Decree of the Ministry of Health of the Czech Republic No. 207 / 1992 Coll.
Decree of the Ministry of Health of the Czech Republic on sanitary requirements for the operation of medical facilities
Valid
Effective from 15.05.1992
207
DECLARATION
Ministry of Health of the Czech Republic
of 15 April 1992
on health requirements for the operation of medical devices
The Ministry of Health of the Czech Republic provides, pursuant to § 70 paragraph 1 (c) of Act No. 20 / 1966 Coll., on the care of the health of the people, as amended by the Act of the Czech National Council No. 548 / 1991 Coll. (full text with effect for the Czech Republic No. 86 / 1992 Coll.), and pursuant to § 4 paragraph 2 (a) of the Act of the Czech National Council No. 160 / 1992 Coll., on health care in non-state health establishments:
Preliminary provisions
This decree lays down health requirements for the reception, treatment, treatment and operation of patients, so as to avoid the development of hospital (nosocomial) diseases.
Prevention of hospital diseases
(1) Hospital (nosocomial) diseases are diseases of endogenous or exogenous origin resulting from a causal link between the stay and performance carried out in a healthcare establishment, including diseases thus produced, which occur only after the patient has been transferred or released at the appropriate incubation period.
(2) Healthcare workers are obliged to respect hygiene and anti-epidemic principles in their activities and to proceed with the treatment, investigation, treatment, operations and other activities so as to prevent the emergence and spread of hospital diseases.
Reports and documentation of hospital diseases
(1) The head of the clinics, departments and workplaces of health facilities (hereinafter referred to as "workplaces") is required to notify the health service without delay:
(a) the mass occurrence of the disease;
(b) a hospital disease which has also led to a suspected death;
(c) a clinically serious hospital disease which may result in death or serious harm to health or disability.
The written report shall be made on a specified form.
(2) The list of clinically serious hospital diseases is determined by the type of workplace by the relevant epidemiological operator.
(3) In addition to monitoring the level of the schemes and checking the mandatory reporting referred to in paragraphs 1 and 2, the health service shall carry out prevalence and sentinel studies in selected medical establishments which are obliged to cooperate and provide the necessary data.
Procedure for the occurrence of hospital disease
(1) In the event of or suspected of hospital diseases, the essential necessary anti-epidemic measures, in particular the isolation of the patient, the collection of biological material in the patient and, depending on the nature of the disease, in his contacts, including medical staff, and disinfection, must be carried out at the appropriate workplace.
(2) If necessary, care should be taken immediately to treat the patient and his contacts in the infectious ward or in the nearest non-infectious ward providing special emergency care. In such a case, the health service body shall establish an operational regime for the non-infectious ward providing special emergency care.
Receipt of patients
(1) Receipt, examination, provision of vital functions by cannulas and catheterization, basic sampling of biological material may be carried out only in the reception room or in the area designated for this purpose.
(2) The receiving physician of the bed establishment is required to identify and record in a history of important data for the possible onset of hospital disease and, where appropriate, to carry out appropriate examinations, taking into account the patient's current health status. If, in view of the patient's condition, acceptance is necessary, isolation and barrier measures should be taken if an infectious disease is suspected, or the receiving physician ensures transfer to the appropriate department. A similar obligation applies to general practitioners, medical practitioners and counselling in outpatient facilities. Children should be examined to determine which transmissible diseases have undergone and whether they are properly vaccinated.
(3) Patients are placed in a health facility according to epidemiological aspects, health status and the manner or extent of care.
(4) The clothing and footwear of patients are stored in the central dressing room or in the closets in the rooms. It is forbidden to store clothing and shoes of patients in closets in rooms at intensive care centres.
