practice (family doctor)".
28. Order of the Ministry of Health of Russia N 240 dated 28.08.92 p. "About the prospects for the development of ship's psychiatry in the Russian Federation".
29. Order of the Ministry of Health of Ukraine N 242 issued 28.08.92 p. "About the order, I will receive that instruction from the bulk foreign powers at the highest medical and pharmaceutical primary mortgages of the Russian Federation".
30. Order of the Ministry of Health of Russia N 245 dated 02.09.92 p. "About the Law of the Russian Federation "About psychiatric assistance and guarantees of the rights of citizens with її nadanny".
31. Order of the Ministry of Health of Ukraine N 249 dated 15.09.92 p. "About confirmation of the form of admission to the right of medical activity in hospice".
32. Order of the Ministry of Health of Russia N 256 dated 25.09.92 p. "About the unfortunate things, come in whenever you want to help the children's camp."
33. Order of the Ministry of Health of Russia N 263 dated 02.10.92 p. "About the development of health care in the Russian Federation" (Decree of the President of the Russian Federation N 1137 dated September 26, 1992)
34. Order of the Ministry of Health of Ukraine N 268 dated 07.10.92 p. "About the procedure for submitting information about supervised situations".
35. Order of the Ministry of Health of Russia N 270 dated 12.10.92 p. "About the change before the order of the Ministry of Health of the Russian Federation in 02.10.92 p. N 263".
36. Ordinance of the Ministry of Health of Russia N 277 dated 16.10.92 "On the establishment of a system of medical standards (normatives) for the provision of medical assistance to the population of the Russian Federation."
37. Order of the Ministry of Health of Ukraine N 279 dated 16.10.92 p. "About the organization of medical assistance and the establishment of a causal connection of illness, disability and death to persons who have recognized radiation effusions."
38. Order of the Ministry of Education of Russia and the Ministry of Health of Ukraine N 404/285 dated 05.11.92 p. "About the inevitable, come in for the social protection of children-orphans and those children who have been left without pikluvannya batkiv."
39. Order of the Ministry of Health of Ukraine N 290 dated 10.11.92 p. "About the differentiation among the equals of payment to the workers of the public sector on the basis of the ETS".
40. Order of the Ministry of Health of Ukraine N 291 dated 10.11.92 p. "About the supplements come in the sovereign support of the disabled".
41. Order of the Ministry of Health of Russia N 313 dated 02.12.92 p. "About the full service of emergency medical assistance in emergency situations."
42. Order of the Ministry of Health of Ukraine and the Derzhkomstat of Russia N 318/190 dated 04.12.92 p. "About the transition to the recommendations of the WHO criteria for live birth and stillbirth".
43. Ordinance of the Ministry of Health of Russia N 320 dated 07.12.92 "On licensing the export and import of donor blood and derivatives from the Russian Federation".
44. Order of the Ministry of Health of Ukraine N 336 issued 21.12.92 p. "About payment for the practice of practitioners of the establishment of the Sovereign Sanitary and Epidemiological Service of the Federal Administration of Medical, Biological and Extreme Problems."
45. Ordinance of the Ministry of Health of Ukraine N 354 dated December 29, 1992. "About the continuation of the term for normative and technical documentation on medical and immunobiological preparations".
46. Order of the Ministry of Health of Ukraine N 6 of 11.01.93 p. "About the nutritional activities of the psychiatric service". (registration by the Ministry of Justice of Russia on March 30, 1993, No. 206).
47. Order of the Ministry of Health of Ukraine N 11 dated 15.01.93 p. "About the status of psychiatric likaren z suvorim visual".
48. Order of the Ministry of Health of Ukraine N 15 dated 20.01.93 p. "About the system expert commissions Ministry of Health of Russia"
49. Order of the Ministry of Health of Russia N 16 dated January 21, 1993. "On the order of entering the court of the Russian Federation on December 11, 1992 N 970 "On the procedure for the formation of prices for medical care and medical recognition and the security of entering the social protection of the population."
50. Order of the Ministry of Health of Ukraine N 23 dated February 17, 1993 "On the confirmation of the Regulations on clinical residency" (registration by the Ministry of Justice of Russia on February 26, 1993)
51. Order of the Ministry of Health of Ukraine N 41 dated March 15, 1993. "About the organization of stationary rejoicing of war veterans at hospitals for the disabled VVV". (Clause 1, having introduced ceremoniality - a mandate from 20.02.95 p. N 35).
52. Order of the Ministry of Health of Ukraine N 45 dated 23.03.93 "On the introduction of amendments and additions to the order of the Ministry of Health of the Russian Federation of 16.10.92 r N 279 "On the organization of the provision of honey. to help that establishment of a causal connection of illness, disability and death to individuals, as if they recognized radiation splashes.
53. Order of the Ministry of Health of Ukraine N 46 dated March 23, 1993. "On the denudation of the Law of the Russian Federation" On the status of Heroes Radyansky Union, Heroes of the Russian Federation and the last cavaliers of the Order of Glory" and the decree of the Supreme Council of the Russian Federation "On the procedure for introducing into the Law of the Russian Federation "On the status of the Heroes of the Radiansk Union, Heroes of the Russian Federation and the last cavalry of the Order of Glory".
54. Order of the Ministry of Health of Ukraine N 49 dated March 24, 1993. "On the introduction of changes to the staffing standards of the ship's psychiatric expert commissions and the addition of primus primus examination."
55. Order of the Ministry of Health of Ukraine N 50 dated March 25, 1993. "About the organization of a day tuberculous hospital".
56. Order of the Ministry of Health of Russia N 76 dated April 13, 1993. "About the plethora of sanatorium-resort help to the population, who recognized the radiation splash."
57. Order of the Ministry of Health of Russia N 77 dated April 13, 1993. "About the issue of licenses for export and import of medicinal products, medicines for their production, medical equipment and medical applications".
58. Decree of the Ministry of Health of Ukraine N 78 dated 19.04.93 "On the Approval of the Standard Regulations on the Regional Coordination Council for the Uninterrupted Graduation Training of Personnel for the Protection of Health".
59. Order of the Ministry of Health of Ukraine N 95 issued 29.04.93 p. (DSP) "About changing the norms of accumulation of X-ray plating in materials of the 2nd group".
60. Order of the Ministry of Health of Ukraine N 104 dated 14.05.93 p. "About come in for a thorough examination of Timchas's incompetence."
61. Order of the Ministry of Health of Russia N 108 dated 19.05.93 p. "On the denunciation of the Decree of the President of the Russian Federation N 477 dated April 23, 1993. "On coming soon to establish centers of legal informatization."
62. Order of the Ministry of Health of Ukraine N 114 dated 31.05.93 p. "About the work of high and middle medical and pharmaceutical first mortgages".
