Устройство и режим работы инфекционного стационара

Автор работы: Пользователь скрыл имя, 06 Декабря 2010 в 18:43, Не определен

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|                                                   | не допускаются. При обнаружении             |                                                                                                         | менингококковой инфекции.                                                                                                                                                           |

|                                                   | носителя менингококков среди  больных     |                                                                                                         | В иммунизированных коллективах карантин не устанавливается, бактериологическое обследование, гамма-                                |

|                                                   | соматических стационаров его  следует      |                                                                                                         | глобулинопрофилактика у контактных детей старше 1 года не проводятся                                                                                    |

|                                                   | изолировать в бокс или полубокс; вопрос   |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | о санации решается в зависимости  от        |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | основного заболевания, при отсутствии     |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | возможности изоляции обязательно           |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | проводится курс санации.                          |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | Больные острым назофарингитом без        |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | бактериологического подтверждения          |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | диагноза, выявленные в очаге                    |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | менингококковой инфекции, изолируются   |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | на время лечения из детских  дошкольных  |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | коллективов до исчезновения                     |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | катаральных явлений. Обнаруженные в      |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | очагах носители менингококка                    |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | санируются на дому или в специально       |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | развернутых для этих целей  отделениях    |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | ампициллином или левомицетином. Для     |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | санации носителей в закрытых                   |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | коллективах взрослых рекомендуется        |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | рифампицин. Через 3 дня после                 |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | окончания курса санации носители             |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | подвергаются однократному                      |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | бактериологическому обследованию  и       |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | при отрицательном результате                   |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | допускаются в коллективы. При                 |                                                                                                         |                                                                                                                                                                                                      |

|                                                   | длительности носительства свыше  1          |                                                                                                         |                                                                                                                                                                                                      |

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