BOYTE CONG HOA XA HOI CHU NGHIA VIET NAM. Doe lip - Ty do - Hanh phic 86: 2995 /QD-BYT Ha N6i, ngay 18 thing 06 ném 2021 QUYET DINH ban hanh Huéng din tam thai khim sang lgc truée tiém ching vac xin phong COVID-19 BQ TRUONG BQ Y TE Cain cit Nghi dinh s6 75/2017/ND-CP ngay 20 thang 6 ndm 2017 cia Chink phi quy dinh chite nang, nhiém vu, quyén han va co edu t6 chite BO Y té: Theo dé nghj cia H6i dong chuyén mén xay dung huéng dan khai trude tiém ching vée xin phong COVID-19 duge thank lip theo Quyét di 2933/OD-BYT ngay 15/6/2021 cia BG trréng BG Y té tai cugc hop ngdy 15/6/2021; Theo dé nghi ctia Cuc tréng Cuc Quan ly khdm, chita bénh, QUYET DINH: Diéu 1. Ban hanh kém theo Quyét dinh nay Huéng dan tam thoi khém sang lgc truée tiém chiing vac xin phong COVID-19. Diéu 2. Hudng dan tam thdi khdm sang loc truée tiém ching vac xin phong COVID-19 Ap dung cho tat ca cae co sé kham, chita bénh, co so tiém ching Nha nude va tu nhan trén ca nude. Diéu 3. Quyét dinh nay c6 higu lye ké tir ngay ky, ban hanh. Bai bé Quyét dinh s6 1624/QD-BYT ngay 18/3/2021 cua B6 truéng BG Y té vé vige ban hanh Hudng dan tam théi kham sing loc truéc tiém chiing vae xin phong COVID-19 cia AstraZeneca. Diéu 4. Cac dng, ba: Cue trang Cye Quan ly Kham, chita echelons phong B6, Chanh Thanh tra BO; cdc Vu trudng, Cuc trudng ciia BO Y te; Gram doc céc co sé khdm, chita bénh true thuge BO Y té; Giém déc Sé Y té céc tinh, thanh pho tryc thugc Trung wong; Thu truéng y té cae BO, nganh; Thu trudng cae don vj 6 lién quan chju trach nhigm thi hanh Quyét dinh nay./. Noi nhgn: a BOQ TRUONG - Niue Digu 4; f ATRUONG - BO truéng (dé bio céo) f ~ Cac Thar trucing (dé bit); ~ Lau: VT, KCB. Van ThuanBOYTE HOA XA HOI CHU NGHIA VIET NAM. Déc lip - Ty do - Hanh phite eee HUONG DAN TAM THOL : KHAM SANG LOC TRUOC TIEM CHUNG VAC XIN PHONG COVID-19 (Ban hanh kém theo Quyét dink s2999QD-BYT ngay1gthang06 ndm 2021) I. Muc dich cita khdm sng Igc Phat hign va phan loai cdc déi tugng dit diéu kign tiém ching vic xin phong COVID-19 dé dam bao an toan tiém chung. Il. Phn loai cae d6i twong 1. Céic déi tugng dit diéu kign tiém ching Ngudi trong 49 tudi tiém ching theo khuyén cdo trong huéng dan sir dung cia nha khéng qua man véi hoat chat hoc véi bat ky t4 duge nao liét ké trong thanh phan cua vac xin. Khong thude ee d6i twang duge quy dinh tai Myc 2, 3 va 4 eta Phan II nay. 2. Chic déi tugng ci in duge tiém Shanaiehaae Cae déi tugng vign hojic co sé y té c6 dit nding lye hoi site cp cru ban dau: - Nguoi cé tin sir di img véi cdc dj nguyén khae, - Ngudi cé bénh nén, bénh man tinh duge diéu tri én dinh. - Nguoi mat tri giac, mat nang luc hanh vi. - Ngudi trén 65 tudi - Ngudi c6 tién sir gidm tiéu cau va/hode r6i loan dong mau. - Ngudi c6 bénh man tinh ¢é phat hién thay bat thudng dau higu séng: + Mach: < 60 lan/phut hodc > 100 1an/phiit. + Huyét dp t6i thigu < 60 mmHg hodc > 90 mmHg vav/hodc huyét 4p ti da < 90 mmHg hodc > 140 mmHg. + Nhip thé > 25 lan/phut va/hoac SpO, < 94% (néu c6). 