Composition of an emergency first aid kit for sanpin. Emergency situations. For what cases is a first aid kit needed

  • FIRST AID KIT ANTIAIDS (ANTI HIV) EMERGENCY

  • Sterile bandage - 1 pack.
  • Adhesive plaster - 1 package.
  • Cotton balls - 20 pcs.
  • Scissors or scalpel - 1 pc.

Post-exposure prophylaxis



- medical institutions


- mobile medical teams


Price 7100 rubles
1. Alcohol 70% - 2 packs






8. Case - 1 piece

Completed in accordance with Appendix No. 12 SanPin 2.1.3.2630-10 "Emergency prevention of parenteral viral hepatitis and HIV infection")
Price 8700 rubles
1. Alcohol 70% - 2 packs
2. Iodine solution 5% - 2 packs
3. Boric acid solution 1% - 2 packs
4. Protargol solution 1% - 2 packs
5. A solution of potassium permanganate 0.05% - 2 packages
6. Azimitem (Zidovudine) 300 mg No. 60 - 1 package
7. Lamivudine Canon 150 mg No. 60 - 1 package


10. Case - 1 piece


Price 3200 rubles


3. Iodine solution 5% - 10 ml


6. Fingertip - 1 pc.


9. Pipette - 1 pc.
10.

First aid kit anti hiv order

Sterile hemostatic dressing - 1 pc.

12. Alcohol napkin -1 pc.



16. Case - 1 pc.


Price 10600 rubles
1. Alcohol 70% - 100 ml
2. Iodine solution 5% - 1 bottle




7. Glass pipettes - 5 pcs.



11. Finger cots - 5 pcs.
12. Toilet soap - 1 pc.
13. Chloramine B solution 3% -

15. Azidothymidine
16. Lamivudine
17. Lopinavir
18. Lamivudine + Zidovudine


Price 990 rubles




5. Case-container - 1 pc.


Price 5400 rubles
1. Case-container - 1 pc.

3. Iodine 5% - 1 bottle





9. Sterile bandage - 2 pcs.





15. Toilet soap - 1 pc.


Price 8700 rubles
1. Case-container - 1 pc.
2. Ethyl alcohol 70%, 100 ml - 1 bottle
3. Iodine 5% - 1 bottle
4. Boric acid 1% - 1 bottle
5. Sialor (analogue of protargol) - 1 bottle
6. Powder of potassium permanganate, 3-5 grams for solution preparation on site - 1 bag.
7. Water for injection 10 ml No. 5 - 2 packs
8. Glass eye pipettes - 5 pcs.
9. Sterile bandage - 2 pcs.
10. Sterile cotton wool - 1 pack
11. Cotton-gauze bandages - 5 pcs.
12. Antiseptic adhesive plaster - 1 set
13. Scissors for cutting bandages - 1 pc.
14. Surgical gloves - 2 pcs.
15. Toilet soap - 1 pc.
16. Chloramine B, 300 grams, for on-site preparation of disinfectant solution 3% - 1 packet



20. Lamivudine
21. Zidovudine

Price: from 3000 rubles.

Composition of a first aid kit for the prevention of HIV infection in case of accidents at work

Personal safety measures of medical personnel in the provision of medical care.

Long-term medical practice has shown that the risk of infection of a physician in an accident at work is hundredths of a percent (0.3%), slightly higher in the presence of cofactors (multiple cuts, punctures, etc.). Without an accident (industrial accident) and violations by a medical worker of sanitary requirements (performing parenteral procedures without gloves, without goggles, etc.), infection of a medical worker is impossible.

Infection of medical workers can occur:

  • In case of contamination of the skin (if there is damage) and mucous biological fluids of an HIV-infected person (blood, serum, liquor, cerebrospinal fluid, semen, etc.)
  • During medical procedures when an accident occurs. Currently, in accordance with the current regulations - industrial accident(cut, prick, damage by small bone fragments, etc.).

Observing elementary requirements at the workplace, medical workers ensure their epidemiological safety.

HIV prevention measures in medical institutions:

  • Medical workers with wounds on their hands, exudative skin lesions or weeping dermatitis are suspended from caring for patients and contact with care items for the duration of the illness. If it is necessary to perform work, all damage should be sealed with adhesive tape and covered with a fingertip;
  • It is strictly forbidden to place referral forms to the clinical diagnostic laboratory next to test tubes with blood;
  • The surface of the tables at the end of the working day (and in case of blood contamination immediately) is treated with a disinfectant that acts on parenteral infections (for example, 3% samarovo or 6% peroxide solution with 0.5% detergent), exposure is maintained, etc.
  • If the surface is contaminated with blood or serum, the procedure is performed twice: immediately and with an interval of 15 minutes.
  • Filling out the accounting documentation should be kept on a clean table;
  • Lift needles that have fallen to the floor with the help of an improvised tool (tip, tweezers, magnet)
  • Whenever possible, use only one-time tools
  • When opening ampoules, you must use a cotton ball or swab to break.
  • Disassembly washing, rinsing of medical instruments, pipettes, laboratory glassware, instruments, devices that have come into contact with blood or serum should be carried out only in latex gloves after preliminary disinfection
  • It is forbidden to eat, smoke and use cosmetics on work tables
  • It is not necessary to carry out any parenteral and therapeutic and diagnostic procedures to the medical staff in those rooms that are intended for serving patients.

Algorithm of actions of medical workers in case of an industrial accident:

  • Provide yourself or help yourself
  • Report an accident to a superior
  • Make an entry in the "Journal of industrial accidents"
  • It is advisable in the first two hours (but not later than 72 hours) to start taking antiviral drugs according to a full-fledged HAART regimen (highly active anti-retro viral therapy)
  • Draw up a statement of an industrial accident
  • See a trusted doctor to adjust antiviral therapy
  • To be examined for HIV by a health worker and a patient by the method of express tests, followed by examination through the laboratory. The first test of a health worker should be negative, if the first test shows the presence of antibodies to HIV, this indicates that he was infected earlier (seronegative is at least 7 days)
  • In the future, the injured health worker should be examined at intervals after 3 months. Accordingly, after 3,6,9 and 12 months.

    Nurse tactics in a patient's body fluids emergency

    If a year later, a negative HIV test is removed from the dispensary, if HIV infection is detected, then we are talking about an industrial accident after an additional epidemiological investigation.

  • Medical women are advised to have a pregnancy test;
  • It is recommended to conduct an epidemiological investigation of the causes of injury and establish a link between the causes of injury and the performance of medical workers' duties.

Actions of medical workers in the event of various accidents at work

  • If biological fluid gets on the mucous membrane of the eye, rinse with plenty of water. Do not rub! Tap water or sterile water from the first-aid kit is used in the absence of centralized water supply. Sterile pharmaceutical water is changed once a month, the original packaging is on the label according to the expiration date.
  • If a biological fluid gets on the nasal mucosa, it is necessary to rinse both nasal passages with plenty of water. Do not rub!
  • If a biological fluid gets on the mucous membrane of the mouth, throat, it is necessary to rinse the mucous membrane abundantly with water, rinse with 70% ethyl alcohol.
  • In case of a scratch, cut or puncture of the skin of the hands, gloves should be removed, hands should be washed with soap, the wound should be treated with 70% ethyl alcohol, and lubricated with 5% alcohol solution of iodine.
  • If a biological fluid gets on sanitary clothes, sanitary clothes must be removed, treated with any disinfectant at a concentration prescribed for working with HIV infection, hepatitis, and other parenteral infections, and the skin under sanitary clothes should be treated with 70% ethyl alcohol. The dressing gown should be returned to the laundry.
  • If blood or biological fluid gets on the skin, treat with 70% ethyl alcohol, wash with soap and water, re-treat with 70% ethyl alcohol.
  • If a biological fluid is spilled, it is necessary to apply a rag abundantly moistened with a disinfectant solution in a concentration for working with HIV at the accident site for the time provided for this disinfectant solution, then wet cleaning. In the event that the volume of biological fluid is large or it is in a separate container, it must be filled with dry matter or filled with a basic solution when using liquid concentrates in a ratio of 1: 5 (200 grams per 1 liter) and withstand exposure for time according to the instructions for this disinfectant.

Personal safety measures of medical personnel in the provision of medical care to HIV-infected and AIDS patients

  • When preparing for the manipulation of a patient with HIV infection, make sure that the emergency first-aid kit is intact.
  • Perform manipulations in the presence of an understudy, who can continue to perform the manipulation in the event of a rupture of gloves or a cut.
  • Treat the skin of the nail phalanges with a 5% alcohol solution of iodine.
  • Use double latex gloves.

Composition of a first aid kit for the prevention of HIV infection in case of accidents at work

  • Water - tap water or, in the absence of centralized water supply, sterile pharmaceutical or factory sterile.
  • 70% ethyl alcohol - a bottle of at least 50 ml.
  • 5% alcoholic iodine solution - 10 ml bottle.
  • Sterile bandage - 1 pack.
  • Adhesive plaster - 1 package.
  • Cotton balls - 20 pcs.
  • Scissors or scalpel - 1 pc.

Rapid tests (HIV diagnostics and pregnancy) are stored according to the storage conditions specified in the instructions for the tests (for example, in the refrigerator), but any health worker in the health care facility should know where they are stored and must be provided with access to them at any time of the day, on weekends and holidays.

All accidents are recorded in "Journal of registration of accidents at work", where it is recommended to fill in the following fields:

  • Date, time of the accident and the name of the injured health worker
  • Full name of the patient, during whose servicing the accident occurred
  • Date of examination for antibodies to HIV of the patient on a voluntary basis or data on his HIV status
  • Name and signatures of accident witnesses
  • Description of the invasive procedure performed by the healthcare provider
  • Description of injury or emergency
  • Date and time of the provider's HIV antibody test
  • Date and time of notification of the accident to a superior in position
  • Date of drawing up a report on an industrial accident
  • Date and time of visits to a trusted HIV doctor at a healthcare facility or AIDS center
  • Mark of the assigned course of HAART
  • Date of follow-up antibody tests by the provider.

Post-exposure prophylaxis in case of an accident at work, it is carried out for any amount of injuries according to a full-fledged HAART scheme:

  • In case of injections, cuts, contact with mucous membranes, etc. preferably in the first 2 hours, but no later than 72 hours after the accident, within 30 days, take Kaletra (lopinavir / ritonavor) 2 capsules 2 times a day + combivir (zidovudine / lamivudine), one tablet 2 times a day.
  • If you immediately took nevirapine (viramune), AZT (thymazid, retrovir, zidovudine) or abacavir, etc., then after a single dose you need to correct it with a trusted doctor or an AIDS center and prescribe a full-fledged chemoprophylaxis.

Each health facility providing medical care to HIV-infected patients is advised to have a stock of ARV drugs for industrial accidents. They must be stored in a generally known place, accessible to health workers at any time of the day.

