KHOA HOC KY THUAT THU Y TAP XVIII 864 2011 CAC BIEN PHAP CO BAN AN TOAN SINH HOC VA GIAM THIEU O N H I I M IVIOI T R I / O N G CHO CO sd CHAN DOAN XET NGHIEM BENH DONG VAT • • • • Nguydn V5n Cam Trung[.]
KHOA HOC KY THUAT THU Y TAP XVIII - - 2011 CAC BIEN PHAP CO BAN AN TOAN SINH HOC VA GIAM THIEU O N H I I M IVIOI T R I / O N G CHO CO sd CHAN DOAN XET NGHIEM BENH DONG VAT • • • • Nguydn V5n Cam Trung tim thuy cdng ding - Hdi thuy Ldi gidi t h i e u Vifc d n h i l m mdi teUdng va an toan sinh hpe hifn teen the' gidi ndi ehung va Vift Nam ndi rieng dang cang dUdc quan tam, nd da ted va'n d l cua toan clu O Vift Nam nhiing nam g i n day tinh trang d n h i l m mdi teudng dang ndng len va teong tinh teang bao ddng Trong linh vtfc cha'n doan xet nghifm bfnh ddng vat nhiing nam g i n day da dudc Bd Ndng nghifp & PTNT, Cue thii y quan tam tdi an toan sinh hpe va bao vf mdi teudng Tuy nhien, vifc thtfc hifn nhifm vu mdi chi la bude d i u Ngay 25/5/2010 Bd Ndng nghifp va PTNT da ban hanh thdng tu sd 31/2010/TT-BNN-PTNT v l Quy ehudn ky thuat qud'c gia Imh vtfc thii y, teong dd ed "Quy ehua'n ky thuat qude gia v l quan ly cha't thai teong ed sd cha'n doan xet nghifm bfnh ddng vat" Dd gdp p h i n tich cue vao vifc bao dam an toan sinh hoc va giam thidu d nhilm mdi teUdng tut ed sd chin doan bfnh ddng vat, chung tdi xin gidi thifu vdi ban dpc, dac bift la nhiing ngUdi dang lam cdng tac c h i n doan xet nghifm bfnh ddng vft tai cae phdng thi nghifm bai vie't dd tham khao ViitNam Cd sd cha'n doan xet nghifm bfnh ddng vat la nhiing ndi dd ngudi chan nudi va cae td chiic cd tham quyin mang m l u bfnh phdm deh xet nghifm Mlu bfnh phdm cd thd la ea eon vat, la phu tang va cd thd la m l u tut mdi teudng cd chiia TNGB O nhilm mdi teudng la tinh teang mdi teudng cd sd chan doan xet nghifm bj d nhilm bdi eae TNGB, chat hda hpe, sinh hpe Nhiing ye'u td' thoat ttf cae ed sd teen teong qua teinh chan doan xet nghifm se gay d nhilm mdi trUdng, gdy anh hudng de'n siic khde ngUdi va cac cd the ddng vft sd'ng khac Cd dang chit tiiai cd TNGB gay d nhilm chinh la: TNGB gay d nhilm mdi tiudng tii cha't tiiai rin, TNGB gay d nhilm mdi tiudng t i cha't thai long va TNGB gay d nhilm mdi trUdng tif khdng Dd giam thidu d nhilm TNGB vao mdi tiudng tiong eac ed sd chan doan xet nghifm bfnh ddng vft, ngudi ta da phan loai TNGB theo nhdm nguy ed va ttf nhdm nguy ed se phai xet nghifm m l u tiong nhiing phdng xet nghifm an toan sinh hpe (ATSH) phu hdp II PHAN LOAI NHOM TNGB VA PHAN LOAI PHONG XET NGHIEM ATSH CO S CHAN DOAN XET NGHIEM BENH DONG VAT I M6 DAU 2.1 Tac nhan gay bfnh Cd sd cha'n doan xet nghifm bfnh ddng vat la nhung phdng tiii nghifm (PTN) tiitfc hifn eac xet nghifm chin doan nhiing bfnh tien gia siic, gia elm, ddng vat thuy san va eae loai ddng vat khac eac loai m I m