Treatment of patients
(1) In the treatment, investigation and treatment, health care professionals must follow the following measures:
(a) to carry clean personal protective equipment reserved only for their own department; only personal protective equipment of the workplace shall be required to be used in working at another workplace;
(b) treat investigations and treatments after washing hands; disinfecting hands always after contact with an infectious patient, with biological material, used laundry; use disposable material to wipe hands;
(c) to use emergency and intensive care at all workplaces when treating patients with barrier care techniques; individualise patients with all personal hygiene aids and thermometers, bowls and bottles, which must be the same for the patient's entire stay;
(d) use only sterile instruments and parenteral intervention aids; ensure at least a higher degree of disinfection for endoscopes and other optical instruments;
(e) protect yourself during operational performance with protective clothing intended only for this workplace, hat, protective mask covering both nose and mouth and sterile gloves; a sterile protective mask and gloves shall be used for all performances where skin integrity is violated or has already been compromised, by communication with the body cavity or, where appropriate, by non-physiological entry into the body; individual protective equipment for each patient, delay them immediately after execution;
(f) when collecting biological material, use rubber or PVC gloves; the biological material to be stored in standardized containers and in decontaminated crates; gloves used only once;
(g) not to clean used tools and equipment, especially contaminated with blood, without prior decontamination with disinfectant products with a virucidal effect; Dispose of single-purpose syringes and needles whole without separation. Needles can only be disposed of in a special aid or device;
(h) prevent hospital diseases as soon as possible during hospitalisation; ensure adequate support for tissue oxidation, circulation and tissue nutrition in patients;
(i) pay particular attention to those with risk factors such as immunodefiance, invasive procedures, surgery, controlled breathing, haemoperfusion, haemodialysis, diabetes mellitus, malignant neoplasms, age above 60 years, cardiovascular disease and obesity; ensure treatment with immunostimulants, immunomodulation and prophylactic or peroperative antibiotics;
(j) to monitor compliance with the hygiene principles in patients, to ensure proper hygiene before, after and after performance, to ensure the residence and movement of patients in the establishment even from an anti-epidemic point of view by separating patients according to the risk or transmission of the disease;
(k) manage visits to patients with regard to the operation, the nature of the separation and the condition of the patient at a time to be determined by the physician; in intensive care, surgical and gynecological care, it is forbidden to place flowers in roots or cut flowers.
Food handling
(1) The hygiene requirements for the operation of the equipment and the dietary regimen are laid down in a special regulation (1) The patient's nutrition is decided by the physician.
(2) Basic nutrition includes diets prepared in food establishments, including nutritionally defined liquid nutrition and maternal milk nutrition. For nutrition
(a) use non-toxic raw materials and semi-finished products for the production of dishes; for the preparation of neonatal and infant foods, only water which meets the requirements for the quality of water for infants may be used; (2) where appropriate, bottled water with the indication "suitable for the preparation of infant foods";
(b) not to prepare the processed raw materials and semi-products into stock;
(c) the raw materials shall be heat-treated to ensure that the micro-organisms are devitalized; in the case of liquid dishes and other prepared meals, the core temperature shall be at least 95 ° C for 5 minutes or 90 ° C 10 minutes, 80 ° C 20 minutes, 70 ° C 30 minutes;
(d) to serve prepared meals immediately after completion, not later than 3 hours after completion of the heat treatment; the temperature shall not fall below 65 ° C throughout the transport and discharge period;
(e) in the manufacture of dishes, follow technological procedures, ensure that clean and unclean operations, raw materials and dishes are not crossed;
(f) not to serve cooked meat and eggs;
(g) in the final presentation, exclude direct contact with workers' hands by using appropriate tools and tools;
(h) washing used dishes from patients to separate from washing dishes from operating and transport containers;
(i) if the cleaning of transport containers is carried out in kitchens, in the central kitchen washroom, still wash with hot water or steam;
(j) to wash and disinfect the dishes in the infectious ward according to the approved sanitary procedure; clearly identify the transport vessels;
(k) to separate vehicles for which the loading area is regularly cleaned after each delivery;
