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ORDIN Nr

ORDIN   Nr. 1070 din 25 august 2004

pentru aprobarea programului de supraveghere si control al infectiilor cu transmitere sexuala (ITS)

ACT EMIS DE: MINISTERUL SANATATII

ACT PUBLICAT IN: MONITORUL OFICIAL  NR. 874 din 24 septembrie 2004


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    Avand in vedere prevederile Legii nr. 100/1998 privind asistenta de sanatate publica, cu modificarile ulterioare, si ale Ordinului ministrului sanatatii si familiei nr. 141/2002 privind reorganizarea retelei nationale de supraveghere si control al bolilor transmisibile, cu modificarile ulterioare,
    vazand Referatul de aprobare al Directiei generale sanatate publica si inspectia sanitara de stat nr. OB/9.628/2004,
    in temeiul Hotararii Guvernului nr. 743/2003 privind organizarea si functionarea Ministerului Sanatatii, cu modificarile si completarile ulterioare,

    ministrul sanatatii emite urmatorul ordin:

    Art. 1
    Directia generala sanatate publica si inspectia sanitara de stat din cadrul Ministerului Sanatatii, Serviciul de prevenire si control al bolilor transmisibile coordoneaza prin Reteaua nationala de supraveghere si control al bolilor transmisibile implementarea masurilor de control al urmatoarelor infectii cu transmitere sexuala: sifilis, gonoree, infectia genitala cu Chlamydia trachomatis.
    Art. 2
    Depistarea cazurilor de infectii cu transmitere sexuala face parte integranta din activitatea medicala curenta a medicilor, indiferent de specialitatea pe care o au.
    Art. 3
    Raportarea infectiilor cu transmitere sexuala este obligatorie pentru toate unitatile sanitare din sectorul public sau privat.
    Art. 4
    Infectiile cu transmitere sexuala cu raportare obligatorie sunt sifilisul, infectia genitala cu Chlamydia trachomatis si gonoreea.
    Art. 5
    Raportarea datelor statistice privind infectiile cu transmitere sexuala se realizeaza numai dupa validarea acestora de catre compartimentul de epidemiologie din cadrul directiei de sanatate publica.
    Art. 6
    Sistemul de supraveghere si control pentru infectia HIV/SIDA face obiectul unor reglementari specifice.
    Art. 7
    Statusul de infectat, prezent sau anamnestic, al persoanei cu rezultat reactiv in urma efectuarii unei serologii pentru sifilis in cadrul examenului medical la angajare trebuie stabilit numai de catre medicul dermato-venerolog.
    Art. 8
    Se aproba Ghidul de diagnostic si tratament al infectiilor cu transmitere sexuala, cuprins in anexa nr. 1.
    Art. 9
    Se aproba atributiile si sarcinile specifice unitatilor sanitare si ale personalului medical in cadrul supravegherii si controlului infectiilor cu transmitere sexuala, cuprinse in anexa nr. 2.
    Art. 10
    (1) Se aproba sistemul informational in ITS, prevazut in anexa nr. 3.
    (2) Raportarea cazurilor de infectii cu transmitere sexuala pe formatul fisei de declarare a cazului nou de ITS incepe cu data de 1 ianuarie 2005.
    (3) Serviciile de specialitate judetene ale ministerelor cu retea sanitara proprie transmit lunar directiilor de sanatate publica judetene sau a municipiului Bucuresti - compartimentul epidemiologie fisele de declarare a cazurilor noi de ITS, depistate in luna anterioara.
    Art. 11
    Se aproba masurile de supraveghere epidemiologica prin examene medicale clinice si de laborator pentru populatia generala si grupurile populationale la risc crescut de contractare a infectiilor cu transmitere sexuala, cuprinse in anexa nr. 4.
    Art. 12
    Se aproba utilizarea in cadrul sistemului informational a urmatoarelor formulare prevazute in anexa nr. 5: fisa de declarare a cazului nou de ITS, fisa de semnalizare a cazului de sifilis congenital al nou-nascutului viu, fisa de investigatie epidemiologica a bolnavului de ITS, fisa de tratament si monitorizare a bolnavului de ITS.
    Art. 13
    Se aproba instructiunile privind completarea fisei de declarare a cazului nou de ITS, prevazute in anexa nr. 6.
