Up to Date on Infection Control and Nursing Cares for Drug-resistant Bacterial Infections in Home-visit Nursing Care Stations

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  • MAEDA Hitomi
    Department of Nursing, Faculty of Life Sciences, Kumamoto University
  • NANKE Kimiyo
    Department of Nursing, Faculty of Life Sciences, Kumamoto University
  • YANO Hisako
    Nagoya City University School of Nursing

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Other Title
  • 訪問看護ステーションにおける耐性菌感染対策並びに看護ケアの実態と課題
  • ホウモン カンゴ ステーション ニ オケル タイセイキン カンセン タイサク ナラビニ カンゴ ケア ノ ジッタイ ト カダイ

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Abstract

  The spread of drug-resistant bacteria is becoming an important issue, not only in medical facilities but also in communities. To understand the present situation of home-visit nursing care stations regarding prevention and reduction in transmission of drug-resistant bacteria, questionnaires were sent to 1694 home-visit nursing care stations from January to May in 2009, and 222 valid questionnaires were returned with a recovery rate of 13.1%. Analyses of the questionnaires revealed that 65.3% of the stations had advisers providing information about infectious diseases and infection control measures, and 53.2% of the stations obtained information about colonization with drug-resistant bacteria in patients on admission. The ratio of the stations sharing information about colonization with drug-resistant bacteria in patients was significantly higher in the stations having nurses involved in the practical care of the patients with drug-resistant bacteria (p<0.01). Moreover, 41.0% of the stations provided information to patients taking antibiotic about correct use of antibiotics. In particular, the stations had quite low motivation to prevent environmental contamination of bacteria by sputum aspiration or bladder catheterization. Taken together, the stations and related medical facilities rarely shared information about colonization with drug-resistant bacteria in patients. The infection control measures for drug-resistant bacteria were also inadequate in most home-visit nursing care stations. These findings indicate that establishment of a system for sharing information about drug-resistant bacterial infections between medical facilities and home-visit nursing care stations is essential. The procedures of nursing skills and education of the patients and their family members must also be reevaluated focusing on prevention and reduction in transmission of drug-resistant bacteria in home care.<br>

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