Tacky mats at ICU entrance abolished due to cost-benefit

• Kondo Tsukasa

  Department of Anesthesiology and Critical Care Medicine, Emergency Medical Center, Tsuchiura Kyodo General Hospital

• Matsumiya Naoki

  Department of Anesthesiology and Critical Care Medicine, Emergency Medical Center, Tsuchiura Kyodo General Hospital

Bibliographic Information

Other Title

• ＩＣＵ入口の抗菌粘着マットはコストベネフィットの観点から廃止されるべきである

Abstract

The United States Center for Disease Control and Prevention (CDC) questions the effectiveness of tacky mats in preventing nosocomial infection (Guideline for preventioin of surgical site infection, 1999), but in Japan, this mat use remains conventional at the Intensive Care Unit (ICU) entrance. In April 2001, we discontinued tacky mat use after surveying the infection of ICU patients from January to March 2001 (group A) during use and from April to June 2001 (group B) after discontinuation. We studied total mat cost at our hospital and ICU. The survey was conducted based on the National Nosocomial Infection Surveillance System (NNIS) guideline. We examined device-related infection such as catheter-related bloodstream infection (BSI), ventilator-associated pneumonia (VAP), and urinary tract infection related to the urethral catheter (UTI). We investigated the APACHE (acute physiology and chronic health evaluation) II score, average ICU stay, and device utilization rate. No significant difference was seen in average ICU stay, APACHE II score, the device utilization rate, and total number of ICU stays between group A and B. The occurrence of BSI, VAP, and UTI did not differ significantly between groups. This data indicated that the tacky mat at the ICU entrance is ineffective, and wastes money. For our hospital, tacky mat cost reached to 4.5 million yen/year in 2000, reduced to 1.5 million yen/year in 2001. The money is now used education on infection control. Eduction and raised awareness are thus important for prevention of nosocomial infection.

Journal

• Nihon Kyukyu Igakukai Zasshi

  Nihon Kyukyu Igakukai Zasshi 14 (5), 258-262, 2003

  Japanese Association for Acute Medicine

Keywords

• nosocomial infection
• tacky mat
• CDC guideline
• medical economy
• infection control education

Details

• CRID: 1390282679348209408
• NII Article ID: 10011213867
• NII Book ID: AN10284604
• DOI: 10.3893/jjaam.14.258
• ISSN: 18833772
• ISSN: 0915924X
• Web Site: https://search.jamas.or.jp/link/ui/2003282687
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed