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YTIPAB"TII,HI,IE q,EIEPAJbHOI:i C"]IYi{iEbI IIO HAASOPY B C@EPE3AUIIITLI II PAII flOTPEELITIIII"I lt EJAt-Oflo.rt] qlt, IIEJ'IOBEIiA
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ot' N,lfir/ r'lr'<<O lrepax no npeAyrrpexAeHHm pacnpocrpaHeHnq l-r nnKBHAarIltH
rlHoeKqIIoHrrr,rx 3a6oresarrIlii rplruna/OpBI,I, n roM qncJreBr,rcoKorraroreHHoro, Ha repp[TopuH [Isarroscxoii o6,,racrlr>)
B qelsx o6ecneqenr.rr ueponpumurZ rro lpeAynpexAeHuto u JulKBxAarllllpacflpocrpaHeHll, I-lH0eKUr.roHH6rx :a6oresauHfi rpunna,/OpBl4, B roM qr{cJreBrrcoKorraroreHHoro, Ha reppr.rropr.rll I,Iganoscrofi o6racrz:
IIPI4KA3bIBAEM:1. Vmepguru:l.l. Cxeuy cJrexeHri, 3a ypoBHeM uuQerqzouno :a6olenaeuocrz
rpnnno/OPBI,I, BupycoJrorl-rqecKoro MoHHTopr.rHfa, B r.q. c perucrpaqfiefiB;rcoKoflarorerrHrrx rrrraMMoB Br.rpyca (npll,roxenne l).
1.2. Krr.rHr,rqecKre r(ptlTepnu IHarHocrHKx rpunna y 1erefi (npuloxeuue,\
1.3. Xaparrepucruxa r.r rzxrr4Ka y rpyn[ (pxcI<a> B3pocJrllx [auHeHToB rroTrxeJroMy x rpailue rrxelolry TeqeHr.rlo tplrnna (np[noxeHr.re 3)
1.4. floxa:aHns K rocrrlraJrr.r3auxx nuQerquouurx 6o.nruuxrpnnnou/OPBl4 (4erei u a:poc:rrx) (npz:roxear.re 4).
1.5. Cxeuy yponnenofi crarlnoHapHoi MelxquHcKofi roMoullHH(DeKrInoHHBrM 6olrsuu rplrnnolr/OPBl,I s I,bauoscxofi o6:racru (npu:roNeuue5).
1.6. Koequyo MoulHocrr, o6,racrsux 6rc1xerNrx yrpex4ennl3ApaBooxpaHeHr.{.f, I4saxoacxofi o6nacru [pH MaccoBoM rrocrynneHr.r]r 6o:ruuxrpunnou/OPBz (pacqer (oeqHoro QoHla) (npuroNenue 6).
1.7. flopxgox ycur.e*Lrs Ka,qpoBbrx pecypcoB o6:racrsux 6rogxernrrxyqpexleHnfi 3ApaBooxpaHeHu, I,Inanoscroi o6racru e ycJroBrr.,fx MaccoBororrocrynJreHr.It 6onrurtx a uaQexuuouuue craultoHaprl rtpu SIxtaeMHfiBErcoKonaroreuHoro rpulna (npluoxeuze 7).
1.8. flora:aulrs K npoBe.{eHr.rro o6c,re4oranul ua cuequQuvecrue(rucoronarorenutre) rupycu rpmua (npulroNenue 8).
1.9. flepevexrKOTOpbIX CO3AaeTC'
rrporxBoBripycHbrx npenaparoB, secnuNaeutri ganacB crarllroHapax o6lacmr,rx 6roaNersux yqpexaeHrlii
3apaBooxpaneHn, I4saHoscrofi o6racra s ycJroBri{x noa.reua :a6o.neraeuocrzrpunnou/OPBI4 (npnnoNenrae 9).
l.10. Cxeuu nevenur uuQerquoHHrix ga6oresaHr.r , BbBBaHHrrx Br,rpycoMrpurna (g.n.a aspoc:rlx naquenroa) (npunoNenue 10).
l. l L Cxeltr leveHux r.rn$exqlloHHbrx 3a6oneBaHnf ,rprnna (An, Aereft) (npaloxenxe I l).
1.12. Cxeuy npoSnaar<ruvecxoro reyeHn.a MeAr,trlxHcKnx pa6orHnxoB BycnoBusx noAbeMa :a6onesaeN{ocru rprzuua./OPBI4 (npr.uroxeHr.re I 2).
I .13. A:rroprlru geficraufi o6lacrnux 6rcaxersux y.rpexAeHr.rfr3ApaBooxpaHeHr.t, I,IsaHoscxofi o6aacru npu rroAo3peHrrll It ar,rsnreuhu 6omHHxrpunnoM, Bbr3BaHHbrx Br,rcoronaroreHHbrMx rrrraMMaMr.r (BfII[) (npunoxenzel3).
1.14. Pacnpegeneuue Qyuxqr.ri no KonTpo:tro 3a Br,rnoJrHeHHeMMeponpurrr.rfi, HarrpaBjreHHErx Ha pean 3arlHro Mep no npeAynpexAeHxropacnpocrpaHeHr.rr r.i JrrrKBHIarIua ulrSercquoHnrx :a6oleaauuii, Bbr3BaHHhrxBrlpycoM rpr{nna./OPBZ (flpzroxerue l4).
2. f:raanrnr BpaqaM o6nacrsux3ApaBooxpaHeHIr, 14eauogcxofi o6,'lacrr :
6ro4xerurx yqpex.qeHufi
8613BaHHbrX Brrpycox,l
2.2. O6ecneqrlrr ocHaqeHr.re anflaparypbr (I4BJI, c.nea.srqe annaparypu)
caHHTapHo-fut l,leHurtec}(ofoyqpex(/leHu,lx, Ha
2.4. Exeroguo ,qo I oKrr6p.f, npoBoar.rr; o6ytenr.re apavefi ne4uarpoe,reparreBroB, uuSerquonucroa, rpaveft ysxux cnequa.nurocrefi, a raKxe Bpaqeficxopoi t-t geor:roxgoft noMoIIu no Bo[pocaM KJII.IHrIKI.I, ILrafHocrxKH,reqeHrrro rpuflIla }t OPBI,I u [poBeAeHr.r[o llpoTr.iBo3flr.rleMrjqecKtrxueponpumui;
2.5. exero4uo ocBeuarr, B cpeAcrBax Maccoaofi lruSoplraquu BorrpocLr,ruqsoi u o6rqecraeuuoii npoSnnarruru rpnnua,/OpBZ.
3. .{rlpexropy fKY3 IlO (TLMK I{O> C.B.Ea.:anosy o6ecneqr.rr6:3.1. yvacrre B opraHlr3arlfiu oKa3aHru cKopofi MeAauxHcKofi noMoull B
MyHriqfirraJrbHrrx o6pa:oranurx I,IsaHoscxoft o6:racru npu Bo3HriKHoBeHr.tu3nr.raeMHlt B6ICOKOnaTO|eHHO|O tplrlna, B ToM qxcJle c co3.qaHueM HCITTTaTHLIXspave6no-cecrpuucrcux 6pura.{;
pexxMa B o6pa3oBarenrHLrx, neqe6Ho-npoQLuaKTr.rqecKuxIIpeInpun rurx Il optaHll3aqx'Ix.
2.1. Oprauu:orau pa6o.ry yvpeN,rerrui:i tl cooreeLcra[u c rr.1 sacr.oxuteroI1plIxa3a.
KIrCJrOpO.qOM, KOMnJIeK,T)'IOIUI-IMrZ Ii3,qeJrr.IrML AJu OKa3aHIL IOMOIIIIi B3pOCJI6IMrlaq[eHTaM L .qeTqM.
2.3. O6ecne.rurt exeroAHoe rrpoBeAeHr.re BaKrIr{Haq[H flporrlB rpI.rnna BcooTBeTcTBHI.I C IIJIaHOM BaKTII{HaqIrti.
2.4. ENeroAuo.qoBo,{r.rrE Ao cBeAeHr.rq pyroaogurerefi opraun:aqufi,He3aBucrrMo or opraHu3aquoHao-npaaoaofi $oplru co6crnenxocru:
-ueo6xo.{uuocu flpoBe.[eHru r.rMMyHr43arl[]i nporr.rB fpu nrlapa6oruuror npeglpvar:ail 3a c.rer cpe.qcra pa6oro.{arerefi;
-Heo6xo.U.rMocT6 co6:rrcgeuur reMneparypHoro u
3.2. suro,rueHr.re MoHrrroprrHra o6lacrsux 6rc1xerurx yqpex.qeHuii3ApaBooxpaHeHr-r{ r pa6ore B ycJroBlrrx 3[r.rAeM[qecKoro [o.{6eMa:a6o,resaeuoclr.r rpu n norrdOPBH:
3,3. flpoBe,qeHfie au6opo.rnux npoBepoK roroBHocrri o6lacrnrx6rogxerHrrx f{pexAeHufi 3ApaBooxpaHeHr.r, K ora3aHr.tro ue4uquacrofi louorquB ycnoB[rx 3nr{AeMr.rqecKoro noA:beMa 3a6oneBaeMocTn rpnlnou/opBl{.
4. firanuolry apauy OEY3 <lIrOKE> Bonxory I4.E.:- opraHH3oBarE IJUr oKa3aHr.rs MeAnqHHc(ofi noMoull] HaceJleHl]lo
I,IsaHoscrofi o6nacru uplr Bo3HI{KHoBeHar{ 3\Llneu:aLt BhlcoKorraroteHHororp[nna (pyrnocyroqHoe <(KoJtbrro> opavei-uuSerq[oHrrcroB B oraeJleHltr3KcrpeHHo[ KoHcy[;TarnBHofi cxopo Me.(uqrlHcxofi nouorqlr c lpuBneqeHr.reMcleulranllcroB OfEOy BO ([lBfMA> Muu:gpaaa poccnu (no comaconauuro).
