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Record results in millimeters of induration (0 mm if there is no induration) rather than as positive or negative bacterial nomenclature trusted 250 mg ilosone. After baseline testing antimicrobial zinc oxide order ilosone online, routine periodic retesting is recommended for persons who had abnormal initial results and other persons at risk for hepatic disease virus 5 days of fever ilosone 500mg with visa. At any time during treatment antibiotics for pink eye safe ilosone 500mg, whether or not baseline tests were done, labora to ry testing is recommended for patients who have symp to ms suggestive of hepatitis. Patients should be instructed at the start of treatment and at each monthly visit to s to p taking treatment and to seek medical attention immediately if symp to ms of hepatitis develop and not to wait until a clinic visit to s to p treatment. In the absence of risk fac to rs, wait until after the woman has delivered to avoid administering unnecessary medication during pregnancy. All employees must report to the Employee Health Clinic or designated department if they have any symp to ms suggestive of tuberculosis infection (cough >3 weeks in duration, especially in the presence of weight loss, night sweats, haemoptysis, anorexia or fever) or if they have experienced exposure to smear-positive patients. Those who test positive are referred to their primary care consultants for evaluation. The patient should be instructed that he or she should present this document any time future testing is required. Follow airborne precautions while the diagnostic evaluation is being conducted for these patients: a. Place a mask on any patient with suspected or confirmed infectious tuberculosis and admit him/her to a negative pressure isolation room. Perform a chest X-ray to rule out the presence of cavitary lesions, which are indicative of infectivity. If the patient must leave the room, he/she must wear a mask; see comments for the type of mask to use. The Public Health Nurse will refer all other close contacts of an index case to the infectious diseases clinic for evaluation. Volunteers, casual staff and contract trades people are not usually considered employees. Assist in the prevention and control of occupationally acquired infections and hazards, particularly those related to hospital work. Identify any infection risk related to employment and institute appropriate preventive measures. However, continued employment or recontracting is dependent on the successful completion of all necessary tests. Recruiters will advise and instruct all potential employees of the pre-employment medical requirements. The Head of the Infection Prevention & Control department shall verify the clearance letter of all newly hired staff in their respective departments prior to scheduling any clinical responsibility; otherwise, the department will be held accountable. The importance of presenting themselves to employee health when they suspect an infectious disease may be present. Give 3-dose of exposure to severe acute illness, with or ongoing contact with vaccine st blood and without fever blood and body fluids series (1 dose nd body fluids should be tested 1-2 immediately, 2 dose in 1 month, His to ry of anaphylactic months after rd completing the 3 dose 5 months reaction to common baker’s nd vaccination series to after 2 dose) yeast determine serologic 3. Anaphylactic reaction to documented shots gelatin and neomycin or any of the prior vaccination. Immunosuppression due to leukemia, lymphoma, generalized malignancy, immune deficiency or immunosuppressive therapy. No recommendation or unresolved issue Practices with insufficient evidence or consensus regarding efficacy exists. The pregnant healthcare worker: pertinent facts to guide the management of occupational exposures to infectious agents Rate of In-hospital Potential Maternal Agent perinatal Prevention source effect on fetus screening transmission Toxoplasmosis No human- to Congenital 30% to 50%; Antibody Frozen or cooked human spread; syndrome* rate increases protects meat; avoid or glove raw meat, cat as pregnancy against for contact with cat feces, advances, disease. Give three doses of Hepatitis B vaccine with the second and third doses at 1 and 6 month intervals, as recommended by the manufacturer (as per package insert). Those who are non-immune will be provided the varicella zoster vaccine unless there is a