Use the site search:

Medical styling »Catalog» Medical styling »Syndromic styling» First aid kit for emergency prevention of parenteral infections

First aid kit for emergency prevention of parenteral infections


Parenteral Infection Shelter comes in several configurations. Parenteral first-aid kits are used in the following organizations:
- medical institutions
- medical offices of various organizations
- medical rooms of children's institutions (school, kindergartens, camps, sanatoriums, etc.)
- mobile medical teams
- household services (hairdressing salons, beauty parlors)

UPI-1/2630 Set "Packing for emergency prevention of parenteral infections"... Completed in accordance with Appendix No. 12 SanPin 2.1.3.2630-10 "Emergency prevention of parenteral viral hepatitis and HIV infection")
Price 7100 rubles
1. Alcohol 70% - 2 packs
2. Iodine solution 5% - 2 packs
3. Boric acid solution 1% - 2 packs
4. Protargol solution 1% - 2 packs
5. A solution of potassium permanganate 0.05% - 2 packages
6. Azimitem (Zidovudine) 300 mg No. 60 - 1 package
7. Lamivudine Canon 150 mg No. 60 - 1 package
8. Case - 1 piece

UPI-2/2630 Set "Packing for emergency prevention of parenteral infections"... Completed in accordance with Appendix No. 12 SanPin 2.1.3.2630-10 "Emergency prevention of parenteral viral hepatitis and HIV infection")
Price 8700 rubles
1. Alcohol 70% - 2 packs
2. Iodine solution 5% - 2 packs
3. Boric acid solution 1% - 2 packs
4. Protargol solution 1% - 2 packs
5. A solution of potassium permanganate 0.05% - 2 packages
6. Azimitem (Zidovudine) 300 mg No. 60 - 1 package
7. Lamivudine Canon 150 mg No. 60 - 1 package
8. Disposable gloves - 2 pairs
9. Alcohol wipes - 10 pieces
10. Case - 1 piece

Set "First aid kit for emergency prevention of parenteral infections (First aid kit Anti-AIDS)"
Price 3200 rubles
1. Medical gauze sterile bandage measuring 7x14 cm - 1 piece
2. Non-sterile cotton wool, 50 g - 1 pc.
3. Iodine solution 5% - 10 ml
4. Bactericidal adhesive plaster - 1 pc.
5. Rolled adhesive plaster - 1 piece
6. Fingertip - 1 pc.
7. Non-sterile scissors - 1 pc.
8. Non-sterile gloves - 1 pc.
9. Pipette - 1 pc.
10. Sterile hemostatic dressing - 1 pc.
11. Napkin with hydrogen peroxide antiseptic - 1 pc.
12. Alcohol napkin -1 pc.
13. Napkin with ammonia - 1 pc.
14. Cup for taking medicine - 1 pc.
15. Chlorgnxidine bigluconate, solution 0.05%, 100 ml - 1 pc.
16. Case - 1 pc.

Set "First aid kit for emergency prevention of parenteral infections (Individual assembly)"
Price 10600 rubles
1. Alcohol 70% - 100 ml
2. Iodine solution 5% - 1 bottle
3. Boric acid solution 1% - 1 bottle
4. Protargol solution 1% - 1 bottle
5. A solution of potassium permanganate 0.05%
6. Distilled water in containers of 100 ml
7. Glass pipettes - 5 pcs.
8. Cotton and gauze swabs - 5 pcs.
9. Antiseptic adhesive plaster - 1 pack
10. Metal scissors - 1 pc.
11. Finger cots - 5 pcs.
12. Toilet soap - 1 pc.
13. Chloramine B solution 3% -
14. Metal box - 1 pc.
15. Azidothymidine
16. Lamivudine
17. Lopinavir
18. Lamivudine + Zidovudine

UPI-1n Set "Packing for emergency prevention of parenteral infections" for the provision of primary health care, emergency medical care, specialized medical care for palliative care by order 1n of 01/09/2018
Price 990 rubles
1. Iodine 5%, alcohol solution for external use 10 ml - 1 bottle
2. Alcohol 70% ethyl solution for external use 100 ml - 1 bottle
3. Sterile medical gauze bandage 5x10 cm - 2 pcs.
4. Sterile medical gauze napkin 16x14 cm No. 10 - 1 unitary enterprise.
5. Case-container - 1 pc.

Set "Packing for emergency prevention of parenteral infections (First-aid kit AntiSpid-1)" completed according to SanPin 2826-10 new composition 2016, basic configuration
Price 5400 rubles
1. Case-container - 1 pc.
2. Ethyl alcohol 70%, 100 ml - 1 bottle
3. Iodine 5% - 1 bottle
4. Boric acid 1% - 1 bottle
5. Sialor (analogue of protargol) - 1 bottle
6. Powder of potassium permanganate, 3-5 grams for solution preparation on site - 1 bag.
7. Water for injection 10 ml No. 5 - 2 packs
8. Glass eye pipettes - 5 pcs.
9. Sterile bandage - 2 pcs.
10. Sterile cotton wool - 1 pack
11. Cotton-gauze bandages - 5 pcs.
12. Antiseptic adhesive plaster - 1 set
13. Scissors for cutting bandages - 1 pc.
14. Surgical gloves - 2 pcs.
15. Toilet soap - 1 pc.
16. Chloramine B, 300 grams, for on-site preparation of disinfectant solution 3% - 1 packet

Set "Packing for emergency prevention of parenteral infections (First-aid kit AntiSpid-2)" completed in accordance with SanPin 2826-10 new composition 2016, extended configuration
Price 8700 rubles
1. Case-container - 1 pc.
2. Ethyl alcohol 70%, 100 ml - 1 bottle
3. Iodine 5% - 1 bottle
4. Boric acid 1% - 1 bottle
5. Sialor (analogue of protargol) - 1 bottle
6. Powder of potassium permanganate, 3-5 grams for solution preparation on site - 1 bag.
7. Water for injection 10 ml No. 5 - 2 packs
8. Glass eye pipettes - 5 pcs.
9. Sterile bandage - 2 pcs.
10. Sterile cotton wool - 1 pack
11. Cotton-gauze bandages - 5 pcs.
12. Antiseptic adhesive plaster - 1 set
13. Scissors for cutting bandages - 1 pc.
14. Surgical gloves - 2 pcs.
15.

Algorithm of actions and assistance in an HIV emergency

Toilet soap - 1 pc.
16. Chloramine B, 300 grams, for on-site preparation of disinfectant solution 3% - 1 packet
17. Abacteril-Active disinfectant 100 ml with a push-button spray - 1 bottle
18. Retrocheck HIV express test for the detection of antibodies to HIV-1 and HIV-2 in human serum, plasma and blood - 1 set
19. Lancet Prolance Normal Flow (green) 1.8 mm 21G for express test for the detection of antibodies to HIV-1 and HIV-2 - 1 pc.
20. Lamivudine
21. Zidovudine

Price: from 3000 rubles.

Composition of a first aid kit for the prevention of HIV infection in case of accidents at work

Personal safety measures of medical personnel in the provision of medical care.

Long-term medical practice has shown that the risk of infection of a physician in an accident at work is hundredths of a percent (0.3%), slightly higher in the presence of cofactors (multiple cuts, punctures, etc.). Without an accident (industrial accident) and violations by a medical worker of sanitary requirements (performing parenteral procedures without gloves, without goggles, etc.), infection of a medical worker is impossible.

Infection of medical workers can occur:

  • In case of contamination of the skin (if there is damage) and mucous biological fluids of an HIV-infected person (blood, serum, liquor, cerebrospinal fluid, semen, etc.)
  • During medical procedures when an accident occurs. Currently, in accordance with the current regulations - industrial accident(cut, prick, damage by small bone fragments, etc.).

Observing elementary requirements at the workplace, medical workers ensure their epidemiological safety.

HIV prevention measures in medical institutions:

  • Medical workers with wounds on their hands, exudative skin lesions or weeping dermatitis are suspended from caring for patients and contact with care items for the duration of the illness. If it is necessary to perform work, all damage should be sealed with adhesive tape and covered with a fingertip;
  • It is strictly forbidden to place referral forms to the clinical diagnostic laboratory next to test tubes with blood;
  • The surface of the tables at the end of the working day (and in case of blood contamination immediately) is treated with a disinfectant that acts on parenteral infections (for example, 3% samarovo or 6% peroxide solution with 0.5% detergent), exposure is maintained, etc.
  • If the surface is contaminated with blood or serum, the procedure is performed twice: immediately and with an interval of 15 minutes.
  • Filling out the accounting documentation should be kept on a clean table;
  • Lift needles that have fallen to the floor with the help of an improvised tool (tip, tweezers, magnet)
  • Whenever possible, use only one-time tools
  • When opening ampoules, you must use a cotton ball or swab to break.
  • Disassembly washing, rinsing of medical instruments, pipettes, laboratory glassware, instruments, devices that have come into contact with blood or serum should be carried out only in latex gloves after preliminary disinfection
  • It is forbidden to eat, smoke and use cosmetics on work tables
  • It is not necessary to carry out any parenteral and therapeutic and diagnostic procedures to the medical staff in those rooms that are intended for serving patients.

Algorithm of actions of medical workers in case of an industrial accident:

  • Provide yourself or help yourself
  • Report an accident to a superior
  • Make an entry in the "Journal of industrial accidents"
  • It is advisable in the first two hours (but not later than 72 hours) to start taking antiviral drugs according to a full-fledged HAART regimen (highly active anti-retro viral therapy)
  • Draw up a statement of an industrial accident
  • See a trusted doctor to adjust antiviral therapy
  • To be examined for HIV by a health worker and a patient by the method of express tests, followed by examination through the laboratory. The first test of a health worker should be negative, if the first test shows the presence of antibodies to HIV, this indicates that he was infected earlier (seronegative is at least 7 days)
  • Medical women are advised to have a pregnancy test;
  • It is recommended to conduct an epidemiological investigation of the causes of injury and establish a link between the causes of injury and the performance of medical workers' duties.

Actions of medical workers in the event of various accidents at work

  • If biological fluid gets on the mucous membrane of the eye, rinse with plenty of water. Do not rub! Tap water or sterile water from the first-aid kit is used in the absence of centralized water supply. Sterile pharmaceutical water is changed once a month, the original packaging is on the label according to the expiration date.
  • If a biological fluid gets on the nasal mucosa, it is necessary to rinse both nasal passages with plenty of water. Do not rub!
  • If a biological fluid gets on the mucous membrane of the mouth, throat, it is necessary to rinse the mucous membrane abundantly with water, rinse with 70% ethyl alcohol.
  • In case of a scratch, cut or puncture of the skin of the hands, gloves should be removed, hands should be washed with soap, the wound should be treated with 70% ethyl alcohol, and lubricated with 5% alcohol solution of iodine.
  • If a biological fluid gets on sanitary clothes, sanitary clothes must be removed, treated with any disinfectant at a concentration prescribed for working with HIV infection, hepatitis, and other parenteral infections, and the skin under sanitary clothes should be treated with 70% ethyl alcohol. The dressing gown should be returned to the laundry.
  • If blood or biological fluid gets on the skin, treat with 70% ethyl alcohol, wash with soap and water, re-treat with 70% ethyl alcohol.
  • If a biological fluid is spilled, it is necessary to apply a rag abundantly moistened with a disinfectant solution in a concentration for working with HIV at the accident site for the time provided for this disinfectant solution, then wet cleaning. In the event that the volume of biological fluid is large or it is in a separate container, it must be filled with dry matter or filled with a basic solution when using liquid concentrates in a ratio of 1: 5 (200 gr.