5. frasHHr\.r apavau OEY3 <I4rOKE> (Bo:rxooy I4.8.) a OEy3 <OffiE>(Paruauoaofi E.B.):
- ocyuecrBlr{Tr rocnr.rriulll3arluro r npo$n:rtarre orleJreHr.lt 6onrnrrxIIHeBMOHHTMII, pa3BI.IBIIXMIC' nocne tpunna, ItpL oTcyTcTBr.lI SnIiIeMX.{eCKOEyfpo3bl, T.e. nocJle aecrrofo aHg ot gaqa:ra 6o:regru.
6. fnarnorlry apa.ry OBY3 <I{ flE CIIIII I,l3> Kyxrero I0.A.:- orrpeAenurr, KaApoaufi peepa apavefi znQerquouucroB yqpexAeHx{
An.f, HanpaBleHlu s OEY3 I fKE npn Bo3Hr.rKHoBeHr.tr 3rrrlAeMltlBbICOI(OIIaTOTeHHOT rpl-lII[a.
7. Bonpocu opraHra3arll,ta u KoHTpoJrf, HcnoJrHeHr.tf, y(a3aHH6rxuepOnpuarU Bo3JIOXI-iTL Ha OTBeTCTBeHHbIX COTpy.[HrrKOB ynpaBneHr.rsPocnorpe6uag:opa no I,IsaHoscKofi o6nacrx E,{enapraueHra 3apaBooxpaHeHu,I4saHoBcrofi o6nacru y B coorBercrBr.ra c KypHpyeMr,rMr.r pa:gelauu pa6oru(npunoxeuue l2).
8. Cqurart )rrparr.rBrrrr4M cxny npr.rKa3 ynpaBneHu.f, pocnorpe6uag:opano HaaHoscroil o6.nacrr.r u {enapraueura 3ApaBooxpaHeHr4, ZgaHoacKo[o6:racru or 29.01.2016 l',1!30/19 (O Mepax ro npeAyupexaeHrrropacnpocrpaHeHu.f, u nLrKBla4ar 4rl^ uuQerqtouurx ga6o:resaHr.rii OpB},t/rpunna, rT.q. BErcoKonaroreHHoro, Ha repprrropuu Hrauoncrofi o6:racrz>
9. Kourponr, Ircrro:rHeHr.r, rlprlKzrapyroBo.qr.rreJr.f, Ynpan.leuur Pocno.rpe6nag:opa
BO3JIOXHTL HA 3AMCCTUTCJI'
no I.,lsaHoscKofi o6racruI4xrxxooy O.E. u nepaoro 3aMecrr,rrerq Haqa[6Hr.rKa [erapranerrra:gpaaooxpaueuua I,IBaHoBcKofi o6nacrr.r crarc-ceKperap.,{ Eauyrulrna A.E.
Pynoeoqrrre,ru yrpaBJ'leHrlrr Hava,rtunr Ienapra]rerrra3n paBooxpaueH Hrr I,l ra u oacxor'io6,racru
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no I4satoscxoi o6racruN!
Cxcna clrcxenrrr ra yporrHcnr unscnqrrou rror-r 3a60.rreBae[rocrrr r.pnnnolr/ OpBl,l,BtIpyco,'rof HqecKoIo ]rroIIItTopuIIf a,
B i.9. c pelrrcrpauuefi ebrcoxorta.ro fetr ll,rx urtaNt]troB Brrpyca
Ta6-rxqa 1*3a6o"qcaaelrocru rpu rrIotrr rr OPBI,I**
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* flpe4ocrao,reuae rrallopMar1ru (o coorrercralru c ra6.nuqauu I u 2) ocyrqeornarerylpaBner re Pocflorpe6raa3opa no I4sauoscroi o6aacu a .{enapraueuT 3ApaBooxpaueuf,([oHelenLErk Io 16-00 .racoB no rfaxcy 59-48-21, sneMponHoii [email protected]). B [epno,u perl-lcrparttlr :a6ojresaeMoiru Ha ypoBue,IlpeBbruaoqeM 3flr.rAeMuqec([i flopor, B exeAHeBrroM pexfiMe B pa3pe3e aA[iEEcrparrrBHr,rxreppriroprifi, Ea (oropr,x 3aperucrpr.rpoBaH floAreM OPBI4 u rpl-Inrla.
** y Acrei rrpu Aliaruocrrr(e OPBI{ ueo6xogr-ruo tlcrroltl3oBarE y<a:aura <Kltltru.recraxpe(oMeHAarui Muslpaaa Pocculr (Ocrpa, pec[uparopHarr Brrpycnajr rlrr[exqur (OpBM) yaeren)) (2016/2018).