3. Chic déi tegng tri hoan tiém ching - Dang mic bénh cap tinh hodc man tinh dang tién trién, cha kiém soat durge. - Nhiing ngudi bi suy giam kha nding dap ing mign dich ning, ung thy giai doan cudi, xo gan mat bu.- Trong vong 14 ngay trude 6 diéu tri corticoid ligu cao (tuong duong prednisolon > 2 mg/kg/ngay trong > 7 ngay), hoe diéu tr] héa tr, xa tri. - Di mic COVID-19 trong vong 6 thing. - Phy nit mang thai va phy nit dang nuéi con bang sita me. 4. Chong chi dinh - Tién sir phan vé tir d6 2 tre 1én vai bat ky di nguyén nao. - Cé bat ctr chéng chi dinh nao theo céng bé cita nha san xuat. UL Khim sing ge truge tiém ching L.L. Tinh trang stic khée hign tai Kham site khoé hin tai xem c6 sét, hay dang n ic bénh c! man tinh dang tién trién, dae biét la tinh trang bénh goi y COVID-19 k 1.2. Tién str tiém vac xin phong COVID-19 Can khai thac chinh xac loai vie xin COVID-19 va thdi gian da tiém ve xin. 1.3. Tién sir di ing fiath - Di timg cé tién sir di img véi bat ky di nguyén nao. - Tién sir di tmg nang, bao gém ca phan vé. - Tién sir dj tmg véi vac xin va bat ky thanh phan nao cia vic xin, 1.4. Tién sir tiém vac xin khac trong 14 ngay qua. 1.5. Tién sit mic COVID-19. 1.6. Tién sit suy gidm mign dich nging, ung thu giai dogn cuéi, dang ding thude corticoid, tre ché mién dich, xa tri. 1.7. Tién sir bénh nén nhu viém phéi tic nghén man tinh (COPD), dai thio dung, céc bénh than kinh man tinh, cde bénh tim mach man tinh, 1.8. Tién sit réi loan déng mau/cim mau hodc dang ding thude chéng dong. 1.9. Phy nit mang thai va phy nit dang nudi con bang sira me. 2. Danh gid lam sang 2.1. Phat hién cdc bat thurang vé diu hiéu séng: - Do than nhiét, huyét 4p, dém mach tit ca nhiing ngudi dén tiém. ém nhip thé vé/hoic SpO, (néu c6) 6 nhing ngudi cé bénh nén. 2.2. Quan sit toan trang - Dinh gid mic d6 tri gide bing cdch hoi nhing cau héi vé ban than ngudi dén tiém. Luu ¥ nhimg ngudi e6 bénh nén nang nam ligt givong, mat ti gic, mat ning lye hanh vi~ Ghi.nhgn bat ky biéu hign bat thuong nao quan sit thy 6 nguoi dn tiem dé hoi lai vé tign sit site khée. IV. Két lun sau khdm sang Igc - Chi dinh tiém ching ngay cho nhiing trudng hop dit diéu kign tigm ching, - Tri hoan tiém ching cho nhiing trudng hop c6 it nhat mot yéu t6 phai tri hoan tiém ching. - Chuyén tiém va theo ddi tai bénh vién cho nhimg trudng hop cé yéu trong tiém ching, phat hign sau khi thm kham. - Khéng chi dinh tiém cho nhig ngudi cé chéng chi dinh tiém ching, V. T6 chire thy hién 1, Ngudi thuc hign khdm sang loc Nhan vién y té kham sang Ige phai duge tap hudn chuyén mén 4 Igc