bfnh gay Cac loai m I m bfnh goi chung la tac nhan gay bfnh (TNGB) Cd tiong mau; eac ed quan, td ehiic ed thd (ed, nao, hanh tuy, tim, gan, phdi, than, bach, lach, da day, rudt, tiiydn, xudng, da, tiiai ); mu va djch xult tie't; cae chit chiia tiong rudt; siia; nude tidu; phan; m l u t i mdi tirUdng (thiie an, dat, nude, ) TNGB dude phan tiieo nhdm nguy cd: 85 KHOA HOC KY THUAT THtJ Y TAP XVIII-SO 2011 - ca'p dd III (Phdng xet nghifm ATSH-3): Nhdm (nguy ed tha'p dd'i vdi ea thd v a cdng ddng) Mdt TNGB khdng cd kha nang La phdng xet nghifm dung d l nghien ciiu va gay n i n bfnh cho ngUdi hoac ddng vat lam vifc vdi tac nhan sinh hoc thude nhdm nguy cd s63 va sd'4 Nhdm (nguy cd teung binh dd'i vdi ea thd, nguy cd han chf dd'i vdi cdng ddng) Mdt m CAC BIEN PHAP GIAM THIEU TNGB cd thd gay nen bfnh eho eon ngUdi, NHlfiM MOI T R U d N G VCtt DOI TlTdNG ddng vat, nhtmg khdng phai la md'i nguy LA PHONG THI NGHIEM VA CO S d STJf hiem nghiem tepng cho ngudi lam vifc teong phdng thi nghifm, cho cdng ddng, cho vat DUNG DONG VAT THI NGHIEM nudi hoac mdi teudng Tie'p xiie vdi phdng xet 3.1 Phdng thi nghifm nghifm ed the gay nhilm teimg, nhUng Di giam thidu d nhilm mdi tiUdng, an toan hifu qua diiu tej va bien phap phdng ngtfa cd cho ngudi va ddng vat d n phai hidn thii sin va nguy cd lay lan la rat ban che' theo cac quy djnh sau: Nhdm (nguy cd cao dd'i vdi ca thi, nguy ed ban chd dd'i vdi cdng ddng) Mdt TNGB thudng gay bfnh nghiem tepng cua eon ngudi hoac ddng vat va cd the gay nguy hiem nghidm tepng cho ngudi lam vifc teong phdng thi nghifm Nd cd the la mdt nguy cd ne'u lay lan teong cdng ddng hay mdi teUdng, nhtmg cd bifn phap ngan chan hoac diiu tej san ed hifu qua + Tiip nhin, si dung bio quin vi phd'i TNGB Phdng thinghiim phin Nhdm (nguy cd lay nhilm cho ca the va cdng ddng cao) TNGB thudng gay bfnh nang cho ngudi va ddng vat, ddng thdi d l lay teuyin ttf ea thd sang ea thd khac mdt each teuc tie'p va gian tie'p Cac bifn phap diiu trj va phdng ehd'ng hifu qua chua dUdc xac djnh Khi cd ke' hoach sut dung TNGB nguy ed nhdm 3, ho^c tifn hanh eae thi nghifm mdi ed sii dung cac TNGB nguy cd nhdm 3, Phdng bfnh ly phai lam gia'y d l nghj Giam dd'c phe duyf t Trudng hdp d n thay dd'i mdt ndi dung tiong nghiln ciiu thi phai lam gily d l nghi mdi Cac bd phan xet nghifm teong PTN khdng dude teuc tifp nhan bfnh phdm ttf ngoai vao cd TNGB Phdng bfnh ly phai cd teach nhifm tid'p nhan, ghi chep, md' kham, phan loai, phan phd'i bfnh pham dung quy teinh de'n ttoig bd phan de lam cac xet nghifm theo yeu d u 2.2 Phong xet nghifm an toan sinh hoc La thuat ngii dvtdc svl dung dd md ta nhiing nguyen tic, ky thuat va thtfc hanh d n thie't di ngan ngtfa nhiing phdi nhilm khdng mong mud'n hoac lam tiia't thoat TNGB va dde td Phdng xet nghifm ATSH dUde phan tiieo eac d p dd: - ca'p dd I (Phdng xet nghifm ATSH-1): La phdng xet nghifm diing dd lam vifc vdi eae tac nhan sinh hoc thudc nhdm nguy ed sd'l ca'p dd II (Phdng xet nghifm ATSH-2): La phdng xet nghifm dung dd nghien ciiu va lam vifc vdi tac nhan sinh hoc thudc nhdm nguy cd sd' 86 Khi tiln hanh bao quan TNGB nguy cd nhdm 2, (phan lap ttf bfnh phdm tifp nhan ttf cae ddn vj teong va ngoai), bao cao bao quan TNGB phai dUdc cap nhat va guti thdng bao cho Phdng bfnh ly Khi ke't thiie bao quan TNGB, cac phdng ciing phai gui bao cao eho Phdng bfnh ly Khi eln sut dtmg Phdng xet nghifm ATSH3, dd'i vdi nhiing ngUdi thudc cd quan/ddn vj ngoai Phdng thi nghifm mud'n vao lam vifc tai Phdng xet nghifm ATSH-3 tiii phai dUdc stf ddng y ciia lanh dao va tuan thu quy djnh ATSH T r i teudng hdp ddt xuS't, dung phdng ATSH-3, bd phan phu teach phai bao eho ngudi sii dung bift hofdc it n h l t KHOA HOC KY THUAT THU Y TAP XVIII SO - 2011 + Phin phd'i TNGB ngoai Phdng thi nghiim - Phin phd'i TNGB nhdm 2, cho cic dOn vi nudc Ddn vj xin TNGB phai dap iing dUde eac yeu clu v l ATSH tUdng dudng vdi ca'p dd nguy ed eua TNGB, phai lam cdng van gui ed quan ed tham quyIn neu rd cae chi tid't eln thift vl TNGB, k f hoach thi nghifm, va cac cam kft vl vifc suf dung TNGB Phdng thi nghifm cung ca'p TNGB cd tiach nhifm tiln hanh tham djnh eae ndi dtmg ghi tiong cdng van d l nghj xem ddn vi xin TNGB ed dap iing dude eac diiu kifn ATSH khdng? Trong tiudng hdp d n thift, ed thd yeu clu ddn vj xin TNGB cung ea'p them thdng tin hoac deh ddn vj dd de xae nhan cae thdng tin Ngudi chju tiach nhifm phan phd'i TNGB giao TNGB theo ke' hoach da thd'ng nha't cho ddn vj xin TNGB va gui "Bao cao phan phd'i TNGB" eho ed quan ed tham quyln - Phin phd'i TNGB nUdc ngoai Ddn vj, td chiic nude ngoai phai dap iing dude eac tieu ehudn v l ATSH Vifc phan phd'i TNGB nudc ngoai dUde thuc hifn theo stf ehi dao ciia ed quan ed tham quyln Ddn vj, td chiic nhan van chuydn TNGB phai ed chiing chi hanh nghi ciia ed quan ed tham quyln + Van ehuyin TNGB Trudng hdp di chuydn TNGB ngoai Phdng thi nghifm phai tuan theo quy djnh ddng gdi dam bao ATSH + Casd vit chit vi tha't bi cua Phdng thi nghiim -Phdng xet nghiim ATSH-1 Khdng gian eln dii rdng dd thtfc hifn an toan eac cdng vifc, lau ehui, bao dudng PTN va dd eac dung cu, vft tu d n thie't Tudng, teln nha va san nha d n phai blng phing, d l lau chili, khdng tha'm nudc, chd'ng dudc boa cha't va cha't dift khudn tiiudng diing teong PTN San nha khdng tedn, trudt Mat ban xet nghifm khdng thlm nude va ehdng dude cha't khu khudn, axit, kilm, dung mdi hihi cd va nhift Cd bdn nude nia tay, ed vdi nude gin ciia vao - Phdng xet nghiim ATSH-2 Gin bien bao nguy hidm sinh hpe vdi bidu tudng qud'c te' tien ta't ea cac cUa vao ciia PTN Nen cd hf thd'ng den bao khdn ca'p dd thoat an toan tiong