63. Order of the Ministry of Health of Russia N 116 dated 31.05.93 p. "On the slandering of the resolutions of the Radi Ministers - Councils of the Russian Federation" On the implementation of the Law of the Russian Federation "On psychiatric help and guarantees of the rights of the people with її nadanny".
64. Ordinance of the Ministry of Health of Russia N 117 dated May 31, 1993 "On the organization of civil defense in the health care of the Russian Federation."
65. Order of the Ministry of Health of Russia N 131 dated 09.06.93 p. "About the permission of the Ministry of Health of the Russian Federation for export and import of substances, syrovin, materials and components for medical purposes".
66. Decree of the Ministry of Health of Russia N 133 dated 06/11/93 "Come in as soon as possible" Decree of the President of the Russian Federation dated 20.04.93 N 468 "Come in about emergency care for the health of the population of the Russian Federation."
67. Ordinance of the Ministry of Health of Ukraine N 137 dated 16.06.93 p. "On the supplement to the order of the Ministry of Health of the RRFSR, dated 02.08.91, p. N 132 "On the thorough service of the promenade diagnostics."
68. Order of the Ministry of Health of Ukraine N 142 issued 17.06.93 p. "About the fence of congestion at the service of blood transfusion of low-effective diagnostic drugs".
69. Order of the Ministry of Health of Ukraine N 146 issued 21.06.93. "About the confirmation of the Perelik of seeing medical assistance, preventive, judicious and diagnostic approaches, which are included in the basic program of obov'yazykovo medical insurance different contingents of the population of the Russian Federation in 1993.
70. Order of the Ministry of Health of Ukraine N 148 dated 28.06.93 p. "About licensing and accreditation of medical institutions".
71. Order of the Ministry of Health of Ukraine, State Committee for Sanitary and Epidemiological Care of Ukraine Russian Academy medical sciences N 155/62/81 dated 09.07.93 p. "About a thorough system of epidemiological surveillance of influenza and hostile respiratory illnesses".
72. Ordinance of the Ministry of Health of Russia N 177 dated 23.07.93 "On the issue of permits for the export and import of medicinal products, the selection of medical recognition and medical equipment in the Russian Federation."
73. Ordinance of the Ministry of Health of Russia N 189 dated 10.08.93 "On further development and thorough transplantation assistance to the population of the Russian Federation."
74. Order of the Ministry of Health of Ukraine N 194 dated 18.08.93. "About the introduction of a change and an additional payment to the minds of the practitioners of health care."
75. Order of the Ministry of Health of Ukraine N 197 issued 19.08.93 p. "About the creation of that creation of the automated information system of the Sovereign Register of Diseases for Diabetes".
76. Order of the Ministry of Health of Ukraine N 201 dated 24.08.93 p. "On the introduction of an additional amendment to the order of the Ministry of Health of Ukraine in 06.28.93, p. N 148 (about licensing and accreditation of medical institutions).
77. Order of the Ministry of Health of Russia N 219 dated 15.09.93 p. "About the further development of the donor movement and blood service in the Russian Federation."
78. Order of the Ministry of Health of Russia N 220 dated 17.09.93 p. "About come in for the development of that thorough infectious disease service in the Russian Federation."
79. Order of the Ministry of Health of Russia N 222 dated 20.09.93 p. "About the implementation of the Fundamentals of Legislation of the Russian Federation on the protection of the health of the people."
80. Ordinance of the Ministry of Health of Ukraine N 227 dated 28.09.93 p. "About a thorough system of organization of medical assistance to help the children of the Russian Federation".
81. Order of the Ministry of Health of Ukraine N 228 dated 29.09.93 p. "On the confirmation of the Regulations on the clinical likuvalno-prophylactic pledge".
82. Order of the Ministry of Health of Russia N 240 dated 15.10.93 p. "Come in and try to improve the quality control of virobs of a one-time zastosuvannya, sterilized by a radiation method."
83. Order of the Ministry of Health of Ukraine N 244 dated 10/18/93. "About the confirmation of Galuze's statistical zvіtnost".
84. Order of the Ministry of Health of Russia N 260 dated 09.11.93 p. "About visiting the Law of the Russian Federation "On making amendments and additions to the Law of the RRFSR" On medical insurance of the population of the RRFSR".
85. Order of the Ministry of Health of Ukraine N 264 dated 11.11.93 p. "On the confirmation of the Regulations on the director of the sovereign (municipal) liqual-preventive mortgage."
86. Order of the Ministry of Health of Ukraine N 273 issued 23.11.93 p. "About the confirmation of the Regulations on the Territorial Medical Association, the Regulations on the Polyclinic of Rehabilitation".
87. Order of the Ministry of Health of Ukraine N 280 dated 25.11.93 p. "About the procedure for providing medical assistance to the citizens of the SND, other communities colossal SRSR the same to the hulks of far abroad".
88. Order of the Ministry of Health of Ukraine N 281 issued 11/26/93 p. "About the procedure for maintaining the Russian state dosimetric register of errors, as they recognized the infusion of radiation in the wake of the Chernobyl disaster."
89. Order of the Ministry of Health of Ukraine N 282 issued 29.11.93 p. "On the control of the quality of blood preparations, blood substitutes and preservative designs".
90. Ordinance of the Ministry of Health of Russia N 283 dated 30.11.93 "On the thorough service of functional diagnostics in health care institutions of the Russian Federation".
91. Ordinance of the Ministry of Health of Ukraine N 284 dated 30.11.93 p. "On the introduction of additions to the nomenclature of mortgages for the protection of health."
92. Order of the Ministry of Health of Ukraine N 286 issued 07.12.93 p. "About the thorough control of ailments transmitted by the state path."
93. Order of the Ministry of Health of Ukraine N 291 dated 15.12.93 p. "About the organization of medical assistance to people, they recognized the influx of radiation in the aftermath of the accident in 1957, the rotation at the VO "MAYAK" and the drop in radiation outputs near the river Techa."
94. Ordinance of the Ministry of Health of Russia N 292 dated 12/16/93 "On the organization of inpatient shipboard psychiatric examination in the Russian Federation".
95. Order of the Ministry of Health of Ukraine N 293 issued 20.12.93 p. "About the implementation of health care practice test systems for the diagnosis of hepatitis C".
96. Order of the Ministry of Health of Ukraine N 295 dated 21.12.93. "On the approval of the Regulations on the accreditation of clinical diagnostic laboratories".
97. Ordinance of the Ministry of Health of Ukraine N 301 issued 28.12.93 p. "About the method of piece-by-piece insemination of women with donor sperm for medical indications and the method of extracorporeal implantation and the transfer of the embryo into the empty uterus for the treatment of woman's infertility". (registration by the Ministry of Justice of Russia on January 10, 1994, No. 453).
98. Ordinance of the Ministry of Health of Ukraine N 302 issued 28.12.93 p. "About the hardening of Perelik medical indications for piece override vagity".
