Rules of conduct for people with infectious diseases. Consider the features of human behavior in the event of some of the most dangerous infectious diseases. Fundamentals of protection and rules of behavior of the population in infectious diseases

1. Focal hyperemia of the skin (disappears with pressure or

stretching of the skin).

1.1. Roseola - with a diameter of 2 ... 5 mm, pink or red,

more often rounded.

1.2. The spot is small - with a diameter of 5 ... 10 mm.

1.3. The spot is large - with a diameter of 10 ... 20 mm.

1.4. Erythema - more than 20 mm in diameter.

2. Hemorrhages into the skin (do not disappear with pressure or

stretching of the skin).

2.1. Primary petechiae - with a diameter (up to 2 mm) against the background of normal skin

2.2. Petechiae secondary - against the background of roseola,

2.3. Purpura - sizes from 2 to 5 mm.

2.4. Ecchymosis - larger than 5 mm.

3. A rash that rises above the level of the skin.

3.1. Papule - superficial infiltrate with a diameter of up to 5 mm.

3.2. A node is an infiltrate in the deep layers of the dermis with a diameter of 1 to 5 cm.

3.3. A blister is an acute limited swelling of the skin, pale in the center, pinkish-red along the periphery.

3.4. Vesicle - a vesicle with a diameter of up to 5 mm with serous or serous

hemorrhagic fluid.

3.5. Pustule-bubble up to 5 mm with purulent fluid.

3.6. A bubble is a cavity formation with a diameter of 5 mm to 10 cm or more with serous or serous-hemorrhagic contents.

Note: Possible combinations of elements of the rash (roseolous-petechial, macular-papular, papular-vesicular, etc.).

Annex 3

Critical conditions and risk factors for their development in infectious patients

Critical states

Risk factors

Infectious-toxic

Late hospitalization

sick

Infectious-toxic

Severe course disease

encephalopathy

cerebral hypertension

Violation of the regime

Co-infection

dehydration syndrome

Associated chronic

diseases

Acute cardiac

Decreased resistance

failure

organism (lack of passa

Acute respiratory

body, hypovitaminosis,

failure

stress situations)

Acute renal

immunodeficiency

failure

states

Acute hepatic

Diseases with a risk of sudden

failure

critical

Acute adrenal

conditions (botulism,

failure

diphtheria, meningococcal

Anaphylactic shock

infection, severe

Surgical complications

flu, etc.)

Appendix 6

Additional symbols on the temperature sheet

Conventional signs

The meaning of conventional signs

Sign color

Leading clinical signs. Named inside a triangle

Liver enlargement (percussion - dotted line)

Enlargement of the spleen (percussion - dotted line)

The nature of the stool (F-liquid,

K - mushy,

0 - decorated,

figure - number per day)

Blood - red Mucus - yellow

no impurities brown

Blood culture

Stool culture

Seeding from the tonsils

Serological studies

The course of treatment (in the rectangle the name of the drug and dose)

Etiotropic - red, pathogenetic - blue

Infusion means

Appendix 4

Antibacterial agents for the treatment of certain infectious diseases

M and to Roorganisms

Diseases

Antibiotics of the 2nd line

Gr a ^ positive cocci

Streptococcus pyogenes (beta hemolytic acid group A)

Strepto k o k ovl i infs to qi: a 1 irnna, scarlati1K1, Riga. sepsis

G e H-CHILG1C1] and cillin. oxacillin

Ernthromycin,

fluorine). I! i OLONS,

Streptococcus pneumonic (pneumococcus)

lobar pneumonia, purulent meningitis

Beneilpenncilli "? Oxacillin,

Gesh-Amicia

Cs<] i алосгюри и Ы (1), фторхинолоны, эритромицин, ко - тр и м ок с.авол

Stapbylococcus atlreus (resistant to penicillin)

Angin a, se pace

Oxacillin. I threw it stuck, the day of the klox CILLN1 !,<]|уакдин, сумамед

Csfalisporn(1), fluoroquinolones

Gram-negative cocci

Neissena meningiticiii.