tiudng hdp stf ed' Cd hi ATSH ca'p Cd ndi ha'p Udt hoac cae thie't bj tift tiung thich hdp khac dat tiong cimg toa nha Cac thie't bj nhu ndi ha'p va hi ATSH phai dude tham djnh blng eae phudng phap thich hdp tiude dua vao suf dung Vifc ea'p gia'y chiing nhan lai phai thtfc hifn thudng xuyen theo hudng d i n eiia nha san xua't -Phdng xet nghiim ATSH-3 Cach bift vdi cac phdng xet nghifm khae, each ly vdi khu vtfc cd nhilu ngUdi qua lai Cd phdng dfm tiude vao Phdng xet nghifm Phdng dfm phai thie't ke'chi md dude mdt eua tiong mdt thdi diem Cd cUa thoat hiem tiong tiudng hdp khan ca'p Phdng xet nghifm phai bjt kin de tift tiimg dudc Hf thd'ng d'ng din phai lip dat cho cd thd tift tiimg Cufa sd phai ddng, kin va sU dung vat lifu chdng vd Trong khu vtfc Phdng xet nghifm phai ed phdng tim cho tiudng hdp khan ea'p Phai cd hf thdng thdng gid cd kidm soat dd tri hudng, ludng vao Phdng xet ngjiif m Hf thd'ng thdng phai dudc lip dat cho khdng tit Phdng xet nghifm khdng dudc hoan luu de'n khu vtfc khac tiong cimg toa nha Khdng dUde Ipe qua mang Ipc HEPA dd ngan TNGB va cd thd hoan Itm va tai suf dung tiong Phdng xet nghifm Khdng xa tinie tifp 87 KHOA HOC KY THUAT THU Y TAP XVIII - 1 khdng tii Phdng xet nghifm vao eac tda nha ed ngudi d va ndi lay khdng vao Cd hf thdng kidm soat nhift dd, thdng va diiu hoa nhift dd (HVAQ dd tri ap luc am phu hdp tiong Phdng xet nghifm Cd hf thd'ng bao ddng dd thdng bao ldi cua hf thd'ng HVAC Ta't ea eac mang Ipe HEPA phai dude l i p dat thuan tifn eho vifc tift teung va kidm tea cae thdng sd' d n thie't Tu ATSH phai dude dat teanh Id'i di lai, cufa vao va cac cUa ea'p, thai Cd ndi ha'p udt tift tiimg tiong Phdng xet nghifm Dudng dng cung ca'p nude hue tie'p cho Phdng xet nghifm phai cd van mdt chilu dd ehdng chay ngUdc Nude thai d nhilm phai dudc tift tiung teude thai ngoai Nfu chat thai lay nhilm phai dua ngoai Phdng xet nghifm dd tift teung va loai bd thi phai dUde vfn chuyen teong eae thutng kin, chie chin de tianh vd hofc rd ri theo eac quy dinh phu hdp eua qud'e gia hoac qud'c tf Cae vat lifu ed nguy ed lay nhilm phai dUde tift titmg teong tii ATSH ca'p hoac thie't bj ngan chan ed ban khae Cac thie't bj nhu may ly tam, loai may d n cac thift bi hd tid ban chf phat sinh dung nhu cac n i p day an toan hay roto ngan chan Cac quy tiinh thie't ke'cd sd ting va van hanh Phdng xet nghifm ATSH-3 phai dude the hifn blng van ban + Bio hdci nhin Khi vao Phdng xet nghifm ATSH-2,3 hoac khu vtfc quan ly phai m^c dd bao hd d n thift Khi khdi Phdng xet nghifm ATSH-2,3 hoac khu vtfc quan ly phai thay dd bao hd tiong Phdng xet nghifm hoac tiong khu vtfc quan ly Khdng dude mac dd bao hd su dung teong khu vtfc quan ly ngoai, dac bift tai khu vtfc cdng cdng Su dung q u i n ao bao hd dung lln hode nhilu lln Q u i n ao bao hd sut dung nhilu