99. Order of the Ministry of Health of Ukraine N 303 issued 28.12.93 p. "About the stagnation of medical sterilization of the population."
100. Ordinance of the Ministry of Health of Russia N 316 dated 30.12.93 "On the further development of the medical genetic service of the Russian Federation."
101. Ordinance of the Ministry of Health of Ukraine N 317 of 30.12.93 p. "On the order of registration of orders for the purchase and supply of goods for state needs."
102. Order of the Ministry of Health of Ukraine N 5 vіd 21.01.94 p. "About the promotion of Galuze's statistical zoning".
103. Ordinance of the Ministry of Health of Ukraine N 6 vіd 24.01.94 p. "About medical and biological testing of gas vents".
104. Order of the Ministry of Health of Ukraine N 9 dated 26.01.94 p. "About thorough work on the quality control of clinical laboratory tests".
105. Ordinance of the Ministry of Health of Ukraine N 13 dated 27.01.94 p. "About the medical rehabilitation of participants in the liquidation of the above-mentioned situations".
106. Order of the Ministry of Health and Medical Industry of Russia N 21 dated 11.02.94 "On the confirmation of an individual card of a sperm donor."
107. Order of the Ministry of Health of Ukraine N 25 dated February 16, 1994 "About the procedure for the introduction of new methods of prevention, diagnostics, treatment, medical and immunobiological preparations, methods of disinfection, pre-sterilization purification and sterilization, recognized for the establishment of the system of the Ministry of Health.
108. Order of the Ministry of Health of Ukraine N 26 dated February 16, 1994. "About the perfection of work in the export and import of medicinal products, substances and syrovin in the system of the Ministry of Health of Russia".
109. Order of the Ministry of Health and Medical Industry of Russia N 27 dated February 17, 1994. "About the signing and implementation of the Order between the Russian Federation and the USA on the implementation of health care and biomedical services in the galley".
110. Ordinance of the Ministry of Health of Ukraine N 53 dated March 25, 1994. "About the strength to control the quality of medicinal products".
111. Ordinance of the Ministry of Health of the Russian Federation No. 67 dated April 11, 1994. "About the organization of medical assistance to persons who were recognized with a radiation injection as a result of nuclear testing at the Semipalatinsk test site in 1949-1963".
112. Order of the State Committee for Sanitary and Epidemiological Supervision of Russia and the Ministry of Health and Medical Industry of Russia N 32/69 dated April 13, 1994. "About conducting an epidemiological observation of cholera in the territory of the Russian Federation".
113. Ordinance of the Ministry of Health of Ukraine N 70 dated 13.04.94 "On the certification of medical formations of fahivtsiv of the disaster medicine service of the Ministry of Health of Ukraine".
114. Order of the Ministry of Health and Medical Industry of Russia N 74 dated April 20, 1994. "About the organization of work with the licensing of the production and sale of medicines by the pharmacists".
115. Order of the Ministry of Health and Medical Industry of Russia N 80 dated April 27, 1994 "On the assortment of medicines in the pharmaceutical institutions of the Russian Federation."
116. Order of the Ministry of Health and Medical Industry of Russia N 82 dated April 29, 1994 "On the procedure for conducting pathological and anatomical investigations."
117. Order of the Ministry of Health and Medical Industry of Russia N 89 dated 12.05.94 p. "About the rational selection of medical resources and the selection of medical recognition".
118. Ordinance of the Ministry of Health N 91 issued 16.05.94 p. "About the introduction of changes and additions to the minds of payment for the work of practitioners of the 3rd Department of the Ministry of Health of the Ministry of Health of the Russian Federation".
119. Order of the Ministry of Health of Ukraine N 99 dated 23.05.94 p. "About the security of laying the foundation for the protection of health with radiopharmaceuticals and PIA-sets".
120. Order of the Ministry of Health of Ukraine N 107 of 02.06.94 p. "On making an addition to the minds of the minds of the practitioners to pay for the protection of health."
121. Ordinance of the Ministry of Health of Ukraine N 112 dated 06.06.94 p. "On changing the order of work with the reserves of medicines, the development of medical recognition and medical equipment of the Ministry of Health of Ukraine".
122. Order No. 113 to the Ministry of Health of Russia of Russia dated 06.06.94 p. "About the confirmation of the Perelika of scientifically advanced installations and subsidies, without intermediary work, in which they give the right to workers to increase salaries (rates) at the link with those not safe for health, and especially with important minds, practice and order yogo zastosuvannya."
123. Order of the Ministry of Health and Medical Industry of Russia N 116 dated 10.06.94 "On the medical rehabilitation of participants in the elimination of epidemiological situations."
124. Order of the Ministry of Health and Medical Industry of Russia N 117 dated 14.06.94 "On the procedure for withdrawing licenses for the sale of medicinal products in the Russian Federation" (Registered by the Ministry of Justice of Russia on 12.07.94 for N 629).
125. Order of the Ministry of Health and Medical Industry of Russia N 118 dated 14.06.94 "On accreditation of regional (territorial) control and analytical laboratories (centers) for monitoring the quality of drug tests and certification of drug tests in the Russian Federation".
126. Order of the Ministry of Health and Medical Industry of Russia N 129 dated 23.06.94 "On the inclusion of lexists from the Sovereign Register".
127. Order of the Ministry of Health of Ukraine N 130 dated 23.06.94 p. "About the organization of medical assistance to those working in the undertakings of industry, everyday life, transport, communication in the minds of obov'yazkovy medical insurance of the population."
128. Order of the Ministry of Health and Medical Industry of Russia N 136 dated 04.07.94 p. "About the thorough work from the security of laying the foundation for the protection of the health of the population with medical care and medical technology."
129. Order of the Ministry of Health and Medical Industry of Russia N 143 dated 15.07.94 "About the thorough work of a high-profile autonomous hospital".
130. Order of the Ministry of Education of Russia and the Ministry of Health of Ukraine N 268/146 dated 18.07.94 p. "About svіlnennya vіd pіdsоmkovої attestаtsії graduates 9, 11, 12 klasіv zagalnosvіtnіkh ustanov". (registration by the Ministry of Justice of Russia on January 27, 1995, No. 787).
131. Order of the Ministry of Health and Medical Industry of Russia N 147 dated 18.07.94 p. "About you, come in a little further thoroughly to the medical organization to help people who took part in the liquidation of the legacy of the Chernobyl accident."
132. Order of the Ministry of Health and Medical Industry of Russia N 167 dated 12.08.94 p. "About the slander Decree to the Rada of the Russian Federation" About come in for psychiatric care and social protection of the sickness, as if they are suffering from mental disorder.
133. Order of the Ministry of Health and Medical Industry of Russia N 170 dated 16.08.94 p. "Come in for a thorough prevention and treatment of HIV infection in the Russian Federation."
