Recall that Deputy Temirlan Aitieff previously claimed that an order had been issued in the Ministry of Health prohibiting injections in FAPs and by family doctors. He also called for inspections of private medical offices where citizens receive injections and infusions.
The Ministry of Health clarified that according to order No. 252 dated March 13, 2025, "On Improving the Quality of Medical Services and Transparency in the Use of Medicines and Medical Devices in Healthcare Organizations of the Kyrgyz Republic," injections must be performed exclusively based on a doctor's prescription, which must be confirmed by medical documents (the doctor's signature and stamp or electronic signature).
“In practical activities, there are cases when patients come to PHC and FAP with prescriptions that do not have the doctor's signature and stamp, especially if they were issued by private institutions, and request injections. The doctor who prescribed the treatment and monitors the patient is responsible for the prescription of medications. If there are no signatures or stamps, the nurse cannot confirm who exactly made the prescription, and in this case, the responsibility for performing the medical procedure may fall on her,” the Ministry of Health explained.
Thus, nurses have the right to refuse to perform an injection if the prescription lacks the doctor's details, signature, stamp, or electronic signature.
In addition, the Ministry of Health noted that according to existing clinical protocols and treatment standards at the PHC level, medications are most often prescribed in oral form.
Parenteral administration, including intravenous infusions, is used restrictively, usually within the framework of emergency care with subsequent hospitalization of the patient.
Monitoring the work of individual primary level institutions showed that in some cases, intravenous infusions were performed without sufficient medical indications, including at the initiative of the patients themselves.
Such actions contradict the principles of evidence-based medicine and can pose risks of complications, including infections, allergic reactions, anaphylactic shock, and other negative consequences.
In this regard, primary healthcare institutions are recommended to strictly adhere to clinical protocols and treatment standards, and to perform intravenous infusion procedures only when there are appropriate medical indications.