lln phai blng cha't lifu ed thd ha'p tift teimg dUde 88 + sip xip vi lam vi sinh khu vUc quin ly Vl nguyen tic ngudi lam xet nghifm la ngUdi tieh hanh s i p xd'p va lam vf sinh Phdng xet nghifm NgUdi lam vf sinh Phdng xet nghifm phai ed du siie khde, cd ehiing chi da Avidc hoc v l ATSH cd ban + Van ehuyin ra, via cic thiit Phdng thinghiim bf cUa Tat ca cac thie't bj cd tie'p xiic vdi TNGB tiong Phdng xet nghifm ATSH-2 va cac thie't bj tiong Phdng xet nghifm ATSH-3 phai dudc tift teung teude mang ngoai Dd'i vdi eac nguyen lifu eln dude bao quan, phai eho vao hdp kin va tift teung bl mat hdp rdi mdi mang ngoai + Nhttng diiu khdng dttac lim khu VUc quin ly Khdng dudc mang cae dd diing ca nhdn ngoai eac vat d n thie't cho vifc thi nghifm vao khu vtfc quan ly Khdng dudc phep an udng, hiit thud'c, teang didm teong khu vtfc quan ly + Ghi chip cdng viic cua Phdng tiu nghiim Mdi PTN phai cd mdt sd nhat ky PTN dd ghi lai eac cdng vifc hang diin tai PTN + Tiin hanh Oungjhiim taiPXNATSH-Z Vifc dli nghifm tai Phdng xet nghifm ATSH-2, phai tuan tiiii quy ehudn v l dam bao ATSH da dudc p h i duyf t Trudc thtfc hifn thi nghiim, nhan vien phai kidm tea xae nhan r i n g thil't bj va may mdc teong Phdng xet nghifm hoat ddng bmh thudng Vifc tiiao tac dd'i vdi TNGB nhdm 2, phai dMdc tieh hanh teong hi ATSH c l p 2, cabin an toan hoac teong tiiie't bj dam bao khdng lam phat tan TNGB Thi nghifm phai dUdc ti6i hanh vdi phudng phap it lam phat smh hat dung nha't KHOA HOC KY THUAT THU Y TAP XVIII - SO - 2011 + xa ly sau kit thuc thi nghiim Phong xet nghiim ATSH-2, tai Sau ke't thuc thi nghifm tai Phdng xet nghifm, phai thtfc hifn cac bude xuf ly sau day: Khu trtmg tay va b l mat lam vifc thi nghifm Tift teiing ta't ea cac vat dudc sii dung tiong thi nghifm, trif nhiing vat tie'p tue dUde suf dung Cae nguyen lifu tie'p tue sii dung phai dUde dung tiong hdp kin, bl mSt hdp phai dude tift triing va dUde bao quan lanh hoac kho ddng lanh ehi djnh Nude thai thi nghifm sau dude tift trimg mdi xa vao cdng thai Toan bd gang tay va quin ao bao hd su dung xong phai dudc tift tiimg + Bio quin TNGB va ghi chip TNGB nhdm eac Phdng tiii nghifm ttf bao quan Phdng/tu bao quan TNGB nhdm phai ludn dUde khda Ta't ea eac TNGB nhdm phai dude bao quan tiong Phdng xet nghifm ATSH-3 hoac phdng bao quan TNGB nhdm Phdng bao quan TNGB phai ludn dUde khda Vifc ra, vao va vfn chuydn TNGB phai dude stf ddng y ciia ngudi ed thdm quyln Vifc la'y phai ghi chep 3.2 Cd sd suf dung ddng vat thi nghiem Vifc tifn hanh eac thi nghiem ed sii dung ddng vat thi nghifm, ngoai vifc phai tuan theo eae quy djnh nhU dd'i vdi eae thi nghifm khdng suf dung ddng vat thi nghifm, edn phai tudn theo eac quy djnh sau: + Nhi nudi ddng vit Nha nudi ddng vat d n rieng bift Trong tiudng hdp nha nudi ddng vat liln vdi PTN