134. Order of the Ministry of Health of Ukraine N 173 of 16.08.94 "On the approval of the transfer of additional shoe-skin types health care assistance, preventive, diagnostic and rehabilitative visits to the Basic program of obov'yazykovy honey. insurance for health care mortgages of the Federal Administration of Medical, Biological and Extreme Problems under the Ministry of Health of Ukraine".
135. Order of the Ministry of Health and Medical Industry of Russia N 180 dated 23.08.94 p. "About the sovereign support for the development of medical industry and the provision of health care for the population and the pledge of the protection of health with medical care and the protection of medical recognition."
136. Order of the Ministry of Education of Russia and the Ministry of Health of Ukraine N 342/184 dated 31.08.94 p. "About the documents that are submitted when children are adopted by foreign citizens." (registration by the Ministry of Justice of Russia on September 21, 1994, No. 693).
137. Order of the Ministry of Health of Ukraine N 191 of 20.09.94 "About public permits naukovtsіv, yakі mayut vcheniy stupіn".
138. Order of the Ministry of Health and Medical Industry of Russia N 192 dated 27.09.94 p. "About far away to the full organization of scientifically advanced and advanced design work."
139. Order of the Ministry of Health and Medical Industry of Russia N 195 dated 10/14/94 "Come in early before the importation and expansion of plague from India".
140. Order - Decree of the Ministry of Health of Ukraine and the Fund social insurance Russian Federation N 206/21 dated 10/19/94 "On the approval of the Instructions on the procedure for issuing documents, which cites the temporal incompetence of the citizens." (registration by the Ministry of Justice of Russia on October 28, 1994, No. 713).
141. Order of the Ministry of Health of Ukraine N 231 issued 10.27.94 p. "About the public permits of the kerivniks of the establishments of the Ministry of Health of Ukraine".
142. Ordinance of the Ministry of Health of Ukraine N 244 dated 21.11.94 "On the commercial activity of lighting installations of the National and Public Health Ministry of the Ministry of Health".
143. Order of the Ministry of Health and Medical Industry of Russia N 245 dated 21.11.94 "On the thorough work of a vizable rich-profile autonomous hospital."
144. Order of the Ministry of Health and Medical Industry of Russia N 250 dated 26.11.94 "On making an addition to the nomenclature of mortgages for the protection of health."
145. Order of the Ministry of Health and Medical Industry of Russia N 252 dated November 28, 1994 "On the Federal Program for Strengthening the Fight against Evil".
146. Order of the Ministry of Health of Ukraine N 254 of 29.11.94 p. "On the approval of the Model Agreement between the Ministry of Health of Ukraine and the representatives of the VNZ".
147. Order of the Ministry of Health and Medical Industry of Russia N 255 dated November 29, 1994. "About the approval of the Order of recognition and payment of sixty-sixths of compensatory payments to certain categories of citizens."
148. Order of the Ministry of Health of Ukraine N 256 issued 29.11.94 p. "About the organization of supervision (chambers) of non-disciplinary narcological assistance".
149. Order of the Ministry of Health and Medical Industry of Russia N 259 dated 02.11.94 p. "About the thorough medical care, we are ill for circulatory diabetes."
150. Ordinance of the Ministry of Health of the Ministry of Health No. 262 of 07.12.94 p. "On the establishment of additional payments to practitioners of budgetary education institutions for the promotion of qualifications and retraining of scientists and fahivtsiv for the degree of doctor of science and candidate of science."
151. Order of the Ministry of Health and Medical Industry of Russia N 276 dated 14.12.94 p. "About the admission of practitioners of educational institutions and pedagogical practitioners of other institutions, enterprises and organizations".
152. Order of the Ministry of Health of Ukraine N 286 issued 19.12.94 p. "On the approval of the Regulations" On the procedure for admission to the occupation of professional (medical and pharmaceutical) activities.
153. Order of the Ministry of Health and Medical Industry of Russia N 296 issued 22.12.94 p. "About zvіtnіst kerіvnikіv federal Reigning of companies, scho dіyut on pіdstavі kontraktіv scho ukladayutsya vіdpovіdno to tsivіlnogo zakonodavstva, that predstavnikіv powers in bodies upravlіnnya aktsіonernih tovaristv (tovaristv) that іnshih of companies zmіshanoї FORMS vlasnostі) aktsії (chastki, paї) yakih zakrіplenі in federalnіy authority.
154. Order of the Ministry of Healthcare of Russia N 297 dated December 22, 1994 "On the admission of senior nurses of the federal order for health care."
155. Order of the Ministry of Health and Medical Industry of Russia N 5 dated 13.01.95 p. "About come in for a thorough examination of Timchas's incompetence."
156. Order of the Ministry of Health and Medical Industry of Russia N 6 dated 13.01.95 p. "On the approval of the Regulations on the Republican (Craiova, Regional, Okrug) Medical Center and the Medical Diagnostic Center".
157. Order of the Ministry of Health and Medical Industry of Russia N 8 dated January 19, 1995 "About the development of that thorough work of the laboratory of clinical microbiology (bacteriology) of cuval and preventive measures".
158. Order of the Ministry of Health and Medical Industry of Russia N 12 dated 23.01.95 p. "About come in for a thorough ship-psychiatric examination."
159. Ordinance of the Ministry of Health of Ukraine N 22 dated 03.02.95 p. "About addition to the order of the Ministry of Health of Ukraine in 20.12.94 p. N 295".
160. Order of the Ministry of Health of Ukraine N 23 dated 03.02.95 p. "On the approval of the approval for the adoption of additional one-time material assistance by persons who are in the Chechen Republic."
161. Order of the Ministry of Health of Russia, the State Committee for Sanitary and Epidemiological Supervision of Russia and the Russian Academy of Medical Sciences N 24/11/13A dated 06.02.95 p. "About the international organization of scientific achievements in the gallery and the procedure for the implementation of scientific products of medical recognition in the protection of health."
162. Order of the Ministry of Health of Ukraine, Derzhkomsanepidnaglyadu of Ukraine and the Federal Migration Service of Ukraine N 26/14/30 dated 07.02.95 p. "About the procedure for organizing medical and sanitary assistance and ensuring the sanitary and epidemiological well-being of foreign communities and especially without community, like they are joking at the back of the Russian Federation."
163. Order of the Ministry of Health and Medical Industry of Russia N 27 dated 13.02.95 p. "About the staff standards of the establishment, scho to give psychiatric assistance."
164. Order of the Ministry of Health of Ukraine and Minnauka of Ukraine N 32/20 dated 16.02.95 p. "About the confirmation of international programs of fundamental work for the creation of a safe bank of genetic material, a collection of strains of natural virus and yogo culture".
165. Order of the Ministry of Health and Medical Industry of Russia N 33 dated February 16, 1995 "On the confirmation of the Regulations on the attestation of doctors, inspectors and other fahivtsiv with greater enlightenment in the health care system of the Russian Federation".
