Иммунопрофилактика инфекционных болезней

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3.2 CxeMa eaK~Hal.U'1111 npoTMB e1-1pycHoro renanrra B AeTe'71 co 3110Ka4e-

creeHHblMM HOBoo6pa30BaHHSIMM, AeTeH npe6blBalOU,,\HX Ha reMOA911am113e H

-

MHOrOKpaTHO no~alOll.\lllX nepen"1BaHlllSI AOHOpcKOlll KpoBlll M ee npenapaTbl.

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4. npMBMBKM, KOTOpble npOBOASITCSI Ha

3HAeMM"IHblX M 3H300TM"IHblX TeppMTOpMSIX M

npMBMBKM no 3nMAeMM"leCKMM noKa3aHMSIM

3HAeMlll"fHaH TepplllTOplllH - 3TO TeppV1TOpV15l, B npeAenax KOTOpoill B TeYeH1t11/1 AnvnenbHoro speMeH1t1 per1t1crp1t1pyt0TCH HeeA1t1HW-iHbte cnyYal/I 3a6onesaH11rn HaceneH1t1H onpeAeneHHblM 111HcpeKLJ,l/IOHHblM 3a6onesa Hl/leM .

3H300Tlll4HaSI Tepp111T0p111H - reppvnop1t1 s:i, B npeAena x KOTOpOV1 Ha npOTH>KeHV1ll1 A.nll!TenbHOIO speMeHl/1 per111ap111pyt0TCs:l HeeAll!Hl/IYHble cnyYal/I 3a6onesa H111s:i HaceneH1t15l onpeAeneHH blM 111HcpeKLJ,l/IOHHblM 3a6onesaH111eM, nepeHOCYl/IKOM KOTOporo HBnHeTCH >KVIBOTHOe

3n111AeM111"feCK111e noKa3aHll1SI - noKa3a HlllH K npoBeAeHl/llO aKTl/IBHOl/I ll1MMyHonpocp111naKTl/IKll1, KOTOpble He npeAYCM OTpeHbl saKLJ,l/IHau,111e111 no B03pacry, B cnyy ae B03Hl/I KHOBeH l/IR He6naronpl/IRTHOV! 3nl/l,LJ,eMl/IYeCKOlll Cvnyau,1111/1 1t1n111 yrp03bl ee B03Hl/IKHOBeHl/l s:I, a TaK>Ke np111 B03MO>KHOM p111cKe V1Hcp111U,V1pOBaHl/IH B cnyYae KOHTaKTa c VICTOYHl/IKOM l/IHcj:>eKLJ,1/11/1.

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nplllBMBKaM no,o..ne>KaT:

1nepCOHaJl nyHKTOB, npe,o,npV15Hl/lil1 no 3arOTOBKe WKyp npOMblWJleHHblX

>Kl/IBOTHblX l!1 111X nepBW-lHOill nepepa60TKll1:

-pa6orH1t1K1t1 osow,expaH111n111w,, 3epHoxpaH1t1n111w,, caxapHblX 3aso,o,os,

V1HcpeKU,11til1, npOTll1BOLJYMHblX yype>K,D,eHl/lill, KOTOpb!e pa6oTalOT c >Kl/IBb!Mllt KYilbTypaM111 1/1Jll!1 c 3apa>KeHHblM Marep1t1anoM 111 ,o,pyr111e;

-pa60THll1Kl/I MeJlbH111LI,, KOM6V1KOpMOBblX 3aBO,D,OB, JlbH03aBO,D,OB, npe,o,npVIHTl/ls:l no nepepa60TKe ceJlbCKOX03Slil1CTBeHHOil1 npo,o,yKU,111V1 111 >Kll1BOTHoso,o,YecKoro CblpbH, nacryx1t1, Men111oparopb1, reonor1t1, crpo111ren111, pa6ora10w,1t1e s 30He np111po,o,Horo OYara ryns:ipeM111111.

2Pa60THll1K111 >Kl/IBOTHOBO,D,YeCKll1X X03r!VJCTB, He6narononyYHblX no 6pyu,enne3y He3aBll1Cll1MO OT cpopM X03Siil1CTBOBaHl/ISl ( l/IH,D,l/IBl/l,D,yaJlbHari, o6w,ecTBeHHas:i).

-pa6oTHl/IKl/I MrlCOKOM6111HaTOB, y6oil1HblX nyHKTOB 111 ,o,p. npe,o,np111sn111il1 (se,o,OMCTB), 3aH5HblX nepepa60TKOC1 Cblpbr! I/I npOAYKTOB >Kll1BOTHOBO,D,CTBa, B KOTOpb!X Haxo,o,sno1 CeJlbCKOX03rlV1CTBeHHble >Kl/IBOTHble 111Jll!1 Cblpbe >Kll1BOTHbtX 1113 He6narononyLJHblX no 6pyu,enne3y xo3s:ii/1crs.