(l) not to provide catering by patients;
(m) to prepare neonatal and infant meals in dairy kitchens and always serve fresh; it may be kept in a refrigerator for up to 8 hours for nocturnal feeding; to fill it in sterile bottles and distribute it in closed hygienic containers;
(n) to cool to 10 ° C for transport to a dislocated workplace and for night feeding immediately after feeding;
(o) the centres responsible for the collection and treatment of breast milk are required to check their quality and health; the milk must be pasteurised at 63 - 65 ° C for 30 minutes and stored in the refrigerator after cooling under the conditions referred to in (n); the milk thus treated must be consumed within 3 days;
(p) the liquid nutrition administered by the pens and gastric probe to prepare according to approved recipes at separate workplaces;
(q) administration of liquid oral nutrition is essentially fresh and subject to the same requirements as for routine diets;
(r) the liquid nutrition applied by the gastric probe must be preserved by boiling for 30 minutes;
(s) to carry out the preservation and storage of liquid nutrition only with the consent and under the conditions imposed by the health service;
(t) when sampling dishes and storing them according to special regulations; (3) for diets with extended storage periods (preserved liquid nutrition), the samples must be stored 48 hours after that period;
(u) the residue of meals from the compartment to be stored in waste containers and removed immediately from the compartment to the central warehouse of feed waste; the residues of food from infectious compartments are prohibited from collecting for feeding purposes; their disposal shall be governed by the approved sanitation rules;
(v) to draw up, for individual food establishments and workplaces, a sanitary procedure governing the forms of effective sanitation, including protective disinfection, disinsectisation and extermination.
(3) Medicinal nutrition administered by an enteral probe and parenteral nutrition is subject to medicinal rules.
Laundry handling
(1) Laundry from medical devices is provided for in a separate regulation.
(2) The replacement of bedding shall be carried out as necessary, at least once a week, after contamination and after surgery or dressing.
(3) In outpatient operations, disposable material is used for examination tables, couches and beds.
Cleaning
(1) Cleaning of all premises is carried out daily on a wet basis. In the operating and intervention halls and areas where invasive procedures are carried out, always before the beginning of the operational programme and after each patient. In intensive care facilities, in rooms where biological material is collected, in laboratories and children's departments of all types are performed three times a day.
(2) Normal detergents may be used in standard departments. In intensive care facilities, in operating and intervention rooms, in surgical and infectious centres, in laboratories and where biological material and invasive performance are collected, in toilets and bathrooms and in other workplaces specified by the operating order, normal detergents with disinfectant are used.
(3) Each workplace has its own cleaning equipment or cleaning machine, except for standard outpatient and bedside departments of the same type and patient character.
(4) When contaminating premises and areas with biological material, immediate disinfection of the premises, decontamination of the stained area shall be carried out by covering the mule or paper wool soaked in an effective disinfectant. After exposure, they shall be cleaned in the usual manner. Used beds and mattresses are disinfected either in the room by washing the disinfectant or decontaminated in central bed treatment.
(5) The painting is performed once a year, in case of wall contamination with biological material immediately after disinfection and washing. Construction in operation is prohibited.
Waste
(1) All waste from medical facilities is disposed of daily. Hazardous waste 4) is stored in separate covered containers, preferably flammable or closed plastic bags. Small waste, including disposable needles, shall be stored in solid and combustible packaging without further handling.
(2) Biological waste, such as withdrawn parts of organs, amputated parts of limbs, glands with internal secretions, and certain secretions and secretions, such as gastric and intestinal juices, containing biliodigestive and enterocellular fistulae and other substances, is stored as hazardous waste in a specified manner, always after the information of the person from whom the waste originates or its responsible representative. Abuse of bio-waste should be avoided.
(3) Waste management is regulated by specific legislation. 5)
Principles for carrying out sterilisation, disinfection, disinsection and extermination
Sterilisation and disinfection
(1) Sterilisation and disinfection shall be carried out by health professionals who have received specific training, following the procedures laid down in paragraph 2.