    Composition of first aid kit anti HIV 2015

    1 liter) and keep the exposure for time according to the instructions for this disinfectant.

Personal safety measures of medical personnel in the provision of medical care to HIV-infected and AIDS patients

  • When preparing for the manipulation of a patient with HIV infection, make sure that the emergency first-aid kit is intact.
  • Perform manipulations in the presence of an understudy, who can continue to perform the manipulation in the event of a rupture of gloves or a cut.
  • Treat the skin of the nail phalanges with a 5% alcohol solution of iodine.
  • Use double latex gloves.

Composition of a first aid kit for the prevention of HIV infection in case of accidents at work

  • Water - tap water or, in the absence of centralized water supply, sterile pharmaceutical or factory sterile.
  • 70% ethyl alcohol - a bottle of at least 50 ml.
  • 5% alcoholic iodine solution - 10 ml bottle.
  • Sterile bandage - 1 pack.
  • Adhesive plaster - 1 package.
  • Cotton balls - 20 pcs.
  • Scissors or scalpel - 1 pc.

Rapid tests (HIV diagnostics and pregnancy) are stored according to the storage conditions specified in the instructions for the tests (for example, in the refrigerator), but any health worker in the health care facility should know where they are stored and must be provided with access to them at any time of the day, on weekends and holidays.

All accidents are recorded in "Journal of registration of accidents at work", where it is recommended to fill in the following fields:

  • Date, time of the accident and the name of the injured health worker
  • Full name of the patient, during whose servicing the accident occurred
  • Date of examination for antibodies to HIV of the patient on a voluntary basis or data on his HIV status
  • Name and signatures of accident witnesses
  • Description of the invasive procedure performed by the healthcare provider
  • Description of injury or emergency
  • Date and time of the provider's HIV antibody test
  • Date and time of notification of the accident to a superior in position
  • Date of drawing up a report on an industrial accident
  • Date and time of visits to a trusted HIV doctor at a healthcare facility or AIDS center
  • Mark of the assigned course of HAART
  • Date of follow-up antibody tests by the provider.

Post-exposure prophylaxis in case of an accident at work, it is carried out for any amount of injuries according to a full-fledged HAART scheme:

  • In case of injections, cuts, contact with mucous membranes, etc. preferably in the first 2 hours, but no later than 72 hours after the accident, within 30 days, take Kaletra (lopinavir / ritonavor) 2 capsules 2 times a day + combivir (zidovudine / lamivudine), one tablet 2 times a day.
  • If you immediately took nevirapine (viramune), AZT (thymazid, retrovir, zidovudine) or abacavir, etc., then after a single dose you need to correct it with a trusted doctor or an AIDS center and prescribe a full-fledged chemoprophylaxis.

Each health facility providing medical care to HIV-infected patients is advised to have a stock of ARV drugs for industrial accidents. They must be stored in a generally known place, accessible to health workers at any time of the day.

Use the site search:

Prevention of HIV infection in health workers and the algorithm of action in an emergency

Composition of a first aid kit for the prevention of HIV infection in case of accidents at work

Personal safety measures of medical personnel in the provision of medical care.

Long-term medical practice has shown that the risk of infection of a physician in an accident at work is hundredths of a percent (0.3%), slightly higher in the presence of cofactors (multiple cuts, punctures, etc.). Without an accident (industrial accident) and violations by a medical worker of sanitary requirements (performing parenteral procedures without gloves, without goggles, etc.), infection of a medical worker is impossible.

Infection of medical workers can occur:

  • In case of contamination of the skin (if there is damage) and mucous biological fluids of an HIV-infected person (blood, serum, liquor, cerebrospinal fluid, semen, etc.)
  • During medical procedures when an accident occurs. Currently, in accordance with the current regulations - industrial accident(cut, prick, damage by small bone fragments, etc.).

Observing elementary requirements at the workplace, medical workers ensure their epidemiological safety.

HIV prevention measures in medical institutions:

  • Medical workers with wounds on their hands, exudative skin lesions or weeping dermatitis are suspended from caring for patients and contact with care items for the duration of the illness. If it is necessary to perform work, all damage should be sealed with adhesive tape and covered with a fingertip;
  • It is strictly forbidden to place referral forms to the clinical diagnostic laboratory next to test tubes with blood;
  • The surface of the tables at the end of the working day (and in case of blood contamination immediately) is treated with a disinfectant that acts on parenteral infections (for example, 3% samarovo or 6% peroxide solution with 0.5% detergent), exposure is maintained, etc.
  • If the surface is contaminated with blood or serum, the procedure is performed twice: immediately and with an interval of 15 minutes.
  • Filling out the accounting documentation should be kept on a clean table;
  • Lift needles that have fallen to the floor with the help of an improvised tool (tip, tweezers, magnet)
  • Whenever possible, use only one-time tools
  • When opening ampoules, you must use a cotton ball or swab to break.
  • Disassembly washing, rinsing of medical instruments, pipettes, laboratory glassware, instruments, devices that have come into contact with blood or serum should be carried out only in latex gloves after preliminary disinfection
  • It is forbidden to eat, smoke and use cosmetics on work tables
  • It is not necessary to carry out any parenteral and therapeutic and diagnostic procedures to the medical staff in those rooms that are intended for serving patients.

Algorithm of actions of medical workers in case of an industrial accident:

  • Provide yourself or help yourself
  • Report an accident to a superior
  • Make an entry in the "Journal of industrial accidents"
  • It is advisable in the first two hours (but not later than 72 hours) to start taking antiviral drugs according to a full-fledged HAART regimen (highly active anti-retro viral therapy)
  • Draw up a statement of an industrial accident
  • See a trusted doctor to adjust antiviral therapy
  • To be examined for HIV by a health worker and a patient by the method of express tests, followed by examination through the laboratory. The first test of a health worker should be negative, if the first test shows the presence of antibodies to HIV, this indicates that he was infected earlier (seronegative is at least 7 days)
  • In the future, the injured health worker should be examined at intervals after 3 months. Accordingly, after 3,6,9 and 12 months. If a year later, a negative HIV test is removed from the dispensary, if HIV infection is detected, then we are talking about an industrial accident after an additional epidemiological investigation.
  • Medical women are advised to have a pregnancy test;
  • It is recommended to conduct an epidemiological investigation of the causes of injury and establish a link between the causes of injury and the performance of medical workers' duties.

Actions of medical workers in the event of various accidents at work

  • If biological fluid gets on the mucous membrane of the eye, rinse with plenty of water. Do not rub! Tap water or sterile water from the first-aid kit is used in the absence of centralized water supply. Sterile pharmaceutical water is changed once a month, the original packaging is on the label according to the expiration date.
  • If a biological fluid gets on the nasal mucosa, it is necessary to rinse both nasal passages with plenty of water. Do not rub!
  • If a biological fluid gets on the mucous membrane of the mouth, throat, it is necessary to rinse the mucous membrane abundantly with water, rinse with 70% ethyl alcohol.
  • In case of a scratch, cut or puncture of the skin of the hands, gloves should be removed, hands should be washed with soap, the wound should be treated with 70% ethyl alcohol, and lubricated with 5% alcohol solution of iodine.
  • If a biological fluid gets on sanitary clothes, sanitary clothes must be removed, treated with any disinfectant at a concentration prescribed for working with HIV infection, hepatitis, and other parenteral infections, and the skin under sanitary clothes should be treated with 70% ethyl alcohol. The dressing gown should be returned to the laundry.
  • If blood or biological fluid gets on the skin, treat with 70% ethyl alcohol, wash with soap and water, re-treat with 70% ethyl alcohol.
  • If a biological fluid is spilled, it is necessary to apply a rag abundantly moistened with a disinfectant solution in a concentration for working with HIV at the accident site for the time provided for this disinfectant solution, then wet cleaning. In the event that the volume of biological fluid is large or it is in a separate container, it must be filled with dry matter or filled with a basic solution when using liquid concentrates in a ratio of 1: 5 (200 grams per 1 liter) and withstand exposure for time according to the instructions for this disinfectant.

Personal safety measures of medical personnel in the provision of medical care to HIV-infected and AIDS patients

  • When preparing for the manipulation of a patient with HIV infection, make sure that the emergency first-aid kit is intact.
  • Perform manipulations in the presence of an understudy, who can continue to perform the manipulation in the event of a rupture of gloves or a cut.
  • Treat the skin of the nail phalanges with a 5% alcohol solution of iodine.
  • Use double latex gloves.

Composition of a first aid kit for the prevention of HIV infection in case of accidents at work

  • Water - tap water or, in the absence of centralized water supply, sterile pharmaceutical or factory sterile.
  • 70% ethyl alcohol - a bottle of at least 50 ml.
  • 5% alcoholic iodine solution - 10 ml bottle.
  • Sterile bandage - 1 pack.
  • Adhesive plaster - 1 package.
  • Cotton balls - 20 pcs.
  • Scissors or scalpel - 1 pc.

Rapid tests (HIV diagnostics and pregnancy) are stored according to the storage conditions specified in the instructions for the tests (for example, in the refrigerator), but any health worker in the health care facility should know where they are stored and must be provided with access to them at any time of the day, on weekends and holidays.

All accidents are recorded in "Journal of registration of accidents at work", where it is recommended to fill in the following fields:

  • Date, time of the accident and the name of the injured health worker
  • Full name of the patient, during whose servicing the accident occurred
  • Date of examination for antibodies to HIV of the patient on a voluntary basis or data on his HIV status
  • Name and signatures of accident witnesses
  • Description of the invasive procedure performed by the healthcare provider
  • Description of injury or emergency
  • Date and time of the provider's HIV antibody test
  • Date and time of notification of the accident to a superior in position
  • Date of drawing up a report on an industrial accident
  • Date and time of visits to a trusted HIV doctor at a healthcare facility or AIDS center
  • Mark of the assigned course of HAART
  • Date of follow-up antibody tests by the provider.

