Decree of the Ministry of Health No. 440 / 2000 Coll.
Decree of the Ministry of Health governing conditions for the prevention and spread of infectious diseases and health requirements for the operation of health care establishments and social care institutions
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Order
Effective from 01.01.2001
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01.01.2001
15.12.2000
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440
DECLARATION
Ministry of Health
of 6 December 2000
adapting the conditions for the prevention and spread of infectious diseases and the hygiene requirements for the operation of health care establishments and social care institutes
The Ministry of Health provides pursuant to § 108 (1) of Act No. 258 / 2000 Coll., on the Protection of Public Health and on the amendment of certain related laws (hereinafter referred to as "the Act"):
PREPARATION OF EQUIPMENT AND DISSEMINATION
Method and extent of reporting of infectious diseases except hospital diseases
(Paragraph 62 (1) of the Law)
(1) Reporting
(a) newly identified disease or recurrence of tuberculosis or other mycobacteriosis, the death of tuberculosis of persons not registered in the group of active tuberculosis or other mycobacteriosis (hereinafter referred to as "tuberculosis or other mycobacteriosis reported") and the detection of tuberculosis or other mycobacteriosis in persons not registered in the group of active tuberculosis who have died for other causes, shall be given on a form marked "Compulsory Reporting of tuberculosis and other mycobacteriosis";
(b) in the case of persons dispensioned in the active tuberculosis group, once a year shall be given on a form marked "Control report of tuberculosis and other mycobacteriosis"; this form shall also be used for the detection of the death of a person dispensed in an active tuberculosis group and for the detection that a person dispensed in that group does not have active tuberculosis or mycobacteriosis and for the transfer of such person into an inactive tuberculosis group;
(c) for persons included in the group of active tuberculosis and other mycobacteriosis subject to reporting, a change of surname, birth number and dispenserisation shall be reported on the form marked "Report of change of data for persons in the tuberculosis registry";
(d) the positive result of the mycobacteriological examination shall be given on a form marked "Reporting of the positive result of the mycobacteriological examination";
(e) on and suspected of death of STD, a form marked "Report of STD" shall be given;
(f) the occurrence of other infectious diseases, with the exception of those listed in Annex 1, the suspicion and death of such diseases, the excretion of infectious disease agents, diphtheria and viral hepatitis strains, shall be given on a form marked "Infectious disease reporting."
(2) Dispensing equipment means a medical facility which monitors the health status of natural persons in order to prevent or eliminate the causes of deterioration of the health status or functions of individual bodies and systems.
(3) In the event of a risk of further spread of the infectious disease referred to in paragraph 1, the report shall be submitted without delay by telephone or fax and shall then be endorsed by the form. In the same way, the report shall be reported in case of suspicion of yellow fever, cholera, plague, spills, haemorrhagic Fever Ebola, Marburg and Lassa and other equally serious infectious diseases.
(4) The diseases listed in Annex 1 are only reported in bulk. Reporting shall be made without delay, as a rule by telephone or fax.
Method of reporting hospital diseases
[Paragraph 16 (2) (b) of the Law]
The notification of a mass occurrence of hospital and hospital diseases which have caused serious damage to or death shall be made without delay, as a rule by telephone or fax, and shall then be certified on the form marked "Infectious disease notification '.
List of infectious diseases where isolation is ordered in hospital bed departments and diseases which are compulsory
(Articles 45 (3) and 70 (1) of the Law)
The list of infectious diseases at which isolation must always be ordered in the infectious ward or, where appropriate, in the tuberculosis ward or in the venerological ward section of the hospital and the treatment of which natural persons are obliged to undergo, is set out in Annex 2.
Medical examinations for natural persons performing epidemiological activities
[K § 20 (a) of the Act]
A natural person carrying out epidemiological activities shall be required to undergo medical examinations and examinations,
(a) if it is affected by a diarrhea, feverish or feverish disease or other infectious disease or if it is suspected of being infected; where a natural person is considered to be suspected of being infected, the law shall provide for: 1)
(b) if diarrhoea occurs at the workplace, in households (2) or at the place of residence of a natural person carrying out epidemiological activity.
Forms of design to perform performance in which skin integrity is violated
(Paragraph 22 (2) of the Law)
A person who, when providing services, performs performances in which the integrity of the skin is infringed shall indicate in the proposal to determine the conditions for such performance the particulars listed in Annex 3.
