MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ORDER
on November 9, 2012 N 798n
ON APPROVAL OF THE STANDARD
SPECIALIZED MEDICAL CARE FOR CHILDREN WITH ACUTE
Respiratory disease of moderate severity
In accordance with Article 37 of the Federal Law dated November 21, 2011 N 323-FZ "On the basis of public health protection in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446), hereby:
Approve standard specialized care for children with acute respiratory diseases moderate according to the application.
Minister
V.I.SKVORTSOVA
application
to the order of the Ministry of Health
Russian Federation
on November 9, 2012 N 798n
STANDARD
SPECIALIZED MEDICAL CARE FOR CHILDREN WITH ACUTE
Respiratory disease of moderate severity
Age category: children
Gender: any
Phase: acute
Step: moderate
Complications: regardless of the complications
Kind of care: specialized care
care conditions: stationary
The form of care: emergency
Average treatment time (number of days): 15
Code ICD X and disease entities
J01 Acute sinusitis
J02 Acute pharyngitis
J03 Acute tonsillitis
J04.0 Acute laryngitis
J04.1 Acute tracheitis
J04.2 Acute laryngotracheitis
J06 Acute upper respiratory infections of multiple and unspecified
J06.0 Acute laringofaringit
J06.8 Other acute upper respiratory infections of multiple localization
J06.9 Acute upper respiratory infection, unspecified
1. Medical interventions to diagnose the disease, condition,
| Reception (examination, consultation), a specialist doctor | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| B01.014.001 | Receiving (examination, consultation) vracha primary infektsionista | 1 | 1 |
| B01.015.001 | Receiving (examination, consultation) vracha primary cardiologist | 0,1 | 1 |
| B01.023.001 | Receiving (examination, consultation) vracha primary neurologist | 0,05 | 1 |
| B01.028.001 | Receiving (examination, consultation) vracha primary otorinolaringologa | 0,5 | 1 |
| B01.029.001 | Receiving (examination, consultation) vracha primary ophthalmologist | 0,01 | 1 |
| B01.031.001 | Receiving (examination, consultation) vracha primary pediatrician | 1 | 1 |
<1> The probability of medical services or prescribing for medical applications (medical devices) included in the standard of care that can take values from 0 to 1, where 1 indicates that the event is held 100% Patients who met the model and the figures at least 1 - specified in the standard of care the percentage of patients with appropriate medical indications.
| Laboratory Methods | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A12.06.007 | Serologic tests for respiratory virus infections | 0,8 | 1 |
| A26.01.017 | Microscopic examination of prints from the skin folds on the perianal pinworm eggs (Enterobius vermicularis) | 1 | 1 |
| A26.09.010 | Bacteriological examination of sputum for aerobic and facultative anaerobic microorganisms | 0,6 | 1 |
| A26.19.001 | Bacteriological examination of feces for the causative agent of dysentery (Shigella spp.) | 1 | 1 |
| A26.19.002 | Bacteriological examination of feces for tifo- parathyphoid microorganisms (Salmonella typhi) | 1 | 1 |
| A26.19.003 | Bacteriological examination of feces for salmonella (Salmonella spp.) | 1 | 1 |
| A26.19.010 | Microscopic examination of feces on the eggs and larvae of worms | 1 | 1 |
| B03.016.003 | Total (clinical) blood test detailed | 1 | 1 |
| B03.016.004 | Biochemical analysis of blood Obshcheterapevtichesky | 1 | 1 |
| B03.016.006 | Urinalysis total | 1 | 1 |
| B03.016.010 | scatological study | 1 | 1 |
| Instrumental methods of research | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A05.10.006 | electrocardiogram | 0,1 | 1 |