166. Order of the MVS of Russia and the Ministry of Health of Ukraine N 85/48 dated 06.03.95 p. "About come in for a thorough anti-tuberculosis help in the free will of the Ministry of Foreign Affairs of Russia."
167. Order of the Ministry of Health and Medical Industry of Russia and the Committee on Chemical and Naphthochemical Industry of Ukraine N 50/17 dated 09.03.95 p. "About the development of drug addiction".
168. Order of the Ministry of Health of Ukraine N 51 dated 13.03.95 "On the establishment of the Republican Center for Vessel Medical Expertise".
169. Ordinance of the Ministry of Health of Ukraine N 56 dated 13.03.95 "On the order of referral to hospitalization in the medical and prophylactic establishment of the LDO of the Ministry of Health".
170. Ordinance of the Ministry of Health of Ukraine N 58 dated 13.03.95 "On supplementing the order of the Ministry of Health of Ukraine dated 10.08.93 N 189 "On further development and thorough transplantation assistance to the population of the Russian Federation".
171. Ordinance of the Ministry of Health of the Russian Federation No. 60 dated March 14, 1995. "About the confirmation of the Instructions for carrying out professional surveys of preschool and high school children on the basis of medical and economic standards".
172. Ordinance of the Ministry of Health of Ukraine N 65 of 20.03.95 p. "About pracevlashtuvannya osib, they left the territory of the Chechen Republic."
173. Order of the Ministry of Health of Ukraine N 85 dated 04.04.95 p. "On the certification of software tools and data bases in the system of the Ministry of Health of Russia".
174. Order of the Ministry of Health and Medical Industry of Russia N 88 dated April 6, 1995 "About the licensing of medical installations and giving certificates to specialists".
175. Order of the Ministry of Health and Medical Industry of Russia N 92 dated April 11, 1995 "On the approval of the rules of the Psychiatric Medicine. I will arrange the rules, exploitation and protection of work".
176. Order of the Ministry of Health and Medical Industry of Russia N 100 of 18.04.95 "On the expansion of the functions of territorial centers for the prevention and control of SNID".
177. Order of the Ministry of Health and Medical Industry of Russia and the Derzhkomsanepidnaglyad of Ukraine N 101/46 dated April 19, 1995. "About the protection of the population against the flu and other hostile respiratory diseases".
178. Order of the Ministry of Health of Ukraine N 103 issued 19.04.95 p. "About far away completely medical and social assistance participants of the liquidation of the aftermath of the accident at the Chernobyl NPP”.
179. Order of the Ministry of Health and Medical Industry of Russia N 104 dated April 19, 1995. "About come in for a further thorough organization and conduct of a special medical examination of the population in the territories, that they recognized the radiation impact in the aftermath of the Chernobyl accident."
1. Order of the Ministry of Health of the Soviet Socialist Republic No. 408 of 1989 “About how to reduce the incidence of illness for viral hepatitis in the country”.
Epidemiology, clinic, diagnostics, examination, results, clinical examination of patients for viral hepatitis A, B, delta and in.
Hepatitis A. Hepatitis A virus (HA) belongs to the Picornavirus family, similar to Enterovirus. The HA virus can be saved by stretching for a few months at a temperature of 4 ° C, for a few years - at a temperature of -20 ° C, by stretching for a few days - at a room temperature. The virus is inactivated during the boiling hour.
There is only one serological type for the HA virus. Of the specific markers, the most important is the presence of antibodies to the HA virus class Ig M (antivirus HA IgM), which are found in the blood serum on the cob of infection and are saved for 3-6 months. The detection of anti-HAV IgM is indicative of hepatitis A and is used for the diagnosis of illness and the manifestation of germinal infection in the follicles.
The antigen to the GA virus is detected in the stool of patients 7-10 days before clinical symptoms and is viable for the manifestation of a gerel infection.
Antivirus GA IgG is detected from 3-4 days of infection and is saved three times.
Dzherelom іnfektsії є ailments with any forms of acute infectious process.
Forms of illness: zhovtyanichna, without zhovtyanichna, subclinical, inaparant.
The transmission mechanism is fecal-oral. Realization of yoga is carried out through factors, authorities intestinal infections: water, "brudni hands", food products, I'll pobut the items. The susceptibility of people to infection is rampant. Immunity after the transferred illness of trivaliy, possibly, dovіchny.
Incubation period in 7 to 50 days, average 15-30 days.
Predzhovtyanichny period (prodrome period) - gostriya cob, temperature rise up to 38 ° C and more, chills, head pain, weakness, decreased appetite, tedium, vomit, pain in the stomach. Feels a little heavy in the right subcostal area. The mouth is lined, life is bloated, the liver reacts with palpation of the abdomen. Trivality of this period - 5-7 days. Until the end of the predzhovtyanichny period, the cutting became dark, the color of beer. Kal is in love. The subictericness of the sclera is revealed. The 2nd Zhovtyanichna phase of illness is beginning to recover.
Zhovtyanitsa grows fast, a number of symptoms are weaker, it seems to be heaviness in the right hypochondrium, weakness, decreased appetite. Razmіri liver zbіlshuyutsya, there may be a smooth surface, strengthened. The spleen is enlarged. In the blood - leukopenia, decrease in bilirubin, ALT and AST increase. Zhovtyanichny period is 7-15 days.
The period of convalescence is characteristic of early manifestations of clinical and biochemical signs of hepatitis.
There are no chronic forms of GA.
Zhovtyanichni forms of viral hepatitis A may have both clinical (because of the vineyard) and biochemical (because of the blemish of bilirubin) signs.
Erased forms - so, for any clinical signs, they are minimally pronounced.
Asymptomatic forms - asymptomatic, as indicated by the appearance of ALT activity in blood syrometry and the presence of anti-IgM and IgG.
The diagnosis is established on the basis of clinical data, as well as the detection of antibodies to the HA virus class of immunoglobulin M (anti-HAV IgM) and class G (anti-HAV IgG) in blood serosa and increased activity of ALT and AST and bіlіrubіnu in the blood.
Ailments require hospitalization to infectious diseases. Duzhannya nastaє sound for a stretch of 1 - 1.5 months after the registration from the hospital.
HAV convalescents are guarded at the office of infectious diseases, where they undergo medical examination 1 time per month. They are taken into account after 3 months for the presence of scarg, normalization of liver growth and functional tests.
Likuvannya, prevention
Mild forms of hepatitis A do not require medical treatment. Sufficient dotrimannya diet, bed rest, rosy drink; in moderate-severe form, the introduction of detoxification measures is added:
Ringer 500 ml with addition of 10 ml of 5% ascorbic acid.
Severe forms worsen more rarely: you may need intensive infusion therapy.
