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Taking into account the results received at introduction of program directions on the basis of Clinic of pediatrics РБ№1-Национального of the centre of medicine and the Children's city hospital of №2 of Yakutsk, for perfection of rendering of the mediko-social help to children and teenagers with HG it is recommended:

1) For maintenance of availability and quality of the help with HG it is necessary for children and teenagers to frame multilevel system of rendering of medical aid:

• at level primary mediko-santarnoj the help for improvement of quality of primary preventive maintenance VG at children to introduce in practice of an out-patient link bacterination against VGV members of the families, again taped patients HGV; for improvement of quality of secondary preventive maintenance VG among children and teenagers to include research on MVG in medical inspections, to make its obligatory at planned and emergency hospitalisation in hospitals of a various profile. To dilate screening, having included in it a-HBcor and a-HBs.

• At level of rendering of specialised medical aid for the organisation of a high-grade dispensary observation of children and teenagers with HG to frame interdistrict KIZy; for improvement
Qualities of tertiary preventive maintenance VG to introduce in practice of doctors infektsionistov and pediatrists uniform reports of a dispensary observation and preparation of patients to PVT.

• At level vysokospetsializirovannoj medical aid to frame on the basis of RDIB in Yakutsk the Republican centre medikoyosotsialnoj the help to children and teenagers with HG with following structural sectionings: information,

Advisory, uchebno-methodical and organizatsionnoyometodicheskim. For maintenance of availability of hi-tech methods of research to organise, on beze the Republican centre of the mediko-social help to children and teenagers with HG, the centralised republican clinico-immunologic and molekuljarno-biological laboratory.

2) For realisation of continuity of rendering of medical aid to children and teenagers with HG in a chain of structural sectionings (female consultation, maternity home, a children's out-patient department, an adult out-patient department) to frame the computerised information network with a database about patients with virus hepatitises on a platform «Medical information system» (MIS). To frame within the limits of MIS the module on HG at children and teenagers.

3) Within the limits of primary preventive maintenance HG at children, for risk depression perinatalnoj transfers of a HBV-infection and NANOSECOND  - infections to introduce in practice of doctors of accoucheurs-gynecologists and neonatologov algorithms of preventive maintenance antenatalnoj transfers VG. Taking into account research on HBsAg, quantitative PTSR-RESEARCH on HBV-ДНК to spend preventive antiviral therapy lamivudinom and telbivudinom to pregnant women. To introduce the scheme of bacterination with application of a specific immunoglobulin.

4) Within the limits of primary preventive maintenance HG at children and teenagers, for the purpose of rising of knowledge of patients with HG and their families to include in the plan of work of offices of medical preventive maintenance and the centres of formation ZOZH in
Children's out-patient departments of employment of "School of hepatitises»; to introduce information and educational programs for the population concerning HG at children and teenagers in electron mass-media.

5) For rising of professional level of doctors of a primary link on problems of virus hepatitises in pediatrics to introduce the developed educational program on section «Virus hepatitises at children» for students on a speciality 060103 "Pediatrics" on the basis of FGOZ 3 +. To introduce developed educational program «Virus hepatitises in pediatric practice» internships on a speciality 060103 "Pediatrics" on the basis of FGT. To introduce educational programs DPO for doctors of pediatrists, teenage doctors, neonatologov, doctors obshchevrachebnoj experts, accoucheurs-gynecologists «Questions of preventive maintenance and prophylactic medical examination of children and teenagers with HG».

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Scientific source Dmitriev Tatyana Gennadevna. CHRONIC VIRUS HEPATITISES At CHILDREN And TEENAGERS In REGION GIPERENDEMICHNOM. The PROGRAM of PERFECTION of RENDERING of the MEDIKO-SOCIAL HELP. The dissertation on competition of a scientific degree of the doctor of medical sciences. Yakutsk - 2014. 2014

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