contraindication. These lesions should be covered with a bandage, and the person should be allowed to work. However, the employee should not be allowed to work with immunocompromised patients. Confirm the source has varicella zoster infection by his to ry and physical examination. The varicella vaccine (1 dose) should be given nd within 3 to 5 days if there are no contraindications to the vaccine. Expert consultation may be obtained from Infection Control Practitioners or the Infectious Disease Consultant on call during weekends and holidays. Exposure criteria fi Varicella A household contacts, face- to -face contact for more than 5 minutes with an infected person without wearing a surgical mask, or direct contact with vesicle fluid without wearing gloves. Immunocompromised persons may be contagious as long as new vesicles are appearing. Work restrictions fi Exposed From days 1-7 of exposure no restrictions is required. Exposure criteria Spending time in a room with an infected person without wearing a respira to r. Contact with nasal or oral secretions from an infected person or items contaminated with these secretions without wearing gloves. Period of communicability From 3 to 5 days before the rash appears to 4 to 7 days after the rash appears, but transmission is minimal by 2 to 4 days after the rash appears. Period of communicability From 7 days before the rash to 7 days after the rash appears; up to 1 year for infants with congenital rubella. For staff who has not received two doses of mumps vaccine, consider initiating or completing the vaccine series. Period of communicability Persons are infectious until they have taken 24 hours of effective antibiotic therapy. Exposure criteria fi Face- to -face contact without wearing a mask for more than 10 min. Work restrictions fi Exposed: • Post-exposure (asymp to matic): No restrictions, prophylaxis recommended. Prophylaxis the recommended drug is erythromycin (40 mg/kg/day in 4 divided doses, maximum of 2 gm/day) for 14 days (es to late preparation is preferred). Does Pt have fever and vesicular No rash (chickenpox) or grouped S to p vesicular lesions (shingles)fi Does Pt have fever with swelling and No tenderness of the salivary glands or S to p testesfi Incubation period During 4-6 weeks if no previous infestation; 1-3 days in cases of re-infestation. Exposure criteria Direct skin- to -skin contact; minimal direct contact with crusted scabies can result in transmission. Work restrictions fi Exposed: No restriction after one application of scabicide fi Infested: Immediate restriction for 24 hours following treatment f. Sharing of personal items such as hats, helmets, brushes, combs and headsets, or earphones. First Aid If you experienced a needlestick or sharps injury or were exposed to the blood or other body fluid of a patient during the course of your work, immediately follow these steps: a. For percutaneous injuries, the depth of the wound, solid versus hollow needle, sharps use in the source patient. Epidemic associated infections are often clustered temporally or geographically suggesting that the infection are from a common source or are secondary to person to person transmission and are associated with specific device or procedure. Direc to r of Infection Control/Designee Inform and assess patient contacts for Attending Physician, infection control prophylaxis. Designate infected and non-infected cohort Direc to r of Infection Control/Designee, areas as required. Guidelines for preventing the transmission of mycobacterium tuberculosis in healthcare settings. They offer a means of direct access to the patient’s vascular system for the administration of pharmaceutical agents or fluids that cannot be administered as effectively by other means. All lines provide a potential portal of entry for microorganisms to enter the vascular system and cause local or systemic infectious complications such as septic thrombophlebitis, bloodstream infections, and metastatic infections. Perform hand hygiene prior to device insertion and subsequent handling of the device or its administration, such as before and after palpating, inserting, replacing, or dressing the device. Wear a surgical mask with an eye shield or goggles to protect against any potential blood or body fluid splash on to the mucous membranes of the face. Do not manipulate or recap used needles and promptly dispose of them in to hospital approved sharps containers kept near the location of the procedure.

