Rules for filling out an emergency notification about an infectious disease. Filling out an emergency notification about an infectious patient

Alveococcosis

Ascariasis

Acute HAV

Astrakhan spotted fever

Acute HBV

Acute HCV

Acute HEV

Bacteria carriers of dysentery

Acute paralytic poliomyelitis, including vaccine-associated

Diphtheria bacteria carriers

Bacteria carriers typhoid fever, paratyphoid

Acute flaccid paralysis

Opisthorchiasis

Brill's disease

Omsk hemorrhagic fever

Lyme disease

Rabies

Brucellosis

Paratyphoid A, B, C and unspecified

Typhoid fever

Epidemic mumps

Chicken pox

Pediculosis

Community-acquired pneumonia

Vibrio carriers of cholera

Viral pneumonia

Congenital cytomegalovirus infection

Pneumonia bacterial

Pneumonia call. pneumococcus

Pneumocystis

Intrauterine infections

Vaccine-associated polio

Poliomyelitis acute

Hemorrhagic fever

Acute wild polio

Generalized meningococcal infection

Poliomyelitis acute, unspecified

Other acute VH

Haemophilus influenzae infection

Other chronic CH

Hymenolepiasis

Pseudotuberculosis

Other helminth infections

Post-vaccination complications

Human granulocytic anaplasmosis

Salmonella B

GSI in newborns

Salmonella C

Salmonella D

Sonne dysentery

Salmonellosis etc.

Flexner's dysentery

anthrax

Clinical dysentery

Scarlet fever

Dirofilariasis

Streptococcal septicemia

Diphyllobothriasis

Streptococcal infection (newly identified)

Other helminthiases

Other protozoal diseases

Tetanus

Diphtheria

Typhus

Congenital rubella syndrome

Infectious mononucleosis

Respiratory fuel assemblies. extrapulmonary

Tick-borne Siberian typhus

TVS bacillary forms

Tick-borne encephalitis

Teniarinhoz

Klonohorse

Toxoplasmosis

Whooping cough caused by Bordetella parapertussis

Toxocariasis

Trichocephalosis

Trichinosis

Rubella

Trichophytosis

Cryptosporidiosis

Active tuberculosis

Crimean hemorrhagic fever

Tularemia

Legionellosis

Bites, drooling, scratching by animals, incl. wild

Leptospirosis

Listeriosis

Tick ​​bites

West Nile fever

Dengue fever

Q fever

Chronic HBV

Giardiasis

Chronic HCV

Cytomegolovirus infection

Malaria Pl.falciparum

Meningococcal infection

Generalized form of meningococcal infection

Microsporia

Enterobiasis

Human monocytic ehrlichiosis

Enterovirus infection

Enteroviral meningitis

Hepatitis B carriers

Echinococcosis

Hepatitis C carriers

Epidemic typhus

HIV carriers

Acute infections caused by Norwalk viruses

Deaths from infectious diseases

OKI caused by Yersinia

OCI caused by Escherichia

DCI caused by EPEC

OCI by campylobacter

OCI rotavirus

OKI installed virus

OKI established bacterial

DCI of established etiology

OKI of unknown etiology

In newborns:

For postpartum women:

