{"id":390488,"date":"2020-11-19T10:50:15","date_gmt":"2020-11-19T08:50:15","guid":{"rendered":"https:\/\/orademedias.ro\/?p=390488"},"modified":"2020-11-19T10:50:15","modified_gmt":"2020-11-19T08:50:15","slug":"institutul-national-de-sanatate-publica-noi-precizari-privind-criteriile-pentru-initierea-testarii-in-cazul-sars-cov-2","status":"publish","type":"post","link":"https:\/\/orademedias.ro\/institutul-national-de-sanatate-publica-noi-precizari-privind-criteriile-pentru-initierea-testarii-in-cazul-sars-cov-2\/","title":{"rendered":"Institutul Na\u0163ional de S\u0103n\u0103tate Public\u0103 – noi preciz\u0103ri privind criteriile pentru ini\u0163ierea test\u0103rii \u00een cazul SARS-CoV-2."},"content":{"rendered":"

Potrivit INSP,\u00a0 confirmarea prompt\u0103 a cazului suspect este necesar\u0103 pentru a asigura, rapid \u015fi eficient, supravegherea epidemiologic\u0103 a contac\u0163ilor, implementarea m\u0103surilor de prevenire \u015fi control al infec\u0163iei, precum \u015fi colectarea informa\u0163iilor epidemiologice \u015fi clinice relevante.<\/p>\n

Recomand\u0103ri de prioritizare a test\u0103rii prin RT-PCR pentru COVID-19:<\/strong><\/p>\n

* persoane simptomatice, inclusiv personal medico-sanitar \u015fi auxiliar, conform defini\u0163iei de caz;<\/p>\n

* persoane cu rezultat pozitiv la testul pentru antigenul SARS-CoV-2;<\/p>\n

* contac\u0163i direc\u0163i simptomatici ai cazurilor confirmate;<\/p>\n

* pacien\u0163i cu maximum 48 de ore \u00eenainte de procedura de transplant (asimptomatici) \u015fi donatorii de organe, \u0163esuturi \u015fi celule stem hematopoietice \u00eenainte de donare; pacien\u0163i cu transplant de organe, \u0163esuturi \u015fi celule stem hematopoietice afla\u0163i \u00een tratament imunosupresor, \u00eenaintea fiec\u0103rei intern\u0103ri din perioada de monitorizare post-transplant – 2 teste la 24 de ore interval;<\/p>\n

* echipele medicale de prelevare a organelor pentru transplant care se deplaseaz\u0103 de la centrul de transplant \u00een centrele de prelevare – la fiecare 2 s\u0103pt\u0103m\u00e2ni;<\/p>\n

* pacien\u0163i asimptomatici cu imunosupresie \u00een contextul bolii sau indus\u0103 medicamentos, cu maximum 48 de ore \u00eenainte de internarea \u00een spital; \u00een acest context, termenul de imunosupresie se refer\u0103 la: chemoterapia citotoxic\u0103, agen\u0163i biologici cu ac\u0163iune prelungit\u0103, imunoterapie celular\u0103 \u015fi doze mari de glucocorticoizi;<\/p>\n

* pacien\u0163i oncologici asimptomatici afla\u0163i \u00een curs de chimioterapie \u015fi\/ sau radioterapie:
\n– pacien\u0163i oncologici asimptomatici afla\u0163i \u00een curs de chimioterapie – cu maximum 48 de ore \u00eenainte de fiecare cur\u0103, respectiv de fiecare prezentare la spital pentru monitorizare;
\n– pacien\u0163i oncologici asimptomatici afla\u0163i \u00een curs de radioterapie – \u00eenainte de prima \u015fedin\u0163\u0103 \u015fi apoi la 14 zile, p\u00e2n\u0103 la terminarea curei;<\/p>\n

* pacien\u0163i oncologici asimptomatici \u00eenainte de interven\u0163ii operatorii sau manevre invazive, cu maxim 48 de ore \u00eenaintea interven\u0163iei\/ manoperei;<\/p>\n

\u00cen cazul pacien\u0163ilor copii care se interneaz\u0103 cu \u00eenso\u0163itor se testeaz\u0103 \u015fi \u00eenso\u0163itorul.<\/p>\n

* pacien\u0163i hemodializa\u0163i asimptomatici – de 2 ori pe lun\u0103; pacien\u0163i hemodializati asimptomatici contac\u0163i cu caz confirmat, 2 test\u0103ri la 6 – 7 zile interval \u00eentre ele;<\/p>\n

* pacien\u0163i hemodializa\u0163i simptomatici;<\/p>\n

* persoane institu\u0163ionalizate asimptomatice – de 2 ori pe lun\u0103;<\/p>\n

* personalul de \u00eengrijire din centre reziden\u0163iale – s\u0103pt\u0103m\u00e2nal;<\/p>\n