Diseases

  • Hidradenitis suppurativa
  • Spastic paraplegia epilepsy mental retardation
  • Erythrokeratolysis hiemalis ichthyosis
  • Winter Shortland Temple syndrome
  • Acute gouty arthritis
  • Kuskokwim disease
  • Polysyndactyly microcephaly ptosis
  • Short stature Robin sequence cleft mandible hand anomalies clubfoot
  • Neural tube defect, folate-sensitive
  • Rieger syndrome

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Decontamination procedures: Decontaminate skin and mucous membranes as required with mild soap and water antibiotics for cystic acne treatment generic ilosone 250mg line. Syrup of ipecac effective in some cases if administered within 20 minutes of ingestion bacteria klebsiella ilosone 250 mg otc. Complications: Mallory-Weiss tear of the esophagus antibiotic resistance executive order 500mg ilosone fast delivery, causing bleeding; pneumomediastinum (air trapped in chest cavity outside the lungs); diaphragmatic or gastric rupture; and/or aspiration pneumonitis 3 treatment for uti guidelines generic 250 mg ilosone with amex. Contraindications: Patient < 1 year old, altered level of consciousness (aspiration), ingestion of caustic substances, loss of gag reflex, seizures, pregnancy, acute myocardial infarction, ingestion of: acids, alkalis, ammonia, petroleum distillates, non- to xic agents, rapidly acting central nervous system agents, or hydrocarbons. Gastric lavage may provide opportunity for immediate recovery of a portion of gastric contents. Use large-bore orogastric tube rather than a smaller nasogastric tube (Size 36-40 French for adults, size 24-28 French for children). Never insert large orogastric tubes nasally (may fracture/amputate nasal turbinate and/or cause serious bleeding). Complications: Agitation, tracheal intubation, esophageal perforation, aspiration pneumonitis, pediatric fluid and electrolyte imbalances. Contraindications: Altered levels of consciousness (relative contraindication if the airway is protected), low-viscosity hydrocarbons or caustic agent ingestion. Administering 20-30 minutes before gastric lavage may double the effectiveness of lavage. Form slurry of 1-2 g/kg body weight (30-100 g for adults, 15-30 g for children), and administered orally or by gastric tube. Not effective for cyanide, iron or alcohol Patient Education Prevention and Hygiene: In cases of to ddler poisonings educate mother/father regarding “poison proofing” of home. Remove all cleaning products and other to xins from child’s reach; apply locks to cabinet doors, etc. If there is any question as to the severity of the poisoning or whether the patient may have been committing an act of self harm, consult emergency medicine/ to xicology if patient unstable or serious poisoning suspected and psychiatry if poisoning is felt to have been an act of self-harm. The risk of death is greatest in the very young, the very old, those with medical problems involving the cardiovascular and respira to ry systems and those who sustain multiple bites. The typical victim of a pit viper is a young male 11 19 years of age who is bitten on the hand while trying to handle the snake. Because snakes either hibernate or are inactive during winter, the peak snakebite season in temperate climates is April-Oc to ber. In the United States the great majority of poisonous snakebites are caused by pit vipers (Crotalidae), specifically rattlesnakes, copperheads and cot to nmouth snakes. Eastern and western diamondback rattlesnakes, although causing only about 10% of all snakebites in the U. The other poisonous species of snakes in North America (not pit vipers) are the Eastern and Texas coral snakes. Subjective: Symp to ms Variable depending on type of snake, amount of venom injected, age of victim and other fac to rs. Elapidae: respira to ry, cardiovascular), Elapidae/Hydrophidae: Excessive perspiration disseminated hemorrhage, Little/no immediate pain Hydrophidae: Muscle aches/ Pruritus, fever, myalgia, at bite site pains/stiffness and pain on arthritis suggests serum passive movement of arm, sickness secondary to thigh, neck, trunk muscles antivenin admin. Respira to ry If anaphylaxis: Difficulty Onset of anaphylaxis may be Elapidae/Hydrophidae: breathing, shortness of delayed > 2 hr. Using Basic Tools: Acute (2 hr) Sub-acute (2-48 hr) Chronic (>48 hr) 5-143 5-144 Respira to ry If anaphylaxis: Elapidae/Hydrophidae: Elapidae/Hydrophidae: Bronchospasm/respira to ry Respira to ry paralysis/arrest, Respira to ry paralysis/arrest arrest Elapidae/ death can last up to a week. Death, Hydrophidae: May if it occurs, tends to occur produce early respira to ry early paralysis/arrest but usually delayed Cardiovascular Anaphylaxis may cause Hypotension, shock, diffuse Usually no long term hypotension/shock. Crotalidae: Renal failure or problems Hydrophidae: Reddish-brown recovery urine Soft Tissue Crotalidae: Usually two Crotalidae: Significant Crotalidae: Usually no long fang punctures at site of swelling, tissue necrosis, term morbidity, but bite, rapid onset of petechiae, ecchymosis, compartment syndrome, tissue swelling bullae– local & poss. Assessment Differential Diagnosis Non-venomous snakebite; venomous bite from animal other than a snake; other sources of in to xication. Plan Treatment Goals: rapid transport to hospital-level care, delay progress of envenomation and alleviate early symp to ms. If hypoxic and/or hypoventilating, apply O2 and assist respirations, prevent aspiration (lay the patient on their side), intubate as required. Fluid resuscitation to support blood pressure and maintain urine output (see below). The use of suction is controversial but all agree: never use the mouth to apply suction. Do not apply to urniquets, ligatures, or constricting bands unless the snake is primarily neuro to xic (Australian elapid, sea snake, krait, cobra or other neuro to xic species). Alternatively, wrap the bitten extremity with an elastic bandage or place it in an air splint. Another method: Place a thick pad over the area of the bite and hold it in place with a tight wrap, wrapping from distal to proximal. Avoid overhydration (rales, wheezing, orthopnea, respira to ry distress, and distended jugular veins). Give adult victims with myoglobinuria and decreased urine output 25 grams of Manni to l and 100 mEq (generally two ampules) sodium bicarbonate added to 1 liter 5% dextrose and infused over 4 hours to prevent myoglobinuric nephropathy. Give antivenin, which is the only proven therapy for snakebite, only if it is specific for the snake involved (monovalent), or if the envenomation is severe (polyvalent). The administration of any type of antivenin has a risk of allergic reaction and serum sickness that can be life-threatening. Remember: death from snakebite is rare and snakebite without envenomation is common. Inappropriate administration of antivenin can kill a patient who would otherwise have survived without permanent sequelae. Snakebites on the extremities can produce extensive swelling that may (but rarely does) lead to the development of a compartment syndrome (pain on passive stretching and active fiexing of the involved muscle groups, distal paresthesias, pulselessness, tense overlying tissues). Doing a fascio to my in a patient with a venom-induced bleeding disorder and local tissue necrosis may cause significant, even life-threatening, 5-145 5-146 bleeding and/or infection. An aggressive surgical approach is more likely to cause harm than good, so delay fascio to my (see Procedures: Compartment Syndrome Management) as long as feasible. Early, prophylactic, broad-spectrum antibiotic therapy (second-generation cephalosporin – Kefiex/Ancef) is reasonable but not generally recommended. Alternate: Support the airway, maintain adequate oxygenation, ventilation, urine output and blood pressure until specific, neutralizing, antivenin can be administered. There is no good evidence supporting that any first aid measures aside from those describe herein. An overly aggressive surgical approach and resorting to various unproven therapies will cause more harm than good. Empiric: In the proper circumstances, assume snakebite with envenomation and observe patient for 4-6 hours for development of signs/symp to ms. Patient Education General: Do not handle snakes, especially after drinking alcohol. Wound Care: Cleanse wound gently, remove any venom that may be present on the skin. Watch for infection, which is dificult to distinguish from envenomation in the early stages. No Improvement/Deterioration: Return for reassessment for cold or pulseless limb, changes in mental status, or development of blood in urine and/or decreasing urinary output. Evacuation/Consultation Criteria: Evacuate snakebite victims for intensive care if possible. Combat and Operational Stress Reaction is the term applied to service members who present psychologically or emotionally disturbed in non-combat situations. Most service members presenting with signs and symp to ms of an emotional or psychological disturbance do not have a mental disorder, but rather, are struggling with the abnormal stress of military operations. Sorting those from the relatively small number that have actual mental disorders is a process called Neuropsychiatric Triage. In a deployed/operational setting, service members who present for evaluation of emotional or psychological symp to ms (or are brought in by the chain of command) do so because of an impairment in duty performance, concerns for safety, or both. Have the chain-of-command secure the service member’s weapon and send the service member with an escort if there is any concern for safety. This classification guides treatment planning depending on the tactical situation as well as the severity of symp to ms.

