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ch th

S 11/2001/CT - BYT ngy

31 thng 10 nm 2001

ca b trng B Y t V vic tng cng cng tc xt


nghim
pht hin vi rt HIV
Xt nghim pht hin HIV l mt trong nhng khu quan
trng hng u ca cng tc phng chng nhim HIV/AIDS khng
ch nc ta m cn trn c th gii. Thc hin tt cng tc xt
nghim pht hin HIV s gip cc nh chuyn mn c s nh gi
chnh xc v ton din v tnh hnh ly nhim HIV t a ra
cc bin php can thip kp thi v c hiu qu, gp phn lm
gim tc hi ca i dch HIV/AIDS; kt qu xt nghim HIV chnh
xc s gp phn m bo an ton trong truyn mu, hn ch ly
nhim HIV trong cc dch v y t.
Hin nay, h thng xt nghim pht hin HIV nc ta bao
gm:
- Cc phng xt nghim thuc Trung tm y t d phng
ca cc tnh, thnh ph trc thuc Trung ng ( gi chung l
tnh) c chc nng lm u mi trong vic gim st HIV ti
a bn;
- Cc phng xt nghim thuc cc c s khm bnh, cha
bnh c chc nng thc hin sng lc HIV ca ngi cho mu
m bo an ton truyn mu, phng chng ly nhim HIV
qua ng truyn mu, ng thi c nhim v gim st pht
hin v chn on HIV cho bnh nhn;
- Cc phng xt nghim HIV thuc Vin v sinh dch t
Trung ng v cc Vin Pasteur khu vc chu trch nhim gim st
HIV ti khu vc v thc hin kim tra li kt qu xt nghim HIV
do cc Trung tm y t d phng tnh gi n.

Vi h thng xt nghim nh trn, trong nhng nm qua


chng ta t c mt s thnh tch ng k gp phn hn
ch s ly truyn HIV, m bo 100% ti mu, ch phm ca
mu c sng lc HIV trc khi truyn cho ngi bnh; nh gi tng i chnh xc tnh hnh ly nhim HIV. Tuy nhin qua
kim tra cc phng xt nghim HIV thuc Trung tm y t d
phng ca 18 tnh khu vc min Nam v min Trung xem
xt cng nhn phng xt nghim HIV tiu chun c php
khng nh cc trng hp HIV dng tnh ( theo ng qui
nh ti Quyt nh s 3052/2000/Q - BYT ngy 29/8/2000
ca B trng B Y t v vic ban hnh " Tiu chun phng xt
nghim c php khng nh cc trng hp HIV dng tnh")
th mi ch c 09 phng xt nghim tiu chun v c
B Y t cng nhn ti Quyt nh s 3573/2001/Q - BYT ngy
20/8/2001. Cc phng xt nghim HIV thuc Trung tm y t d
phng ca cc tnh khng c cng nhn tiu chun c php khng nh cc trng hp HIV dng tnh l do mt
trong cc nguyn nhn sau: Cn b trc tip lm cng tc xt
nghim HIV cha nm vng cc quy trnh, phng cch xt
nghim; vic lun chuyn cc cn b ang lm cng tc xt
nghim HIV sang lm cng tc khc trong khi cn b thay th
cha nm vng chuyn mn xt nghim; phng xt nghim
HIV khng cc tiu chun theo quy nh, thiu dng c xt
nghim hoc b hng nhng cha c sa cha....dn n kt
qu xt nghim cha m bo chnh xc; vic thng bo kt
qu xt nghim cha c thng nht.
khc phc tnh trng trn v tng cng hiu qu ca
hot ng phng, chng HIV/AIDS trong ton ngnh y t, B trng B Y t ch th cho Th trng cc n v trc thuc B,
Gim c S y t tnh, Th trng y t Ngnh trin khai thc
hin ngay cc yu cu sau y:

1. Trung tm y t d phng tnh l c quan duy nht c


cng b v s liu ngi nhim HIV/AIDS trn a bn. Vic
cng b cc trng hp HIV dng tnh phi thc hin theo ng
qui nh ca php lut.
2. Cc phng xt nghim HIV sau khi tin hnh cc xt
nghim, nu pht hin cc trng hp HIV dng tnh u phi
lu mu huyt thanh trong thi gian 2 nm, kt qu c ca
my ELISA trong thi hn 5 nm.
3. Cc phng xt nghim HIV c B Y t cng nhn
tiu chun v iu kin khng nh cc trng hp HIV dng tnh cn phi c cc bin php tch cc duy tr v
p ng cc yu cu ca mt phng xt nghim t tiu chun
theo quy nh ca Quyt nh s 3052/2000/Q - BYT ngy
29/8/2000 ca B trng B Y t. Khng c lun chuyn cn
b lm cng tc xt nghim HIV khi cha c cn b trnh
theo quy nh thay th. Trong trng hp cn thit phi
thay th cn b thay th phi c Vin V sinh dch t Trung ng hoc cc Vin Pasteur khu vc o to, kim tra v cng
nhn t tiu chun theo cc tiu chun quy nh ti Quyt
nh s 3052/2000/Q - BYT ngy 29/8/2000 ca B trng B Y
t.
4. Cc phng xt nghim c B Y t kim tra, thm
nh nhng cha t tiu chun theo qui nh ca bn " Tiu
chun phng xt nghim c php khng nh cc trng hp
HIV

dng

tnh"

ban

hnh

km

theo

Quyt

nh

3052/2000/Q - BYT ngy 29/8/2000 ca B trng B Y t th


Th trng cc n v c phng xt nghim phi khn trng khc phc cc tiu chun cha t theo ngh ca on
thm nh ca B Y t. Sau khi khc phc, c vn bn bo co
B Y t xin thm nh li.

Trong thi gian ch thm nh li, cc phng xt nghim


HIV vn phi tin hnh xt nghim HIV, ch gi mu xt
nghim HIV nghi ng dng tnh hoc dng tnh n Vin V
sinh dch t Trung ng v cc Vin khu vc khng nh
li. Vin V sinh dch t Trung ng v cc Vin khu vc c
trch nhim tr li trong vng by ngy k t ngy nhn c
mu bnh phm.
5. Cc phng xt nghim c Vin V sinh dch t
Trung ng v cc Vin khu vc kim tra, thm nh tiu
chun nhng cha c B Y t cng nhn phi thng xuyn t
kim tra, chn chnh, t hon thin, B Y t s tin hnh thm
nh ra Quyt nh cng nhn.
Cc phng xt nghim c Vin khu vc kim tra,
thm nh nhng cha t tiu chun th Trung tm y t d
phng tnh phi khc phc nhng tiu chun cha t. Sau khi
khc phc, c vn bn bo co Vin khu vc v B Y t
kim tra, thm nh.
6. Vin V sinh dch t Trung ng chu trch nhim phi
hp vi Vin Pasteur thnh ph H Ch Minh, Vin Pasteur Nha
Trang, Vin V sinh dch t Ty Nguyn thc hin cc cng
vic sau:
6.1. Tin hnh kim tra cc phng xt nghim HIV ( bao
gm c cc phng xt nghim ca bnh vin) cha
t tiu chun v bo co kt qu kim tra v B Y
t. Ngoi vic bo co kt qu cc phng xt nghim
tiu chun, cn phi bo co v nhng phng xt
nghim cha tiu chun; ng thi bo co phi
nu r nhng im cn khc phc c th
tiu chun khng nh kt qu xt nghim HIV dng tnh.
6.2. Thng xuyn tp hun k thut xt nghim HIV, ch
trng k thut xt nghim trn dn my ELISA, k thut qun l

phng xt nghim, lu tr mu, thng quy gim st HIV/AIDS/STI


...vic tp hun phi kt hp gia l thuyt v thc hnh, t
chc kim tra k nng thc hnh v phi cp chng ch cho
hc vin ( ch cp chng ch cho cc hc vin qua c k thi l
thuyt v thc hnh ti Vin) ngay sau khi kt thc lp tp
hun.
6.3. Xy dng panel mu cho cc phng xt nghim, cc
biu mu, s sch ghi chp ph hp theo quy nh
ca Thng quy gim st HIV/AIDS Vit Nam, trnh
B trng B Y t ban hnh p dng thng nht cho cc
phng xt nghim HIV trong c nc.
7. Cc Vin V sinh dch t Trung ng, Vin Pasteur
thnh ph H Ch Minh, Vin Pasteur Nha Trang, Vin V sinh
dch t Ty Nguyn phi tng cng kim tra nh k, t
xut cc phng xt nghim c B Y t cng nhn t tiu
chun theo Quyt nh s 3052/2000/Q - BYT ngy 29/8/2000
ca B trng B Y t, kt qu kim tra phi bo co ngay v
B Y t (V Y t d phng)
Nhn c Ch th ny, Th trng cc n v trc thuc
B, Gim c S y t tnh, Th trng y t Ngnh phi t chc
trin khai thc hin ngay cc yu cu nu trn v bo co kt
qu v B Y t (V Y t d phng) trc ngy 30/12/2001.
kt. b trng B Y t
th trng
k
Trn Ch Lim

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