-serep111HapHble pa60THll1Kll1, KOTOpble pa6oTalOT c >K111BblMll1 KYilbrypaMl/I 6pyu,enn 111nvi c 3apa>KeHHblM Marep111anoM, a raK>Ke 06cny>1<111sa10w,111e xo3r1i/lasa He6narononyLJHble no 6pyu.e11ne3y 111 ,o,p.

3Me,o,1t1u,111HcK111il1 nepcoHan na6oparopvtil1 or,o,enos oco6o onacHblX 111HcpeKu,111ill, caH3nl·1ACTaHu,111ill VI corpyAHl/IKl/I serep111HapHblX na6oparopl/lill serep111HapH0Lll

Me,D,11tLl,V1Hbl, KOTOpbte pa6oralOT c >Kl/IBblMl/I KYilbTypaMl/I c1116111pcKoill rl3Bb1 l/IJll/I c 3apa>KeHHblM MaTep111anoM 111 ,o,p.

4 Pa6oTHl/IKll1 so,o,onposo,o,HoKaHan1113au.1110HHOill cer111 111 ,o,p.

51pynna Me,D,l!ILl,l/IHCKOro p111CKa ( BblCOKll1Vl pl!ICK KJll/IHl/IYeCKl/IX OCJlO>KHeHll11/1 rpvmna):

-n111u,a c XpOHW-teCKV1Mll1 3a6onesaHl/lrlMV1 (AblXaTeJlbHOLll, cepAeYHOcocy,o,111crotli c111creM, noYeK, o6MeHa sew,ecrs);

-n111u,a, crapw e 60 ner;

-n111u.a, npe6b1sa10w,111e s cneu,111an1113111posaHHb1x KonneKr111sax (111HrepHarax, ,o,oMax ,o,ns:i npecrapenb1x, ,o,ercKl/IX AOMax);

-lpynna 3nvi,o,eMl/IYecKoro p111cKa ( Bb1coK111ill pvicK 3apa>1<eH111s:i rp111nnoM): -AeTVI AOWKOJlbHOIO B03pacra, WKOJlbHl/IKl/I, nOAPOCTKl/I, cry,o,eHTbl cpe,D,Hl/IX

V1 BblCWl/IX yye6HblX 3ase,o,eHl/IVI, nepcoHaJl Me,D,l/ILl,lltHCKl/IX yLJpe>K,D,eHl/IVl; -nepcoHaJl ,D,OWKOJlbHblX cpe,D,Hl/IX I/I Hal-JaJlbHblX yLJe6HblX 3ase,o,eHl/ltli,

l/IHTepHaTOB, ,o,eTCKl/IX AOMOB, a TaK>Ke Ill/ILi, nO>Kl/IIlOro B03pacra;

-pa6oTHl/IKl/I ccpepbl yc.nyr, roprosnl/I, rpaHcnopra, soeH Hocny>Kaw,111x, a

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TaK>Ke JlVlLJ,, YTO 06w,a10TCs:l c 6onbWV1M KOJlW-leCTBOM nlOAe~;

-nepcoHan npeAnpV1s:ln1~, yYpe>KAeH111ill V1 opraHV13au,Vlill (c u,enbio HeAonyw,eHVl~ 3nV1A. BCnblWeK)

-nepcoHan MeA. yYpe>KAeH111V1;

-nviu,a, Koropb1e yxa>Kv1Ba10T 3a 6onbHblMV1 rpvinnoM; -nlllu,a, KOTOpbl M 6onee 60 neT;

->KeHW,V1Hbl, KOTOpble B03MO)f(H0 6YAYT 6epeMeHHbl BO

rpvmna ;

-6epeMeHHb1e .

6COTPYAHV1KVl serepV1HapHblX na6oparopviV! V1 KJ1V1HV1K, seTepl!1Hapb1, co6aKOJlOBbl, pa6oTHV1KV1 6oeH, TOKC111AepMV1CTbl. nviu,a, o6paTV1BWl!1eGl 3a MeAVll.l,VlHCKOVl nOMOW,blO no noBOAY yKyca, ou,apanblBaHl!ls:l Vl ocnlOHeHVls:l

6onbHblMll1 V1J1111 nOA03pV1TeJlbHblMll1 Ha 6eweHCTBO )f(VlBOTHblMll1 .

