Guidelines for recording and reporting infectious diseases. Completing an Emergency Notification Card Submitting an Infectious Disease Emergency Notification

Alveococcosis

Ascariasis

Acute HAV

Astrakhan spotted fever

Acute HBV

Acute HCV

Acute HEV

Bacterial carriers of dysentery

Acute paralytic poliomyelitis, including vaccine-associated

Diphtheria carriers

Bacterial carriers of 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

Mumps epidemic

Chicken pox

Pediculosis

Pneumonia community-acquired

Vibrio carriers of cholera

Pneumonia viral

Congenital cytomegalovirus infection

Pneumonia bacterial

Pneumonia call. pneumococcus

Pneumocystosis

Intrauterine infections

Vaccine Associated Poliomyelitis

Poliomyelitis acute

Hemorrhagic fever

Poliomyelitis acute wild

Generalized meningococcal infection

Poliomyelitis, acute, unspecified

Other acute SH

Hemophilus infection

Other chronic CH

Hymenolepiasis

Pseudotuberculosis

Other helminthiases

Post-vaccination complications

human granulocytic anaplasmosis

Salmonella B

GSI in newborns

Salmonella C

Salmonellosis D

Dysentery Sonne

Salmonellosis etc.

Flexner's dysentery

anthrax

Clinical dysentery

Scarlet fever

dirofilariasis

Streptococcal septicemia

Diphyllobothriasis

Streptococcal infection (new)

Other helminthiases

Other protozoal diseases

Tetanus

Diphtheria

Typhus

congenital rubella syndrome

Infectious mononucleosis

TVS respiratory organs. extrapulmonary

Tick-borne Siberian typhus

TVS bacillary forms

Tick-borne encephalitis

Teniarinhoz

Clonohorse

Toxoplasmosis

Pertussis caused by Bordetella parapertussis

Toxocariasis

Trichocephalosis

Trichinosis

Rubella

Trichophytosis

Cryptosporidiosis

Tuberculosis active

Crimean hemorrhagic fever

Tularemia

legionellosis

Biting, licking, 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

Enteroviral infection

Enteroviral meningitis

Hepatitis B carriers

Echinococcosis

Hepatitis C carriers

epidemic typhus

HIV carriers

AII caused by Norwalk viruses

Deaths from infectious diseases

AII caused by Yersinia

AII caused by Escherichia

AII caused by EPKD

OKI by campylobacter

OKI rotavirus

OKI installed viral

OKI established bacterial

AII of established etiology

AII of unknown etiology

In newborns:

For puerperas:

Viral hepatitis B, C, other infectious diseases

Peritonitis

postpartum sepsis

pneumonia

Other infections during childbirth

Meningitis

Panaritium, paronychius

pyoderma, impetigo

Surgical obstetric 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 urinary tract infections after childbirth

Intra-amniotic infection of the fetus, not elsewhere classified

Hyperthermia of unknown origin after childbirth

neonatal urinary tract infection

Other specified postpartum infections

Neonatal skin infection

Other specified infection specific to the perinatal period

Divergence of seams after caesarean section

Infection specific to the perinatal period, unspecified

Divergence of the sutures of the perineum

Intrauterine infections

Nipple infections associated with childbearing

Breast abscess associated with childbearing

An emergency notification is drawn up by doctors and paramedical personnel of the HZ in the event that a patient has pediculosis, an infectious disease (suspicion of it), food, acute occupational poisoning, an incorrect reaction to vaccination, regardless of the conditions for detection: when applying for treatment, preventive examination, examination in inpatient section, etc.

Serves for information by the Center for Hygiene and Epidemiology (TsGiE) at the place of detection of the disease in order to take the necessary anti-epidemic measures.

Fill algorithm

1. Clearly and accurately fill out the passport part of the notice.

2. Rewrite the diagnosis without changes and distortions from the primary document, i.e. medical card.

3. An emergency notification must be delivered to the Center for Health and Establishment in the given territory within 12 hours from the moment the diagnosis was established. Upon receipt of an emergency notification, the CG&E organizes disinfection at the place of residence and work of the sick person.

Notification of the detection of an infectious disease (f. N 058 / y)

1. Diagnosis __________________________________________________________________

laboratory confirmed: yes, no (underline)

2. Surname, First name, Patronymic _______________________________________________

3. Gender ____________________________

4. Age (for children under 14 - date of birth) ___________________________________

5. Address, settlement _______________________________ district _____________

Street _____________________________ building No. _________ apt. No. ____

individual communal, hostel - enter

6. Name and address of the place of work (study, children's institution) _________________

____________________________________________________________________________

diseases ________________________________________________________________________

initial treatment (detection) __________________________________________

establishing a diagnosis ___________________________________________________________

subsequent visit to a children's institution, school ____________________________

hospitalization ____________________________________________________________

8. Place of hospitalization ____________________________________________________________

9. If poisoning - indicate where it happened, what poisoned the victim _______

_____________________________________________________________________________

10. Conducted primary anti-epidemic measures and

additional information _____________________________________________________________________

11. Date and hour of the primary signaling (by phone, etc.) in the SES ____________________

__________________________________________________________________________

Surname of the person reporting ____________________________________________________

Who received the message ____________________________________________________

12. Date and hour of sending the notice __________________________________________

Signature of the sender of the notice __________________________________________

Registration number __________________________ in the journal f. No. _____ sanitary epidemiological station.

