{"id":49350,"date":"2020-08-18T15:56:47","date_gmt":"2020-08-18T12:56:47","guid":{"rendered":"http:\/\/infois.ro\/?p=49350"},"modified":"2020-08-18T15:56:47","modified_gmt":"2020-08-18T12:56:47","slug":"masuri-pentru-limitarea-raspandirii-infectiei-cu-sars-cov-2-in-contextul-inceperii-noului-an-scolar","status":"publish","type":"post","link":"https:\/\/infois.ro\/?p=49350","title":{"rendered":"M\u0103suri pentru limitarea r\u0103sp\u00e2ndirii infec\u0163iei cu SARS-CoV-2 \u00een contextul \u00eenceperii noului an \u015fcolar"},"content":{"rendered":"<p><a href=\"http:\/\/infois.ro\/wp-content\/uploads\/2020\/02\/elevi-gripa.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-45623\" src=\"http:\/\/infois.ro\/wp-content\/uploads\/2020\/02\/elevi-gripa.jpg\" alt=\"\" width=\"411\" height=\"257\" srcset=\"https:\/\/infois.ro\/wp-content\/uploads\/2020\/02\/elevi-gripa.jpg 640w, https:\/\/infois.ro\/wp-content\/uploads\/2020\/02\/elevi-gripa-300x188.jpg 300w\" sizes=\"(max-width: 411px) 100vw, 411px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">\u00cen contextul pandemiei cu SARS Cov-2, debutul anului \u0219colar 2020-2021\u00a0 este\u00a0 o mare provocare mare nu doar pentru popula\u021bie, cadre didactice \u0219i autorit\u0103\u021bi ci si\u00a0 pentru medicii de familie. \u00a0Societatea Na\u021bional\u0103 de Medicina Familiei (SNMF), la solicitarea membrilor s\u0103i, a f\u0103cut o analiz\u0103 a principalelor probleme care pot s\u0103 apar\u0103 \u00een aceast\u0103 perioad\u0103 \u0219i a stabilit o serie de propuneri pentru pre\u00eent\u00e2mpinarea lor \u0219i pentru diminuarea riscurilor at\u00e2t pentru profesioni\u0219ti c\u00e2t \u0219i pentru pacien\u021bi. Toamna reprezint\u0103 sezonul cu o inciden\u021b\u0103 crescut\u0103 a virozelor respiratorii \u0219i de debut a infec\u021biilor gripale. \u00cen acest an ne confrunt\u0103m, suplimentar, cu o transmitere comunitar\u0103 crescut\u0103 a infec\u021biei cu SARS COV2. \u00cen plus, \u00eenceperea anului \u0219colar implic\u0103 o intens\u0103 activitate birocratic\u0103 medical\u0103. Se cer avize, scutiri, adeverin\u021be, dosare medicale etc. \u0219i se aglomereaz\u0103 activitatea la cabinete pentru ob\u021binerea acestor acte medicale. \u00cen consecin\u021b\u0103, SNMF prezint\u0103 o serie de m\u0103suri specifice pentru a \u00eencerca limitarea r\u0103sp\u00e2ndirii infec\u021biei cu SARS Cov-2 \u00een contextul \u00eenceperii anului \u0219colar.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">M\u0102SURI PROPUSE DE COMUNITATEA MEDICILOR DE FAMILIE<\/p>\n<p style=\"text-align: justify;\">\n<ol style=\"text-align: justify;\">\n<li>RESPONSABILIZAREA \u0218I IMPLICAREA FAMILIEI<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">SCOP<\/p>\n<ul style=\"text-align: justify;\">\n<li>identificarea precoce, \u00een familie, a copiilor cu semne de afec\u021biuni respiratorii acute \u0219i izolarea acestora la domiciliu.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">MOTIVARE<\/p>\n<ul style=\"text-align: justify;\">\n<li>toamna reprezint\u0103 sezonul cu o inciden\u021b\u0103 crescut\u0103 a virozelor respiratorii \u0219i de debut a infec\u021biilor gripale;<\/li>\n<li>suplimentar, \u00een acest an ne confrunt\u0103m cu o transmitere comunitar\u0103 crescut\u0103 a infec\u021biei cu SARS COV2<\/li>\n<li>nu exist\u0103 criterii clinice validate \u0219tiin\u021bific de diferen\u021biere clinica cert\u0103 \u00eentre infec\u021bia COVID 19, grip\u0103 \u0219i virozele sezoniere; prezen\u021ba \u00een \u0219coal\u0103 \u0219i ulterior \u00een s\u0103lile de a\u0219teptare de la cabinetele de medicina de familie, a elevilor cu oricare dintre afec\u021biunile enun\u021bate reprezint\u0103 un risc semnificativ pentru r\u0103sp\u00e2ndirea acestor boli, inclusiv a infectiei cu SARS COV 2.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">MODALITATE DE IMPLEMENTARE<\/p>\n<ul style=\"text-align: justify;\">\n<li>Distribuirea de materiale cu informa\u021bii clare, scurte \u0219i precise c\u0103tre p\u0103rin\u021bi privind identificarea precoce a semnelor de infec\u021bii respiratorii (media, afi\u0219aj, instruc\u021biuni scrise oferite de \u0219coli, instruirea direct\u0103 de c\u0103tre \u00eenv\u0103\u021b\u0103tori \u0219i dirigin\u021bi);<\/li>\n<li>Instruirea p\u0103rintelui \u00een \u0219coala, prin intermediul media, cabinete, cu privire la atitudinea de urmat: copilul va fi re\u021binut la domiciliu chiar \u0219i la semne minore de boal\u0103 \u0219i medicul de familie va fi contactat telefonic .