thi cin phai each bift vdi khu vtfc ehung ciia PTN dd thuan tifn cho vifc tieu ddc va tift thing + Tiiu chuin cUa casd ddng vit ATSH cap Cd sd ddng vat ATSH efp sut dung dd luu giii ddng vat da qua kidm dich va nhiing ddng vat cd lay nhilm vdi eae TNGB thudc nhdm nguy cd + Tiiu chuari cUa casd ddng vit ATSH cap Cd sd ddng vat ATSH d p dudc su dung de lam vifc vdi ddng vft cd lay nhilm vdi cac TNGB thudc nhdm nguy ed Cin thtfc hifn eae bifn phap phdng ngifa an toan sau day: Dat ta't ca cae yeu d u dd'i vdi eac cd sd ddng vat ATSH ca'p Cd bidn bao nguy hidm sinh hpe tai cUa vao va tai eae ndi thich hdp Cd sd phai dUde thie't kf thuan ldi cho vifc lau ehui va tift trung Ciia phai dUde md vao tiong va ttf ddng Cd d l y dii thie't bj diiu hda khdng khi, thdng hdi va anh sang Ne'u cd thie't bj thdng gid ed hoc thi ludng phai di t i ngoai vao tiong Khi thai dUde thai ngoai va khdng dude tai luan chuyen dfh bat ky ndi nao tiong tda nha Chi nhiing ngudi cd tiach nhifm mdi dude phep vao Tat ea can bd nhan vien phai dude tap huah dly dli vl ATSH Khdng dUa vao cac ddng vft khdng sii dung cho vifc thtfc nghifm Cin ed ke' hoach kidm soat ddng vft gam nha'm va chan ddt Ne'u ed ciia sd, phai dam bao an toan, khdng pha dUde va ne'u cd the md dUde thi phai lip dat ta'm chin ddng vft chan ddt Cae bl mat lam vifc phai dude tift tiimg blng cac cha't tift tiung hifu qua sau sii dung Phai cd hi ATSH ( d p hoac 2) hoac Idng each ly vdi bd eung d p chuyen dung va bd Ipe HEPA cho nhung cdng vifc ed thd tao dtmg Cd sin ndi ha'p tai chd hoac gin vdi cd sd ddng vat Vft lifu dimg cho ddng vat phai dUde loai bd theo each lam giam thidu vifc tao dtmg hay bui Ta't ea eac vat lifu thai, vat lifu dimg cho ddng vat phai dUde tift teung trUdc loai bd Han chf vifc sii dung eac vft lifu sle nhon Ludn bd eae vat lifu sle nhpn vao eae 89 KHOA HOC KY THUAT THU Y TAP XVIII - SO - 2011 dd ehiia chuyen dung chdng choc thiing cd n i p va xu ly nhu vat nhilm tetmg Cae vat lifu dd ha'p hoac ddt phai dudc van chuyen an toan teong eae dd ehUa ddng kin Ldng nhd't ddng vat phai dude khU teung sau suf dung Xac ddng vat phai eho vao bao kin, tift teung teudc dua ngoai khu vtfc PTN Phai sut dung quin ao va teang thift bi bao hd d teong ed sd ddng vat Phai cd vdi nUde, xa phdng nia tay Nhan vien phai nia tay teude khdi ed sd ddng vat Ta't ca eae cha'n thUdng, du la rat nhe, phai dude xu ly thich hdp, bao cao va ghi chep lai Nghiem calm an, udng, hut thud'c va suf dung my pham teong ed sd + Tiiu chuan cua casd ddng vit ATSH dp Cd sd ddng vat ATSH d p dude sii dung de Itfu giu ddng vat da dude tiem phdng vdi eae TNGB thude nhdm nguy ed hoac chi djnh danh gia nguy cd Ta't ca cac hf thd'ng, tieu chuan thtfc hanh va qui tiinh phai dude xem xet va chiing nhfn lai hang nam Cin thtfc hifn nhiing bifn phap