Постановление Правительства Республики Алтай от 09.11.2001 № 317

 |       | эффективных     |             |           |            |            | бюджет     |
 |       | средств         |             |           |            |            |            |
 |       | контроля        |             |           |            |            |            |
 |       | стерилизации,   |             |           |            |            |            |
 |       | дезинфекции     |             |           |            |            |            |
 |       | (экспресс -     |             |           |            |            |            |
 |       | контроль)       |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 3.4.  | Внедрить        | Главные     |   -       |    -       |    -       |            |
 |       | оптимальные     | врачи       |           |            |            |            |
 |       | схемы           | ЛПУ         |           |            |            |            |
 |       | химической      | ЦГСЭН       |           |            |            |            |
 |       | дезинфекции и   |             |           |            |            |            |
 |       | стерилизации    |             |           |            |            |            |
 |       | в ЛПУ           |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 3.5.  | Обеспечить      | Главные     |   -       |    -       |    -       |            |
 |       | действенный     | врачи       |           |            |            |            |
 |       | контроль за     | ЛПУ         |           |            |            |            |
 |       | режимами и      | ЦГСЭН       |           |            |            |            |
 |       | качеством       |             |           |            |            |            |
 |       | проведения      |             |           |            |            |            |
 |       | дезинфекции и   |             |           |            |            |            |
 |       | стерилизации    |             |           |            |            |            |
 |       | в ЛПУ           |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 3.7.  | Создание        | Главные     | 300       | 300        | 300        | Районный   |
 |       | типовых ЦСО на  | врачи ЛПУ   | тыс. руб. | тыс. руб.  | тыс. руб.  | бюджет     |
 |       | базе районных   |             |           |            |            |            |
 |       | ЛПУ РА          |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 3.8.  | Обеспечить      | Главные     | 210       | 210        | 210        | Бюджет     |
 |       | сухожаровыми    | врачи ЛПУ   | тыс. руб. | тыс. руб.  | тыс. руб.  | здравоо-   |
 |       | шкафами         |             |           |            |            | хранения,  |
 |       | ФАП-175,        |             |           |            |            | районный   |
 |       | СВА-28, уч.     |             |           |            |            | бюджет     |
 |       | больниц - 16    |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 3.9.  | Приобретение    | Главные     | 150       | 150        | 200        | Районный,  |
 |       | дез. камер      | врачи ЛПУ   | тыс. руб. | тыс. руб.  | тыс. руб.  | городской  |
 |       | стационарных    |             |           |            |            | бюджет     |
 |       | (10 шт.)        |             |           |            |            |            |
 |       | Итого по        |             | 1917,8    | 1917,8     | 1967,8     |            |
 |       | разделу 3       |             | тыс.      | тыс.       | тыс.       |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | 4. Разработка стратегии и тактики применения антибиотиков                        |
 |       | и химиопрепаратов                                                                |
 +-------+-----------------T-------------T-----------T------------T------------T------------+
 | 4.1.  | Внедрение       | Главные     | 80 тыс.   | 80 тыс.    | 80 тыс.    | Республи-  |
 |       | методов и       | врачи ЛПУ   | руб.      | руб.       | руб.       | канский,   |
 |       | принципов       |             |           |            |            | районный,  |
 |       | оптимального    |             |           |            |            | городской  |
 |       | выбора          |             |           |            |            | бюджет     |
 |       | антимикробных   |             |           |            |            |            |
 |       | препаратов для  |             |           |            |            |            |
 |       | лечения и       |             |           |            |            |            |
 |       | профилактики    |             |           |            |            |            |
 |       | ВБИ             |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 4.3.  | Анализ          | Главные     |           |            |            |            |
 |       | факторов,       | врачи ЛПУ   |           |            |            |            |
 |       | влияющих на     |             |           |            |            |            |
 |       | успешную        |             |           |            |            |            |
 |       | антибиотико-    |             |           |            |            |            |
 |       | терапию и       |             |           |            |            |            |
 |       | антибиотико-    |             |           |            |            |            |
 |       | профилактику и  |             |           |            |            |            |
 |       | внедрение       |             |           |            |            |            |
 |       | наиболее        |             |           |            |            |            |
 |       | эффективных     |             |           |            |            |            |
 |       | препаратов      |             |           |            |            |            |
 |       | схем лечения    |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | Итого по        |             |           |            |            |            |
 |       | разделу 4       |             | 80 тыс.   | 80 тыс.    | 80 тыс.    |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | 5. Оптимизация мер борьбы и профилактики ВБИ с различными                        |
 |       | путями передачи                                                                  |
 +-------+-----------------T-------------T-----------T------------T------------T------------+