Post-exposure prophylaxis in case of an accident at work, it is carried out for any amount of injuries according to a full-fledged HAART scheme:

  • In case of injections, cuts, contact with mucous membranes, etc. preferably in the first 2 hours, but no later than 72 hours after the accident, within 30 days, take Kaletra (lopinavir / ritonavor) 2 capsules 2 times a day + combivir (zidovudine / lamivudine), one tablet 2 times a day.
  • If you immediately took nevirapine (viramune), AZT (thymazid, retrovir, zidovudine) or abacavir, etc., then after a single dose you need to correct it with a trusted doctor or an AIDS center and prescribe a full-fledged chemoprophylaxis.

Each health facility providing medical care to HIV-infected patients is advised to have a stock of ARV drugs for industrial accidents. They must be stored in a generally known place, accessible to health workers at any time of the day.

Use the site search:

On March 23, 2018, the order of the Ministry of Health of January 9, 2018 N 1n, registered with the Ministry of Justice on March 12, 2018, will enter into force, which approved the requirements for the packaging of drugs and medical devices for emergency prevention of parenteral infections for the provision of primary health care, emergency care, specialized and palliative medical help.

According to the document, the "Anti AIDS" first aid kit includes:

  1. iodine - solution for external use 5%;
  2. ethanol - solution for external use 70%;
  3. sterile medical gauze bandage (5 mx 10 cm) - 2 pcs;
  4. bactericidal adhesive plaster (at least 1.9 cm x 7.2 cm) - 3 pcs;
  5. sterile medical gauze napkin (not less than 16 cm x 14 cm, N10) - 1 pack.

Requirements

The packing must be completed with medicinal products registered in the Russian Federation, in the primary packaging or in the secondary (consumer) packaging without removing the instructions for use of the medicinal product.

It is not allowed to use medical devices in case of violation of their sterility.

It is not allowed to use, including repeated, medicinal products, medical devices contaminated with blood and (or) other biological fluids.

The packing is placed in a cover (container) with strong locks (clamps). The material and construction of the cover (container) must ensure multiple disinfection.

In the case of the use of drugs, medical devices provided for by these requirements, the packing must be replenished.

A healthy lifestyle for you is, first of all, ...

Order on the composition of the anti-AIDS first aid kit

1. Ethyl alcohol 70%, 100 ml *
2. Iodine solution 5%, 1 bottle
3. Boric acid solution 1%
4. A solution of protargol 1%
5. A solution of potassium permanganate 0.05% (weighed portion of dry potassium permanganate, 50 mg each) *
6. Distilled water in containers of 100 ml
7. Glass pipettes - 5 pcs.
8. Cotton and gauze swabs - 5 pcs.
9. Antiseptic adhesive plaster - 1 pack.
10. Metal scissors
11. Finger cots - 5 pcs.
12. Toilet soap
13. Chloramine B solution 3% or any other disinfectant solution
14. Marked metal box

Azidothymidine (retrovir, zidovudine)
Lamivudine (elivir)
Lopinavir / ritonavir (Kaletra)
Lamivudine + Zidovudine (combivir)

* - subject to quantitative accounting, in accordance with the requirements of the Government of the Russian Federation of June 30, 1998 No. 681 "On approval of the list of narcotic drugs, psychotropic substances and their precursors subject to control in the Russian Federation" and the order of the Ministry of Health and Social Development of the Russian Federation dated December 14, 2005 No. 785 “On the Procedure for Dispensing Medicines”.

These recommendations on the composition of the Anti-AIDS first-aid kit are prepared taking into account the provisions of: Resolution of the Chief State Sanitary Doctor of the Russian Federation of 05/18/2010 N 58 "On approval of SanPiN 2.1.3.2630-10" Sanitary and epidemiological requirements for organizations carrying out medical activities "(Appendix 12 to SanPiN 2.1.3.2630-10); Resolution of the Chief State Sanitary Doctor of the Russian Federation of January 11, 2011 No. 1 “On the approval of SP 3.1.5.2826-10“ Prevention of HIV infection ”; Methodological recommendations "Prevention of HIV infection in state forensic medical expert institutions" (letter of the Ministry of Health of Russia dated 03.22.2013 No. 14-1 / 10 / 2-2018); Methodical recommendations: Prevention of occupational HIV infection among emergency and emergency medical workers.

Option 1: Emergency prevention of parenteral viral hepatitis and HIV infection (Appendix 12 to SanPiN 2.1.3.2630-10)

In order to avoid infection with parenteral viral hepatitis, HIV infection, the rules for working with stabbing and cutting instruments should be observed.
In case of cuts and injections, immediately treat and remove gloves, squeeze blood out of the wound, wash hands with soap and water under running water, treat hands with 70% alcohol, lubricate the wound with 5% iodine solution.
If blood or other biological fluids get on the skin, this place is treated with 70% alcohol, washed with water and soap and re-treated with 70% alcohol.
If blood gets on the mucous membranes of the eyes, they are immediately washed with water or 1% boric acid solution; if it gets on the nasal mucosa, it is treated with a 1% solution of protargol; on the mucous membrane of the mouth - rinse with 70% alcohol solution or 0.05% solution of potassium permanganate or 1% boric acid solution.
The mucous membranes of the nose, lips, conjunctiva are also treated with a solution of potassium permanganate at a dilution of 1: 10000 (the solution is prepared ex tempore).
For the purpose of emergency prevention of HIV infection, azidothymidine is prescribed for 1 month. The combination of azidothymidine (retrovir) and lamivudine (elivir) enhances antiretroviral activity and overcomes the formation of resistant strains.
Persons exposed to the threat of HIV infection are under the supervision of an infectious disease doctor for 1 year with a mandatory examination for the presence of a marker of HIV infection.
Personnel who have come into contact with material infected with the hepatitis B virus are injected simultaneously with a specific immunoglobulin (no later than 48 hours) and the hepatitis B vaccine in different parts of the body according to the scheme 0 - 1 - 2 - 6 months. followed by monitoring of hepatitis markers (not earlier than 3 - 4 months after the administration of immunoglobulin).
If contact has occurred with a previously vaccinated health worker, it is advisable to determine the level of anti-HBs in the blood serum. If there is a concentration of antibodies in the titer of 10 IU / L and higher, vaccine prophylaxis is not carried out, in the absence of antibodies, it is advisable to simultaneously administer 1 dose of immunoglobulin and a booster dose of the vaccine.

Option 2: Actions of a medical worker in an emergency (Resolution of the Chief State Sanitary Doctor of the Russian Federation of 11.01.2011 No. 1 "On the approval of SP 3.1.5.2826-10" Prevention of HIV infection ").

- in case of cuts and injections, immediately remove gloves, wash hands with soap under running water, treat hands with 70% alcohol, lubricate the wound with 5% alcohol solution of iodine;
- if blood or other biological fluids get on the skin, this place is treated with 70% alcohol, washed with water and soap and re-treated with 70% alcohol;
- if blood and other biological fluids of the patient get on the mucous membrane of the eyes, nose and mouth: rinse the oral cavity with plenty of water and rinse with 70% ethanol solution, rinse the nasal mucosa and eyes with plenty of water (do not rub);
- if blood and other biological fluids of the patient get on the gown, clothes: take off work clothes and immerse them in a disinfectant solution or in a bix (tank) for autoclaving;
- start taking antiretroviral drugs as soon as possible for the purpose of post-exposure prophylaxis of HIV infection.


The victim and the person who may be a potential source of infection should be interviewed about the carriage of viral hepatitis, STIs, inflammatory diseases of the genitourinary system, other diseases, and counseling should be provided regarding less risky behavior. If the source is HIV-infected, check to see if they have received antiretroviral therapy. If the victim is a woman, a pregnancy test should be performed to find out if she is breastfeeding. In the absence of clarifying data, post-exposure prophylaxis begins immediately; when additional information appears, the scheme is adjusted.

Post-exposure prophylaxis of HIV infection with antiretroviral drugs:
Antiretroviral drugs should be started within the first two hours after the accident, but no later than 72 hours.
The standard regimen for post-exposure prophylaxis of HIV infection is lopinavir / ritonavir + zidovudine / lamivudine. In the absence of these drugs, any other antiretroviral drugs can be used to initiate chemoprophylaxis; if it is not possible to immediately prescribe a full HAART regimen, one or two available drugs are taken.
Nevirapine and abacavir can only be used in the absence of other drugs. If nevirapine is the only drug available, only one dose of the drug should be prescribed - 0.2 g (repeated administration is unacceptable), then, when other drugs are received, full-fledged chemoprophylaxis is prescribed. If chemoprophylaxis is started with abacavir, it should be tested for hypersensitivity reactions as soon as possible, or abacavir should be replaced with another NRTI.

Emergency registration is carried out in accordance with the established requirements:
- LPO employees must immediately report each emergency to the head of the unit, his deputy or a higher head;
- injuries sustained by health workers must be accounted for in each health care facility and recorded as an industrial accident with the drawing up of an Industrial Accident Act;
- the Register of occupational accidents should be completed;
- it is necessary to conduct an epidemiological investigation of the cause of the injury and establish a connection between the cause of the injury and the performance of the medical worker's official duties.

All health care providers should be provided with or, if necessary, have access to rapid HIV tests and antiretroviral drugs. The stock of antiretroviral drugs should be kept in any health facility at the choice of the healthcare authorities of the constituent entities of the Russian Federation, but in such a way that examination and treatment can be organized within 2 hours after an emergency.
The authorized health care facility must identify a specialist responsible for the storage of antiretroviral drugs, a storage location with access, including at night and on weekends.

First aid kit ANTIAIDS - (ANTI HIV) EMERGENCY according to SanPin 3.1.5 2826-10 The composition is relevant for 2017 and 2018

DECISIONS ON PREVENTION OF HIV AND VIRAL HEPATITIS

  • Hairdressers
  • Tattoo parlors
  • Manicure and pedicure salons
  • Cosmetology rooms
  • Dental offices
  • Other medical institutions

Emergency situations in which it is necessary to use the emergency first aid kit Anti AIDS:

  1. Accidental injection with a used syringe
  2. Contact with the blood of a suspected infected person on the mucous membranes: eyes, nose, mouth
  3. If the blood of a suspected infected person gets on the wound surface
  4. Skin and clothing contamination of a suspected infected person
  5. Accidental injury with a tool used for various procedures and having the blood of an infected person on the surface (manicure or pedicure tools, scissors, tattoo apparatus, etc.)

The composition of the first-aid kit ANTIAIDS - (Anti HIV) SanPin 3.1.5 2826-10

Emergency prevention of HIV infection and viral hepatitis:

no later than 72h

SEE ALSO:
Initial symptoms of AIDS in men and women

Article 43 of the Federal Law No. 323 Medical assistance to citizens suffering from diseases that pose a danger to others GO ...