<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<ol style=\"text-align: justify;\" start=\"2\">\n<li>RENUN\u021aAREA LA BIROCRA\u021aIA SPECIFIC\u0102 \u00ceNCEPUTULUI DE AN \u0218COLAR:<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">SCOP<\/p>\n<ul style=\"text-align: justify;\">\n<li>limitarea prezent\u0103rii la cabinetele medicilor pentru demersuri birocratice care suport\u0103 am\u00e2nare \u0219i pentru care este dificil de realizat o programare f\u0103r\u0103 a afecta \u00eengrijirea persoanelor care se prezint\u0103 pentru starea de boal\u0103<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\u00a0MOTIVARE<\/p>\n<ul style=\"text-align: justify;\">\n<li>context epidemiologic particular \u00een acest an;<\/li>\n<li>adresabilitate crescut\u0103 a pacien\u021bilor cu boli cronice care trebuie s\u0103 limiteze semnificativ accesarea serviciilor de s\u0103n\u0103tate secundare sau ter\u021biare;<\/li>\n<li>num\u0103r crescut de prezent\u0103ri la cabinet, atestat de experien\u021ba anilor trecu\u021bi, a pacien\u021bilor elevi care solicita diverse documente.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">MODALITATE DE IMPLEMENTARE<\/p>\n<p style=\"text-align: justify;\">Se renun\u021b\u0103 la eliberarea:<\/p>\n<ul style=\"text-align: justify;\">\n<li>adeverin\u021belor medicale care s\u0103 ateste capacitatea copilului de a participa la orele de sport. Vor fi solicitate medicilor de familie doar adeverin\u021be care atest\u0103 \u00eencadrarea \u00eentr-o categorie scutit\u0103 de efort fizic;<\/li>\n<li>aviz epidemiologic pentru (re)intrarea \u00een colectivitate;<\/li>\n<li>fi\u0219a de vaccin\u0103ri;<\/li>\n<li>adeverin\u021be de boli cronice pentru p\u0103rin\u021bi! (de\u0219i nu exist\u0103 aceast\u0103 cerin\u021b\u0103 \u00een legisla\u021bie, anumite \u0219coli \u0219i licee solicit\u0103 astfel de documente);<\/li>\n<li>adeverin\u021b\u0103 medical\u0103 pentru \u00eenscrierea \u00een colectivitate (de\u0219i este nevoie de acest document numai la intrarea \u00eentr-un nou ciclu de \u00eenv\u0103\u021b\u0103m\u00e2nt, unele unit\u0103\u021bi \u0219colare solicit\u0103 pentru to\u021bi elevii un astfel de document,\u00a0 care are doua pagini \u0219i presupune examen clinic complet pe aparate \u0219i sisteme, \u00eenregistrarea greut\u0103\u021bii, \u00een\u0103l\u021bimii, TA etc.)<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">Utilizarea mijloacelor de comunicare la distan\u021b\u0103 \u00een situa\u021bia \u00een care \u0219coala solicit\u0103 anumite documente pe care medicul de familie le elibereaz\u0103, comunicare \u00eentre medic de familie, \u0219coal\u0103 \u0219i p\u0103rinte.<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n<ol style=\"text-align: justify;\" start=\"3\">\n<li>ALTE PROPUNERI<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n<ul style=\"text-align: justify;\">\n<li>REDIREC\u021aIONAREA FONDURILOR DIN PROGRAME SOCIALE<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Propunem transformarea programului CORNUL \u0218I LAPTELE \u00eentr-un program de tip MASCA \u0218I DEZINFECTANTUL, astfel \u00eenc\u00e2t fondurile deja prev\u0103zute \u00een buget s\u0103 fie cheltuite mai eficient \u0219i mai riguros, pe l\u00e2ng\u0103 fondurile necesare pentru investi\u021bii specifice perioadei epidemice.<\/p>\n<ul style=\"text-align: justify;\">\n<li>VACCINAREA ANTIGRIPAL\u0102 a copiilor de v\u00e2rst\u0103 \u0219colar\u0103.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Statul trebuie s\u0103 introduc\u0103 gratuitate pentru vaccinarea antigripal\u0103 a copiilor din colectivit\u0103\u021bile \u0219colare.<\/p>\n<ul style=\"text-align: justify;\">\n<li>PROCEDURI CLARE PENTRU TESTARE<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">Elaborarea unei proceduri dedicate \u0219i clare privind testarea \u0219i managementul copiilor din colectivit\u0103\u021bi suspec\u021bi de infec\u021bia cu SARS COV-2 (conform defini\u021biei de caz).<\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\">\n","protected":false},"excerpt":{"rendered":"<p>\u00cen contextul pandemiei cu SARS Cov-2, debutul anului \u0219colar 2020-2021\u00a0 este\u00a0 o mare provocare mare&#8230; <a class=\"meta-more\" href=\"https:\/\/infois.ro\/?p=49350\">more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":45623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41,24],"tags":[74,13025,13084,40,13026,13132,1117],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/49350"}],"collection":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=49350"}],"version-history":[{"count":1,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/49350\/revisions"}],"predecessor-version":[{"id":49351,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/49350\/revisions\/49351"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/media\/45623"}],"wp:attachment":[{"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=49350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=49350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}