M en in gok he kovy infection; nasopha.rntt. purulent meningitis<>anpniilin. cephalosiorins (3),

((GGORGINOLON!

Gram put;

drinking sticks

Co ryne bacterium diphtheriae

Diphtheria

Erythromycin, bsi zn lpe 11 n 11IA.M * n, doxyiclin

Cepha los pori 11Y (1.2)

p[!|[)aMPN»IAIN

Bacillus anthracis

anthrax

Bena and lpenicillin, gentamipine, celospori!1b1 (1)

Ernthronzin.

DOXY (and n ny salmonel-\ez

Ampicillin, co-trimoxazole

Chloramphe ncol r gentamicin with amnicillin

shigellsz

Ampicin/nin, fluoroquinolones, gentamicin with ampicillin

Ko - three mox aeol, nntr K o - trim o k<: аяол -t-полимиксин. тет(»ациклин

Yeraiilia enlerocolitica

Acute enterocolitis

Chlora nfe i [N col i<«м1[ициллин

Nitrosruranes, tetracycline

ps eudolu be re u los is

Pse vdotuberkulsz

Xdo ra mfe nn count, ampicillin

Streptomycin, dock snci wedge

Streptominin. seominin. gentamiin

Rifammicin, hinnoksidnn, sulfaten, co-trimuxpzol

Continuation of Appendix 4

Micro organ and snakes

3a6oneiiaii>iH

First choice antibiotics

Antibiotics of the 2nd line

Haemopliiius infliiriezea

ARI, purulent meningitis

Amnindlin, fluoroquinolpn

Chloram phen icol co-trimoxase<1Л

LeBioiiclla pneuniophffla

Legionelled (pneumonia)

Erythromycin. ri1)>amiiiiii1[

Fluoroquinolones, co-trimoxazil

Bordclella pertussis

ampyacilain. ERITrPMICI!!

Ce([)alosporins(1). tetracycline, chlorine Mi|>e nicol

Francisella tuiarensis

Tularemia

Tetrs1tsik,<ин, рифам пицц и

Sizomycin, chlorine m fenn kil

Brucella melitensis B nice 11 a abortus Bnicelia suis, etc.

Brucellosis

Tetracycline, rifampinsh-sh

Rifampian, ko-tri mok saeol

Tetracycline.

DOC SI1^1 WEDGE

Chlorine m pheny count, to about - three moksazol. rifampinians

Pseudonionas mallei

Tetracycline. dokecycline

Rifampicin

Borrelia burgdorferi Borrelia gainii Borrelia afreiii

Lay m-borreliosis

Penicillin, tetracycline, UeijiypoKCHM axetyl(zinnate)

Erythrimic, csphalosporic (2,3) fluorohipolones

Rickstonosis: typhus, Q fever, etc.

Hetracycline, doxycycline

Chloramphe nicol, rifampicin

MycoplaBtria pieumonie

ARI, pneumonia

Getrainclin. arithromycin

Rifampicin.

FLUOROCHI NOL<1НЫ

Cillamidia psittaci

0 rnitosis, pneumonia, seooany meningitis

tetracycline,

doxycycaine

Erythromycin. fluorohy poly, rifampicin, sumamed

Continuation of Appendix 4

Note: 1. For cephalosporins, numbers in parentheses indicate their generations.

2. When severe flow infections, it is advisable to use the specified antibiotics With considering their compatibility.

Appendix 5

Undesirable effects in the interaction of antibiotics with various drugs (according to V.E. Novikov, 1994)

Antibiotics

Interacting drug

Side effect

Ami foot and coaids

Cephalosparinm. amphotericin, furosimide, carbenicillin, digoxia, muscle relaxants

Increased nephrotoxicity, Decreased effect of aminoglycosides. Strengthening the effect of muscle relaxants

BiseptoA

Antn coagulin g1

Strengthening the effect of anticoagul)

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