* gravidele asimptomatice care se afl\u0103 \u00een carantin\u0103\/ izolare la domiciliu sau au fost contact direct cu un caz confirmat – \u00een ziua 14, dac\u0103 nu au devenit simptomatice;<\/p>\n

* personal medico-sanitar \u015fi auxiliar asimptomatic contact direct cu caz confirmat, \u00een a 6 – 7 a zi de la ultimul contact posibil infectant<\/p>\n

Potrivit INSP, \u00een perioada imediat\u0103 contactului posibil infectant \u015fi p\u00e2n\u0103 la primirea rezultatului de laborator, personalul medico-sanitar \u015fi auxiliar \u00ee\u015fi va desf\u0103\u015fura activitatea cu respectarea m\u0103surilor de protec\u0163ie standard. Cazurile pozitive simptomatice sau asimptomatice din r\u00e2ndul personalului sanitar vor respecta procedurile de izolare impuse \u015fi pentru restul persoanelor infectate.<\/p>\n

Unit\u0103\u0163ile medicale pot stabili protocoale de testare pentru personalul medical \u015fi\/ sau pacien\u0163i prin tehnici de RT-PCR, suplimentar fa\u0163\u0103 de aceste recomand\u0103ri, care pot fi realizate cu resurse proprii, \u00een laboratoarele pe care le de\u0163in sau \u00een alte laboratoare.<\/p>\n

Buletinele de analiz\u0103 cu rezultate pozitive ale test\u0103rilor vor fi raportate imediat, scanat, \u00een acela\u015fi mesaj trimis pe email de c\u0103tre laboratorul care a efectuat testarea, c\u0103tre spitalul solicitant, direc\u0163ia de s\u0103n\u0103tate public\u0103 de apartenen\u0163\u0103 a cazului \u015fi INSP \u015fi se vor lua m\u0103surile necesare de internare\/ izolare a persoanelor infectate.<\/p>\n

\u00cen aceste cazuri, unit\u0103\u0163ile sanitare \u00ee\u015fi vor efectua propria anchet\u0103 epidemiologic\u0103 \u015fi vor adopta m\u0103suri de limitare a infec\u0163iei, ac\u0163iuni ce intr\u0103 \u00een responsabilitatea direct\u0103 a managerului. Raportul anchetei epidemiologice va fi trimis \u00een termen de 24 de ore direc\u0163iei de s\u0103n\u0103tate public\u0103 a jude\u0163ului de apartenen\u0163\u0103 a cazului, precizeaz\u0103 INSP. AGERPRES<\/p>\n","protected":false},"excerpt":{"rendered":"

Potrivit INSP,\u00a0 confirmarea prompt\u0103 a cazului suspect este necesar\u0103 pentru a asigura, rapid \u015fi eficient, supravegherea epidemiologic\u0103 a contac\u0163ilor, implementarea m\u0103surilor de prevenire \u015fi control al infec\u0163iei, precum \u015fi colectarea informa\u0163iilor epidemiologice \u015fi clinice relevante. Recomand\u0103ri de prioritizare a test\u0103rii prin RT-PCR pentru COVID-19: * persoane simptomatice, inclusiv personal medico-sanitar \u015fi auxiliar, conform defini\u0163iei de […]<\/p>\n","protected":false},"author":15,"featured_media":390493,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"newspack_featured_image_position":"","newspack_post_subtitle":"","newspack_article_summary_title":"Overview:","newspack_article_summary":"","newspack_hide_updated_date":false,"newspack_show_updated_date":false,"footnotes":""},"categories":[1065,2,67,7],"tags":[],"coauthors":[],"yoast_head":"\nInstitutul Na\u0163ional de S\u0103n\u0103tate Public\u0103 - noi preciz\u0103ri privind criteriile pentru ini\u0163ierea test\u0103rii \u00een cazul SARS-CoV-2. • Ora de Medias<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/orademedias.ro\/institutul-national-de-sanatate-publica-noi-precizari-privind-criteriile-pentru-initierea-testarii-in-cazul-sars-cov-2\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Institutul Na\u0163ional de S\u0103n\u0103tate Public\u0103 - noi preciz\u0103ri privind criteriile pentru ini\u0163ierea test\u0103rii \u00een cazul SARS-CoV-2. • Ora de Medias\" \/>\n<meta property=\"og:description\" content=\"Potrivit INSP,\u00a0 confirmarea prompt\u0103 a cazului suspect este necesar\u0103 pentru a asigura, rapid \u015fi eficient, supravegherea epidemiologic\u0103 a contac\u0163ilor, implementarea m\u0103surilor de prevenire \u015fi control al infec\u0163iei, precum \u015fi colectarea informa\u0163iilor epidemiologice \u015fi clinice relevante. 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