(flourrlre (ocrpa, pecfl[paropr.ur eupycual uuQexque (OpBI4D - cyMMnpyercJrer),toufie Ho3oJroruqeckrre Qopuu: ocrpufi ua:o0apuurur, ocrpbri Oaphrrrir, ocrpuiraprrHuir, ocr!,r,Ifi Tpaxeur, ocrpbli aapurrollapr_rurur, ocrpax aullexqua aepxunxIED@TeIEBED( n).rEi Be]..roqHeHllaur.
,{eaeuue OPBH (lra:oSapuurura, Qapuuurra, napuErorpaxer.rra 6e3 creHo3a ropraH{)IIo creneHI, Trxecrr.r He uenecoo6pa3Ho.
Cor"racuo ((CrauAapaaM o(a3arrn, Me.{t-tullucxofi noMorq{ ,uerrrM, 6o],u,Hr,rr'a rpxuuoM)oflpeaelleElle cT eIIegIl TrxecT[ 3a6oneBaHE r o6a3aTen6Eo, Tro olpelerreT BI_IA MeAT IUHCI(OiloMoulu (nepB[qaa, MeAuKo-caH.ITapEaur, cfleu[anrr3r-rpoBaEuac).- B kaqecrBe A[aruo3a creAyer u:6erarr repuuua (OPBI{)), uclonb3y, TepMrrabr:<ocrprri na:orfapuun D) ri,'rE (oc.rpbri Jrapflrrur), tlnB (ocrp6ri $aputrtr.>, rrocKor6(yBo36ylrrrenn OPBZ sbrsrrsalor ra(xe raplHrr.rr (xpyu), roliruaur:, 6pouxnr, 6porxuonr_ri,nTo cneayeT y(a36rBaTE B axarHo3e.B :aurovure,'Euou a[arEo3e ueo6xoArrMo riclonBoBa.rE (oArrpoBaHrre IIo MKB-10:Ocrpbri na3ooaprrHnrr (HacMopK) (J00)OcapEfi oapnHrr.rr (J02) J02.9 - Ocrpun $apuEflir Ee).roqHeEHhr[Ocrptri naplsrur n rpaxerr (J04) J04.0 - Ocrpufi aaprurur J04.1 - Ocrpui rpaxeurJ04.2 Ocrpbtri napullrolpaxenrOcrpue uuQexqur Bepxuux lbD<arenLrrt,x n),Tei MuoxecrBeHaoi ttEelroqsennofi Jrox,urrcaqxr (J06) J06.0 - Ocrpnfi ,raprluro$aprlnrur J06.9 - Ocrpaf,unoerque oepxuux lbrxarenLHr,rx flyrei He],ToqHeEHarr.
Ilplraoxer*re 2r npurary,{euapraueHra 3.[paBooxpaHeEru
I4BaHoBc(oi o6nacrrr.Ynpar,reaaa pocuorpe6Ha,{3opa
oa no I4BaHoBcxofi o6racrfi
XrHHHqecrfle KpllTepul AlrarHocrnxrr rpfirrna y Aerefi *Oco6exxocru conpeMeHHoro reqeuHfl rpurrrra y ,qerefi. KoporKli aHKy6aquonnrrfi tepao,q, ocrpoe Haqarto !r 6ypnoe pa:eurue;
' AnurenrHa, ao 4-5 cyroK Qe6puntaaa nuxopaaKa (38-40 . C lr nuure) uITHTOKCI{Karl}r{;
Paanee paaourae ocnoNueuzi, oco6eauo nueauonuu;3gaqurenrgoe noB[rueHr4e qacrorEl raape]r (nopaxenue rupyooneurepoquroa);
Onoprrrre KJ'urrutgecxlrc rrpH3HaKH rprrrrrra y rqc r eii. Ocrpeiiuee (ene:alrroe) HayaJro cpejl[ no,'rHoro 3,qopoabr:
. qacroe o6ocrpeHr.ie conyrcrByrorqefi laroloruu;. MHKcr-rrH0eKrI[[ (repnernvecra.rpecnt.rparopHEre 3a6oleranua).
llosrrrrreHue reMneparypu aurue 38oC;Brrpaxeunrri cuu4pou o6qefi auSercquonnofi r.rHToKcriKaqux (uxaocrr,cla6ocrr, ue4ouoranae u gpyrr.re);
. 3aJoxeHHocrE Hoca, cf(ocr6 cJII.I3I,ICTLIX o6oloqer , He3Haq[TerEHbIiplrHrrT, flinepeMriJl (oHbroHKrr.rB;
. fonoBHa, 6o:rs, 6o:ru npu ABHxeHrlu rua:urx .16lor, Mr.ranfli.f, (MbrlrruLtHof);Ilpu:uarr,r rpaxeura (cagneuue, <<xxeHr.re) 3a rpyAnHoi, cyxofi Ka[enL);ferr.ropparuvecrcu[ crrHApoM (uocoatre KpoBorerreHr.rr, reMopparuqecKa,c6rIIE).
Oco6ennocru rpurrrra y aerefi paHH€ro Bo3pacra.{eru 6o.leror rpun[oM c porr(Aeuflfl. O,qnaxo rroBtrureHHe:a6o,lesaeMocrfi orMerraercs nocre 3-4 MecqueB xH3Hu.. y HoBopoxAeHHBrx, KaK rrpaBrrno, He pa3B[Barorc, runeprepMH, rrfeMopparFrecKHfi cHHIpoM, KaTapalbHHe .f,BJreHu, BErpaxeHrr cla6o _((coIIeHIre) HOCOM, IIOKaIIIJII4BaHHe, qHXaHI.Ie.
. y.qerefi nepBoro roAa x[3Hn tpunn Haqr..rHaerc, rrocreneHHo I-I nporeKaerco creproi x,rasuqecroi cllunrovattlro :
- He3HaqI{TerLHoe 6ecnoxoicrao, cMeHa}ouleec_s Brrocrbro;- oTKa3 OT tpyAr,r.
. TeMnepal'ypa re,ra cy6Qe6pu,rrua{ xnu Hop\ranr,Har;Cerueurapnoe nopo(eHr.te rerKr.tx He xapaKTepHo;9acro orlaeqaerc, noBTopH:r, pBora, Bo3MoxHapeaKrIH, c KparKoBpeueunoi norepefi co3HaHr.rr;
uHOeI(Uur, Apyrxe BHp)cHhre
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flpeo6lagaer HerJraAKoe reqeHr-re BcleAcrBxe Bo3HxKHoBeHr.r{ BTopuqHbrx6arrepr.ra,rruux ocroxHeHr.rfi, B nepByro oqepe.qL, co c.r.opoHbr,qrrxatenr'uoi cuctelurr;. Hau6onee qacro Ar-rarHocrr.Ipyror [HeBMoHrrro, Korop:ul Moxer pa3Bl.lrrc, Bneprrre guu 6oae:nu.
Vrpoxamulne nprl3HaKr.r rrrxeJroro reveuur rpnnua y 4ereii,rpe6yroutue uepoupunrufi n yc.loaulx OpIIT(Orqe,reuue peaurrMauHrr u rxrencunuofi repanxrl)
. HapacraH e I+IaHo3a lr oAEIIrrKu B noKoe, )xyAlxeHue no(a3arereflyn6coKcI.IMeTpHI.I;
. norBneHr.re KarrrJr{ c rrpuMec;ro KpoBI-l B MoKpore, 6olu ulu rrxecrrr B
ryYAIj;. ycuneHr,rereMopparruecKorocr.rHApoMa;. I,bMeHeHI.It flc]txfiqecKofo cocro_{HHt, cnyraHHocrE co3HaHfifl utrr|
no:6yxgenue, cyAopoflr;. floBropH6re pBor6r;. CHr,rxeHHe aprepr.ranbHoro laBneHrr.{ ra yMeHbrxeHrre Arrype3a;. CoxpaHeHue Bhrcoxo nuxopaaxu (6o.nee 4-5 cy"ror<) c perpparrepuocruo rc
xaponoHxx:uoullM cpe.qcTBtu I{ pa3BI{TAeM T{XeJrbrx oc:roxuegufi .OctroxueHns rrprr rprlrrne y Aerefi MoryT cr[opruupoaarrca ua .rno6ou :ranerurQexquu.
Jleroqgsreheroqno-nneBpaJrbHBre ocJroxHeHr.r, :
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pa3Br{BarcTc, Ha 2-ofi ue4e,re 3a6o,reeaH}rl.Bo:6y4.rre.nauu rBJrrrorcs Streptococcus pneumoniae (4g %o clyraea),Staphylococcus aureus (19 %), pexe Haemophilus influenzae. Hau6oreeqacro Ii rrxeJlo :a6olresaror ,{erx, HenpllBltrrleuuQerquu u nporuo reuoQu.nruoii uHQeKrIHLt.
IuQQeperrrtrra,rlula ,lltafllocl INa t pIIIt llilc[HApoMocxoaHr,rMH saoo,teganlqMu3a6oneBaHHq)**OPBI,I ue rpunnosuofi inloJroruli (naparpunn,H rpyrre).Menlrnroxorruelrlls .