(2) The procedures and means used must be approved by the main hygienist of the Czech Republic, which sets out their list and updating.
(3) Sterilisation means a summary of measures whereby all micro-organisms, including spores, fungi, helmints and their eggs are killed or removed from the articles.
(4) A higher degree of disinfection is a procedure formerly called chemical sterilisation (immersion in the Persteril solution, glutaraldehyde, etc.).
(5) Disinfection is a set of measures to eliminate micro-organisms by means of physical, chemical or combined procedures designed to interrupt the pathway of the disease from source to susceptible individual.
(6) The types of sterilisation and disinfection and the manner in which they are carried out are set out in Annex 1, which forms part of this Decree.
Disinsection and extermination
(1) For the purposes of this decree, the Disinsection is a set of measures aimed at suppressing generally harmful and epidemiological arthropods. Deratization is a set of measures for the purposes of this decree to combat generally harmful and epidemiologically important rodents.
(2) In view of the potential spread of hospital diseases and other infectious diseases, health establishments of all types are required to carry out regular disinsectisation, destabilisation as appropriate and, where appropriate, in accordance with the instructions of the competent authority of the health service; the implementation of disinsecting and exerting may also be ensured through specialised organisations.
(3) The procedure for the implementation of protective disinsection and extermination is set out in Annex 2, which is part of this Decree.
Control of compliance with hygiene and anti-epidemic principles and hygiene surveillance
(1) Each health establishment is required to carry out checks on hygiene and anti-epidemic principles, including the registration and analysis of hospital diseases, their reporting and documentation. In outpatient medical institutions, a central health worker (a nurse or an assistant health service), a physician and a medium health worker may be checked, and in institutions over 300 beds, a doctor specialising in epidemiology.
(2) The health service carries out state health surveillance in health care establishments and has specialised management of healthcare professionals in the field of hospital diseases.
Efficacy
This decree shall take effect on the day of its publication.
Minister:
MUDr. Bojar CSc.
Příloha č. 1
Annex No 1 to Decree No 207 / 1992 Coll.
Types of sterilisation and disinfection and their method of implementation
Sterilisation and disinfection in health care facilities are performance performed by trained health professionals. 1) The procedures and means used must be approved by the main hygienist of the Czech Republic.
Depending on the degree of removal of micro-organisms from the environment and objects, the following procedures shall be distinguished:
I. STERILISATION
The sterility of articles is ensured by approved physical and chemical sterilisation procedures which allow them to be sterilised in suitable packaging protecting sterilised material from secondary contamination.
1. Types of sterilisation
A) Physical sterilisation
(1) The saturated water vapour under pressure in pressure devices at the following parameters:
| Tlak | Přetlak | ||||
|---|---|---|---|---|---|
| Teplota (°C) | kPa | (atm) | kPa | (atp) | Steril. expozice (min.) |
| 115 | 170 | 1,7 | 70 | 0,7 | 35 |
| 120 | 200 | 2,0 | 100 | 1,0 | 20 |
| 125 | 240 | 2,4 | 140 | 1,4 | 15 |
| 134 | 300 | 3,0 | 200 | 2,0 | 10 |
According to the International Unit System (SI), pressure is reported only in pascal units (1 atm = 0,1 MPa = 100 kPa, 1 atp = 0,2 MPa = 200 kPa). As the values of overpressure are also indicated in kPa on the manometers used so far, it must be clear that the pressure is overpressure when transferring atp or kPa / cm2 to kPa (MPa). Sterilisation exposure is the time from reaching the required pressure and temperature in the sterilisation area to stopping the steam supply to that area. This procedure is suitable for sterilisation of objects made of metal, glass, ceramics, stoneware, porcelain, textiles, rubber, plastic resistant to sterilization temperatures. In sterilisation of medicines and excipients, follow the Czechoslovak Pharmacopoeia - fourth edition, as amended. 2)
(2) Hot water heating is carried out under pressure of 250 kPa (excess pressure of 150 kPa) from 125 ° C to 20 minutes. Applies to sterilisation of surgical tools for immediate use.