Preventive visit - administration of immunoglobulin for epidemiological indications up to 3.0 ml. Data on immunoglobulin-prophylaxis are entered in form No. 063/y and 26/y. It is allowed to administer the drug no more than 4 times at intervals of at least 12 months.
For persons who were in contact with ailments at the CAA, a guard is established (1 time per week for 35 days).
Hepatitis B (HB) is self-infected, as it is called the hepatitis B virus, which belongs to the family of hepadnaviruses. Super-steady in the old middle ground.
Dzherelom HV є ailment, whether it be a form of acute or chronic hepatitis B, as well as chronic "carrying" of the virus. Remain the main germs of infection. Ailments can become infected as early as 2-8 days before a sign of illness appears.
The incubation period is 6-120 days.
Pre-Jovian period. Illness is repaired step by step. Illnesses suffer from decreased appetite, tedium, vomiting, constipation, as if they are changed by drifts. Often turbulent pain in the swamps
Transmission mechanism - parenteral:
Through poshkodzhenu skin and slime;
Tranplaceptally;
With blood transfusions;
Let's make a way.
expanding the liver, sometimes the spleen. The blood has leukopenia. The activity of the indicator enzymes ALT and AST in blood sirovats increased. Trivality of this period from 1 to 3-4 days.
Zhovtyanichny period of trials, characterized by variability and persistence of clinical symptoms of the disease, may tend to increase. Zhovtyanitsa reaches a maximum on the 2-3rd day. There is a pain in the right subcostal area, the liver is smooth, enlarged. In the blood: leukopenia, lymphocytosis, significant increase in bilirubin, elevation of ALT and AST in blood sputum.
Sound hostile hepatitis occurs in a moderate form, parts of an important form.
Fulminant (bliskavichni) forms of rіdkіsnі.
Complicated: hepatic coma, encephalopathy.
Chronic forms of hepatitis often develop.
The period of recovery is trival, lower in case of HAV, clinical and biochemical signs are avoided trival.
Specific methods of laboratory diagnostics - the presence of the HBs antigen (HBSAg), which is present in the blood before the appearance of the disease clinic.
In order to become a carrier of HBsAg in case of active infection, it is necessary to carry out anti-HBsIgM in the blood, the presence of such antibodies is typical for the presence.
Registration of convalescents in hepatitis B is carried out for the same clinical indications as in hepatitis A. For registration of convalescents, in which HBs-antigen continues to be detected, it is necessary to visit an infectious disease doctor and a sanitary and epidemiological station in the district.
Outcomes of acute viral hepatitis:
Clothes;
Zalishkov's manifestations:
Protracted convalescence;
Posthepatitis hepatosplenomegaly.
Passage of the infectious process, which is trivae:
Protracted hepatitis;
Chronic persistent hepatitis;
Asymptomatic HBs antigen;
chronic active hepatitis;
cirrhosis of the liver;
Primary cancer of the liver.
Medical examination
After registration from the hospital, an inspection of the sick person is carried out for 1 month. Let's look at it after 3, 6, 9 and 12 months after registration. The survey is carried out for the presence of chronic hepatitis and a double negative test for HBsAg, carried out with an interval of 10 days.
Likuvannya:
Detoxification therapy, fallow due to severity;
Reaferon (recombinant alpha-2 interferon);
Symptomatic exuberance.
Prevention is based on the active manifestation of germinal infection, for which it is necessary to excite the population for the presence of viral hepatitis B, and in the first place to instill the risk group.
groupi risiku
1. Donori.
2. Vagitni.
3. Recipients of blood and components.
4. Staff established blood services, hemodialysis, surgery, biochemical laboratories, emergency care stations, and resuscitation services.
5. Patients with a high risk of infection, staff of the center for hemodialysis, nirka transplantation, cardiovascular and legenous surgery, hematology.
6. Illness, whether it be a chronic pathology, like a trivaly hour, they go to the hospital for treatment.
7. Illness on chronic liver disease.
8. To the contingent of narcological and venereal-venereal dispensaries.
Prevention of professional infections:
Usі manіpulyatsiії, pіd hіm hаѕ mаіѕ thаt саn brudnennya zabrudnennya krov'yu chisrovatkoy, spend at humovy mittens. Under an hour of work, we have to put on our hands sealed with adhesive plaster. To escape the rozbrizkuvannya krovі sled pratsyuvati in masks;
During the examination of hands, there was a lack of frequent contamination of disinfectants. Surgeons for the mittya of hands are not to be quickened with hard shields;
At times, the hands are clogged with blood, and they should be treated with negaine disinfectant (1% of chloramine) and washed with warm water with a sweet, dry wipe with an individual servlet of a one-time vikoristannya;
On the top of the working tables at the time of the blood taint, sprinkle with 3% chloramine;
Medical practitioners, as a kind of professional activity, contact from the blood, expelling the presence of HBsAg at the beginning of the practice, and then - no more than 1 ten days from the river.
Prevention of hepatitis in the course of licuval-diagnostic parenteral insertion
1. Method for the prevention of hepatitis B in all LPZ:
It is necessary to use the most disposable coring tools;
Strictly adhere to the rules of disinfection, pre-sterilization cleaning and sterilization of medical equipment;
The history of people's ailments - the presence of HBsAg traces of markuvati.
2. OST MOZ SRSR in 1985 42-21-2-85
Sterilization and disinfection for medical reasons.
Methods, sobi, modes:
Disinfection (methods, methods);
Pre-sterilization processing (stages);
Sterilization (methods, modes, procedures);
Cleans the dust from corrosion.
3. Order of the Ministry of Health of the Soviet Socialist Republic No. 215 of 1979 “About come in for a plethora of organization and promotion of the quality of specialized medical assistance to ailments with purulent surgical diseases.”
It describes the instructions for organizing and conducting sanitary and hygienic visits, anti-epidemic regime in surgical departments, resuscitation wards.
4. Ordinance of the Ministry of Health of the Russian Federation No. 295 of 1995 “On the introduction of the rules for conducting an obov'yazkovogo medical examination of VIL”.
A list of practitioners has been established by organizations that undergo a medical examination for the manifestation of VIL-іnfektsії at the hour of carrying out footwear when entering the work and periodic medical examinations:
Physicians, middle and young medical personnel from prevention and fight against SNID, busy without intermediary obstezhennym, diagnostics, lіkuvannyam and services of osіb, іnfіkovannyh іruzі іmunodeficiency;
Physicians, middle and junior medical staff of laboratories;
Science, healthcare workers in the preparation of immunobiological preparations, the work of which is connected with the material to avenge the virus on immunodeficiency.
Rules for conducting obov'yazkovogo medical examination of the detection of VIL-іnfektsії.
1. Blood donors, sperm and other biological mothers, tissues, organs are subject to obov'yazkovym medical review.
2. Follow-up of blood tests for the presence of antibodies to the immunodeficiency virus is carried out in 2 children.
Stage I - the total spectrum of antibodies against antigens in the VIL virus is detected for additional enzyme immunoassay.