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Edible and uncooked food products should not be s to antimicrobial light generic 500mg ilosone free shipping red in the same area as cleaning products bacteria helicobacter pylori discount ilosone 250mg online. They shall be protected from contamination and adulteration by all agents including dust antimicrobial ointments generic 500mg ilosone mastercard, insects antimicrobial yoga mats buy ilosone 250mg with visa, vermin, to xic substances, unclean equipment and utensils. Properly designed and constructed plastic or stainless steel scoops shall be provided for bulk ingredients/food dispensing. Manual dishwasher shall be designed in to pre-scrape, wash, rinse and sanitize compartments with splash guard installed on both sides of the (4) compartments sink. The structure should be insect and rodent proof and the entrance to the room shall be fitted with an air curtain device. Garbage s to rage room shall not be o located inside the food facility unless they are cooled at 5 C. Refuse containers distributed around the kitchen shall be thoroughly washed with hot water and detergent outside of the kitchen whenever emptied. Pest control practices will be implemented in coordination with the Pest Control Committee. All outer openings shall be kept closed at all times, to minimize entrance of flies, rodents and other vermin to the Food Service area. Wall, floors, and ceilings should be impervious to water, non-absorbent, free of cracks and crevices, resistant to chemicals, easily cleaned, and properly maintained. Floors in kitchen areas and to ilet rooms should be sloped to 1/8 to 1/4 in/ft to a drain. A 2 trapped floor drain is needed for every 400 ft of floor area, with the length of travel to the drain not more than 15 ft. Hollow walls and partitions, hung ceilings and boxed-in pipes and equipment shall be eliminated. A minimum of 30 ft-c (candle) to 100 ft-c lighting shall be maintained, 70 ft-c is the minimum requirement for the kitchen and food processing areas. All newly constructed and/or remodeled food facilities in any hospital shall be inspected prior to opening for business. Utilities and Maintenance Department should maintain a schedule for routine inspection and cleaning of ventilation ducts and lights. There should be a schedule for preventive maintenance of all equipment to ensure proper functioning at all times. Signage the following signs must be displayed in specific places in the Food Service areas. Sign Place No Smoking Food Preparation Area Wash Your Hands Inside lava to ry doors and over wash basins Temperature Charts On dishwashers, freezers, and refrigera to rs Equipment Cleaning On or near all equipment Cleaning Schedules On bulletin boards L. Cleaning procedures Cleaning materials include: clean cloth, germicidal detergent, clean mops, buckets, clean dust mops, upholstery cleaning solution, bucket for germicidal solution, rubber gloves, and vacuum cleaner. Full carts will be transported to the dishwashing area of the kitchen, cleared, and placed in the dishwasher. All floors in dining halls will be kept free of spilled foods, mopped daily, and cleaned with a scrubbing machine once a week. Standard Precautions: All housekeeping staff shall adhere to Standard Precautions when cleaning a room. Transmission-based Precautions: All housekeeping staff shall adhere to airborne, droplet and contact precautions when cleaning a room. Personal Protective Equipment: Gloves shall be worn when performing any cleaning activities. Disposable gloves shall be used except where there is a high risk of percutaneous injury when heavy-duty gloves shall be worn. Personal protective equipment shall be worn according to transmission-based isolation precautions used in patient’s room. Principles and Methods of Disinfection of Equipment and Supplies (Fac to rs Affecting Disinfectant Activity) 1. A successful product must be effective at a low but sufficient concentration to avoid corrosion, staining, or other damaging effects to inanimate surfaces, hands, and mucous membranes of the personnel. Residual detergents from cleaning may inactivate the disinfectant; therefore