(3) Hot air sterilisation is performed in hot air sterilisers at the following parameters:
| Teplota °C | Sterilizační expozice v minutách |
|---|---|
| 160 | 60 |
| 170 | 30 |
| 180 a více | 20 |
The above values apply to compulsory air circulation instruments. For instruments without forced air circulation, sterilisation exposure must be doubled. If the volume of their workspace exceeds 5 litres, these devices cannot be used. Temperature up to 160 ° C can only be used to dry glass. Sterilisation exposure is calculated from the time the sterilisation temperature is reached. This procedure is suitable for sterilisation of objects made of metal, glass, porcelain and stone. During sterilisation of materials of poorly thermal conductive or larger volume (ointments, powders, etc.), follow the Czechoslovak Pharmacopoeia - fourth edition, as amended. 2)
(4) Radiation sterilisation is performed in special radiation centres. Only used in industrial production for new or exspired material. The usual sterilization dose is 25 kGy.
(5) Fractuated sterilisation, tyndalification and microbial filtration are methods used for sterilisation of solutions.
B) Chemical sterilisation
(1) Sterilisation with formaldehyde is performed in instruments at 60 ° C - 80 ° C and parameters specified by the manufacturer and approved by the Ministry of Health of the Czech Republic. This procedure is intended for thermo-unstable articles which cannot withstand the physical sterilisation referred to in Section I, Part 1 (A) (1) to (3).
(2) Sterilisation with ethylene oxide is performed in special pressure equipment at 55 ° C and parameters specified by the manufacturer and approved by the Ministry of Health of the Czech Republic. This procedure is designed for sterilisation of thermolable objects. After sterilisation, all objects must be properly ventilated (in special ventilation cabinets at 55 ° C, ventilation takes 24 hours, under atmospheric conditions above 15 ° C takes at least 72 hours, for rubber and plastic articles for at least 7 days).
2. Packaging materials
The articles are inserted into sterilisation apparatus in approved packages. For materials sterilised in various packaging provided that the packaging is tightness and impermeable and the proper storage is subject to the following exspiration period:
| Obalový materiál | Metoda sterilizace | Exspirační doba | Poznámka |
|---|---|---|---|
| bubny, kazety, dózy | nasycená vodní pára pod tlakem | 48 hodin | |
| Lukasterik (sáčky, papír) | 4 týdny | při provizorním uzavření (kancel. spona, sešívačka) | |
| 3 měsíce | při uzavření lepením nebo při dvojitém obalu | ||
| Kombinovaný obal (papír- fólie) | 6 měsíců | zatavení | |
| dózy, kazety | horkovzdušná | 48 hodin | |
| alobal | 48 hodin | ||
| kombinovaný obal | radiační | 6 měsíců | zatavení |
| (papír-fólie) | |||
| fólie (0,05 mm) | exspir. doba platí pro resterilizaci Pro originální balení z výroby platí exspirace stanovená výrobcem. | ||
| Lukasterik sáčky | formaldehydová | 3 měsíce | uzavřené lepením nebo při dvojitém obalu |
| kombinovaný obal | 6 měsíců | zatavení | |
| (papír-fólie) | |||
| polyetylenová fólie (0,05 mm | 6 měsíců | fólie nesmí před použitím vykazovat zjevné známky změny povrchu | |
| kombinovaný obal (papír-fólie) | etylenoxidová | 6 měsíců | zatavení |
| polyetylenová fólie (0,05 mm) | 6 měsíců | zatavení |
All packaging materials should be sterilised within 24 hours after opening.