In order to avoid critical situations, basic safety measures should be observed:

  • Use personal protective equipment: gown, mask, cap, special goggles (if necessary), gloves (if there is even a slight risk of cutting, double-layer gloves are recommended). Avoid exposed areas of the body.
  • Observe extreme caution when handling used medical material: needles, scalpels, syringes, tampons. Dispose of materials in tight bags with special labels.
  • Regularly disinfect tools and materials in contact with suspected infected individuals.
  • Clothes that have got blood or other biological fluids should be soaked in hot water (70 degrees) for at least 25 minutes.
  • Take extreme caution when providing first aid to victims with open bleeding.
  • When performing artificial respiration using the mouth-to-mouth method, make sure that the victim does not have bleeding from the mouth or lips. To avoid infection, you must use special. artificial respiration device or improvised means (gauze, bandage, handkerchief, etc.)
You should be aware that HIV-infected persons for a long time (several years) can remain healthy and not have manifestations of the disease.

HIV can remain active for some time (presumably several weeks) in dried blood drops, in frozen blood, in a used syringe. The human immunodeficiency virus can enter the body even through small sores on the skin, which, formally, represent the wound surface, that is, "open doors" for the virus. If all the above rules are observed, the risk of infection not only with HIV, but also with other viruses, in incl. various forms of hepatitis - minimal.

First aid kit ANTI-AIDS

The composition of the first aid kit "Anti-AIDS»:

- ethyl alcohol 70%

- alcohol solution of iodine 5%

- gloves (2 pairs)

- adhesive plaster (1 reel)

- bandage in sterile packaging (1 pc.)

- cotton balls or napkins in sterile packaging (20 pcs.)

In the absence of alcohol, there should be chloramine in the sample for the preparation of a 3% aqueous solution (30 g per 1 liter of water) for external use - disinfection of the skin. It is allowed to use ready-made solutions of skin antiseptics (for example, "Veltosept"), subject to the expiration dates indicated on the package.

Algorithm of actions in case of an emergency.

1. In case of a cut or injection with objects contaminated with blood (used syringes), wash your hands under running water and soap, dry with a disposable napkin, treat with 70% alcohol, lubricate the wound with 5% iodine solution, apply an aseptic dressing or seal with adhesive tape. If necessary, wear a fingertip or a glove.

- If the skin (hand surface) is contaminated with blood or other biological fluids, it is necessary to treat this place with 70% alcohol, wash it with soap and water, dry it thoroughly with a disposable napkin, re-treat it with 70% alcohol or other antiseptic.

- In case of contact with blood and other biological fluids on the mucous membrane of the eyes, nose, mouth: rinse the oral cavity with plenty of water and rinse with 70% alcohol, rinse the mucous membrane of the nose and eyes with plenty of water (do not rub!).

- If blood and other biological fluids of another person get on your clothes: take off your clothes and immerse them in a disinfectant solution (3% chloramine for 2 hours) or send them in a plastic bag for a chamber disinfection. The skin under the contaminated area is wiped with 70% alcohol, washed with soap and wiped again with alcohol.

- Contaminated shoes are wiped 2 times with an interval of 15 minutes with a rag soaked in a 3% solution of chloramine or other disinfectant.

2. After an accident, it is necessary as soon as possible to examine for HIV and viral hepatitis B and C the person who may be the source of infection, and the person in contact with him. To do this, you must immediately contact a medical institution: on weekdays - to the clinic of the Ministry of Internal Affairs of the Ministry of Internal Affairs in the city of Oryol or the Central Regional Hospital at the place of residence, on weekends - to the hospital of the Ministry of Internal Affairs of the Ministry of Internal Affairs or the duty of the medical institution at the place of residence. This is necessary for the appointment of chemoprophylaxis of HIV infection, which allows you to stop the development of the disease, if you start treatment in the first hours after infection, but no later than 72 hours.

Emergency prevention of viral hepatitis B and C is carried out according to the same scheme as the emergency prevention of HIV infection, but instead of chemotherapy, if necessary, hepatitis B vaccine with or without immunoglobulin is prescribed, depending on whether the victim was previously vaccinated. According to the national immunization schedule, all persons under the age of 56 are vaccinated against viral hepatitis B. There are still no means for specific prophylaxis of viral hepatitis C (vaccine).

Polyclinic of the Ministry of Internal Affairs of the Ministry of Internal Affairs (Mon-Fri from 8.00 to 19.00; Sat from 9.00 to 12.00)

- registry 76-13-96; 72-91-48

- infectious disease doctor 72-91-89 (Antonova Irina Viktorovna)

Hospital - emergency room 72-91-67; 45-85-63; doctor on duty 72-91-56; 72-91-53

TsGSEN - Chief 72-91-82 (Botovalkin Vladimir Dmitrievich)

epidemiologist 72-91-80 (Svinolobova Natalia Yurievna)

BUZ "Oryol Regional Center for the Prevention and Control of AIDS and Infectious Diseases"

address: Oryol, st. Leskova, 31 (4th floor of the infectious building of the BUZ of the Oryol region "Children's Regional Clinical Hospital named after ZI Krugloy"

Phones: 59-42-78 (registration); 41-01-91 (anonymous HIV testing); 42-00-03 (epidemiologists)

xn - l1aks.57.xn - b1aew.xn - p1ai

Autouristi.ru

  • Order on the composition of the anti-AIDS first aid kit

AntiSpid first aid kits (by SanPin) for eta

There are 3 specialized accessory kits in the store, including the Licensed Recommended, Standard and Extended Standard. The offered configurations comply with the current regulations.

ATTENTION!
If the drug falls under the resolution "STRICTLY BY RECIPE" - it will be replaced by an analogue!

The composition of the first-aid kits and packing can be changed and / or supplemented at the request of the Customer.

Composition of AntiSpid first aid kits corresponds SanPiN 3.1.5.2826-10 "Prevention of HIV infection" and SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations carrying out medical activities" (Resolution of the Chief State Sanitary Doctor of the Russian Federation of 05/18/2010 N 58 (as amended on 10.06. 2016) "On approval of SanPiN 2.1.3.2630-10" Sanitary and epidemiological requirements for organizations carrying out medical activities "(together with" SanPiN 2.1.3.2630-10. Sanitary and epidemiological rules and regulations. ") (Registered in the Ministry of Justice of Russia 09.08. 2010 N 18094)

PS: if you cannot choose the composition yourself, write to us by e-mail - the manager will contact you and help you with the choice.

AntiSpid first aid kits (according to SanPin) are specially formed for emergency prevention of HIV infection. They include the composition of all the necessary means at hand to take urgent measures. In the ParentCom company you can buy a complete set of AntiSpid first aid kits (according to SanPin), depending on existing requests.

RU, CC and declarations are supplied with the product, for each product that is part of the first-aid kits and packs, separately. The goods are not subject to VAT. ParentCom has a simplified tax system.

Order on the composition of the anti-AIDS first aid kit

Nevirapine and abacavir can only be used in the absence of other drugs. If nevirapine is the only drug available, only one dose of the drug should be prescribed - 0.2 g (repeated administration is unacceptable), then, when other drugs are received, full-fledged chemoprophylaxis is prescribed. If chemoprophylaxis is started with abacavir, it should be tested for hypersensitivity reactions as soon as possible, or abacavir should be replaced with another NRTI.

The stock of antiretroviral drugs should be kept in such a way that they can be started within the first two hours after the accident, but no later than 72 hours.

The standard regimen for post-exposure prophylaxis for HIV infection is lopinavir / ritonavir + zidovudine / lamivudine. In the absence of these drugs, any other antiretroviral drugs may be used to initiate chemoprophylaxis if it is not possible to immediately prescribe a full HAART regimen, one or two available drugs are taken.

It is necessary, as soon as possible after contact, to test for HIV and viral hepatitis B and C a person who may be a potential source of infection, and a person who has been in contact with him. Testing for HIV of a potential source of HIV infection and a person in contact is carried out by the method of rapid testing for HIV antibodies after an emergency with the obligatory direction of a sample from the same portion of blood for standard HIV testing in ELISA. Samples of blood plasma (or serum) of a person who is a potential source of infection and a contact person are transferred for storage for 12 months to the AIDS center of the constituent entity of the Russian Federation.

If there is a high risk of HIV infection (a deep cut, visible blood getting on damaged skin and mucous membranes from patients infected with HIV), for chemoprophylaxis, contact the territorial AIDS Centers.

It is necessary to conduct an epidemiological investigation of the cause of the injury and establish a link between the cause of the injury and the performance of the health worker's official duties.

Start taking antiretroviral drugs as soon as possible for post-exposure prophylaxis of HIV infection.

ANAPHYLACTIC (ANTI-SHOCK) FIRST AID KIT

Used to "stop" the development of an allergic reaction. Usually used, solution of Hydrocortisone or Dexamethasone (solution of Hydrocortisone should be stored in the refrigerator, solution of Dexamethasone can be stored at temperatures up to 25 degrees Celsius). Dexamethasone solution (4 mg / ml) is administered intravenously in a stream, at a dose of 8 mg to 20 mg (from 2 ml to 5 ml).

The incidence of anaphylactic reaction is low and ranges from 5 to 20 cases per 100 thousand people per year. However, in 10-20% of cases, anaphylaxis can be fatal. Let us examine, in order, the main causes of occurrence and the basic means that you need to have for providing first aid for anaphylaxis and, in fact, determining anaphylactic shock.

Used to restore the function of the cardiovascular system, increase blood pressure. With the development of an anaphylactic reaction, for a weight of 70-80 kg, it is necessary to inject i / v, 0.1-0.25 mg (0.1-0.25 ml) of Epinephrine + 10 ml of 0.9% sodium chloride solution. Or intramuscularly 0.3-0.5 ml, every 5-20 minutes, monitoring the patient's condition, blood pressure, pulse. In the first seconds of development, adrenaline intake of 0.5 ml sublingually (under the tongue) is recommended.

With the development of anaphylactic shock, the following symptoms can also be observed: a feeling of fear, vomiting, abdominal pain.

The rate of development is different, from 10-30 seconds to 4 hours. Usually the first symptoms appear after 5-30 minutes.

Applied only with stable blood pressure. Suprastin 2ml - intramuscularly; child - 0.1 ml per 1 year of life. It is prohibited to mix Suprastin with other medicines!

Eliminates bronchospasm. Only qualified honey can apply. personnel, since euphilin in combination with adrenaline can lead to severe forms of arrhythmia.

FIRST AID KIT ANTIAIDS (ANTI HIV) EMERGENCY

The second in importance, after the ANTI-SHOCK FIRST AID KIT, is the ANTIAIDS KIT - (Anti HIV). According to SanPin, this first-aid kit should be in every manipulation (procedural) room, in hospitals, ambulance workers, as well as in all enterprises, whose employees, in one way or another, come into contact with infected persons and, to a certain extent, are at risk of infection. These include:

As you can see, in the later edition of SanPin 3.1.5 2826-10 clause 8.3.3.1., If blood or other biological fluids of the face get on the mucous membranes (eyes, nose, mouth), the prevention of HIV infection is limited only by washing the mucous membranes with plenty of water, and rinsing the mouth with 70% ethanol solution. In earlier SanPiN 2.1.3.2630-10 Appendix 12, in a similar emergency, a wider range of measures was proposed using an aqueous solution of Boric acid, Protargol, a solution of potassium permanganate.