 | 5.1.  | Обеспечить      | РЦПБС       | 20 тыс.   | 20 тыс.    | 20 тыс.    | Республи-  |
 |       | централизован-  |             | руб.      | руб.       | руб.       | канский    |
 |       | ный закуп       |             |           |            |            | бюджет     |
 |       | иммунобиоло-    |             |           |            |            |            |
 |       | гических        |             |           |            |            |            |
 |       | препаратов      |             |           |            |            |            |
 |       | (фаги,          |             |           |            |            |            |
 |       | сыворотки,      |             |           |            |            |            |
 |       | глобулины и     |             |           |            |            |            |
 |       | т.д.)           |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 5.2.  | Обеспечить      | Главные     |           |            |            |            |
 |       | санэпидрежим    | врачи       |           |            |            |            |
 |       | в ЛПУ согласно  | ЛПУ         |           |            |            |            |
 |       | действующим     |             |           |            |            |            |
 |       | санитарным нор- |             |           |            |            |            |
 |       | мам и правилам  |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 5.3.  | Обеспечить      | ЦГСЭН       | 14,2 тыс. | 14,2 тыс.  | 14,2 тыс.  | Районный   |
 |       | бактериологи-   | по          | руб.      | руб.       | руб.       | бюджет     |
 |       | ческое          | договорам   |           |            |            |            |
 |       | обследование,   | ЛПУ         |           |            |            |            |
 |       | диспансеризацию |             |           |            |            |            |
 |       | пациентов и     |             |           |            |            |            |
 |       | персонала       |             |           |            |            |            |
 |       | согласно        |             |           |            |            |            |
 |       | приказам        |             |           |            |            |            |
 |       | Министерства    |             |           |            |            |            |
 |       | здравоохранения |             |           |            |            |            |
 |       | РФ с целью      |             |           |            |            |            |
 |       | профилактики    |             |           |            |            |            |
 |       | острых кишечных |             |           |            |            |            |
 |       | и воздушно -    |             |           |            |            |            |
 |       | капельных       |             |           |            |            |            |
 |       | инфекций        |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 5.4.  | Обеспечить      | Гл. врачи   |           |            |            |            |
 |       | экстренную      | ЛПУ         |           |            |            |            |
 |       | лекарственную   |             |           |            |            |            |
 |       | профилактику    |             |           |            |            |            |
 |       | острых          |             |           |            |            |            |
 |       | кишечных,       |             |           |            |            |            |
 |       | воздушно -      |             |           |            |            |            |
 |       | капельных и     |             |           |            |            |            |
 |       | п\рентеральных  |             |           |            |            |            |
 |       | инфекций        |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 5.5.  | - Обеспечение   | Главные     |           |            |            |            |
 |       | эффективных     | врачи       |           |            |            |            |
 |       | методов         | ЛПУ         |           |            |            |            |
 |       | дезинфекции и   |             |           |            |            |            |
 |       | стерилизации    |             |           |            |            |            |
 |       | инструментов;   |             |           |            |            |            |
 |       | - контроль      |             |           |            |            |            |
 |       | качества        |             |           |            |            |            |
 |       | дезинфекции,    |             |           |            |            |            |
 |       | стерилизации    |             |           |            |            |            |
 |       | в ЛПУ.          |             |           |            |            |            |
 |       | Комплекс        |             |           |            |            |            |
 |       | противоэпиде-   |             |           |            |            |            |
 |       | мических        |             |           |            |            |            |
 |       | мероприятий при |             |           |            |            |            |
 |       | возникновении   |             |           |            |            |            |
 |       | ВБИ в полном    |             |           |            |            |            |
 |       | объеме:         |             |           |            |            |            |
 |       | - сокращение    |             |           |            |            |            |
 |       | числа           |             |           |            |            |            |
 |       | недостаточно    |             |           |            |            |            |
 |       | информативных   |             |           |            |            |            |
 |       | диагностических |             |           |            |            |            |
 |       | и лечебных      |             |           |            |            |            |
 |       | процедур        |             |           |            |            |            |
 |       | инвазивного     |             |           |            |            |            |
 |       | характера       |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | Итого по        |             |           |            |            |            |