The packaging must bear the date of sterilisation, the packaging with an exspiration period of more than 48 hours and the date of exspiration. During transport and storage of sterilisation material, sterilisation packaging must be secured before damage (e.g. transport packaging). All handling of sterile material and tools which have been removed from the container shall be carried out under aseptic conditions.
3. Pre-sterilisation preparation of articles
All articles intended for sterilisation must be thoroughly mechanically cleaned, dried and provided with an appropriate packaging. In the case of objects contaminated with biological material, especially blood, a suitable virucidal agent should be included before the washing phase.
4. Control of sterilisation and sterility
Checks are carried out according to standard methodologies established by the Czech Chief hygienist. Checks on the effectiveness of sterilisation apparatus shall be carried out:
(a) bioindicators
(aa) immediately after installation of the apparatus,
(ab) for periodic checks at central sterilisation and sterilisation centres at least once a month;
ac) in other establishments after 200 sterilisation cycles but at least once a year,
(ad) in exceptional checks and doubts about sterilisation efficacy;
(b) physical-chemical indicators
A record of each sterilisation carried out shall be kept in the berth, central sterilisation and sterilisation centres.
_
The higher degree of disinfection ensures the killing of all microbes (bacteria, viruses, fungi and bacterial spores), the killing of other micro-organisms (protozoic cysts, helmints, etc.) does not guarantee these procedures. Includes procedures that have been classified as chemical sterilisation in solutions until now. The decontamination of articles shall be carried out as pre-sterilisation in accordance with Section I, Part 3. The recommended procedure is immersion in one of the following solutions of the recommended products:
(a) Glutaraldehyde at 2% concentration activated by 0,3% NaHCO3 at exposure of 2 to 3 hours;
b) Secusept forte at a concentration of 1,5% at exposure of 6 hours after prior disinfection in the Secusept pulver,
(c) Persteril at 0,5% concentration at 10 minutes exposure.
In all cases, after disinfection, a sterile distilled water or saline rinse is required. These procedures are intended for thermolable aids and optical instruments which cannot be sterilised by any of the sterilisation methods specified in Section I.
III.
Disinfection is a medical exercise, which is done indicated as part of an anti-epidemic regime in each medical facility.
1. Physical methods of disinfection
a) Var at atmospheric pressure for 30 minutes.
b) Var in pressurised cups (e.g. KUKTA) for 20 minutes.
(c) Disinfection in washing, washing and steam appliances at temperatures above 90 ° C. This shall be done according to the manufacturer's instructions.
d) Different forms of UV radiation (germicidal fluorescent lamps, apparatus, etc.). Their operation shall be subject to the manufacturer's recommendation.
e) Other physical methods of disinfection: filtration, annealing, burning, shedding, sunbathing, etc. are used under special conditions.
2. Methods of chemical disinfection
When performing chemical disinfection, the following principles shall be observed:
(a) disinfectant solutions shall be prepared by careful measurement (taking) of the doses of the appropriate disinfectant and water immediately prior to use. If some solutions are prepared for stock, the date of preparation shall be indicated and their shelf life shall be respected,
(b) an improvement in the efficacy of certain disinfectants can be achieved by increasing the temperature of the disinfectant solution (for chlorine, phenolic and quaternary ammonium compounds to 50 ° C - 60 ° C, for iodine preparations to 35 ° C,
(c) when preparing disinfectant solutions, it is assumed that their names are verbal marks and the preparations are considered 100%. This is based on further dilution of solutions not covering the active substance content. When preparing glutaraldehyde solutions, it should be based on the active substance content because the solutions supplied contain different amounts of glutaraldehyde (Glutaraldehyde solutium 25% or 50%, Gludesin, CIDE, Aldesan and others contain 2% glutaraldehyde and are therefore not diluted). The working solutions shall contain 2% glutaraldehyde activated by 0,3% NaHCO3,
(d) objects and surfaces contaminated with biological material or in an outbreak of diseases shall be disinfected first, then cleaned afterwards. In case of disinfection and cleaning of objects and areas contaminated with biological material, both stages may be combined and disinfectants may be used with washing and cleaning properties, or disinfectants may be used with the addition of detergents,
(e) areas and objects contaminated with biological material (blood, pus, sputum, discards) must be immediately disinfected with a virus-resistant product whose effectiveness does not reduce the presence of proteins. The articles are immersed in the disinfectant solution and the surfaces are covered with paper wool soaked in the disinfectant solution. It is recommended to use Persteril, Chloramine B, Aldehydes, etc.,
(f) it is necessary to respect the principle of rotation of disinfectants in the disinfectant mode of health care centres to prevent the potential resistance of microbes to a long-term product. For example, when using phenolic compounds or preparations based on quaternary ammonium compounds, the so-called persteryl or chloramine days are to be classified,
(g) articles intended for incineration must be stored in impermeable flue-gas containers in which the material is burned.