If you suspect HIV infection, in the first hours ( no later than 72h) after infection, prophylaxis with antiretroviral drugs should be carried out: the combination of Polinavir (or Ritonavir) and Zidovudine (or Lamivudine).

  • Hairdressers
  • Tattoo parlors
  • Manicure and pedicure salons
  • Cosmetology rooms
  • Dental offices
  • Other medical institutions

It is also necessary to appoint a person responsible for monitoring the expiration dates of medical supplies, and timely replenishment of the first-aid kit.

How to use the emergency first aid kit Antispid is described in p. appendix 12 to SanPiN 2.1.3.2630-10 and in paragraph 8.3.3.1. SanPin 3.1.5 2826-10.

Employees of melon establishments should be instructed on the completeness and correct use of the ANTIAIDS first aid kit.

Order of the Ministry of Healthcare of the Russian Federation of August 20, 1996

The text of the order was published in the Bulletin of Normative Acts of the Federal Executive Bodies, July 1997, N 14 (the date of signing the issue to print on July 25, 1997), in the Official Information Weekly Courier dated July 29, 1997 N 22, in the newspaper Ekonomika and life ", October 1999, N 44

By order of the Ministry of Health and Social Development of Russia dated September 8, 2009 N 697n, paragraph 2 of this order is set out in a new edition, which comes into force on July 1, 2010

First aid kit (automobile) was put into effect on January 1, 2000 by order of the Ministry of Health of the Russian Federation of October 11, 1999 N 366

The order approved the Composition of the first aid kit (automobile) and the Rules for the provision of first self- and mutual aid

This order comes into force 10 days after the day of its official publication

By order of the Ministry of Health and Social Development of Russia dated September 8, 2009 N 697n, changes were made to the title of this order, which come into force on July 1, 2010.

Anti AIDS - first aid kit for preventing HIV and hepatitis

If blood or other biological secretions get on the skin, wipe the area with medical alcohol. The skin is washed with water and antibacterial soap and an alcohol solution is applied again.

Organizations working in the personal services sector with a large staff of employees should make sure that each employee has an Anti-AIDS first aid kit. The composition of the medicines included in the kit is aimed solely at preventing infection. It is impossible to provide assistance to an already infected person using the funds in this special first-aid kit, since they are powerless and useless in this case.

In case of cuts and other damage to the skin, preventive measures are taken, for their implementation, the first-aid kit "Anti AIDS" is used. The kit includes all the necessary preparations for processing and disinfection.

To avoid infection with HIV and hepatitis, the worker must take precautions when working with piercing and cutting objects.

  • eyes are washed with clean water or boric acid;
  • the mouth is rinsed with an alcohol solution, potassium permanganate or boric acid;
  • the nasal cavity is treated with Protargol.

If there is a cut, it is urgent to clean the wound. Squeeze out the blood with light pressure on the affected area, then wash your hands with running water using antibacterial soap. Next, we carry out the treatment with alcohol, after which we spread the iodine solution on the wound.

"Anti AIDS" is a first-aid kit that is used to treat wounds in institutions that provide household services (hairdresser, cosmetology room, tattoo and beauty salons). This set consists of certain medicines, dressings and hygiene products.

First aid kits: individual, automotive, industrial, office


Mouth expander (steel) -1pc;
Tongue holder (steel) -1pc;
Ambu bag (reusable) - 1pc;
Long clip (steel) -2pcs;
Scalpel (steel) -1pc;
Urinary catheter (disposable) - 2 pcs.

The products sold include specially formed sets for schools and kindergartens, medical offices, enterprises, in the presence of the risk of contracting AIDS, etc. The trade line includes lockers, bags, cases.

20) Disinfectant Abacteril-Active 100 ml. with push-button spray-1 bottle
21) Retrocheck HIV express test for the detection of antibodies to HIV 1 and HIV 2 in serum, plasma and human blood) complete with a solvent buffer and a plastic dropper-1 set
22) Lancet Prolance Normal Flow (green) 1.8 mm, 21G for express test for the detection of antibodies to HIV 1 and HIV 2 -1pc
23) non-sterile disposable gown size 50-52-1pc
24) disposable medical apron-1pc
25) protective screen (mask with protective screen) -1pc
26) magnet - Purchased by the consumer
27) toilet soap - Purchased by the consumer
28) bottled water 5 l - Purchased by the consumer
29) Ethyl alcohol 70% -50 ml-Purchased by the consumer
30) Potassium permanganate (powder or solution with a concentration above 45%) - Purchased by the consumer

Disposable medical sterile syringes 20.0-3pcs;
Disposable medical sterile syringes 10.0-3pcs;
Disposable medical sterile syringes 5,0-5 pcs;
Disposable medical sterile syringes 2.0-5 pcs;
Disposable medical sterile syringes 1.0-10 pcs;
System for intravenous infusion (disposable, sterile) -2 pcs;
Rubber tourniquet (reusable / fabric) -1pc;
Medical unsterile 3-layer mask with elastic band No. 3 (one-time) - 3 pcs;
Medical surgical sterile latex gloves, solution 8 (one-time) - 1 pair;
Air duct (one time) -1pc.
Adrenaline 0.1% 1.0 ml No. 5-1up;
Prednisolone solution 30 mg 1.0 ml No. 3-1up;
Eufillin 2.4% 5-10.0 ml No. 10-1up;
Solution of diphenhydramine 1% 1.0 No. 10-1up;
Sodium chloride 0.9% 400.0 No. 1 - 1 piece;
Glucose solution 5% 400 ml No. 1-1up;
Suprastin solution 20 mg 1 ml No. 5-1up;
Ammonia 40 ml-1 pack;
Mezaton solution 1% 1 ml No. 10-1up;
No-spa solution 1% 1 ml No. 5-1up;
Caffeine sodium benzoate 200 mg 1 ml No. 10-1up;
Aseptic alcohol napkin (disposable) - 10 pcs;
Sterile cotton wool 25-50 gr-1 piece;
plastic case-1pc;
emergency phones - 1 piece;
list of first aid kit - 1 piece;
employee action algorithm - 1 piece;

Oxygen pillow (many times) -1pc;
Mouth expander (steel) -1pc;
Tongue holder (steel) -1pc;
Gastric tube (one time) -1pc;
Ambu bag (reusable) - 1pc;
Long clip (steel) -2pcs;
Scalpel (steel) -1pc;
Ice bubble (reusable / rubber) - 1pc;
Urinary catheter (one-time) - 2 pcs;

First aid kits are essential supplies for the implementation of emergency care. The options for first-aid kits established by law provide for the adoption of emergency measures in certain situations. The Medzakupki portal allows you to buy products necessary for the needs of the customer.

Tonometer for measuring blood pressure with a cuff and a stethophonendoscope - 1 piece;
set for tracheotomy-1 piece;
raincoat stretcher-1pc.

Order on the composition of the anti-AIDS first aid kit

First-aid kit ANTI-AIDS (HIV) is intended for individual prophylaxis and prevention of parenteral infection. Composition of the first-aid kit. What normative document regulates the presence and composition of the Anti-AIDS first aid kit? Such a normative act has not been issued to date.

If blood gets into the eyes, rinse them with water, then with a weak solution of potassium permanganate. If blood gets into your mouth, rinse it with a weak solution of potassium permanganate, then with 70 ° alcohol. We wash the nasal cavity with potassium permanganate, then bury protorgol.

Equipped with FEST specialists, first aid kit ANTI-AIDS COMPOSITION. 1, Alcohol iodine solution 5%, 10 ml, 1 fl. 2, Potassium permanganate, 3 g, 1 pack.

We present to your attention some of them for your reference. Order for the Anti - AIDS first aid kit in the Altai Republic. Order of 25.04.2011. No. 52.

Department of Health of the Vologda Region. Order No. 1181 of 04. 10. 2011. On the implementation of the joint venture 3.

Rubber gloves - 2 pairs. Scissors with rounded branches. Cotton swabs 10 pcs. Order of the Ministry of Health of the Samara Region dated 27.

Order on the composition of the anti-AIDS first aid kit

Our first-aid kits, packing are purchased by medical and preventive institutions of various profiles - hospitals, clinics, medical diagnostic centers, structures for providing first aid to the population, medical offices of organizations. The ParentCom company supplies first aid compositions to schools, kindergartens, higher and secondary educational institutions, sanatorium-resort associations, state and public assistance and rescue services, beauty and health industry enterprises, companies (for employees by order 169n).

RU and / or SS and / or DC separately for each product;
- emergency phones;
- the list of the first aid kit;
- the algorithm of employee actions (instructions for use / user manual).

IMPORTANT! Supporting documentation (included):

Emergency doctor's packing by order No. 100 of the Ministry of Health of the Russian Federation

We provide a significant variety of items - first-aid kits AntiSpid, AntiShok, syndromic and traumatological styling, models included in the equipment of offices, procedural medical institutions, medical centers of enterprises, scientific and industrial complexes, laboratories, medical kits for first aid in bronchial asthma, acute coronary syndrome, gastrointestinal bleeding, collapse, and many other configurations. Didn't find the composition of the first-aid kit, styling, which is optimal for your needs among the offered complete sets? Offer your own composition of products, and the staff of the ParentCom online store will assemble for you a personal first-aid kit that will fully take into account your needs!

Online store ParentCom offers a wide range of professional medical kits, styling, designed for any needs of first aid. You can choose from a wide range of models and buy on our website, for example, a first-aid kit for workers on order 169n, products formed in accordance with SanPin standards, orders, home kit, a set of medical supplies for a child, school and kindergarten, a production version , individual set of topical components, universal composition of medicines, wall modification, equipment for emergency doctors. The undoubted advantage of working with the ParentCom trading service is low prices due to direct deliveries of goods from the Russian manufacturer EmerMed.

Join the circle of our customers and buy medical kits, first aid kit to protect life and health in any situation!

Unified State Exam 2018. Russian language. Typical test tasks. 14 options for tasks. M .: 2018 .-- 136s. M .: 2018 .-- 256s. The authors of the assignments are specialists who are directly involved in the development of the USE assignments. Typical test tasks for [...]

According to statistics, the number of Russian citizens infected with the human immunodeficiency virus has exceeded one million. Today every schoolchild knows what HIV and AIDS are. And yet, the layman still has many misconceptions regarding this deadly infection, the ways of its transmission and prevention of infection.

The health authorities have adopted the appropriate regulatory documents that oblige many institutions to have special “HIV first-aid kits”. The composition of such a first aid kit and its correct use can prevent or significantly reduce the possibility of infection. Prejudice and AIDS prevention are discussed in the article below.