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* flo uarepaaaau Cenertopuoro coBerqatHr-r, Muu:gpaaa poccua u <De.qepa:rrnoicryx6u uo uamopy o crlepe 3auraT6r [paB [o4)e6rrTerefi u 6aaroroayrue qeaose(a (06Ltrorax srrr.rAeMuqec(oro ce3oua rpunna u OPBI4 20lj-2018 rr. a 3a,{aqax Ha ?flrrace3ot2018-2019 r.r. STr.ronorltqecKre u grrEleMronornqec(Ire oco6eHrrocrr, 3nlreMlu rprrrrrra llOPBI,I 2017-2018 rr., nporHo3 Ha npercroruui 3rrrAeMnqecl(Irtr ce3oE) (uoEb 20lg).Aoraa.q fnasnoro Brreruraruoro cnequaJlrcra MxH3ApaBa pocculr no uullexqaounr,uu6one3urM y .{erei, 4,tp€roopa <Degepa,,ruoro .{ercxoro uay+ro-x.nrrHriqec(oro qenrl,alrrrfexqrouusx 6o,'re3uefi, akaaeMrrka PAH, npoQeccopa IO.B.JIo6:uua (fpflrm y Aerei.Oco6eunocru o snugeMrrqeckoM ce3oEe rpunna r OpBlI20l7-201g r.r.>
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- uueroqne :a6o:reBaHI.L IIeHTpuuIbHofi uepanofi cucreMLt, cep.{ua, JrerKrlx,caxapHsrfi gua6er, Met a6ont,tqecKufi cHHApoM;-r,rMMyHoKoMnpoMeTr.rpoBilHHr,re nauueuru (ouroloruvecMe 6o.nrutre,IloJlyqxBrrllle r-rrl.I noJrrlarcullre JlyqeByrc Tepanro, xl.tMrioTepanHrc,KOpTr.rKOCTepOU,{HyrO repanurc);-narlneHTrr r.r: 3aKpBITbrx opfaHu3oBaHHbx KoJrJreKTuBoB (AoMa pe6eH(a,AeTCKr4e AOMa, U(Onbr-I..rHTepHaTLr, .qoMa r.rHB:rJrlr.{oB, AoMa npecTapenBlx, aoMaoTAr,rxa, caHaTopn[ I.I npyf[e), npu acnumevuofi :a6o:reraeuocru (noSnHAeMI-Iqec(xM noxa3aHl,LaM [o co racoraauro).
4.Eoltaue c rrxeJrErMII Qopuarr.ru ga6oleganu.s ro/tJrcxartocIIHTaJl[3aLu{u B crall}IoHap 3-ro yposur, f,{e IrMeerc, orAeJleHr.re peaHr{Maul]ut.t uHteHcuguoi repanurl (OPZT). B c:ry.rae neo6xo.4uuocru oKa3aHr..ulercrpeuxofi rr.renuquucxofi rroMolqu - [epBr.rqHr,rx ueponprurufi ]iHrencfiBHofrTepanuu n peaHrlMarlfiu, yKa3aHHa, Karefoplu 6olrssx rocnr.rTaJrr.r3r.rpyeTc.f, B6.nuxairuue crarllroHapbr 2-ro yponur (no reppuropualsuor.ry npxnquny) cnocJreAlnrrlr{M nepeBoAoM B f{pexreuue 3-ro yposlrr.
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6. llprl ao:uuraoBeHr.ru [HeBMoHuH nosxe l0 4lr.r 6ole:lru B cxyyae rprrnrra,B6r3BaHHoro BhrcoKonaroreHHlrMr.r rrraMMaMr.r (HlNlpdmO9, H5Nl u gpyrnN{ralaHAeMr-rqecKuMu turauuauu), flpeAnoqrxrenbHa focnltraJlll3aullJl BrnQexquouurrfi crarlrroHap 3-ro, arntoval OpI4T, rae npu neo6xoguuocrnBo3MoxHo rrpoBeAeHue 3KMO (excrparopnopa,rrnofi ueu6pannofiorcureuaquu). B 4pyrux cnyqarx Bonpoc Maprxpyru3aqufl pelrraerc.fir.rHAriBHAy:IJtbHO.
* Y gerei npa guaruocrn(e OPBII Heo6xoAltMo [crroJ.rb3oBar6 1xa:auur <I(rlrnuvecruxp:J(oM€EAa[ni M3 P@ <Ocrpae pecnrparopH.ur rupycxaa aullerqur (OPBI4) y rsreiD(2016/2018).
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Comacao MeroAur{ecKr.rM peKoMeH,qau[f,M Muu:gpancoqpa:rtruq Poccrau "CxeMH reqeH[su nporlu.rarrnru rpHnna, B6r3BaHHoro Br.rpycoM rr.rna A,/HlNl, AJr{ B3pocnoro r.i aercKorolr.acerrerus" nr{cbMo or 25.08.2009r. Ns24-0/ 10/ I -5039 u MeroAHqecKHx peroueu4aqufiMuuucrepcraa o4paaooxpanenur Poccu[cKofi OeAepaur.ur 2017 roaa <fp[nrr y B3poc;r6tn).
l.l, Ap6uaor - npr.i HenocpeAcrBeHHoM KoHTaKre c 6onrsrru tpr4nnoM rlnu OPBI4 - no 200Mr B AeH6 B reqeHue 10-14 anefi* B nepxoA 3rruAeMr.r[ rp]rnna u .{pymx OPBIrl, Ar{npeAynpexAeHr,r, o6ocrpelrri xpoHr.rqecKoro 6pouxnra, pequAr.rBa repnerx.recKofi rauQexunu
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- I4urepQepon a,rrQa-2b (BuSepoH) B cynno3r.rropr.rrx no 150.000ME 2 pa.:a a 4eur (cyrounargo:a 300000M8) a reqeHr.re 5 cyroK vtru- I,IurepQepoa a;rrr[a-2b c ra]?HHoM (fenQepou) no 150.000ME 2 pasa r ,4enr (cyrovnarAo3a 300000ME) B reqeHr.re 5 cyroK.