IV. MECHANICAL VICTIMS
Mechanical cleaning is a set of procedures to reduce the number of micro-organisms.
For mechanical cleaning, solutions of detergents are used in the concentrations recommended by the manufacturers, dissolved in the hottest possible water, or cleaning products with disinfectant, classical hand tools, washing and cleaning tools, pressure pistols, ultrasonic devices, etc. All equipment and equipment must be kept clean, the cleaning equipment used must be disinfected and dried.
Příloha č. 2
Annex No 2 to Decree No 207 / 1992 Coll.
Method of implementation of protective disinsectisation and extermination
Only products approved by the main hygienist of the Czech Republic may be used for disinsectisation and extermination.
Where technological and working procedures are not part of the technical standards of the products and, where applicable, the instructions for use shall be decided by the health service authorities.
1. The protective disinsectisation is performed by chemical, physical and biological methods. They include all measures to prevent the propagation and spread of harmful or difficult arthropods (waste disposal, mechanical and technical measures against arthropods, etc.). Dissecting agents should be used taking into account their toxicity, the environment in which they are used and the risk of development or degree of resistance to them. All safety and hygiene measures prescribed by the manufacturer shall be complied with when performing disinsectisation interventions.
2. Protective extermination shall be carried out by chemical, physical and mechanical methods. It includes, in particular, securing an object against rodent penetration, preventing them from being nestled in objects, removing food and water sources, etc. Deratising agents should be used taking into account their toxicity and the environment in which they are to be used. All safety and hygiene measures prescribed by the manufacturer shall be complied with when carrying out exerting interventions.
1) Directive No 72 / 1987 Coll.
2) ČSN 56 7858 Infant water. CSN 75 7111 Drinking water.
3) Annex 4 to Directive No 72 / 1987 Coll.
4) § 2 paragraphs 2 and 3 of Act No. 238 / 1991 Coll., on Waste.
5) Act No. 238 / 1991 Coll.
1) Decree of the Ministry of Health of the Czech Republic No. 91 / 1984 Coll., on measures against communicable diseases, as amended by Decree of the Ministry of Health and Social Affairs of the Czech Republic No. 204 / 1988 Coll. Decree of the Government of the Czech Republic No. 192 / 1988 Coll., on poisons and certain other substances harmful to health, as amended by Decree of the Government of the Czech Republic No. 182 / 1990 Coll. and No. 33 / 1992 Coll.
2) Decree of the Ministry of Health of the Czech Republic No. 10 / 1987 Coll., on the binding of Czechoslovak Pharmacopoeia - fourth edition in the Czech Socialist Republic, as amended by Decree of the Ministry of Health of the Czech Republic No. 62 / 1990 Coll. and Decree of the Ministry of Health of the Czech Republic No. 376 / 1991 Coll.
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Regulation Information
| Citation | Decree of the Ministry of Health of the Czech Republic No. 207 / 1992 Coll., on sanitary requirements for the operation of medical facilities |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 15.05.1992 |
|---|---|
| Effective from | 15.05.1992 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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