| A06.08.003 | Radiography of the paranasal sinuses | 0,3 | 1 |
| A06.09.007 | radiography | 0,7 | 1 |
2. Medical services for the treatment of diseases, conditions and monitor treatment
| Reception (examination, consultation) and specialist doctor supervision | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| B01.014.003 | Daily inspection infectious diseases doctor with supervision and care of middle and junior medical staff in a hospital ward | 1 | 14 |
| B01.015.002 | Reception (examination, consultation) cardiologist re | 0,01 | 1 |
| B01.020.001 | Reception (examination, consultation), a doctor of physical therapy | 0,5 | 1 |
| B01.028.002 | Reception (examination, consultation), ENT physician re | 0,5 | 1 |
| B01.029.002 | Reception (examination, consultation) ophthalmologist re | 0,01 | 1 |
| B01.031.002 | Reception (examination, consultation) pediatrician re | 1 | 2 |
| B01.054.001 | Inspection (consultation) doctor-physiotherapist | 1 | 3 |
| Laboratory Methods | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A09.09.007 | Investigation of the physical properties of sputum | 0,5 | 1 |
| A12.05.014 | Investigation unstabilized blood clotting time or recalcification of plasma neaktvirovannoe | 0,1 | 1 |
| A12.05.015 | bleeding time study | 0,1 | 1 |
| A12.06.007 | Serologic tests for respiratory virus infections | 1 | 1 |
| A26.09.010 | Bacteriological examination of sputum for aerobic and facultative anaerobic microorganisms | 1 | 1 |
| A26.09.011 | Bacteriological examination of lavage fluid in the aerobic and facultative anaerobic microorganisms | 1 | 1 |
| A26.09.029 | Microbiological examination of sputum for mushrooms | 0,2 | 1 |
| B03.005.006 | Coagulation (tentative study of the hemostatic system) | 0,01 | 1 |
| B03.016.003 | Total (clinical) blood test detailed | 1 | 4 |
| B03.016.004 | Biochemical analysis of blood Obshcheterapevtichesky | 1 | 1 |
| B03.016.006 | Urinalysis total | 1 | 3 |
| Instrumental methods of research | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A05.10.006 | electrocardiogram | 0,3 | 1 |
| A06.08.003 | Radiography of the paranasal sinuses | 0,5 | 2 |
| A06.09.007 | radiography | 0,5 | 3 |
| Drug-free methods of prevention, treatment and medical rehabilitation | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A11.09.007 | Inhalation administration of drugs and oxygen | 0,8 | 10 |
| A17.08.001 | Electrophoresis drugs in diseases of the upper respiratory tract | 0,7 | 10 |
| A17.08.003 | Aerosol for upper respiratory tract | 0,7 | 10 |
| A17.30.017 | Exposure to an electric field of ultrahigh frequency (UHF EPO) | 0,5 | 10 |
| A19.09.001 | Therapeutic exercises in diseases of respiratory system | 0,7 | 10 |
| A21.30.005 | Chest compressions | 0,6 | 10 |
| A22.08.003 | The impact of low-intensity laser radiation in the region of the pharynx | 0,3 | 10 |
| A22.08.004 | Impact endonasal laser radiation of low intensity | 0,3 | 10 |
| A22.30.003 | Exposure to short ultraviolet (EUV) | 0,8 | 10 |
3. The list of drugs for medical use, registered on the territory of the Russian Federation, with an indication of the mean daily dose courses
| The code | Terapevtichesko- anatomical chemical classification | Name of the drug | The average rate of frequency | Units | MIC | SKD |
| A07AA | antibiotics | 0,2 | ||||
| nystatin | ED | 2000000 | 10000000 | |||
| B05BB | Solutions affecting the water-electrolyte balance | 0,5 | ||||
| Potassium chloride + Calcium chloride Magnesium chloride + + + Sodium acetate Sodium chloride | ml | 200 | 1000 | |||
| B05CX | Other irrigation solutions | 0,5 | ||||