A few facts to know

Around the world on December 1, people put on red ribbons and take to the streets to support 37 million people living with HIV / AIDS. Today, such a diagnosis is no longer a sentence. With a responsible attitude to the disease, the patient has a chance to live a normal and socially active life.

HIV is a human immunodeficiency virus that infects the T-lymphocytes, which are responsible for the body's fight against infections. Infected people become more susceptible to pathogens, and the most innocent infections lead to severe consequences for them. The virus is not resistant in the external environment, it is inactivated within a few minutes. Therefore, traces of biological fluids are not contagious and pose no danger.

In the second stage of the disease, called acquired immunodeficiency syndrome, there are no clinical symptoms. The virus continues to attack even if the patient feels healthy. Taking antiretroviral therapy at this stage is most effective in minimizing damage and reducing the likelihood of transmission of the virus.

Routes of transmission and vaccines

The main routes of transmission are unprotected sex and non-sterile syringes. Infection of infants by the mother during pregnancy or during breastfeeding is quite rare. Kisses, dirty dishes, tools and ink for tattoos and piercings are extremely rare sources of infection. Mosquitoes have nothing to do with it.

There is no vaccine or drugs in the world that completely destroy the virus in the body. But infection can be avoided with the correct use of prophylactic means (condoms or a first aid kit "Anti-AIDS / HIV"). The composition of the first aid kit and its correct use is the key to minimizing risks in emergency situations. This is why it is so important to have it close at hand.

Numerous public organizations and societies for the support of HIV-infected people carry out many actions and explanatory propaganda, proving that life with the emergence of this disease is possible. The media provide many examples of people who, despite the terrible diagnosis, continued their professional and personal growth and reached certain heights in society. The stories of Charlie Sheen, Isaac Asimov, Nadia Benaissa and many others demonstrate the resilience and perseverance in the fight against AIDS.

When a first aid kit is required

First-aid kits "Anti-AIDS" for HIV are means of individual prevention that prevent HIV and hepatitis infection. Such prevention primarily concerns persons whose professional activities are associated with an increased risk of infection (medical workers and laboratory assistants). But even for a simple man in the street, she can maintain health in an emergency. Such a first aid kit must be in:

  • School and preschool institutions.
  • All medical institutions.
  • In gyms, swimming pools, arenas.
  • In first-aid posts of enterprises and institutions of all forms of ownership.
  • Beauty and hairdressing salons, tattoo parlors and manicure and pedicure parlors, spa salons and solariums.

Also, the emergency first aid kit "Anti-HIV" will be useful to motorists in case of accidents and unforeseen situations. It is recommended to have these medicines in the first-aid kits of tourist groups and everyone involved in extreme sports.

First aid kit

The Anti-HIV emergency kit cannot be called a miraculous panacea. But with proper styling and use, its help is invaluable. In this case, we are talking about cuts and bites, injections and the ingress of infected or suspicious blood on the mucous membranes of a healthy person.

In such emergencies, it is possible to prevent infection by treating the wound with the contents that are included in the emergency first aid kit (HIV). This is why the correct packaging and packaging is so important. The components of this kit are designed by physicians and scientists who specialize in the treatment and prevention of this serious disease.

First aid kit "Anti AIDS" from HIV: composition

The standard composition of the first-aid kit "Anti-HIV" includes medicines, dressings and accessories, which are designed to prevent infection with human immunodeficiency virus and hepatitis (the figure shows the standard composition).

"HIV kits" are widely represented in the Russian market. They are sold in plastic containers, although storage of medicines in metal boxes is also allowed. The main thing is not to disturb the styling and contents. In addition, the first aid kit must contain 2 pairs of medical gloves, fingertips, soap and scissors.

The composition of the first-aid kit for HIV infection includes instructions for its use and a manufacturer's certificate. It is also obligatory to have a certificate of conformity of the content to the established norms. By the way, there is no federal document establishing the composition of the HIV first-aid kit. This gives each institution the right to establish its own list, taking into account possible risks.

A few words about the composition of the first-aid kit "Anti-HIV"

What is a first-aid kit for, as well as certain medicines and means? Briefly about their purpose:


Buy optional

The “HIV kitty” or “Anti AIDS”, the composition of which we have described, can be easily assembled at home. Knowing the list of medicines and the composition of related materials, everyone can choose it independently. The main condition is that all medicines must comply with the expiration dates.

Having picked up the appropriate container, for example, a shoebox, having done the right packing, you can be sure that in an emergency you will be able to help the victim and protect yourself from infection, if not AIDS, then at least hepatitis, herpes or papillomavirus.

Algorithm for using the contents of the first aid kit

Correct use of the composition of the HIV prevention kit is the key to success. The instructions prescribe the following procedure for contacting the damaged skin with an infected material:

  • If the glove is damaged, it is removed and pressed against the wound to bleed. Then the wound is treated with alcohol. Then the hands are washed with soap and the wound is treated with iodine.
  • If the infected material gets on the mucous membranes of the eyes or nose, then the organ is washed with running water or a solution of potassium permanganate.
  • If the infiltrate gets on an intact area of \u200b\u200bthe skin, it is enough to wipe the area with alcohol and wash with soap.

But in any case, after a dubious injury, one should not neglect the preventive examination for the presence of antibodies to HIV. Today, such rapid analyzes can be done in almost every laboratory. Remember - acquired immunodeficiency syndrome is amenable to correction in the early stages of the disease. And the sooner antiretroviral therapy is started, the more chances a patient has to live a long and quality life without significant restrictions. Or maybe wait for the invention of a life-saving vaccine.

Encouraging research

Everyone knows that AIDS is an incurable disease that leads to the death of a patient. Scientists all over the world are only looking for a panacea that will rid humanity of such a virus. Today, more than 10 dangerous viral diseases are already contained (for example, smallpox, some types of poliomyelitis, plague, rabies) and the efforts of scientists against the immunodeficiency virus are likely to be crowned with success in the near future.

So, in 2017, the results of the work of the US National Institutes of Health and the Sanofi pharmaceutical corporation on the development of a triple-action drug became known. The drug, which includes three types of antibodies, is able to overcome up to 90% of immunodeficiency virus strains. Human clinical trials will take place this year.

Other research is ongoing at Temple and Pittsburgh Universities. Here, scientists managed to get rid of HIV from several animals using gene editing. Genetic alteration of the CRISPR / cas9 genome led to the removal of viral DNA from infected human cells that were implanted into the tissue of experimental mice.

Deliverance is not far off

In the UK, however, 50 adult volunteers agreed to experimental treatment using a new antiviral technique developed by five leading scientific institutions. According to the reported results, the therapy was successful for a 44-year-old volunteer, whose tests showed complete elimination of the virus. And this is the first case of an adult patient's recovery.

Research and clinical trials are ongoing. From all parts of the world there are reports of discoveries in this area. There are no patented anti-HIV vaccines yet, but this does not mean that they will not appear in the very near future. After all, it is not for nothing that the medical proverb claims that a person is more ferocious in its reprisal against an infection than an infection in its reprisal against a person.

HIV infection is called anthroponous chronic infectious disease caused by the human immunodeficiency viruses HIV-1 and HIV-2. The disease proceeds in the form of highly specific disorders in the functioning of the human immune system, leading to its gradual weakening and complete destruction with the formation of AIDS.

The progression of AIDS is accompanied by the development of various infectious complications and secondary malignant tumors.

Sources of HIV-1 and HIV-2 viruses are infected people. Moreover, a patient with HIV is contagious at all stages of the disease, including the incubation period.

Infection with immunodeficiency viruses can be carried out:

  • naturally (sexually, vertically from mother to child, with natural feeding, as well as through contact with wounds and body fluids);
  • artificially. This option includes infection through the transfusion of blood products, the use of donor biological material (sperm, breast milk), invasive medical and non-medical procedures (tattoos, trim manicure, drug administration), etc.

The group at greatest risk of contracting HIV includes:

  • injecting drug users;
  • providing intimate services;
  • unconventional orientation;
  • promiscuous, etc.

Comprehensive diagnostics for immunodeficiency viruses is voluntary, with the exception of the category of citizens subject to compulsory examination. Testing is carried out after individual consultations. The results of HIV testing are not communicated over the phone, they can only be found in person. After the study, a post-test consultation is held.

An HIV test is mandatory:

  • before the start of emergency prevention of HIV infection in an emergency;
  • when performing screening for women carrying a child with an unspecified HIV status;
  • before collecting donor materials;
  • when submitting documents for admission to educational medical institutions;
  • when applying for a job in the state. medical institutions and private centers and clinics (all doctors and nurses undergo regular HIV tests);
  • among researchers or laboratory personnel directly working with biological materials containing HIV-1 and HIV-2 viruses;
  • when drawing up documents for military educational institutions and for service, as well as when conducting a draft or when entering service under a contract;
  • among foreign citizens applying for citizenship or applying for a residence permit.
  • when applying for a visa to stay in the Russian Federation for more than three months.

Is it possible to work with HIV in medicine

For medical staff, it is strictly mandatory to be tested for human immunodeficiency viruses.

Nurses and doctors with HIV cannot be allowed to work. Also, infected employees must not work at blood transfusion stations.

Medical workers belonging to risk groups for occupational HIV infection (employees of surgical, trauma, gynecological, dental departments, nurses of manipulation rooms, etc.) undergo a mandatory examination once a year.

Also, an emergency examination using quick and standard tests is carried out by employees whose skin and mucous membranes have gotten biomaterial containing HIV.

Prevention of HIV infection in healthcare workers

Infection of the specified personnel is possible while working with the patient's biomaterials when performing therapeutic and diagnostic procedures (especially invasive ones), as well as during the disposal of used syringes, when processing instruments, etc.

The leading causes of HIV-related emergencies include safety violations during the collection and disposal of material, non-observance of personal safety rules related to the protection of skin and mucous membranes.

In most cases, this is due to:

  • neglect of barrier protective equipment (aprons, gloves, glasses, plastic shields are not used);
  • violation of personal safety rules when performing invasive procedures;
  • cleaning of workplaces with sharp unprotected objects left on them;
  • disposal of needles and their transportation in pierceable containers, etc.

Personal safety rules and prevention of HIV infection in medical institutions

For personal protection and prophylaxis, nursing staff should:

  • before working with any biomaterials, protect areas of the skin and mucous membranes with the help of special waterproof plasters or dressings;
  • change gloves before handling each new patient. Gloves should be treated with 70% ethyl alcohol during operation. The gloves are then discarded immediately and are not allowed to be reused;
  • if you have to work with blood or biomaterials that may contain HIV, you should use latex gloves;
  • wash your hands thoroughly with soap and water after handling biological material;
  • use protective equipment for the face (gauze bandages) and eyes (protection with glasses or plastic shields);
  • immediately treat the surfaces of work tables contaminated with blood with detergent and disinfectant solution. Processing should be carried out twice, observing an interval of fifteen minutes;
  • when taking capillary blood, use a rubber bulb;
  • to put disposable used instruments (syringe, needle, etc.) into non-puncture-proof containers for further processing, disinfection and disposal;
  • ensure that there is always a sufficient amount of detergents and disinfectants in the workplace.