    Art. 14
    Se aproba sistemul de supraveghere a sifilisului congenital al nou-nascutului viu, prevazut in anexa nr. 7.
    Art. 15
    Se aproba sistemul de notificare a sifilisului congenital, cu exceptia celui al nou-nascutului viu, prevazut in anexa nr. 8.
    Art. 16
    (1) Sifilisul se declara doar de catre medicul dermato-venerolog.
    (2) Pentru pacientii cu adresabilitate scazuta la serviciile de sanatate, domiciliati in zone rurale cu accesibilitate redusa la medicul dermato-venerolog si la laboratoare de analize medicale, declararea se face de catre medicul dermato-venerolog in urma informarii acestuia de catre medicul de familie care depisteaza cazul, suspicioneaza diagnosticul, instituie tratamentul si urmareste clinic pacientul.
    (3) Instituirea tratamentului de catre medicii de familie in conditiile mentionate la alin. (2) se poate face doar de catre acei medici care fac dovada absolvirii unui program de formare in domeniul infectiilor cu transmitere sexuala.
    Art. 17
    Unitatile sanitare din sectorul public asigura asistenta medicala, inclusiv tratamentul, persoanelor suspecte si confirmate cu infectii cu transmitere sexuala, indiferent de domiciliu si de statutul de asigurat al acestora.
    Art. 18
    Sumele necesare pentru punerea in aplicare a prevederilor prezentului ordin se cuprind in bugetul de venituri si cheltuieli al fiecarei unitati sanitare.
    Art. 19
    Laboratoarele de analize medicale autorizate si/sau acreditate pentru efectuarea diagnosticului de laborator al infectiilor cu transmitere sexuala au obligativitatea asigurarii controlului extern de calitate pentru examinarile de laborator efectuate in scopul diagnosticarii infectiilor cu transmitere sexuala.
    Art. 20
    Nerespectarea prevederilor prezentului ordin se sanctioneaza conform actelor normative in vigoare privind stabilirea si sanctionarea contraventiilor la normele legale de igiena si sanatate publica.
    Art. 21
    Anexele nr. 1 - 8 fac parte din prezentul ordin.
    Art. 22
    Organizarea activitatii de control al infectiilor cu transmitere sexuala in cadrul ministerelor cu retea sanitara proprie se face prin elaborarea de norme interne in conformitate cu prevederile legale in vigoare.
    Art. 23
    Directia generala sanatate publica si inspectia sanitara de stat, directiile de sanatate publica judetene si a municipiului Bucuresti, reteaua de dermato-venerologie, reteaua medicilor de familie, Institutul National de Cercetare-Dezvoltare pentru Microbiologie si Imunologie "Cantacuzino" Bucuresti, institutele de sanatate publica, ministerele cu retea sanitara proprie, Institutul National de Hematologie Transfuzionala "Prof. dr. C.T. Nicolau" Bucuresti, centrele judetene de transfuzie sanguina, precum si celelalte institutii sanitare mentionate vor duce la indeplinire prevederile prezentului ordin.
    Art. 24
    La data intrarii in vigoare a prezentului ordin se abroga:
    1. Ordinul ministrului sanatatii nr. 132/1979 pentru stabilirea masurilor de prevenire si combatere a bolilor transmise pe cale sexuala;
    2. Ordinul ministrului sanatatii nr. 544/1995 privind aprobarea Programului de prevenire si combatere a bolilor venerice;
    3. Ordinul ministrului sanatatii si familiei nr. 385/2002 pentru aprobarea procedurilor de diagnostic si tratament prevazute in Ghidul de diagnostic si tratament al infectiilor cu transmitere sexuala, publicat in in Monitorul Oficial al Romaniei, Partea I, nr. 452 din 27 iunie 2002.
    Art. 25
    (1) Prezentul ordin va intra in vigoare la data publicarii in Monitorul Oficial al Romaniei, Partea I.
    (2) Anexele vor fi editate si multiplicate in 500 de exemplare de catre Institutul de Sanatate Publica Bucuresti, in termen de 45 de zile de la data publicarii prezentului ordin.

                           Ministrul sanatatii,
                              Ovidiu Brinzan



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