| Dextrose | ml | 400 | 2000 | |||
| B05XA | electrolyte solutions | 0,6 | ||||
| potassium chloride | ml | 0,4 | 1,2 | |||
| Sodium chloride | ml | 200 | 1400 | |||
| H02AB | corticosteroids | 0,1 | ||||
| prednisolone | mg | 100 | 500 | |||
| J01CA | Broad-spectrum penicillins | 0,1 | ||||
| amoxicillin | mg | 1500 | 10500 | |||
| J01CR | Combinations of penicillins, including combination with inhibitors of beta-lactamase | 0,1 | ||||
| Amoxicillin + Clavulanic Acid | mg | 800 | 4000 | |||
| J01DB | Cephalosporins 1st Generation | 0,1 | ||||
| cefazolin | mg | 3000 | 21000 | |||
| J01DC | Cephalosporins 2 nd generation | 0,1 | ||||
| cefuroxime | mg | 2400 | 16800 | |||
| J01DD | Cephalosporins of third generation | 0,8 | ||||
| cefotaxime | mg | 3000 | 21000 | |||
| ceftriaxone | mg | 2000 | 20000 | |||
| J01FA | macrolides | 0,4 | ||||
| azithromycin | mg | 2000 | 20000 | |||
| clarithromycin | mg | 300 | 3000 | |||
| J01GB | other aminoglycosides | 0,05 | ||||
| amikacin | mg | 500 | 5000 | |||
| J01XA | Glycopeptide antibiotics structure | 0,01 | ||||
| vancomycin | mg | 1600 | 16000 | |||
| J02AC | triazole derivatives | 0,05 | ||||
| fluconazole | mg | 100 | 1500 | |||
| J05AX | Other antivirals | 0,1 | ||||
| Metilfeniltiometil- dimetilaminometil- gidroksibromindol carboxylic acid ethyl ester | mg | 400 | 4000 | |||
| L03AB | interferons | 0,1 | ||||
| interferon alfa | ED | 1000 | 5000 | |||
| L03AX | other immunostimulants | 1,2 | ||||
| meglumine akridonatsetat | mg | 450 | 2250 | |||
| tilorona | mg | 125 | 750 | |||
| Anaferon | mg | 9 | 90 | |||
| M01AB | Acetic acid derivatives and related compounds | 0,05 | ||||
| diclofenac | mg | 150 | 450 | |||
| N02BE | anilides | 1 | ||||
| Paracetamol | mg | 500 | 2500 | |||
| N05BA | benzodiazepines | 0,05 | ||||
| diazepam | mg | 10 | 50 | |||
| R01AA | adrenomimetiki | 0,9 | ||||
| xylometazoline | mg | 6 | 30 | |||
| R05CB | Mucolytic drugs | 0,2 | ||||
| acetylcysteine | mg | 600 | 4200 | |||
| R05FB | Other antitussives and expectorants | 0,6 | ||||
| Ambroxol + Sodium + glycyrrhizinate creeping thyme herb extract | mg | 30 | 150 |
4. Kinds of medical supplies, including specialized therapeutic food
| Name of Clinical Nutrition | The average rate of frequency | amount |
| The basic version of the standard diet | 1 | 15 |
The International Statistical Classification of Diseases and Related Health, the X revision.
International nonproprietary or chemical name of the drug, and in their absence - the trade name of the drug.
The average daily dose.
Average course dose.
Remarks:
1. Medicinal products for medical use, registered on the territory of the Russian Federation shall be appointed in accordance with the instructions for use of the drug for medical use and for pharmacotherapeutic group Anatomical Therapeutic Chemical Classification System, recommended by the World Health Organization, as well as the route of administration and application of the drug. When assigning of medicaments for the medical use children dose is determined taking into account the mass body age in accordance with the instructions for use of the drug for medical application.
2. Purpose and use of drugs for medical use, medical devices and specialized clinical nutrition products are not included in the standard of care, allowed in the case of medical indications (individual intolerance, for health reasons) by the decision of the medical commission (Part 5 of Article 37 of the Federal Law of November 21, 2011 N 323-FZ "On the basis of public health protection in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446)).