Signature of the person receiving the notice ______________________________________________

DISINFECTION OF MEDICAL PRODUCTS.

All products that do not have contact with the wound surface, blood or injectables should be disinfected.

Products used during purulent operations or surgical manipulations in an infectious patient are subjected to disinfection before pre-sterilization cleaning and sterilization.

In addition, medical devices are subject to disinfection after operations, injections, etc. persons who have had hepatitis B or hepatitis with an unspecified diagnosis (viral hepatitis), as well as those who are carriers of the HB antigen.

Disinfection should be carried out by one of the methods indicated in Table. 9.

Table 1. Pre-sterilization cleaning

* The temperature of the solution during the washing process is not maintained

Notes.

1. If an instrument contaminated with blood can be washed under running water immediately after use in an operation or manipulation, do not immerse it in a corrosion inhibitor solution (sodium benzoate).

2. If necessary (duration of operation), the instrument can be left immersed in a corrosion inhibitor solution (sodium benzoate) for up to 7 hours.

3. The washing solution may be used before contamination (until a pink color appears, which indicates that the solution is contaminated with blood, which reduces the cleaning efficiency). Detergent solution of hydrogen peroxide with synthetic detergents can be used within 24 hours from the date of manufacture, if the color of the solution has not changed. The unchanged solution can be heated up to 6 times; during the heating process, the concentration of hydrogen peroxide does not change significantly.

4. The mode of drying of endoscopes and products made of natural latex, as well as the requirements for immersion of endoscopes in solutions, should be set out in the instructions for use of these products.

Purpose: to inform the SES center at the patient's place of residence about the case

Indications: as directed by a physician.

Contraindications: no.

Equipment:

1. emergency notice (account file No. 058/u);

2. medical record of an outpatient or inpatient.
The sequence of actions with ensuring the safety of the environment
environments:

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

2. rewrite the diagnosis without changes and distortions from the medical record;

3. An emergency notice must be delivered to the SES within 12 hours.

Manipulation #67

Conducting sanitization of patients.

Purpose: prevention of nosocomial infections. Indications: observance of personal hygiene. Contraindications: serious condition of the patient. Sanitization can be:

1. Complete - pest control, disinfection, hygienic bath or shower.

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

The type of sanitization is determined by the duty doctor of the admission department. Equipment:

1. bath, washed with detergents, disinfected
double wiping with a rag with an interval of 15 minutes, then washed
water;

2. a set for the treatment of patients with pediculosis;

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

4. water thermometer;

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

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 to take a comfortable position;

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

5. help get out of the bath; mark the type and date in the medical record
processing.

Note:

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

Hygienic bath time - 20 minutes;

In the presence of pediculosis, before taking a bath, the patient should
pest control;

Full sanitization is carried out 1 time in 7 - 10 days from
subsequent change of linen and a mark in the "medical record".

Manipulation #68

Patient transportation.

Purpose: safe patient transport.

Indications: serious condition of the patient.

Contraindications: no.

Equipment: - stretcher; bedding set;

Wheelchair; wheel chair;

Disinfectant solution, rags, container; gloves.

Possible problems of the patient: - negative attitude;

Psycho-emotional discomfort.

The sequence of actions to ensure the safety of the environment:

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

2. unfold the stretcher, fix the solutions; spread a sheet;

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

4. porters are out of step;

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

6. when transporting down the stairs, carry the stretcher with the foot end forward, raising 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, transport on a wheelchair;

The patient is transported head first on a gurney;

With any method of transportation, the accompanying patient is obliged to transfer the patient and his medical history to the medical worker;

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

To prevent the spread of dangerous infections, the Order of the Ministry of Health of the USSR dated 10/04/1980 No. 1030 approved the "Emergency notification of an infectious disease, food, acute occupational poisoning, an unusual reaction to vaccination." This is an operational accounting document. Legislatively established form No. 058 / y is filled out on one sheet from both sides. A sample emergency notice 058/y is as follows:

Front side

Back side

Answering the question in which cases an emergency notification of an infectious patient is filled out, we note that the document is drawn up by a medical worker of an enterprise who has identified:

• infection;
• food poisoning;
• acute occupational poisoning;
• suspicion of the above diagnoses.