Principles for the collection and examination of biological material and the necessity of the request
[Paragraph 62 (3) (a) and (b) of the Act]
(1) The collection and examination of biological material shall be carried out according to the following hygiene requirements:
(a) basic samples of biological material in a health facility may be carried out only in the reception room or in the designated area;
(b) biological material shall be collected with regard to pathogenesis and pathology of infectious diseases;
(c) for diagnosis, the material is usually taken at an acute stage of infectious disease; in the case of serological tests, a second sample shall be taken two to three weeks after the first sample is taken, otherwise as appropriate,
(d) biological material is collected substantially before treatment with chemotherapy or antibiotics,
(e) only sterile tools, sterile aids and gloves shall be used to be collected, and only for one treated natural person; gloves shall be rubber or PVC,
(f) the biological material must be stored in standardised containers and in decontaminated containers;
(g) immediately after collection, the biological material shall be transported in such a way that it is not degraded by physical effects and risks to individuals;
(h) a positive laboratory finding report shall be sent without delay to the medical practitioner who sent the biological material for examination.
(2) The application for examination of biological material must contain the name, surname, birth number and place of residence of the natural person under investigation, the identification number of the medical institution and the address of the doctor requesting the examination of the biological material, including its nameplate, and, according to the information found, the name of the patient's health insurance company, the type of material, the date and hour of collection, the start of the infectious disease, the type of antibiotic therapy and its start, the diagnosis and the type of examination required.
Requirements for the location and instrumentation and material equipment of a laboratory carrying out laboratory tests for human immunodeficiency virus
[Paragraph 72 (1) (a) of the Law]
(1) Laboratory investigations into antibodies against human immunodeficiency virus in the blood serum, or other biological material (plasma, saliva, urine, cerebrospinal fluid) to diagnose human immunodeficiency virus infection are carried out with respect to safety and health conditions at work.
(2) The blood donor transfusion department carries out all mandatory serological tests in one test facility in a joint investigation laboratory.
(3) In order to detect antigens and antibodies against the human immunodeficiency virus, a laboratory should be equipped with approved laboratory equipment and equipment and standard laboratory methods.
HYGIENIC REQUIREMENTS FOR THE OPERATION OF HEALTH EQUIPMENT OR SOCIAL INSTALLATIONS
Receipt and treatment of natural persons in health care institutions or social care institutions
(Paragraph 17 (1) of the Law)
(1) The reception, examination and provision of vital functions by cannulas and catheterization may be carried out only in the reception room or in the area designated for that purpose.
(2) The history of the receiving doctor must record important data for the possible occurrence of hospital disease and, where appropriate, carry out appropriate examinations, taking into account the current state of health of the natural person. Where admission is necessary in view of the status of the natural person, if an infectious disease is suspected, isolation and barrier measures shall be taken or the receiving doctor shall arrange for transfer to the appropriate department. A similar obligation applies to general practitioners, medical practitioners and counselling in outpatient facilities. Children shall be examined for which infectious disease has been experienced and whether they are properly vaccinated.
(3) Natural persons are placed in a preventive care facility according to epidemiological aspects, health status and the manner or extent of healthcare.
(4) Clothes and footwear of natural persons are stored in a central dressing room, or in closets in rooms or in closets in rooms intended for this purpose. Clothes and shoes of patients cannot be stored in rooms in intensive care facilities.