phdng n g i a an toan sau day: Dat ta't ca cac yeu d u ciia ed sd ddng vat ATSH ea'p va Kidm soat nghiem ngat ngudi vao Cd sd phai each bift vdi khu vtfc PTN va nha nudi ddng vft khae blng mdt bd cua kep tao mdt phdng chuan bj Phdng ehudn bj phai ed thift bj nia tay va nen cd vdi t i m hoa sen hoc Chat thai lay nhilm nen dUdc ha'p tift trung trudc chuydn dfh ndi khac tiong cd sd ddng vat Cd sSn Id thieu, dd't tai chd hoac thie't bj thay thd' theo quy djnh eiia cd quan chiic nang ed tham quyln Ddng vat bi nhilm TNGB thude nhdm nguy cd phai dUde nhd't teong ldng d vi tii each ly hoac teong phdng Ldng phai cd thift bj thdng gid dat d sau Han chf td'i da bui teong ldng nudi Ta't ea q u i n ao bao hd phai dude khu teung teUde giat Cua sd phai ddng va bjt kin, khdng pha dude Nen tiem phdng phdng TNGB thich hdp cho nhan vien lam vifc + NgUdi svt dung ddng vit Phdng thi nghiim Ngudi sut dung Phdng thi nghifm ddng vat ATSH ca'p 2, phai dap iing cac tieu chuan quy dinh va cd ehiing chi da tham dtf khda hoc v l sii dung cd sd cd ddng vat thi nghifm TAI LIEU THAM KHAO Bd Y te': Quy chf quan ly cha't thai y tf (Ban hanh kem theo Quye't dinh sd'43/2007/QDBYT 03 thang 12 nam 2007 cua Bd trudng Bd Y te) Luat phdng chdng cac bfnh tiuyin nhilm NXB Chinh tri Qufc gia Ha Ndi, 2007, tr.27 Quy dinh thuc hifn ATSH tai Vifn VSDT (Ban hanh kem theo Quye't dinh sd': 425/QD-VSDTTU Ngay 17/11/2008 ciia Vifn Vf sinh dich tl Trung Udng) Phai cd bd phan thdng gid cd hpe de dam bao ludng khdng lien tue d ta't ea cac phdng Khi tiiai phai qua hf tiid'ng Ipe HEPA ngan chan TNGB teudc thai ngoai va khdng dudc tai luan chuydn Hf thd'ng thdng gid phai dUdc thie't k f dd teanh ludng dao ngUde va tao ap lUc dUdng d bit ky ndi nao teong nha nudi ddng vat Thdng tu sd' 31/2010/TT-BNNPTNT cua Bd Ndng nghifp va PTNT ban hanh 24/5/2010: "Quy chuin ky thuat qufc gia vl quan ly cha't thai cac cd sd cha'n doan xet nghifm bfnh ddng vat" Phai ed sSn ndi ha'p d vi tei thudn ldi dd'i vdi nha nudi ddng vat cd chit nguy hidm sinh WHO Laboratory Biosafety Manual Third Edition, pp 1,2,49, 2004 90 Sulkin S.E., Pike, R.M.: Survey of laboratoryacquired infections Am J Public Health 41 (7), 1951,pp.769-781 ... thift bi hd tid ban chf phat sinh dung nhu cac n i p day an toan hay roto ngan chan Cac quy tiinh thie''t ke''cd sd ting va van hanh Phdng xet nghifm ATSH-3 phai dude the hifn blng van ban + Bio hdci... Vifc phan phd''i TNGB nudc ngoai dUde thuc hifn theo stf ehi dao ciia ed quan ed tham quyln Ddn vj, td chiic nhan van chuydn TNGB phai ed chiing chi hanh nghi ciia ed quan ed tham quyln + Van ehuyin... vifc vdi tac nhan sinh hoc thudc nhdm nguy cd sd'' 86 Khi tiln hanh bao quan TNGB nguy cd nhdm 2, (phan lap ttf bfnh phdm tifp nhan ttf cae ddn vj teong va ngoai), bao cao bao quan TNGB phai dUdc