Viral hepatitis B, C, other infectious diseases

Peritonitis

Postpartum sepsis

Pneumonia

Other infections during childbirth

Meningitis

Panaritium, paronychia

Pyoderma, impetigo

Obstetric surgical wound infection

Omphalitis, phlebitis of the umbilical vein

Osteomyelitis

Other genital tract infections after childbirth

Sepsis of the newborn

Neonatal infectious mastitis

Urinary tract infection after childbirth

Conjunctivitis and dacryocystitis in a newborn

Other infections genitourinary tract after childbirth

Intra-amniotic infection of the fetus, not elsewhere classified

Hyperthermia unknown origin occurring after childbirth

Neonatal urinary tract infection

Other specified postpartum infections

Neonatal infection skin

Other specified infection specific to the perinatal period

Suture dehiscence after caesarean section

Infection specific to the perinatal period, unspecified

Crotch seam dehiscence

Intrauterine infections

Nipple infections associated with childbirth

Breast abscess associated with childbirth

Project dossier

Explanatory note

In accordance with subparagraph 11 of part 2 of article 14, parts 2-3 of article 97 Federal Law dated November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in Russian Federation"(Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165; 2014, N 30, Art. 4257; N 49, Art. 6927; 2015, N 10, Art. 1425; N 29, Art. 4397; 2016, N 1, Art. 9; N 15, Art. 2055; N 18, Art. 2488; N 27, Art. 4219; 2017, N 15, Art. 2136) and subparagraphs 5.2. 197 and 5.2.199 of the Regulations on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3526; 2013, N 16, Art. 1970; N 20, Art. 2477; N 22, Art. 2812; N 33, Art. 4386; N 45, Art. 5822; 2014, N 12, Art. 1296; N 26, Art. 3577; N 30, Art. 4307; N 37, Art. 4969; 2015, N 2, Art. 491; N 12, Art. 1763; N 23, Art. 3333; 2016, N 2, Art. 325; N 9, Art. 1268; N 27, Art. 4497; N 28, Art. 4741; N 34, Art. 5255; N 49, Art. 6922; 2017, N 15, Art. 2136), I order:

1. Approve:

2. Recommend to heads of authorities executive power subjects of the Russian Federation in the field of healthcare, the Federal Medical and Biological Agency, federal state budgetary and government institutions subordinate to the Ministry of Health of the Russian Federation, ensure:

3. Recognize as invalid the order of the USSR Ministry of Health dated October 4, 1980 N 1030 “On approval of forms of primary medical documentation health care institutions" regarding the approval of forms of primary medical documentation of health care institutions N 058у "Emergency notification of an infectious disease, food, acute occupational poisoning, unusual reaction to vaccination", N 060у "Register of infectious diseases".

4. Control over the implementation of this order is entrusted to the Deputy Minister of Health of the Russian Federation S.A. Regional

Appendix No. 1

1. Date of filling out the notice: __.__.____. Time __.__.

2. Notification: primary - 1, repeated - 2.

3. Last name, first name, patronymic _____________________________________________

____________

4. Gender: male - 1, female - 2.

5. Date of birth: __.__.____.

6. Address of actual residence: subject of the Russian Federation__________

district ______________ city ____________ settlement _________________

street ______________ house ________ apartment _______ tel. ___________________

7. Location: urban - 1, rural - 2.

8. Place of work (study, child care facility)______________________________,

8.1. Date of last visit __.__.____.

9. Clinical diagnosis:

Main disease________________________________________________ICD-10 code_______.

External cause________________________________ ICD-10 code ________.

10. The diagnosis was confirmed by laboratory tests: yes - 1, no - 2.

10.1. Laboratory test result ________________________________

11. Dates: diseases __.__.____.,

initial treatment (detection) __.__.____,

establishing a diagnosis __.__.____,

hospitalization __.__.____.

12. Place of hospitalization_______________________________________________,

12.1. Left at home (reason)_________________________________________.

13. Outcome of the disease: recovery - 1, improvement - 2, death - 3.

14. Anti-epidemic (preventive) measures taken

_________________________________________________________

__________________________________________________________

__________________________________________________________

____________________________________

15. Reported:

15.1 to the executive authority of the constituent entity of the Russian Federation in the field of healthcare: __.__.____. Time __.__.

15.2. to management Federal service for supervision in the field of consumer rights protection and human well-being in the constituent entity of the Russian Federation:

Time __.__.

16. Full name of the person who filled out the notice_________________________________.

Appendix No. 2
to the order of the Ministry of Health of the Russian Federation
dated "___" _____________ 2017 No. ____

3. In paragraph 1 indicate the date and time of filling out the Notice.

4. If the diagnosis or suspicion of it is established for the first time, in paragraph 2 the mark “primary” is made; when the final diagnosis is established, a new Notice is filled out, which is marked as “repeated”.

5. In paragraphs 3-7 indicate the last name, first name, patronymic, gender, date of birth, address of actual residence of the patient (s), locality.

6. In paragraph 8 indicate the place of work, study, child care institution, and the date of their last visit.

7. Clinical diagnosis - preliminary or final underlying disease (or suspicion of it) is indicated in paragraph 9 with a code according to ICD-10. In the presence of occupational poisoning, an adverse reaction associated with immunization, or exposure to living mechanical forces, in addition to recording the wording and code of the underlying disease or injury, it is necessary to indicate the wording external cause and its code according to ICD-10.