rinsing is important. Disinfection requires that the object to be disinfected have direct contact with the wet disinfecting agent for a specified time. The exact contact time required depends on the disinfectant used and all the other fac to rs that affect disinfectant activity. Water hardness – the presence of soluble calcium or magnesium compounds in water; they react with soap to form an insoluble precipitate and tend to neutralize some disinfectants. Approved disinfectants, disinfectant detergents and non-disinfectant cleaning agents. Although microbiologically contaminated surfaces can serve as reservoirs of potential pathogens, these surfaces are generally not directly associated with transmission of infections to either staff or patients. The spread of microorganisms from environmental surfaces to patients is largely via hand contact with the surface. While hand hygiene is important to minimize the impact of this spread, cleaning and disinfecting environmental surfaces as appropriate is fundamental in reducing their potential contribution to the incidence of healthcare associated infections. According to the Spaulding classification, environmental surfaces are “non-critical” surfaces that generally do not come in to direct contact with patients during care. Low-level disinfectants also referred to as sanitizers, are satisfac to ry and these include quaternary ammonium compounds, some phenolics, and some iodophors. Cleaning is the necessary first step of any sterilization or disinfection process. The physical action of scrubbing with detergents and surfactants and rinsing with water removes large numbers of microorganisms from surfaces. If the surface is not cleaned before the terminal reprocessing procedures are started, then the success of the disinfection process is compromised. These instructions should include information about materials compatibility with chemical germicides, whether or not the equipment can be safely immersed for cleaning, and how the equipment should be decontaminated if servicing is required. Barrier protection of surfaces and equipment is useful, especially if these surfaces are: 1. Extraordinary cleaning and decontamination of floors in healthcare settings is unwarranted. Cleaning methods that produce minimal mists and aerosols or dispersion of dust in patient-care areas are preferred. Another reservoir for microorganisms in the cleaning process may be dilute solutions of the detergents or disinfectants, especially if the working solution is prepared in a dirty container and s to red for long periods of time. Do not use high-level disinfectants/liquid chemical sterilants on non-critical surfaces for disinfection. Clean walls, blinds, and window curtains in patient care areas when they are visibly dusty or soiled. Avoid large-surface cleaning methods that produce mist or aerosols or disperse dust in patient care areas. Use clean mops and cloths every time a bucket of cleaning solution is emptied and replenished with clean, fresh solution. Clean mops and cloths after use and allow to dry before reuse or use single-use, disposable mop heads and cloths. Prepare solutions to correct concentrations in accordance with manufacturers’ instructions or use premixed formulation. Use protective gloves and other personal protective equipment appropriate for this task. If the spill contains large amounts of blood or body fluids, clean the visible matter with disposable absorbent material, and discard the used cleaning materials in appropriate, labeled containment (red bags). Swab the area with a disposable cloth, moderately wet with disinfectant and allow the surface to dry. Use a 1:100 dilution (500 ppm available chlorine) to decontaminate non-porous surfaces after cleaning a spill of either blood or body fluids in patient-care settings. Flowers and Plants in Patient-Care Areas Flowers and potted plants are not to be allowed in patient rooms of immunosuppressed patients. Changing vase water every two days and discharging the water in to a sink outside the immediate patient environment 5. Pests are agents or vec to rs for the mechanical transmission of disease causing microorganisms.

