Decision No. 2957/QD-BYT 2020 guidance on diagnosis and treatment of diphtheria

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ATTRIBUTE

Decision No. 2957/QD-BYT dated July 10, 2020 of the Ministry of Health on promulgating the guidance on diagnosis and treatment of diphtheria
Issuing body: Ministry of HealthEffective date:
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Official number:2957/QD-BYTSigner:Nguyen Truong Son
Type:DecisionExpiry date:Updating
Issuing date:10/07/2020Effect status:
Known

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Fields:Medical - Health

SUMMARY

Serum anti diphtheriae shall be immediately used upon suspicion of infection

On July 10, 2020, the Ministry of Health issues the Decision No. 2957/QD-BYT on promulgating the guidance on diagnosis and treatment of diphtheria.

Accordingly, the incubation period of diphtheria is from 2 – 5 days without any clinical symptoms. In the initial symptom period, patients often have fever with 37.5 - 38oC, sore throat, malaise, weakness, eat less, have bluish skin and nasal discharge from one or both nares with blood or not. In the second to third day of the duration of the disease, patients have fever with 38 - 38.5oC, pain with swallowing, pale skin, much weakness, anorexia, fast pulse, slightly lower blood pressure, etc.

Besides, treatment principles include: Early detection, isolation upon detecting infected case; Immediately using serum anti diphtheriae (SAD) and antibiotics (penicillin G, erythromycin, azithromycin) to prevent from complications and reduce death; Monitoring, early detecting and timely handling complications; Providing comprehensive care to patients.

To be specific: Using SAD immediately upon suspicion of infection. Dosage of SAD shall be depended on the seriousness of the disease, regardless of the age and weight. It is required to test before injection, if the result is positive, the desensitization method (Besredka) shall be applied, etc.

In addition, all suspected cases must be sent to hospital for isolation until their testing result is negative for two times. Each specimen is taken 24 hours apart and no later than 24 hours after antibiotic treatment. If conditions for testing are not available, patients must be isolated after 14 days of antibiotic treatment, etc.

This Decision takes effect on the signing date.

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Effect status: Known

THE MINISTRY OF HEALTH
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No. 2957/QD-BYT

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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Hanoi, July 10, 2020

 

DECISION

ON PROMULGATING THE GUIDANCE ON DIAGNOSIS AND TREATMENT OF DIPHTHERIA

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THE MINISTER OF HEALTH

 

Pursuant to the Government's Decree No. 75/2017/ND-CP dated June 20, 2017 on defining the functions, tasks, powers and organizational structure of the Ministry of Health;

Considering the professional councils meeting minutes dated July 09, 2020 on amending and supplementing the Guidance on the diagnosis and treatment of diphtheria;

At the proposal of the Director of the Medical Services Administration - the Ministry of Health,

DECIDES:

Article 1. Issuing together with this Decision the Guidance on the diagnosis and treatment of diphtheria.

Article 2. The Guidance on the diagnosis and treatment of diphtheria shall be applied in state and private medical examination and treatment establishments nationwide.

Article 3. This Decision takes effect on the signing and issuing date.

Article 4. Mr./Ms.: The Director of the Medical Services Administration; Chief of the Ministry Office; Chief Inspector of the Ministry Inspectorate; Directors and General Directors of Departments and Directorates of the Ministry of Health; Directors of hospitals or institutes with patient beds of the Ministry of Health; Directors of Health Departments of provinces and centrally run cities; Heads of medical units of ministries and branches; Heads of relevant units shall be responsible for the implementation of this Decision./.

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