8. In paragraph 10, indicate the presence or absence of laboratory confirmation of the diagnosis; laboratory test result.

9. In paragraphs 11-12 indicate the dates of the disease, initial treatment (detection), diagnosis, hospitalization, place of hospitalization, or in case of leaving home, the reason is indicated.

10. Paragraph 13 indicates the outcome of the disease, occupational poisoning, adverse reaction associated with immunization, or exposure to living mechanical forces at the end of the episode of medical care.

11. Paragraph 14 includes information about the anti-epidemic (preventive) measures taken.

12. Clause 15 includes information (date and time) about the communication of information on the Notice to:

executive authority of a constituent entity of the Russian Federation in the field of healthcare within 1 hour by phone, within 10 hours - by system Email maintaining the confidentiality of transmitted information;

Department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare in a constituent entity of the Russian Federation within 2 hours by telephone, within 12 hours - in writing and/or by e-mail, maintaining the confidentiality of the transmitted information.

Phone numbers and email addresses are communicated to performers in the prescribed manner.

13. In paragraph 16 indicate the full name of the person who filled out the Notice.

Appendix No. 3
to the order of the Ministry of Health of the Russian Federation
dated "___" _____________ 2017 No. ____

Started “____” ____________ 20 Finished “______” ____________ 20

f. No. 058-1/у

etc. to the end of the page

spread f. No. 058-1/у

etc. to the end of the page

3. Column 2 indicates the date of completion of the Notice.

4. In columns 3-6, note the patient’s passport data and actual residence address.

5. Column 7 indicates the place of work (study, child care facility).

6. In column 8, make a note “initial” or “repeated” Notification.

7. In columns 9 and 10 indicate the diagnosis of the preliminary or underlying disease and its ICD-10 code. If the diagnosis code in column 10 is from classes I - XVIII, then dashes are placed in columns 11 and 12. If the diagnosis code is in column 10 from class XIX, then columns 11 and 12 should indicate the formulation of the external cause and its code from class XX of ICD-10.

8. In column 13, indicate the presence or absence of laboratory confirmation, the result of the laboratory examination.

9. Columns 14-17 indicate the dates of illness, initial treatment (detection), diagnosis, hospitalization.

10. In column 18, a note is made about the patient’s hospitalization (place of hospitalization). If the patient is left at home, the reason is indicated.

11. The column indicates the final diagnosis, the date of its establishment, the outcome of the disease (recovery, improvement, death).

12. Columns 20-23 indicate the date and time of the message to the executive authority of the constituent entity of the Russian Federation in the field of healthcare and the department of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare for the constituent entity of the Russian Federation.

13. In column 24 indicate the surname and initials of the responsible person who filled out the Notice.

14. Column 25 for notes.

Document overview

It is planned to improve the system for recording primary medical records.

The order in which they are completed is determined.

An emergency notification is sent to the regional executive authority in the field of healthcare and the Rospotrebnadzor Office for the subject of the Federation.

The spread of acute infectious diseases poses a significant threat to the population. In order for preventive measures to be taken in a timely manner, it is necessary to as soon as possible notify sanitary and epidemiological control authorities. The notification procedure involves filling out an emergency notification about an infectious disease. The article describes who, in what form and within what time frame should draw up this document.

What is provided and in what cases is it filled out?

The procedure for maintaining documentation for registration, recording and reporting of infectious diseases is determined by Order of the USSR Ministry of Health dated December 29, 1978 N 1282 and is still in force to this day. The normative act contains a list of 37 diseases that are subject to mandatory registration. Their detection (or suspicion of them) is subject to urgent reporting to the sanitary and epidemiological inspection services. In this case, the doctor or paramedic medical personnel an emergency notification of an infectious disease is completed. The exception is acute infections upper respiratory tract and flu.

The need to fill out the document applies to all cases of food and acute occupational poisoning.

Notification form

“Emergency notification of an infectious disease, food, acute, occupational poisoning, unusual reaction to vaccination” is filled out according to form No. 058/u, approved by Order of the USSR Ministry of Health dated October 4, 1980 N 1030.