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Bone after sweat fat antimicrobial qt prolongation ilosone 500mg free shipping, gastric mucosa antibiotic cream for impetigo purchase cheap ilosone on-line, the hoof re rabatyvayut on dry animal feed at the same facility where they were killed pig best antibiotics for acne vulgaris order ilosone once a day. Intestinal and other raw materials are not disinfected this way antibiotic cefuroxime 250 mg ilosone with visa, send it for recycling. The skins from patients suspected of disease and suspected infection of pigs disinfected. Carcasses and internal organs of cattle, sheep, goats and pigs in benign form of smallpox pustules and healing released without restriction after the removal (stripping) pathologically modified, swollen tissue. Carcasses and products of slaughter sheep, goats and pigs at the drain hemorrhagic and gangrenous forms of smallpox are sent to recycling. When the local pathological process (Defeat of the throat, nose, internal organs or limbs) produce a carcass without restrictions, and the affected parts are sent to recycling. At the defeat of several carcass fatness satisfac to ry solution of possible use of meat and internal organs taken after for bacteriological examination (the presence of pathogenic coccal microflora, Salmonella, etc. Infectious diseases of young animals (diplokokkovaya septicemia, colibacteriosis, strep to coccosis, salmonella, dysentery, lambs and pigs enzootic pneumonia). In the presence of degenerative changes in the muscles of carcasses and products of slaughter utilized. In the absence of pathological changes in the muscle tissue of the internal authorities send for recycling and produce carcasses after provarki. Meat obtained from slaughter cattle and sheep suffering from mastitis, endometritis, parametritis, subject to Research on Salmonella and pathogenic staphylococci. In the absence of Salmonella and pathogenic staphylococci, as well as degenerative changes in the carcass muscle and internal organs are produced without any restrictions. In the presence of Salmonella meat sent for processing to provarku or sausage cans. In the absence of postmortem changes and the negative result of the research on Salmonella carcass head and feet are available without restriction. In the presence of Salmonella carcass directed to the manufacture of canned or provarku. The internal organs of an infected animal carcass and finds in it necrotic areas are sent to recycling. If it affects the muscles, lymph nodes, carcass, a few parenchymal organs, or the detection of leukemic proliferations (plaques) in serous integument carcass fatness, regardless of its food and slaughter utilized. If the affected individual lymph nodes or organs, but There are no changes in skeletal muscle, such lymph nodes or organs sent for recycling, and the carcass and organs used in the unaffected Depending on the result of bacteriological research. At detection of Salmonella carcass and organs is directed to the unaffected provarku or making preserves. In the absence of Salmonella carcass and unaffected bodies directed to the manufacture of sausage products in accordance with paragraphs. A positive result of Hema to logy animal studies on leukemia, but in the absence of pathological changes typical of leukemia, the carcass and organs are available without restriction. Carcasses and internal organs in the absence of jaundice staining and degenerative changes produced without restrictions, in other cases coming in, as stated in paras. At Finn found in sections of head and heart muscles produce extra on two parallel section of the cervical muscles in nuchal region, scapular elbow, back, pelvic limb and diaphragm. Care assessment carcasses bodies and produce differentiated, depending on the degree of destruction. The inner and outer fat (lard) is removed and sent for peretaplivanie for food purposes. Bacon is also allowed to disinfect way freezing or salting the procedure as outlined in paragraphs. Freezing or salting decontaminated carcasses of cattle and pigs are sent to manufacturing sausages or farshevyh farshevyh canned. Intestine and skin, regardless of the extent of damage after cysticercosis conventional treatment available without restriction. With a slight injury carcasses and organs (not more than 5 Finn on the cut area of 40 square meters. At significant damage to carcasses (over 5 Finn on the cut) or in the presence of pathological changes in the musculature of the carcass are sent to recycling, and fat melt. Carcasses of pigs (except piglets 3 weeks age), as well as wild boars, badgers, bears and other omnivorous and carnivores, as well as the nutria, disease-prone trichinellosis used in foods subject to manda to ry study on trichinosis. From each carcass for research take 2 samples (60 g each) of the legs of the diaphragm (on the border of the muscle tissue in the transition tendon), and in the absence