Stage II - immunoblotting is carried out with the method of designating antibodies up to 10 proteins to the immunodeficiency virus.
3. If VIL-infections are detected in practitioners of other enterprises (the change of organizations is confirmed by the Riad of the Russian Federation), the stench is transferred to another job, as it turns out to be able to cope with VIL-infections.
Change of indication for obstezhennia on VIL/SNID to improve the quality of diagnostics.
1. Diseases on clinical indications:
Hot for more than one month;
can improve lymph nodes in two and more groups over one month;
with diarrhea that lasts over a month;
With an unreasonable vtratoy weight of the body;
from protracted and recurrent pneumonias or pneumonias that do not respond to extreme exaltation;
Z pіdgostrim encephalitis;
With fleecy leukoplakia of the tongue;
3 recurrent pyoderma;
Women with chronic inflammation of the reproductive system of unknown etiology.
2. Illnesses with a pidozroyu or with a confirmed diagnosis for such illnesses:
addiction;
Illness, which is transmitted by the state way;
Kaposi's sarcoma;
Lymphoma of the brain;
T-cell leukemia;
Legeneviy and post-legal tuberculosis;
Hepatitis;
Generalization of chronic forms of herpes simplex;
Recurrent operative lichen (individuals younger than 60 years of age);
Mononucleosis;
Candidiasis of the stravokhod, bronchi, trachea;
Deep mycosis;
Anemia of various genesis;
Vagіtnі - at the time of sampling of abortion and placental blood for a distant vikoristannya like syrovine for the production of immunopreparations.
Primusov's facilities for VIL-infection were fenced off.
Coding of ailments when directed to VIL-cooling:
100 - residents of the Russian Federation;
102 - drug addicts;
103 - homo and bisexuality;
104 - sickness on venereal disease;
105 - individuals with fretless articulations;
106 - individuals, yakі perebuvayut over the cordon for more than one month;
108 - donors;
109 - vaginal (donors of placental and abortion blood);
110 - recipients of blood products;
112 - individuals, yakі perebuvali at the mіstsyah liberating the will of the group;
113 - obstezhenі for clinical indications (older);
115 - medical staff who work with ailments on SNID or infectious materials;
117 - obstezhenі for clinical indications (children);
118 - інші (designate a contingent);
120 - medical contacts with ailments for SNID;
121 - heterosexual partners of HIV-infected patients;
122 - homosexual partners of IVL-infected;
123 - partners of VIL-infected patients from internal drug administration;
126 - obstezhennia dobrovіlne;
127 - obstezhennya anonymous;
200 - Foreign community.
5. Order of the Ministry of Health of the SRSR No. 1002 dated 04.09.87 p. "About the prevention of infection with the SNID virus."
Look around pіdlyagayut:
Foreigners, yaks came by the term 3 months and more;
Gromadyany Rosії, scho turn і from zakordonnyh vodryadzhen trivality over one month;
Individuals from the group of rizika who have received multiple blood transfusions and її preparations, who suffer from drug addiction, homosexuality, etc.;
Gromadyans, yakі may contacts with ailments chi virus-carrying;
Want to take a look around.
6. Order No. 286 of the Ministry of Health of the Russian Federation issued on December 7, 1993 and Order No. 94 issued on February 7, 1997. "About the thorough control of ailments that are transmitted by the path."
In sickness in life with a diagnosis of active tuberculosis, syphilis, gonorrhea, trichomoniasis, chlamydiasis, ureaplasmosis, gardnerellosis, urogenital candidiasis, anourogenital herpes, hostrokinets condylomas, scabs, trachoy9
Awareness is added to the skin liquor-prophylactic pledge. Warnings store the medicine. Once the diagnosis is made by the medical staff, the illness may be directed to the doctor.
To get 100%-not choked with serological blood tests for syphilis ailments, who need to go to the hospital for treatment, as if they returned to the polyclinic ahead of time, - by the express method; tuberculosis, neurological, narcological ailments, donors - classic serological reactions.
7. Order of the Ministry of Health of the Russian Federation No. 174 dated May 17, 1999 “Come in for further thorough prevention of the right.”
The most effective method of advancing right is active immunization with right toxoid (AC).
Protection against children is created by way of immunization with DTP-vaccine or ADS-anatoxin, in adults - with ADS-M-anatoxin or AS-anatoxin. Completion of the course of active immunization includes the first vaccination and the first revaccination. For zabіgannya viniknennya pravtsya in times of injury, it is necessary to carry out emergency prophylaxis.
Preparations to be taken for planned active immunization against treatment:
DPT - adsorbed pertussis-diphtheria-right-handed vaccine, which should be mixed in 1 ml of 20 billion inactivated pertussis microbial cells, 30 units of diphtheria and 10 units of the vaccine to the right-hand toxoid;
ADS-M - from a change in the number of antigens;
As - prava toxoid (1 ml 20 units).
Drugs to be taken in case of emergency immunoprophylaxis:
AC - adsorption of right toxoid;
IICC - protipravtseva kіnsk's milkweed is cleared, one dose of PSS becomes 3000 IU;
PSChI - anti-human immunoglobulin, one dose becomes 250 IU.
Emergency prophylaxis should be carried out when:
Injuries from damage to the integrity of the skin and mucous membranes;
Opiky and frostbite II-IV stages;
Postal abortions;
Canopies posture medical installations;
Gangrene, whatever type, carbuncles and abscesses;
Bite the creature.
Emergency prophylaxis is correct in the first surgical examination and one-hour specific immunoprophylaxis. Її it is necessary to carry out the treatment earlier and up to 20 days after the moment of recovery from the injury.
The introduction of drugs is not carried out:
Children, as a matter of fact, documentary confirmation of the planned preventive splintering is carried out in the future, independently in the line, after the passage of the black splinter;
For grown-up people, how to make a document confirming the passage of a new course of immunization no more than 5 years ago.
Inject less than 0.5 ml of AS-anatoxin:
For children, who may be able to document the planned prophylactic splintering without the rest of the century of revaccination;
Let's grow up, how to make a document about conducting a course of immunization over 5 years ago;
Individuals of a different age, yak, took two chips no more than 5 years in that, or one chip no more than two years in that;
For children from 5 months old, military servicemen, a splitting anamnesis of some nevidomiya.
Carrying out active-passive prophylaxis of the right:
When active-passive prophylaxis is carried out, it is necessary to inject 1 ml of AS, then with another syringe into another tube of the body PSCHI (250 ME) or after an intraocular test IICC (3000 ME);
Active-passive vaccination is carried out for individuals of a different age, who took two chips more than 5 years ago, or one chip two years ago;
Non-split people, as well as individuals, do not think of a documentary warning about splitting.
To complete the course of immunization for a period of 6 months to 2 years, revaccinate 0.5 ml AS or 0.5 ml ADS-M.
