Hospital Infection Control Programs in Japan: Current Practices and Activities in 446 Teaching Hospitals

DOI Web Site 4 Citations 13 References
  • KOBAYASHI Hiroyoshi
    Kanto Medical Center NTT EC Tokyo Health Care University Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • OKUBO Takashi
    Kanto Medical Center NTT EC Tokyo Health Care University Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • KIZU Jyunko
    Kyoristu University of Pharmacy, Division of Pharmacy Practice Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • FUJII Akira
    Tottori Prefecture Kousei Hospital Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • TOMONO Kazunori
    Osaka University Hospital, Department of Infection Control Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • OIE Shigeharu
    Yamaguchi University Hospital, Department of Pharmacy Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • KAKU Mitsuo
    Tohoku University, Graduate School of Medicine, Infection Control and Laboratory Diagnostics Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • MIYAKE Sumi
    Ashiya Municipal Hospital, Department of Nursing Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • ARAT Haruyo
    Aiiku Hospital Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • SAKAMOTO Fumie
    St.Luke's International Hospital Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention
  • TSUJI Noriaki
    Japan Council for Quality Health Care
  • YAMAGUCHI Ayumi
    Japan Council for Quality Health Care
  • KOBUSE Hiroe
    Japan Council for Quality Health Care Kyoto University, Department of Healthcare Economics and Quality Management
  • SEKIMOTO Miho
    Japan Council for Quality Health Care Kyoto University, Department of Healthcare Economics and Quality Management
  • MIHARA Hanako
    Japan Council for Quality Health Care Kyoto University, Department of Healthcare Economics and Quality Management
  • IMANAKA Yuichi
    Japan Council for Quality Health Care Kyoto University, Department of Healthcare Economics and Quality Management Japan Council for Quality Health Care, Expert Group on Healthcare-Associated Infection Control and Prevention

Bibliographic Information

Other Title
  • 臨床研修指定病院における病院感染制御の取り組みの実態調査
  • リンショウ ケンシュウ シテイ ビョウイン ニ オケル ビョウイン カンセン セイギョ ノ トリクミ ノ ジッタイ チョウサ
  • Current Practices and Activities in 446 Teaching Hospitals

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Abstract

全国の臨床研修指定病院638施設を対象として, 2004年10月に病院感染制御の体制や取り組みに関する有記名・自己評価記入式の調査を実施した. 質問項目は, 病院の規模や職員数, 医療機能評価機構の認定の他に, 1) 病院感染制御の組織体制, 2) 病院感染サーベイランス, 3) 感染経路別予防策, 4) 針刺し対策, 5) 病院食の衛生管理, 6) 医療廃棄物の処理, 7) カテーテル関連感染症対策, 8) 洗浄・滅菌業務, 9) 抗菌薬の使用法, 10) 手術室・ICUにおける感染制御, 11) 職業感染制御, 12) 病院感染制御に対する職員意識, 13) 病院感染制御の問題点, などであった. 446施設 (69.9%) から回答が得られた. ほとんどの病院が感染対策委員会を設置しており, 4分の3が感染対策チームを組織していたが, 感染制御担当者が感染制御の実務に充当する時間は限られていた. 医療機関が対応に苦慮している感染制御は, 「病院感染サーベイランス」, 「耐性菌保菌者の隔離」, 「カテーテル由来血流感染症の対策」, 「適切な洗浄・滅菌」, 「適切な抗菌薬使用のコントロール」, 「職員のインフルエンザ予防接種」などであった. また, 手術室やICU入室時の靴の履き換えなど, 現在必要とされなくなった感染制御も, 依然として高率に実行されていた. 効果的な病院感染制御の実施には, 感染制御専任者や専門的知識を持ったスタッフの確保を始めとする, マンパワーの問題を早急に解決する必要がある.

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