It should reflect the following information about the patient:

1. Diagnosis and note of laboratory confirmation (required in the case of bacillary dysentery, parapertussis, intestinal co-infection).
2. Age.
3. Residence address.
4. Address of place of work/study/children's institution.
5. Dates of illness, initial visit, diagnosis, subsequent visit to a children's hospitalization facility.
6. Place of hospitalization.
7. Information about poisoning.
8. Primary anti-epidemic measures.
9. Date and time of the primary alarm at the SES.
10. Date and time the notice was sent.

When filling out the form, please pay attention Special attention description of the anti-epidemic measures taken.

Procedure for filling out and sending

The notification is issued by a medical worker of any department, regardless of the situation in which the disease was detected. Form No. 058/u is also available to medical workers in children's institutions: nurseries, kindergartens, schools, boarding schools, children's homes, orphanages. The completed notification is subject to registration in a special journal (accounting form No. 60/у). The established period for sending the document to the territorial center for sanitary and epidemiological control does not exceed 12 hours. Sending a notice does not replace the need to immediately transmit information about the patient by telephone. If the diagnosis changes, an emergency notification to the SES is sent again. In this case, paragraph 1 indicates the changed diagnosis, the date of its statement and the original diagnosis.

Goal: inform the SES center at the patient’s place of residence about the case

Indications: as directed by a doctor.

Contraindications: none.

Equipment:

1. emergency notice (UF No. 058/u);

2. medical record of an outpatient or inpatient patient.
Sequence of actions to ensure environmental safety
Wednesday:

1. clearly and accurately fill out the passport part of the notice;

2. copy the diagnosis from the medical record without changes or distortions;

3. An emergency notification must be delivered to the SEN within 12 hours.

Manipulation No. 67

Carrying out sanitary treatment of patients.

Goal: prevention nosocomial infections. Indications: personal hygiene. Contraindications: patient's serious condition. Sanitation can be:

1. Complete - disinsection, disinfection, hygienic bath or shower.

2. Partial - only one of the components of complete sanitization in
depending on the severity of the disease and contamination of the skin -
or washing, or wiping individual parts of the body.

The type of sanitization is determined by the doctor on duty at the reception department. Equipment:

1. bath, washed detergents, disinfected
by wiping twice with a rag at intervals of 15 minutes, then rinsing
water;

2. kit for treating patients with head lice;

3. individual washing kit for each patient (towel,
washcloths, soap);

4. water thermometer;

5. a set of underwear and clothing.
Possible problems patient:

Negative attitude towards intervention;

Unreasonable refusal;

Mental excitement.

1. inform the patient about the upcoming manipulation and its progress
execution; obtain consent to conduct;

2. fill the bath with water T = 37 -40 C;

3. wash your hands; help the patient find a comfortable position;

4. monitor the patient’s condition in the bath;

5. help get out of the bath; note in medical card type and date
processing.

Note:

Treat the bathtub in accordance with sanitary requirements
anti-epidemic regime;

Hygienic bath time - 20 minutes;

If lice is present, before giving the patient a bath,
disinfestation;

Complete sanitization is carried out once every 7 - 10 days from
subsequent change of linen and a note in the “medical record”.

Manipulation No. 68

Transporting the patient.

Goal: safe transport of the patient.

Indications: patient's serious condition.

Contraindications: none.

Equipment: - stretchers; bedding set;

Wheelchair; wheel chair;

Disinfectant solution, rags, container; gloves.

Possible patient problems: - negative attitude;

Psycho-emotional discomfort.

Security Sequence environment:

1. inform the patient about his movement, obtain consent;

2. lay out the stretcher, fix the solutions; spread the sheet;

3. lay the patient down; cover with a sheet, depending on the ambient temperature, and a blanket;

4. the porters are out of step;

5. when transporting up the stairs, carry the stretcher with the head end first, lifting the foot end of the stretcher;

6. When transporting down stairs, carry the stretcher with the foot end forward, lifting the foot end and slightly lowering the head end.

Note:

The question of the method of transportation is decided by the doctor;

If it is difficult for the patient to lie down and be transported in a wheelchair;

The patient is transported head first on a gurney;

For any method of transportation, the person accompanying the patient is required to hand over the patient and his medical history. medical worker;

After transporting each patient, the wheelchair and gurney are disinfected by wiping twice with an interval of 15 minutes using means regulated by SNiP.

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