State medical university of Semey The Department of pediatric disciplines Topic: carrying out sanitary and anti-epidemic measures in the outbreaks of infectious diseases SIW Prepared by: Omarova A. 541 gr Checked by: Alibekova B.A. Prepared by: Omarova A. 541 gr Checked by: Alibekova B.A. Semey 2018

Plan: Rules of RK according on April 16, 2015 No Sanitary and epidemiological requirements for the organization and conduct of sanitary and antiepidemic (preventive) measures for the prevention of infectious diseases Content of rules Source of resources

In accordance with paragraph 6 of Article 144 of the Code of the Republic of Kazakhstan dated September 18, 2009 "On the health of the people and the health care system Registered in the Ministry of Justice of the Republic of Kazakhstan on April 16, 2015 No Sanitary rules "Sanitary and epidemiological requirements for the organization and conduct of sanitary and antiepidemic (preventive) measures for the prevention of infectious diseases establish requirements for the organization and conduct of sanitary and anti-epidemic (preventive) measures for the prevention of infectious diseases.

Sanitary and epidemiological requirements for the organization epidemiological survey Epidemiological examinations of foci are conducted: During acute enteric infections of workers of public facilities, water supply, pre-school organizations, private persons engaged in entrepreneurial activities The disease of children attending pre-school organizations, orphanages, boarding schools; Illness of workers of psycho neurological hospitals, children's homes, boarding homes for the elderly and the disabled persons; One or more cases are registered in one hearth during one incubation period.

Sanitary-epidemiological requirements for hospitalization of patients with acute intestinal infections Clinical indications for hospitalization of patients with acute intestinal infections: All forms of the disease in children under two months of age; Forms of the disease with severe dehydration regardless of the child's age; Forms of the disease, weighed down by concomitant pathology; Protracted diarrhea with dehydration of any degree; Cases of illness in medical organizations, boarding schools, orphanages, children's homes, sanatoriums, boarding homes for the elderly and disabled, summer health organizations, holiday homes.

Sanitary and epidemiological requirements for the organization and conduct of sanitary and anti-epidemic (preventive) measures to prevent salmonellosis Children under the age of two years entering the hospital; Adults hospitalized in a hospital for the care of a sick child; Maternity, puerpera, in the presence of bowel dysfunction at the time of admission or during the preceding three weeks before hospitalization; All patients regardless of the diagnosis when intestinal disorders occur while in hospital; Epidemiological examination of salmonellosis foci is carried out in case of disease of persons belonging to the decreed group of the population or children under two years of age.

Children who continue to allocate salmonella after the end of treatment, the attending physician removes from visiting the pre-school education organization for fifteen calendar days, during this period, a three-time study of stool with an interval of one to two days is carried out. With a second positive result, the same order of removal and examination is repeated for another fifteen days. Hospitalization of patients with salmonellosis is carried out according to clinical and epidemiological indications. Persons from the decreed groups of the population are allowed by the employer to work in the specialty from the moment of providing the certificate of recovery.

Sanitary-epidemiological requirements for the identification of patients with tuberculosis The identification of patients with tuberculosis is carried out by medical personnel of all specialties with: Outstanding people for medical care in outpatient and inpatient organizations; During providing inpatient and specialized medical care; Conducting mandatory and preventive medical examinations; Carrying out immunization against tuberculosis. Preventive medical examinations of the population are conducted in mass, group and individual order in medical organizations at the place of residence, work, service, study or detention in pre-trial detention centers and correctional facilities.

For the early detection of tuberculosis, children are given an intradermal allergic test with tuberculin A Mantoux test 2 TE is subject to the following: 1) children of "risk" groups; 2) children and adolescents from foci of tuberculosis; 3) children older than 2 months before vaccination; 4) pupils of 1 classes (6-7 years) before revaccination. Vaccination is not allowed when: HIV infection and acquired immunodeficiency syndrome; prematurity - body weight less than 2000 grams or gestational age less than 33 weeks; defeat of the central nervous system - birth trauma with neurological symptoms

For the purpose of early detection of tuberculosis, adolescents undergo preventive medical and fluorographic examinations. Preventive medical (fluorographic) examination is carried out by adolescents aged 15, 16 and 17 years. In the absence of data on preventive examinations at specified ages, fluorographic examination is conducted in an emergency order. Adolescents who are on dispensary registration in drug treatment and psychiatric institutions, HIV-infected, perform a fluorographic examination once a year. Adolescents with symptoms indicative of a possible tuberculosis disease (pulmonary diseases of protracted course, exudative pleurisy, subacute and chronic lymphadenitis, erythema nodosum, chronic urinary tract diseases) are referred for consultation to the phthisiatrician.