trude tiém ching vie xin phong COVID-19 va xir ly phan vé t 51/2017/TT-BYT cia BO Y té. 2. Phicong tign - Nhigt ké, éng nghe, may do huyét ap, may do SpO; (néu cd) - Bang kiém kham sang lgc truéc tiém ching vae xin phong COVID-19 (phy luc kém theo). - H6p thude cap citu phan vé va trang thiét bj y té t6i thiéu cp citu phan vé theo quy dinh tai Phy luc V Théng tu so 51/2017/TT-BYT cia BO tung BO Y t€ huéng dan phéng, chan dodn va xir tri phan vé, - Lay sin 01 bom tiém chia Adrenalin Img/Iml. 3. Ghi chép vige khdm sang loc va luru hé so - Déi tugng tiém ching duge thim kham néu di diéu kign tiém ching sé duge tur van va ky gidy cam ket dong y tiém ching. - Thye hign viée ghi chép, liu giit co so dit ligu tiém ching ciia cée doi tugng vao phin mém quan ly hé so site khée toan dan trén trang dién tir http//hssk.kcb.vn theo quy dinh hign hanh. - Phiéu khdm sing lgc trude tiém chiing va Phiéu cam két ding y tiém ching duge hu tai diém tiém chiing. Thoi gian hu la 15 ngay. tuan thi theo huéng dan tiém chung cla BG Y té,/. Cac n6i dung khéi PHY LUC (Ban hénh kém theo Quyét dinh $6... .0:..../OB-BYT nga Co SO TIM CHUNG CONG HOA XA HOI CHU NGHIA VIET NAM Dic lip- Ty do - Hanh phite thang... nam 2021) PHIEU SANG LOC TRUGC TIEM CHUNG VAC XIN PHONG COVID-19 Ho Va 80: esses seeeeeeeee ee seceseeesseeeeeeNam NID Nedy théng nim sinh .... Nahé nghigp: Bon vi c6ng tie: ja chi lign he: 86 dign thosi: 1. Sang loc I. ign si phan v@ wird 2 te ten (Nu e6, log tenn dng. ) | Kings | Coa p. Tign sit bi COVID-19 wong vong 6 thang Khinga | Con b. Tidn sirtiém vie xin Khée trong 14 ngy qua (NEu 68, lost vc xin, ) | Khings [con fTién sir suy giam mien dich, ung thir giai Goan cudi, eit lich, dang dung thude we che mien ch, corticoid ligu cao (tuemg ducmg hoc hon 2mg prednisolon/kgingiy wong itnhit 7ngiy)| Shongo | Coo [5 Tign sir bénh man tinh, dang tién erin (Néu 66, loai bénh:.... ) | Khénga | Con fs. Bénh ep tinh (Néu €6, logi benh mie: ) | Khong | Coo [). Dang mang thai, phy nir dang nudi con bang sta me fs. Dp moi: 265 wai Khinga | Céo Tin sir rdi loan déng mau/cam mau hodc dang ding thude chong déng, Khéngo Coo fo. ae thaome du Higa sone hi) + Nhigt d6 aoc * Mach: linyphie Khinga | cba + Hye ip: mmilg + Nhip the: linphit; p02 oink od) 11. Daw higu bat thurong khi nghe tim phdi Khénga | Coo 2. Rak oan wt Khinga | _Céo Két lun: = Dii did kign tiém chiing ngay (Tit ca du KHONG c6 dim bit thug) 5 ~ Ching chi dinh tm ching vie xin cing logi (Khi CO diém bit thuimg tgi me 1) an tiém ching (Khi CO bit ky mot digm bit thudmg tai cae mye 2,3, 4, $,6,7) - Chuyén tigm ching va theo dai gi bgnh vign (Khi CO tai ce mye 8, 9, 10, 11, 12) = Dé nghj chuyén dén ALY 05 ‘Thi gian: ... gid... plait, ngay thing nam Nguoi thye hign sing loc (hy, ghi 0 ho vd tén)