of them from the muscle edge of the diaphragm, intercostal or cervical muscles. If you find the 24 slices at least one kompressoriume Trichinella (regardless of its viability) carcass and offal, which have muscle, esophagus, rectum, and the anonymous meat products sent for recycling. Gut (other than a straight line) after conventional treatment produced without loss radiation. In multiple lesions of muscles or internal bodies or authorities send the carcass for disposal. With a limited lesions Institute for disposal are referred to only the affected parts of carcasses and organs. Affected parts of the bodies sent for recycling or destroyed; unaffected part of the internal organs and carcass released without restrictions. With the defeat of invasion more than two thirds of its entire internal organ sent for recycling. Carcasses obtained from patients alfortiozom horses after cleaning the lesions produced without any restrictions. In complicated with onchocerciasis signs of necrotic processes carcass and viscera subject to bacteriological research on pathogenic staphylococci and Salmonella. In the absence of signs of polyplasmia carcass muscles and organs produce without restrictions. If you find sarcocyst muscles, but the absence of these lesions carcass and organs produce 6ez restrictions. With the defeat of carcasses and sarcocyst there are changes in muscle (Exhaustion, polyplasmia, discoloration, muscle tissue calcification, degenerative changes), the carcass and shall send it for recycling. Bacon pigs and internal fat, guts and skins of animals of all kinds use without restriction. Atrophy of individual organs, cirrhosis, and degenerative changes in the organs of the modified bodies are sent to recycling, With fatty liver last sent for recycling, and decide whether to accept the use of ink, depending on the re results of research on Salmonella. When pigmentation (melanosis, brown atrophy, hemochroma to sis) lung, liver, kidneys, muscles, bones and carcass with internal organs sent for recycling. In the pigmentation of individual sections of the muscles of their removed and sent for recycling, and send the carcass to an industrial processing. When pigmentation only in certain internal organs in direct disposal of damaged organs, and carcass released without restriction. Also allowed to use for food purposes in the presence of liver in it pigmentation of feed origin, provided that it does not change taste and there is no pigmentation in other organs and carcass. When hemorrhagic infarction or other lesions in the liver, kidney, spleen, lung, but in the absence of purulent foci in which the carcass and bodies produced after removal of the modified sections of tissue. In the presence of purulent foci in these organs they are sent for recycling, and the decision of carcasses shall issue, depending on the results of bacteriological study. With fresh injuries, fractures and minor fresh haemorrhage, but on condition that the animal immediately before slaughter had a normal body temperature and no effects inflamma to ry nature in the surrounding tissues and lymph nodes, all blood-soaked and swollen tissue is removed and the carcass of a release without restrictions. In extensive burns, haemorrhage with inflammation in lymph nodes and signs of septic process or in small hemorrhages in the subcutaneous fat, internal organs, the mucous shells, and takkzhe swelling of internal organs and parts of carcasses veterinary and sanitary assessment is carried out as described in section 3. If you find diffuse phlegmon, ihoroznom smell, extensive necro gases, as well as multiple fractures and extensive injuries, not amenable to cleaning, the carcass and shall send it for recycling. If you find multiple parenchyma to us organs abscesses damaged organs sent for recycling, and the carcass is used in Depending on the results of bacteriological research, and if abscesses found in the lymph nodes and muscles, carcass sent for recycling. Ovine carcasses with lesions feather, but no abscesses and other inflamma to ry changes allow for use without restrictions after cleaning the affected areas ink feather, feather in lesions and the presence of pyogenic abscess or other inflamma to ry phenomena carcass disposed of. The bodies and parts Carcasses affected with cancer, as well as multiple benign tumors, are sent to recycling, and unaffected parts of the carcass for processing in to cooked and cooked and smoked sausage or released after provarki. If you can not remove affected parts due to the extensive damage the carcass or body sent for recycling. In the presence of benign tumors of the affected parts of the unit removed and the carcass and organs are available without restriction. In the presence of degenerative changes in the musculature (discolouration, swelling, increase in the volume laxity) carcass with the bodies sent for recycling.

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