Nurses and doctors who have lesions of the skin of an exudative or eczematous nature are suspended from work in manipulative, dressing rooms, etc. until complete recovery.

Emergency situation with HIV infection - action algorithm

Prevention of personnel infection is carried out in accordance with (link is given for downloading the Order).

With the development of emergencies and emergencies related to HIV, the medical staff:

  1. In case of rupture or damage to gloves, they must immediately take them off, thoroughly wash your hands with detergents (soap) under a large volume of running water, disinfect your hands with seventy percent alcohol solution, treat the wound with 5% iodine;
  2. On hit:
  • blood or biomaterials on the skin, disinfect the skin with seventy percent alcohol, wash it with soap and water, re-treat the skin with alcohol;
  • biomaterials into the oral cavity - the mouth is washed with large volumes of running water and rinsed with 70% alcohol solution;
  • biomaterials in the eyes or nose - the mucous membranes are washed with large volumes of running water or saline. Rubbing the mucous membrane is prohibited.

If clothes are contaminated with biomaterials, take off work clothes, soak them in disinfecting solutions, then they are autoclaved.

An emergency should be reported to management immediately. All cases must be recorded in a special journal.

If there is a risk of infection, they immediately start taking medications. The drugs are taken within the first 2 hours after the accident. The maximum allowable start of prevention is the first seventy two hours after the accident.

For post-exposure prophylaxis of HIV, drugs are used:

  • lopinavir / ritonavir ® + /
  • if they are absent, nevirapine ® (once) or abacavir ® is used, then standard prophylaxis according to HAART regimens begins.

New composition of the emergency first aid kit for HIV

According to the protocol, an anti-HIV first aid kit should contain:

  • bottles with ethyl alcohol (70% - fifty milliliters) and alcohol five percent solution of iodine (ten milliliters);
  • adhesive plaster, sterile balls of cotton wool (twenty pieces) and gauze napkins (ten pieces);
  • bandage (sterile).

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The issues of preventing HIV infection and AIDS are solved much more successfully than issues of its treatment. One of the means of preventing this deadly and as yet incurable disease is an emergency first aid kit Anti AIDS or Anti HIV. Developed by sanitary rules and regulations (SanPiN), the AntiVich first-aid kit (2018) takes the second "honorable" place in importance after the anti-shock first-aid kit.

What is the AntiSpid set for?

Infection with the AIDS virus occurs when infected blood and other biological fluid of a sick person or carrier of the infection gets on the skin and mucous membranes. It can be saliva, sputum, urine, semen, discharge from wounds, genital tract.

Due to the unfavorable situation in the world with regard to AIDS, such a situation when there is a high probability of infection with a dangerous virus is recognized as emergency, measures have been developed to prevent infection by exposure to antiseptic agents.

Despite the fact that the human immunodeficiency virus (HIV) in the external environment quickly dies, in favorable conditions, when it is warm and high humidity, it can persist outside the human body and be dangerous for up to 14 days. If urgent measures are taken to prevent the virus from entering the body, infection can be avoided. This is what the first aid kit is intended for, anti AIDS (HIV).

New requirements of the Ministry of Health of the Russian Federation

AIDS and its causative agent have not yet been adequately studied. Constant research is underway, new means of treatment and prevention are being created, accordingly, the first-aid kit for emergency situations is also undergoing changes.

The latest changes in the composition of the HIV emergency first aid kit and its use were introduced by order of the Ministry of Health of the Russian Federation dated January 9, 2018, which entered into force on March 13, 2018.

There are 2 container options:

  • Primary packaging for institutions;
  • Secondary - consumer, which can be purchased by anyone in a pharmacy for the home, the interior of his car.

The material of the containers has been changed to a more resistant material for antiseptic processing, its protection has increased, and the composition of the contents has also changed.

Composition of the emergency first aid kit AntiSpid (AntiVich) 2018 according to SanPin standards

Sanitary rules and regulations of the Russian Federation No. 3.1.5 2826-10 developed and approved a new composition of the emergency first aid kit AntiSpid (AntiVich) for the prevention of HIV infection and hepatitis.

The composition of the emergency HIV first-aid kit according to SanPin (2018) includes the following components:

  • Antiseptic agents (disinfection): medical alcohol 96 °, alcohol solution of iodine 5%, chlorine-containing preparation (chloramine B, bacilol);
  • Hand protection: sterile medical gloves, rubber fingertips, soap;
  • Dressing and auxiliary materials: sterile bandage, sterile cotton wool, adhesive plaster - bactericidal and in a roll for fixing the bandage, pipettes or disposable syringes for washing, scissors.

Alcohol in the composition of the first aid kit is used to treat wounds and mucous membranes, rinse the mouth, iodine to treat wound surfaces and skin. Chlorine-containing preparations from the emergency Anti-AIDS first-aid kit treat tools and surfaces with which contaminated material could come into contact.

In some cases - in emergency hospitals, emergency rooms, ambulances, the first-aid kit includes rapid tests for HIV infection and antiretroviral drugs.

When a first aid kit is required

The new first-aid kit anti-AIDS 2018, according to sanitary standards, must be available and ready for use where there is a possibility of infection with the immunodeficiency virus.

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These places include:

  • All businesses;
  • Hairdressing salons;
  • Manicure and pedicure salons;
  • Tattoo shops;
  • Without exception, all medical institutions where manipulations, injections, endoscopic examinations, interventions are carried out;
  • Children's institutions;
  • Sports schools, clubs;
  • Dental and dental prosthetics offices;
  • Car driver;
  • Aesthetic medicine institutions and beauty parlors (plastic, mesotherapy, peeling, dermabrasion and other procedures).

Employees of the listed institutions undergo special instructions on the use of the first-aid kit, and a responsible person is appointed for its completeness and replenishment.

Emergency situations

An emergency is understood as a situation when there was a contact of the skin, mucous membranes, clothing of a healthy person with any biological material of the allegedly infected with the AIDS virus.

Situation options may be different:

  • During the injection, the nurse accidentally pricked the finger with a needle used for the patient, or she pricked the patient with an already used needle;
  • When assisting the victim, blood from the wound splashed into the face, into the eyes of the health worker;
  • During the operation, the surgeon cut his hand;
  • When removing a tooth with poorly sterilized instruments;
  • When performing manicure and other cosmetic procedures when skin damage has occurred;
  • The biological material of the alleged infected person got on the skin, mucous membranes, clothes of a healthy person.

With regard to the concept of suspected HIV-infected, with a high degree of probability they include alcohol and drug addicts, homosexuals. However, this should also include just a stranger who may not have AIDS symptoms, but be infected.

The issue can be resolved using a rapid HIV test, but a negative result does not exclude preventive measures in these situations.

Action to be taken in case of probable infection

If, nevertheless, there was a case with the likelihood of infection with the immunodeficiency virus, you should immediately start taking action to prevent infection.

For punctures and cuts in the skin

In case of a puncture of the skin, it is necessary to urgently wash your hands with running water and soap, while pressing around the wound so that at least a little blood comes out of it. Then treat your hands with alcohol, and grease the wound abundantly with iodine tincture.

In case of cuts, it is necessary to wash your hands well with soap under running water, thoroughly rinse the flowing blood, treat the skin of the hands with alcohol, and the wound with iodine, cover it with a bactericidal plaster, put on a fingertip.

If biological material gets into

If blood, mucus or other liquid gets on the skin, this place should be immediately filled with alcohol, then washed well with soap, and again treated with alcohol. In case of contact with eyes, rinse them abundantly with running water, do not rub in any way, and consult an ophthalmologist.

If it so happens that the liquid has got into the oral cavity, you must first spit it out, then rinse your mouth with plenty of water and rinse with alcohol.

Contact with clothes requires urgent replacement with soaking before washing in a disinfectant solution. In the case when the clothes are soaked through and through, after removing them, you need to wash the skin well with soap and rub it with alcohol.

Antiretroviral drugs

An anti-HIV (anti-AIDS) emergency kit usually contains 2 antiretroviral drugs (ARVs): combivir and kaletra.

It is best to start taking it no later than 2 hours after a possible infection has occurred.

Combivir is prescribed 2 times a day, 1 tablet, Kaletra twice a day, 2 tablets. If these drugs are not in the first aid kit for anti AIDS, you can use their other analogues, there are many of them.

All existing antiretroviral drugs are divided into 4 groups according to the mechanism of action, therefore, to achieve the effect, 1 drug from each group is prescribed.

Depending on the situation, their combination can include from 2 to 4 drugs. The appointment should be made by a doctor and treatment should be carried out under regular immunological supervision. There are no drugs yet that would kill the AIDS virus.

But there are many of those that affect its growth, reproduction, the state of cellular metabolism, prevent the suppression of the immune system under the influence of the virus. With their help, the development of a fatal disease can be avoided, but infection with the AIDS virus does not disappear anywhere, it needs constant monitoring and regular courses of treatment.

In what situations is there a risk of HIV infection?

The risk of infection with the immunodeficiency virus is always present to one degree or another when blood or biological fluids get into the wound, on the skin and mucous membranes, and clothes.

Its greatest probability arises in such cases:

  • When pricked with a needle that was used for intravenous injection;
  • When injured by a tool or object with obvious traces of blood;
  • With deep wounds, injections;
  • For punctures and cuts at the surgeon during the operation;
  • If the person undergoing the manipulation tests positive for HIV.

What measures are required in the event of an emergency as soon as possible?

In the event of an emergency with the likelihood of HIV infection, a list of measures must be developed and approved that must be performed in accordance with this algorithm:

  • Urgently send for immunological laboratory examination both the victim and the person who is a probable source of infection (tests for HIV, HBsAg, anti-HCV);
  • Notify the nearest AIDS center about what happened, report all coordinates: address, data of both parties - the victim and the possible source of infection;
  • With a known presence of HIV infection or its confirmation urgently, but no later than 3 days, to take antiretroviral drugs for prophylactic purposes;
  • Notify the head of the institution where the incident occurred.

Prevention of emergencies with HIV

HIV infection can be avoided by observing preventive sanitary and hygienic measures:

  • Always use individual remedies protection in contact with biological fluids of another person: rubber gloves, an apron, glasses, if they are not available, you can use plastic wrap, bags;
  • Abrasions on the body, wounds, burns, cracks should not be kept open, they should be sealed with a plaster or closed with an aseptic bandage until complete healing;
  • Observe preventive measures injury and the use of personal protection for the personnel of medical, children's, sports institutions, beauty salons and hairdressing salons.

It should not be forgotten that there is still no effective means of getting rid of HIV, but preventive measures will help to avoid infection with the AIDS virus.