特別養護老人ホームにおける結核感染予防対策および結核発病調査  [in Japanese] INVESTIGATION ON PREVENTIVE MEASURES OF TUBERCULOSIS INFECTION AND ONSET OF TUBERCOLOSIS IN NURSING HOMES FOR THE AGED  [in Japanese]

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Abstract

わが国の医療施設 (老人福祉施設も含む) における結核感染予防対策強化の必要性が特に最近数年の間論じられてきた。病院における感染予防対策の実態, 職員の結核発病等については徐々に明らかにされつつあり, 同時に諸種の改善が進展している。一方, 老人福祉施設に関しては, まだこれらの実態について十分には明らかにされていない。そこで, 老人福祉施設の中でも寝たきり状態の高齢者が集まる特別養護老人ホーム1100施設における結核感染予防対策の現状と職員および入所者の結核発病調査を行い, 施設内感染予防対策の推進に寄与することを目的とした。<BR>感染予防対策に関しては, 一部の施設においてはかなりの配慮がなされていたが, 全体としてはまだ不十分であった。職員, 入所者の発病率は同年代の一般人口に比して低い結果であったが, 発病した施設からの回答が得られなかった可能性があったのではと推定された。今回の調査を通じて, 老人福祉施設における結核感染予防対策の具体的な要点について言及した。

The need to strength on preventive measures of tuberculosis infection in Japanese medical institutions (include nursing homes) has been discussed in recent several years. The actual performance of measures to prevent the spread of tuberculosis infection among employees in hospitals has gradually become clearer, and various trials to improve the performance have simultaneously been made. However, actual performance of these preventive measures has not yet become clear in nursing homes for the aged. Therefore, we assessed actual status of preventive measures of infection and the incidence of tuberculosis among employees and residents in nursing homes for the aged where there are many elderly persons who are almost bed ridden, and we intended to solve problems in preventive measures for tuberculosis in welfare facilities for the aged.<BR>Measures to prevent infection were well considered in a few facilities, but these measures were in general not sufficient. The incidence of tuberculosis among employees and residents were lower compared with these in the agematched general population, however, it could be possible that there was no responses from the welfare facilities where outbreak of tuberculosis was present. We outlined the essential points for concrete measures to prevent tuberculosis infection in nursing homes for the aged.

Journal

  • Kekkaku(Tuberculosis)

    Kekkaku(Tuberculosis) 77(4), 340-346, 2002-04-15

    JAPANESE SOCIETY FOR TUBERCULOSIS

References:  23

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008579481
  • NII NACSIS-CAT ID (NCID)
    AN00073442
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00229776
  • Data Source
    CJP  CJPref  J-STAGE 
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