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A,/HIN1:2.1. Oce:trauurxp - no 75 Mr aBa pira B AeHB (cyrovnar Ao3a 150 Mr) B reqeHrre 5 4nefi (cyqeToM Ha3HaqeHr.i, flpenapaTa B nepBr,re 2 aH, oT Haqar a za6otezautx), e m.u. u 6epet|euuotuleeHl4UHA.M, I4JIV
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2.3. Ap6unot - 4 pa3a B c)"rru no 200 ur xaxgue 6 .racon (cyro.rnax .qo3a 800 Mr) B reqeHue5 Aseir *, uttu2.4. Karoqer - a nepruii AeHE no 2 ra6l. 3 pa:a a leus (cyrovnar Ao3a 72 Mr),nocneAyrorqlre 2 AH, [o 1 ra6n. 3 pa:a r leur (cyro,lHa, .{o3a 36 Mr), r4,'ru
2.5. Llurastpuu - cyrounaa Ao:a 90 ur I pa3 B.qeHb B reveuue 5 nuefi (c yqeroM Ha3HarreHx{npenapara B nepBrre 2 .qH, or Ha.rana 3a6oreBaHu.s)+2.6. I4l'auynoruo6yrIr,rH qeJroBera noprr.ranruufi pacrBop .qn, BHyrpr4MlnneqHoro BBeAeHHsn:pocruu - 4.5-6 uJr AByKparHo c nHrepnalou 24-48 uacoa.
* lTpweuauue - xpo,r,te depaveHHbtx aceHltluH2.7. ,[u rcteuun 6epetvteutorx crceuquu (uauuuan c ]3-o uedetu 1epeueuuocmu) uocttuoLlcna.:lb306dn1b
- I4nrepQepou anb+a-2b (BuQepon) B cyflrro3Ltropurx no 500.000 ME 2 pa3a B AeHb(cyrovuar go:a 1000000ME) r reveHhe 5 cyroK- I'IHrep{epon arb+a-2b c rayprHoM (feuQepou) no 250.000 ME 2 pa.:a B aeHb (cyroqHa,ao3a 500000ME) B reueuue 5 cyror.2.8. CulanrouaruqecKoe JreqeH e (aua:rr,reruru, cpeAcrBa, npuMeHreMrre ,Urr JreqeHruzlJlfiepfr4qecKr.rx peaKrlr{i, oTxapKr.tB:uoulue, cocyAocyxr-rBarourre KarrJrr{ B Hoc) - noIIOKA3AH}lgM.
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3.1. Oce;rrraunrup - no 75 Mr .qBa pa3a r geur (cyro.ruar Ao3a 150 ur) n reveuue 5 anefi (c)AeroM Ha3HaqeHr.rq lpe[apara B neprue 2 4ur or uava.na za6oteaatux), e m.u. u 6epeueuuotulCeHt4UHAN, UJIU
3.2. 3aualruaup - no 2 unra:rxqr.ru 2 pasa n 4ent B TelreHue 5 anefi (c yqeroM Ha3Har{eHr.r,npeflapara B rrepBrre 2 AH, or Haqana za6otezanut), e m.u. u 6epeueuuuu aceHuluHav, vlt:,3.3. Ap6ruol - 4 pa3a B cyrKr.r no 200 ur raxaue 6 vacon (cy,rovuar aoaa 800 lrr) r reveuue7 lr:eit*, utu3.4. Karoue.n a roM6[uaqs[ c Ap6ugo,rou*: KaroueJr - r nepaufi AeHb rro 2 ra6l. 3 pa:a agenr (cyrovuax go3a72Mr), nocle.4y,roulae 3 AH.f, rlo I ra6n. 3 pasa s gear (cyrovnar,{o:a 36Mr) u ap6u.qor - 4 pa3a B cyrxr.r no 200 rur raNgrre 6 vacoe (cyrovuar go:a 800 ur) a reueulre7 gueir. + n:lu3.5. Hxraaupun - cyrovuax 4o:a 90 ur I pas r,4eur r reuenne 7 gnefi (c yverou na.:navenuxnpenapara B lepBbre 2 ,[H{ or Haqara 3a6oneBaHrrr)* nrn3.6. I4urrayuor:ro6ynxH qeJroBeKa HopMaJrEHEri pacrBop Inf, BHyrpl.lMbrrxeqHoro BBeIeHr.rqa:poc$rrr,r - 4,5-6 u.n TpexKpaTHo c nHTepralou 24-48 vacoa.* Ilpu.ttelauue - xpoue 6epeueuuotx ctceuuyuu3.7. ltn rcuetun 6epetteHHbtx J{eHuluH (uauuuan c l3-o uedenu 6epeueuuocmu):- I4urepQepoH ar60a-2b (BuQepou) B cynno3xropnqx no 500.000 ME 2 pa:a a 4enr,(cyrovuar Ao3a 1000000ME) a reueur.re 5 cyroK, 3areM no,u.qepxuBaroqas repanli, no150.000 ME 2 pa.:a a geur (cyrovuar,[o3a ro 300000ME) no 2 pa:a B He,{ern s re.{euue 3HEACJIb, I'JIH