The risk groups subject to annual fluorographic examinations for tuberculosis include: Employees of medical organizations, regardless of the form of ownership; Conscripts for military service; Students of higher and secondary special educational institutions, students of colleges; Adolescents years; Persons who are on dispensary records with chronic nonspecific lung diseases, diabetes mellitus, alcoholism, drug addiction, HIV / AIDS; Persons receiving immunosuppressive therapy; Persons with residual effects in the lungs of any etiology;

Anti-epidemic measures in the focus of tuberculosis infection include: Treatment of a tuberculosis patient with anti-TB drugs and isolation under hospital conditions in compliance with the rules of infection control approved by Order No. 19 of the Minister of Health of the Republic of Kazakhstan of January 15, 2013 Primary examination (clinical and radiological, setting Mantoux test, smear microscopy on indications) of contact persons within two weeks from the date of identification of the patient; Conducting according to indications of chemoprophylaxis to contact persons (children and adolescents under 18 years); Organization and conduct of disinfection;

In the hearth conduct: Isolation of children, including newborns and HIV-infected persons; Hygienic education of the patient and members of his family; Improvement of sanitary and hygienic living conditions; Control outpatient treatment of patients and the quality of chemoprophylaxis to contact persons. Dispensary registration and follow-up are carried out in the following groups: zero group (0) - persons with a dubious activity of tuberculosis; the first group (I) - persons with active tuberculosis; the second group (II) - persons with inactive tuberculosis; the third group (III) is a person with an increased risk of tuberculosis.

Sanitary and epidemiological requirements for the organization and conduct of sanitary and anti-epidemic (preventive) measures to prevent nosocomial infections In each medical organization an infection control program is developed, which provides: 1) registration and registration of nosocomial infections; 2) analysis of morbidity, identification of risk factors, investigation of outbreaks of VBI and taking measures to eliminate them; 3) organization and implementation of microbiological monitoring; 4) development of tactics of antibiotic prophylaxis and antibiotic therapy; 5) organization of measures to prevent occupational diseases; 6) training of personnel on infection control issues; 7) organization and control of the sanitary-antiepidemic regime;

Sanitary and epidemiological requirements for the organization and conduct of sanitary-antiepidemic (preventive) measures for the prevention of viral hepatitis The identification of patients or suspicious for viral hepatitis is carried out by medical personnel of medical organizations, regardless of the forms of ownership during outpatient visits, hospitalization, home visits, medical examinations, medical examinations and other visits to medical organizations. Identified patients with viral hepatitis are sent to medical organizations for examination and treatment. Disinfection measures are carried out in the foci of viral hepatitis. The examination and treatment of patients with viral hepatitis in medical organizations is carried out in the manner determined by the authorized body in the field of health.

Sanitary and epidemiological requirements for the organization and conduct of sanitary and anti-epidemic (preventive) measures in acute respiratory viral infections, influenza and their complications (pneumonia) Sanitary and anti-epidemic (preventive) measures in the routine system of epidemiological surveillance of acute respiratory viral infections, influenza and their complications (pneumonia) are divided into pre-epidemic periods from October 1 to December 1 and epidemic seasons from December 1 to April 30. Sentinel epidemiological surveillance of influenza, ARVI, ILI and SARI is carried out all year round, which aims to monitor the incidence of influenza in outpatients and inpatients, early decoding of circulating types of viruses among the population and the detection of new, mutated types of influenza virus.

Sanitary-epidemiological requirements to the organization of sanitary and anti-epidemic and preventive measures for prevention meningococcal infection Retrospective epidemiological analysis of the incidence of meningococcal infections, carried out annually by territorial units of the state body in the field of sanitary and epidemiological welfare of the population with the aim of justifying the list, the volume and timing of preventive measures, and long-term program-targeted planning. One-time laboratory examinations for meningococcal infection of the following population categories are carried out: patients with suspected meningococcal infection when contacting medical organizations;

patients of psychiatric hospitals, upon admission to hospital; children at registration in boarding schools, orphanages and children's homes; persons over 60 years of age when registering in boarding homes for the elderly and disabled; convalescents after a meningococcal infection; persons who were in contact with a patient with meningococcal infection during the incubation period. Laboratory examination of contact persons in children's preschool institutions, orphanages and children's homes are conducted at least two times with an interval of 3 to 7 days.

Sanitary-epidemiological requirements to hospitalization of patients with meningococcal infection Mandatory and immediate hospitalization is subject to patients with generalized forms. Generalized form; The increase in symptoms of intoxication and nasopharyngitis. Hospitalization of patients with meningococcal infection is carried out according to clinical and epidemiological indications. In schools, preschool institutions, sanatoriums, educational institutions of a person who has undergone a meningococcal infection, are allowed after a single negative bacteriological study, conducted 5 calendar days after discharge from the hospital or recovery from a patient with nasopharyngitis at home.

Source of resources adilet.zan.kz