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It is recommended that physicians responsible for the care of HIV-infected individuals should provide ARV to a contact who becomes infected with HIV [37, 92, 146, 198, 199] (1A).
In the event that an accident is related to the provision of medical care to HIV-infected people, the administration of the Moscow Region is obliged to immediately take actions to register the emergency and carry out a set of measures to provide primary assistance to the victim, as well as arrange for the contact person to consult an infectious disease specialist (in his absence, as well as weekends and holidays). days - doctor on duty): employees of the Ministry of Defense must immediately report each emergency to the head of the unit, his deputy or a higher manager; in accordance with the established requirements, an authorized person of the Ministry of Defense conducts registration of an emergency situation related to the risk of HIV infection during the provision of medical care; injuries received by medical workers should be recorded in each MO and acted as an accident at work with the preparation of an Act on an accident at work; an authorized person of the Ministry of Defense fills out the Occupational Accident Register; an authorized person of the Ministry of Defense organizes an epidemiological investigation in order to clarify the cause of the injury and establish the connection between the cause of the injury and the performance of the health worker's official duties; in order to provide timely assistance to contacts injured during the provision of medical care, an irreducible stock of rapid tests for the diagnosis of HIV infection and ARVs used for HIV PEP is maintained in the authorized MOs in the region, taking into account the organization of round-the-clock access to ART for 2 hour after injury.
Preparations should be in a place accessible to the staff of the institution, including in the evening and at night, weekends and holidays.
The function of prescribing drugs in these cases is assigned to the doctor on duty. Dispensary observation Dispensary observation is a prerequisite for ART. All patients diagnosed with HIV infection who applied to specialized healthcare institutions (authorized medical organization), after consultation, clinical examination with the establishment of a clinical diagnosis, are subject to dispensary registration and a comprehensive examination, as well as preparation for ART.