(5) The following hygiene requirements shall be complied with when receiving and treating patients in medical establishments:
(a) health professionals must carry clean protective equipment only for their own departments; when working in another workplace, only the protective equipment of that workplace is required;
(b) health care professionals may treat investigations and treatments only after washing hands; hand disinfection must always be performed after medical performance in people with infectious diseases, after handling biological material and used laundry. One-off material must be used to wipe hands,
(c) in the treatment of natural persons, health professionals must use barrier care techniques which are used at all places of emergency and intensive care; all personal hygiene aids as well as thermometers, bowls and other devices must be individualised to patients, which must be identical for each patient throughout the stay;
(d) for parenteral interventions, health professionals must only use sterile tools and equipment; in the case of endoscopes and other optical instruments, ensure at least a higher degree of disinfection; for digestible endoscopes, ensure two-stage disinfection,
(e) during operational performance, health professionals must protect themselves with protective clothing and footwear intended only for this workplace, hat, protective mask covering their nose and mouth, and sterile gloves; the sterile protective mask and gloves must be used for all performances in which skin integrity is violated or has already been compromised, by communication with the body cavity and, where appropriate, by non-physiological entry into the organism; the protective equipment must be individualised for each person and must be postponed immediately after execution;
(f) the instruments and devices used, especially those contaminated by blood, must not be cleaned by health care professionals without prior decontamination by disinfectant medicinal products having a virucidal effect; disposable syringes and needles should be disposed of whole without manual separation or in a special aid or device,
(g) hospital diseases must be prevented by unnecessary delays in hospitalisation; adequate support for tissue oxidation, circulation and tissue nutrition must be provided for persons;
(h) increased attention must be paid to individuals with risk factors such as immunodeficiency, invasive performance, surgery, controlled breathing, haemoperfusion, haemodialysis, diabetes mellitus, malignant neoplasms, age over 60, cardiovascular disease and obesity; treatment should be provided by immunomodulation, immunomodulation and prophylactic or peroperative administration of antibiotics,
(i) supervision of compliance with the hygiene principles of natural persons located; proper hygiene cleaning must be ensured before and after operations; the residence and movement of persons in health care establishments and social care institutes must also be ensured from an anti-epidemic point of view, by the separate location of natural persons according to the risk of the disease being created and, where appropriate, the transmission of the disease,
(j) visits to patients must be conducted 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; it is forbidden to place flowers in intensive care, surgical and gynecology centres,
(k) the handling and preparation of the diet shall be carried out in accordance with specific legislation.
(6) The reception and treatment of persons in social care institutions shall be treated in a similar manner to those referred to in paragraph 5 (a), (c), (e), (g) and (j).
Sterilisation, higher degree of disinfection and disinfection
(Paragraph 17 (1) and (5) of the Law)
(1) The procedures and methods, including their control, listed in Annex 4 are used to sterilise, increase the degree of disinfectant and disinfectant.
(2) Reused medical devices are cleaned, disinfected and sterilised as recommended by the manufacturer. Disposable devices shall not be re-used.
Laundry handling
(Paragraph 18 (1) of the Act)
(1) The replacement of bedding shall be carried out as necessary, at least once a week, after contamination and after surgery or dressing and after release or transfer of the patient.
(2) In the outpatient operation of medical facilities, disposable material is used to cover examination tables, couches and beds, which is changed after each use.
(3) The way in which laundry is to be stored, transported, washed and handled by health care institutions or social care institutions, as well as laundry equipment, is set out in Annex 5.
Cleaning of facilities for preventive care and social care institutions
(Paragraph 17 (1) of the Law)
(1) Cleaning of all premises of preventive care facilities and social care institutions is carried out daily on a moist 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 for cleaning in standard departments. Common detergents with disinfectant products are used in intensive care facilities, in operating and intervention rooms, in surgical and infectious workplaces, in laboratories and where biological material and invasive performance are collected, in toilets and bathrooms and in other workplaces specified in the operating order.
(3) Each workplace has its own cleaning equipment or cleaning machine, except for standard outpatient and bedside departments of the same type and the nature of the composition of individuals.
(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) All waste 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.
(6) Biological waste, such as withdrawn parts of the organs, amputated parts of the limbs, glands with internal secretion, and certain secretions and secretions, such as stomach and intestinal juices, the content of biliodigestive and enterocellular fistulas and other substances, is stored as hazardous waste.
FINAL PROVISIONS
They shall be deleted:
1. Decree No. 91 / 1984 Coll., on measures against communicable diseases,
2. Decree No. 204 / 1988 Coll., amending and supplementing Decree No. 91 / 1984 Coll.,
3rd Decree No. 225 / 1996 Coll., amending and supplementing Decree No. 91 / 1984 Coll. and Decree No. 204 / 1998 Coll.,
4. Decree No. 325 / 1992 Coll., laying down hygiene requirements for the handling of laundry and laundry from medical facilities,
5th Decree No. 207 / 1992 Coll., on sanitary requirements for the operation of medical facilities.
This decree shall take effect on 1 January 2001.
Minister:
Prof. MUDr. Fisher, CSc.
Příloha č. 1
Annex No 1 to Decree No. 440 / 2000 Coll.