1 npV1 B03Hll1KHOBeHl/1V1 OYara (np111 HaJ11!1YV1V1 KOHTaKTHblX n111u,) A111cpTep111Vl

Heo6XOAV1MO:

-nposeCTll1 BaKLJ,l!1HaLJ,V110 He np1118V1TblX nocne OKOHYaHl!1s:l KapaHTV1Ha npOTV1B AV1cprep111111 s AaHHOM o'-lare ( saKu,viHau,vis:l V1 nepsas:l pesaKLJ,VlHaLJ,Vlfl

cornacHo B03pacra);

-nposecTVl pesaKLJ,1t1Hau,111io, cornacHo KaneHAapfl np111BVlBOK n111u,aM,

KOTOpb1e nOAJle>KaT pesaKLJ,V1HaLJ,V1111 B TeKyw,eM roAy;

-nposecrvi AOnonH111TeJlbHY10 V1MMYHV13au,viio nviu.aM, np111s111TblM 6e3 HapyweHvrn cxeMbl V1MMYHV13au,111111 OAHOLlt A030ill AD vinvi A)l-M- aHaTOKCll1HOM cornacHo B03pacra, ecn1t1 c MOMeHTa nocneAHe111

6onesaeMOCTV1 no YKpa111He 6onbwe YeM s 2 pa3a);

- nplll B03HV1KHOBeHll1V1 OYara BaKLJ,VlHaLJ,111!0 KOHTaKTHblM n111u,aM nposog~n B

reYeH 111e nepso111 HeAen111;

-nepcoHany no 06cny>K111BaH11110 BOAOOLJVlCTHblx coopy>KeH111Lll, no 06cny>K111BaHV1IO KaHaJlv13aU,V10HHblX CV1CTeM 111 KaHaJllt13aLJ,V10HHblX OYll1CTHblX

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Bb1weyKa3aHHb1Mlll 111HcpeKU.VlHMV1 vi He 6b1n1t1 np1t1BV1Tbt. B3poc11b1e (Ao 30 ner) np111BV1BalOTCH, eCJlVl OHVl He 6011e111t1 BblWeyKa3aHHblMll1 V1HcpeKLJ,VlHMV1 111 He

np111svisa111t1Cb 111 He nony11an111 saKLJ,lllHau,viio V1 pesaKU,VlHau,viio nporvis HVlX.

11 np111 3n111AeM1t1YecKoM nOAbeMe 3a6011esaeMocr111 reHepan 1113osaHHb1M111

cpopMaMvi:

- JlVlLJ,a, KOTOpble npO)f(ll1BalOT Ha 3HAeM!llLJHblX repp111rop1t1HX;

-B OYarax VlHcpeK~VlVl, Bbl3BaHHOii1 MeHll!HrOKOKKOM COOTBeTCTsyiow,elli

ceporpynnb1.

12 MeAV1LJ,111HCKVle pa60THll1KV1, CTyAeHTbl cpeAHlllX V1 BblCWVlX yYe6HblX 3aBeAeHlllii1, KOTOpb1e VlMelOT npocpeCCVlOHaJlbHblill KOHTaKT c KpOBblO, ero npenapaTaMVl; m11u.a, KOTOpble 6b1Jllll B KOHTaKTe c 60JlbHblMV1 renaTVITOM B; peu,111nllleHTbl AOHOpCKOVI KpOBlll V1 ee npenaparos; A€TV1 B AeTCKVlX AOMax; LJJ1€Hbl ceMeill, B KOTOpblX eCTb 60JlbHble renaTVlTOM B lll BlllpycoHOClllTeJlVl renarvira B; nau,vieHTbl c xpoH111YecK1t1M111 3a6011esaH1t1HMlll neYeHlll; nau.111eHTb1, KOTOpble nOAJle)f(aT nnaHOBOMY onepaTlllBHOMY BMewaTeJlbCTBy;

npt..1MelfaH"1e:

nepeYeHb 3HAeMlllYHblX vi 3H300TV1YHblX reppvirop1t1ii1 onpeAenHeTCH M03 YKpa111Hbl no gaHHbtM M03 AsroHOMHoiil Pecny611viK111 Kpb!M. BaKLJ,1t1Hau,111R JlVlLJ,, Bb1e3)f(aiow,vix 3a rpaHVlLJ,bl YKpa1t1Hbl , nposogviro:1 c yYeTOM 3nvigeM1t1YecKoii1 C1t1Tyau.111vi B crpaHe Bble3Aa B COOTBeTCTBVlVl c peKOM€HAaLJ,V15lMll1 803.

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