And also with animal bites and if the previously diagnosed diagnosis has changed.

Filling order

It is necessary to fill out an emergency notification of an infectious disease in form 058 / y in two copies and then send it to:

• to the territorial sanitary and epidemiological station of the system of the Ministry of Health at the place where the disease was detected;
• to the departmental sanitary and epidemiological institution.

The document is filled in the following columns:

• diagnosis;
• patient data: full name, age, home address, place of work;
• information about the anti-epidemic measures taken with the sick person and contact persons;
• date and place of hospitalization;
• date, time of primary signaling to the Center for State Sanitary and Epidemiological Surveillance (TSGSEN);
• a list of citizens who have been in contact with the sick person, their home addresses and telephone numbers;
• FULL NAME. and the signature of the nurse.

Document submission deadline

To prevent the spread of a dangerous infection among the population, it is necessary to act quickly and efficiently. It is necessary to report the detection of the disease to the appropriate authorities as soon as possible. At the place of detection of the disease or bite, an emergency notification is submitted to the Central State Sanitary and Epidemiological Service no later than 12 hours from the moment of detection. The doctor of the enterprise immediately sends it to the Central State Sanitary and Epidemiological Service.

Often there are cases when, after some time, the diagnosis previously made by the doctor changes or is clarified. This is due to the fact that many diseases have similar symptoms. In case of a change in the diagnosis, the health worker is obliged to submit a new emergency report for the sick employee of the enterprise to the SES at the place where the disease was detected within 12 hours. Clause 1 of the notice should indicate:

• modified or revised diagnosis;
• date of diagnosis;
• initial diagnosis.

Registration, accounting and reporting on infectious diseases are regulated by the Order of the USSR Ministry of Health dated December 29, 1978 No. 1282. It is this document that contains a list of infectious disorders that are subject to registration in healthcare institutions, regardless of the place of infection of the patient. This list consists of more than 40 items, including:

• plague, cholera, smallpox and fever, leprosy (quarantine);
• skin and venereal diseases (syphilis, gonorrhea, favus);
• tuberculosis;
• salmonella (for example, typhoid fever);
• various foodborne infections caused by bacterial pathogens;
• whooping cough, measles, rubella, diphtheria, chickenpox;
• rabies, foot and mouth disease;
• tropical diseases;
• animal bites and wounds from them;
• atypical reactions to vaccinations, etc.

If they are found or suspected, it is necessary to immediately notify the Sanepidnadzor service. To do this, a doctor or nursing staff fills out an emergency notification of an infectious disease in the form 058y. Also, this document must be drawn up by a medical worker of the enterprise, who, during a medical examination or examination of an employee, revealed in him:

• infection with an infection;
• food poisoning;
• acute occupational poisoning;
• suspicion of these diagnoses.

The Ministry of Health also specifies that emergency notifications of dangerous diseases are filled out by doctors who have identified or suspected a source of infection in:

• polyclinics (at a doctor's appointment or when calling at home);
• hospitals;
• maternity hospitals;
• kindergartens, schools and any other educational institutions;
• sanatoriums.

Sample Form 058y (Emergency Notice)

When do I need to send a notice to the SES

After filling out an emergency notification of an infectious disease, it must be sent to the territorial sanitary and epidemiological station within 12 hours, while the place of registration of the outbreak is important, and not the place of residence of the patient.

The resulting data is used by health oversight bodies to:

• preventing the spread of infection and isolating patients;
• control over the development of the disease and the organization of vaccinations;
• improving existing prevention programs;
• statistical accounting.

How to fill out an Infectious Disease Notice

A unified form can be found in Appendix No. 1 to the Order, according to which the following must be indicated in the form:

• diagnosis;
• Full name, passport data of the patient, his age, address and place of work;
• information on anti-epidemic measures taken with the patient and contact persons;
• date and place of hospitalization;
• date and time of the initial notification of the Center for State Sanitary and Epidemiological Surveillance (TSGSEN);
• a list of people in contact with the patient, their contacts;
• FULL NAME. and the signature of the healthcare professional who issued the notice.

Then the message is urgently sent to the Central State Sanitary and Epidemiological Service - no later than 12 hours from the moment an infectious disease is detected or suspected. At the same time, it is worth duplicating all the information by phone in order to speed up the process as much as possible. After the work done, it is necessary to register a notification in the journal of infectious patients of registration form No. 60.

Since many diseases have similar symptoms, it is not uncommon for the initial diagnosis to be incorrect. If such an error is found, the doctor must send a second notification with a changed diagnosis, indicating in the first paragraph:

• changed diagnosis;
• the date of its establishment;
• initial diagnosis.

The same rule applies to cases where the diagnosis is specified. For example, if as a result of the analyzes received, new details of the disease and the causes of its occurrence were discovered.