List of infectious diseases reported to the public health authority only in the event of a mass occurrence
1. Acute respiratory disease (e.g. dg. J00, J03, J04-J06, J10-J18, J20-J22) x
2. Conjunctivitis (for example dg. H10, B30) x
3. Mastitis (e.g. dg. O91) x)
4. Skin inflammatory infectious and fungal diseases (e.g. dg. L00-L08, B00, B07, B08, B09, B35- B37) x
5. Stomatitis (e. g. dg. K05, K12) x)
6. Observed (e.g. dg. B85) x)
Příloha č. 2
Annex No 2 to Decree No. 440 / 2000 Coll.
List of infectious diseases where isolation in bed facilities of preventive care is ordered and treatment is compulsory
1. Viral inflammation of the liver
2. Antrax
3. Bacillary dysentery
4. Botulism
5. Brucelosis
6.
7. Dengue
8. Haematological Fever
9.
10. Leptospirosis
11. Listeriosis
12. Malaria
13. Maleus
14. Malpower
15. Meningitis and encephalitis
16. Plague
17. Parameters
18. Greasy Anxiety
19. Syphilis
20. Psitakosis + Ornitosis
21. Portable polio
22. Q fever
23. Ricketsiosis
24.
25. Tetanus
26. Tularemia
27. Trains
28. Tubericide
29. Typhoid Abdominal
30. Amebic dysentery
31. Rabies
32. Diphtheria
33. Yellow fever
Příloha č. 3
Annex 3 to Decree No. 440 / 2000 Coll.
Forms of the proposal to determine the conditions for performance in which skin integrity is violated
I. Designation of the entity authorised to conduct the business:
Residence of a natural person or registered office of a legal person:
Name of the person (s) performing the performance where skin integrity is violated:
education of the following person / employee:
university - date of completion of the study, study or accredited study programme,
medium - date of graduation, field of retraining (what)
Duration of experience in the field:
II. Plant - equipment, arrangement:
1. Size of establishment, lighting, ventilation:
2. Intervention room, its layout, equipment:
3. Equipment for personal hygiene of employees and consumers services:
4. Equipment with sterilisation technique, disinfectants:
5. Working clothing:
Disposable personal protective equipment:
6. Application aids and ornaments (single purpose, original packaging) made of materials meeting the requirements of technical regulations or ISO standards:
7. Laundry - handling (storage, supplies, disinfection):
8. Waste - storage, disposal method:
9. Operating Regulations:
10. First aid kit:
Příloha č. 4
Annex No. 4 to Decree 440 / 2000 Coll.
Methods of sterilisation and its control, methods of higher degree of disinfection, methods of disinfection and its control
A. STERILISATION
Instruments, appliances and articles intended to be sterilised and pre-sterilised shall be used in accordance with the approved instructions. An integral part of sterilisation is pre-sterilisation preparation of articles, control of the sterilisation process and sterilised material, monitoring and recording of the set parameters by showing and registering devices incorporated in the steriliser and checking the effectiveness of sterilisation by non-biological and biological indicators. Each sterilisation cycle shall be documented.
The operator is responsible for the quality of sterilisation media required by the manufacturer of the sterilisation apparatus. Sterilisation is carried out by the CAP. The central sterilisation is the responsibility of the worker who completed the post-graduate specialisation in the field.
Only authorised repairers perform the sterilisation equipment, repairs and periodic service.
I. Pre-sterilisation preparation
All tools and equipment used shall be considered to be contaminated. If intended for repeated use, they shall be decontaminated immediately after use in the dishwasher or manually.
The cleaning is carried out in washing machines in an acid, alkaline or enzymatic medium. Disinfection is performed thermically at temperatures above 90 ° C for 10 minutes or thermochemically using a prescribed disinfectant at 60 ° C for 20 minutes.
Manual washing of tools and equipment takes place only after they have been disinfected in a device with viral effectiveness.
Preparations and procedures for pre-sterilisation preparation shall be chosen in such a way as not to harm the treated material. Water rinsing will remove any residues of the substances used.
Cleaning by ultrasonic frequency 35 kHz is used to supplement cleaning after previous hand or machine washing and disinfection.
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Regulation Information
| Citation | Decree of the Ministry of Health No. 440 / 2000 Coll., which regulates conditions for the prevention and spread of infectious diseases and hygiene requirements for the operation of health care facilities and social care institutions |
|---|---|
| Regulation Type | Order |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 15.12.2000 |
|---|---|
| Effective from | 01.01.2001 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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