- I4urepQepou alr,Oa-2b c rayplrHoM (ferrQepou) no 250.000 ME 2 pa:a B.{eHr, (cyrolrHa,,ao3a 500000ME) B reqenue 5 c),roK, 3areM no.qAepxHBaroqzu repaflu, rro 150.000 ME 2 pa:aa geur (cyrovnax go3a no 300000ME) no 2 pasa a ue.qemo n revenue 3 ue4enr.- I4ur.,ryuorno6ylrlH Inr BHyrpxBeHHoro BBe,{eHu, (la6puor:ro6rza) - 0,05-0,2 Kr Maccbrrena (2,5-10 r). I pa3 B AeH6 (uepes 24 vaca) nuyrpaaeHuo KarreJrr,Ho. Kypc.neveuua cocrourIr3 3-5 rpaHcoFr.rfi.3.8. Curr,rnrOuaruqecKoe JreqeHxe (auru6arrepua,rrnbre r{ [poTHBorpu6roaue cpegcrta,aHaIIEIeTUKH, HeCTepOI-tAHbIe npOTLtBOBOCTI:IIIHTenbHbte npelapaTll, cpeacTBa, [pr-rMeH{eMEIeArs rerIeHLL aflreprLlqecKrx peaKul{i, fopMoH6t H cpe.ucrBa, Bnx{rotq}Ie Ha 3HloKprrHHyrocucTeMy, cpeacTBa, BJIIjrtoluHe Ha opmHbl aLlxaHxr, pacTBopbl, 3JreKTpotruTLr, cpe.qcTBa
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4.5. I4nrarr,rpux - cyro.rxaa go:a 90 ur I pa: r leut a re,reuue 7 gnefi (c yqeroM Ha3HaqeHlunpenapara B nepBhte 2 gux ot uatata oa6o.neaauux)*4.6. I4ur,rynouo6yru.rH Anr Br{yrpnBeHHoro BBeIeHu, (fa6puor:ro6nu) - 0,05-0,2 r/rr uaccr,rreta (2,5-10 r). I pa: a geus (vepea 24 vaca) auyrpuoeHHo KaneJrr,Ho. Kypc ,re.reHr.r, cocrorlru: 3-5 rpanc$y:ufi.* Ilputteaauue - rcpoltte 6epeneuut tx tceuuluu4.7. ltn ne,teuun 6epe ,teHHbtx tceHt4uH (uauuuan c l3-o nedetu 6epeueuuocmu):- I4nrepQepon a:rrQa-2b (BnQepou) B cynno3xropr{rx no 500.000 ME 2 pa:a a genl(cyrovuar ao:a 1000000ME) n revenlre150.000 ME 2 pa:a n leur (cyro.ruar go:a
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- ZrnepQepou a:r$a-2b c raypuHoM (feurlepon) no 250.000 ME 2 pa.:a a gens (cyrovHaxgo:a 500000ME) s reqeuue 5 cyroK, 3areM nolJ(epxuBarorqa, ,epanu, no 150.000 Mi 2 pa:aB AeHE (cyro.rHa.f, ao:a no 300000M8) no 2 pa:a a nege:lo n revenue 3 ue4em.- Ilvrr.ryHor.no6ylr.rH AJr{ BHyrpr.rBeHHoro BBeAeHr.r, (fa6puouo6un) _ 0,05_0,2 r/xr uaccurera (2,5-10 r). 1 pa.: n .qexr (tepez 24 vaca) nnyrpureuuo Ka[eJrBHo. Kypc reveulx cocrouras 5-7 rpaucQy:aii.4.8. Calrnrolraruqecroe JreqeHr.re (anru6axrepua:*nue opeAcrBa, aHaJrbrer[K,,HecTepoHAHEre npoTr.rBoBocrraJrr.rTeJrr,Hbre flpeflapaTbr, MrropeJraKcaHTr,r, cpeAcTBa,rrpHMeHf,eMbre ,{r, reqeHH, alneprHqecKr.rx peaxqui, cpeAcrBa, BlHrrotque Ha KpoBL,ropMoHhr I,I cpeAcTBa, BJII.ITrcIIII.Ie Ha 3HAOKpHHHyT CrICTeMy, Cpe,qcTBa, BJrH{IOIUUe HacepAeqHo-cocylucT),ro clrcTeMy, pacTBopBr, 3neK,rponr.rTEr, cpeacrBa KoppeKrlr{fi KrrcJroTHofopaBHoBecrrr, cpelcTBa llv.raHuq, cpeacTBa, Bruqrcrure Ha opfaHbr .{BrxaHHfl, pecnHpaTopHaJrnoAlepxKa u npoque cpegcraa) - no noKa3aHu.sM.
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