 |       | разделу 5       |             | 34,2 тыс. | 34,2 тыс.  | 34,2 тыс.  |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | 6. Рационализация основных принципов госпитальной гигиены                        |
 +-------+-----------------T-------------T-----------T------------T------------T------------+
 | 6.1.  | Использование   | Главные     | Согласно  | Согласно   | Согласно   | Республи-  |
 |       | современных     | врачи       | смете     | смете      | смете      | канский,   |
 |       | архитектурно -  | ЛПУ         |           |            |            | районный,  |
 |       | планировочных   |             |           |            |            | городской  |
 |       | решений при     |             |           |            |            | бюджет     |
 |       | строительстве и |             |           |            |            |            |
 |       | реконструкции   |             |           |            |            |            |
 |       | ЛПУ             |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 6.2.  | Обеспечение     | Главные     |           |            |            |            |
 |       | соответствия    | врачи       |           |            |            |            |
 |       | санитарным      | ЛПУ         |           |            |            |            |
 |       | нормам и        |             |           |            |            |            |
 |       | правилам        |             |           |            |            |            |
 |       | устройства всех |             |           |            |            |            |
 |       | структурных     |             |           |            |            |            |
 |       | подразделений   |             |           |            |            |            |
 |       | ЛПУ             |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 6.3.  | Внедрение новых | Главные     | 540 тыс.  | 65 тыс.    | 65 тыс.    | Республи-  |
 |       | технологий      | врачи       |           |            |            | канский    |
 |       | согласно        | ЛПУ,        |           |            |            | районный,  |
 |       | действующим     | ЦГСЭН       |           |            |            | городской  |
 |       | санитарным нор- |             |           |            |            | бюджет     |
 |       | мам и  правилам |             |           |            |            |            |
 |       | по сбору,       |             |           |            |            |            |
 |       | хранению        |             |           |            |            |            |
 |       | и утилизации    |             |           |            |            |            |
 |       | отходов,        |             |           |            |            |            |
 |       | больничного     |             |           |            |            |            |
 |       | бельевого       |             |           |            |            |            |
 |       | режима:         |             |           |            |            |            |
 |       | приготовление,  |             |           |            |            |            |
 |       | транспортировка |             |           |            |            |            |
 |       | и раздача пищи, |             |           |            |            |            |
 |       | микроклимат     |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 6.4.  | Внедрение       | Главные     | 50 тыс.   | 50 тыс.    | 50 тыс.    | Республи-  |
 |       | современных     | врачи       |           |            |            | канский    |
 |       | технологий      | ЛПУ         |           |            |            | районный,  |
 |       | воздухоочистки, |             |           |            |            | городской  |
 |       | кондиционирова- |             |           |            |            | бюджет     |
 |       | ния воздушной   |             |           |            |            |            |
 |       | среды палат,    |             |           |            |            |            |
 |       | операционных    |             |           |            |            |            |
 |       | блоков,         |             |           |            |            |            |
 |       | асептических    |             |           |            |            |            |
 |       | боксов          |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 6.5.  | Соблюдение      | Главные     | 20 тыс.   | 20 тыс.    | 10 тыс.    | Республи-  |
 |       | правил личной   | врачи       | руб.      | руб.       | руб.       | канский    |
 |       | гигиены и       | ЛПУ         |           |            |            | районный,  |
 |       | санитарных      |             |           |            |            | городской  |
 |       | норм ухода за   |             |           |            |            | бюджет     |
 |       | больными        |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 | 6.6.  | Санитарно -     | Главные     | 3 тыс.    | 3 тыс.     | 4 тыс.     | Бюджет     |
 |       | просветительная | врачи       |           |            |            | здраво-    |
 |       | работа среди    | ЛПУ         |           |            |            | охранения  |
 |       | персонала и     |             |           |            |            |            |
 |       | пациентов ЛПУ   |             |           |            |            |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | Итого по        |             |           |            |            |            |
 |       | разделу 6       |             | 613 тыс.  | 138 тыс.   | 129 тыс.   |            |
 +-------+-----------------+-------------+-----------+------------+------------+------------+
 |       | Итого по        |             |           |            |            |            |
 |       | разделу 1 - 6   |             | 3119,3    | 2644,1     | 2685,1     |            |
 L-------+-----------------+-------------+-----------+------------+------------+------------+

       Примечание. В таблице допускаются некоторые сокращения:
       ЛПУ - лечебно-профилактические учреждения;
       ВБИ - внутрибольничные инфекции;
       МЗ РА - Министерство здравоохранения Республики Алтай
       Рес.    ЦГСЭН    -   Республиканский   центр   государственного
 санитарного эпидемиологического надзора
       ПЦР - полимеразно - цепная реакция
       ЦСО - централизованное стерилизационное отделение
       РЦПБС - Республиканский центр по борьбе со СПИДом