Emergency prophylaxis corrective action in case of repeated injuries
Individuals, yakі in case of trauma in the past to the їх pinched anamnesis, only AS (ADS-M) were taken away, in case of repeated injuries, urgent prophylaxis should be carried out as early as we split, and not more often than not once in 5 years.
Emergency prophylaxis of correction in case of radiation-thermal injuries - inject 1 ml of AS and 250 PSChI.
Wash that technique of emergency prevention right
Vrahovyuchi, after the introduction of PSS and preparations to avenge the right toxoid, especially sensitive people may experience shock, for skin splitting, it is necessary to organize medically for a year after splitting. Before introducing the AS, the ampoule is shaken to a homogeneous suspension. An open ampoule with AS or PSS can be saved by curling with a sterile servlet with a stretch of no more than 30 strands.
The drug is taken from the syringe from the ampoule with a long head with a wide opening. For injection, vicorist the other head. AC is administered in a quantity of 1 ml. Inject 250 IU PSChI internally into the other chamber of the body one hour, 3000 MEPSS for daily PSChI.
Before the introduction of the PSS, it is obligatory to put an internal test with the kіnsk gray wool, diluted 1:100, to determine the sensitivity to the white of the horse's gray wool (the ampoule is marked with a red color). Do not put an internal test, as if the victim was stretched 1-3 days before the introduction of the PSS, a test was carried out with a dilution of anti-rabies 1:100 gammaglobulin.
To set up a sample, vicorist sample an individual ampoule, sterile syringes and a thin needle. A diluted 1:100 syrowort is administered intravenously into the inner surface of the front in a quantity of 0.1 ml. The shape of the reaction is carried out for 20 minutes. The sample is negative, because the diameter of the edge or the blackness on the injection site is less than 1 cm. In case of a negative test, the skin PSS (from the ampoule, marked with a blue color) is administered subcutaneously in a quantity of 0.1 ml. For the duration of the reaction, after 30 minutes, inject a sterile syringe with a dose of serum. After a stretch of an hour, the ampoule with PSS can be closed with a sterile servette.
Urgent prophylaxis by means of revaccination AS
AU should be administered in a quantity of 0.5 ml daily before the instructions for the preparation.
About all types of post-vaccination complications that have arisen after the zastosuvannya preparatіv, scho to avenge the right toxoid, as well as after the introduction of PSS or PSCHI (shock, syrovatkova ailment, ailment of the nervous system), the medical staff terminously supports the sanitary station.
8. Order No. 297 dated October 7, 1997 “About the thorough approach to prevent people getting sick at the tale.”
In the Russian Federation, 5 to 20 cases of infected people are widely registered per story. With the method of improving the quality of the anti-rabies supplement, and having thoroughly gone in to prevent people getting sick, I’ll punish them:
Organize a center for anti-rabies assistance on the basis of liquor-preventive measures, so that you can have trauma care at your own warehouse;
Conduct public seminars for medical practitioners to provide anti-rabies food to help the population and prevent the tale;
Organize the conduct of obov'yazkovo prophylactic immunization against the tale to individuals, the professional activity of such cases is related to the risk of infection with the virus tale;
To establish strict control over the presence of anti-rabies drugs and their savings in LPZ;
Activate the information-rose'explaining work among the population, vikoristovuyuchi the mass information and direct agitation.
Regulations on the anti-rabies aid center
1. Created on the basis of LPZ, which can have a trauma center or a trauma center in its warehouse.
2. A doctor-traumatologist or a doctor-surgeon is assigned to the Center as a doctor-surgeon, who has been trained in the organization and organization of anti-rabies help.
3. Responsibility for the Center is established at the contact with the LPZ, the centers of the State Sanitary and Epidemiological Service, the veterinary service.
Main tasks and functions of the center:
1. Center for coordination, organizational-methodical, advisory and practical support for judicious and preventive measures in the field of medical assistance to persons who have recognized the risk of infection with the virus.
2. With the help of this medical aid, we will tolerate biting, fraying, slobbering by creatures, persons, as if they recognized the risk of being infected with a virus tale.
3. Organize permanently active seminars for training and retraining of specialists, anti-rabies assistance to the population.
4. Zdіysnyuє vyaz'yazok and vzaymoіinformatsiyu z authorities veterinary supervision on the whole territory, which is served from the food of the epizootic camp of mіstsevostі.
5. Organize and conduct sanitary-illumination work to prevent the tale of the population.
Rights to the Center:
Take the necessary information from the LPZ, the Center for the State Sanitary and Epidemiological Service, the Veterinary Services;
Contribute to the bodies of health care management propositions for the improvement and complete anti-rabies activities, get consultants in a different profile if necessary.
Instructions on the procedure for the work of a likuval-prophylactic mortgage and the center of the State Sanitary and Epidemiological Service for the prevention of illness at the tale
First of all, I’ll help people medically, as they turned out to be driven by bites, fraying, slobbering be-like creatures, and also to people, like they took away the damage of skin crookedness and falling of third-party material on the mucous membrane during the processing of the carcasses of creatures, the destruction of the corpses of people who died in the corpses of people who died in ,
1. The course of therapeutic and prophylactic immunization is prescribed to be carried out at trauma centers, and for their daily use in surgical rooms or departments:
Clearly wash the wounds, podryapini, garden with a jet of water with a sweet (or be like some kind of miyuchy zabom), trim the edges of the wound with 70% alcohol or tincture of iodine, put on a sterile bandage. The edges of the wound, the heads of creatures, do not hang out for the first three days and do not sew up, crim ushkodzhen, yak vymagayut special surgical hands for life displays;
In case of great wounds, after the front shoulder dressing, the wound is put on a sprat of seams to induce;
With the method of zupinki ovnіshnyoї bleeding, washing of the vessels is carried out, to bleed.
2. To be carried out urgent prophylaxis of correction.
3. Patient straight to the emergency room or surgical care likarni for recognition of the course of anti-rabies chips.
4. A telephone message is sent to the skin, who has turned around, and a letter of “emergency” notification (oblique form No. 058u) is sent for 12 years to the center of the State Sanitary Inspection, trauma center.
5. For the availability of trauma centers in surgical rooms and for goitre care:
At the time of the first visit to the victim, give him first medical assistance, promptly transfer a telephone message, send a letter of remembrance (oblique form No. 058/y) to the center of Derzhsanepidnaglyad (stations);
Apply to the skin victim the “Card, which was sent for anti-rabies help” (oblique form No. 045 / y) from two accomplices;
Recognize that the safety of the course of anti-rabies chips is valid until the official instructions, including weekends and holy days;
Ensure hospitalization of the following categories:
a) especially, yaki took away important and multiple bites and bites of unsafe localization;
b) Osіb, yakі live near the silskіy mіstsevostі;
c) chip again.
