新幹線車内に不適切に廃棄されたインスリン注射針の実態調査~鉄道清掃員の針刺し事故防止対策~  [in Japanese] Survey on Insulin Needles Inappropriately Discarded in Shinkansen Trains: Measures to Prevent Needlestick Accidents by Train Cleaning Staff  [in Japanese]

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Author(s)

    • 杉藤 素子 Sugito Motoko
    • 東海旅客鉄道株式会社健康管理センター東京健康管理室|産業医科大学第一内科 Tokyo Health Care Office, Health Care Center, Central Japan Railway Company|First Department of Internal Medicine, University of Occupational and Environmental Health
    • 岡田 洋右 Okada Yosuke
    • 産業医科大学第一内科 First Department of Internal Medicine, University of Occupational and Environmental Health
    • 田中 良哉 Tanaka Yoshiya
    • 産業医科大学第一内科 First Department of Internal Medicine, University of Occupational and Environmental Health

Abstract

<p>インスリン注射針などの医療廃棄物(以下,注射針等)の不適切廃棄は社会問題となっている.東海道新幹線においても車内清掃時に注射針等を発見するケースが散見され,清掃員の針刺し事故も発生している.今回,清掃会社A事業所に協力を依頼し実態調査を行った.注射針等の発見は,平成(Hと略す)25年度97件,H26年度153件,H27年度170件,針刺し事故はH25年度1件,H26年度0件,H27年度1件であった.H27年度は発見場所も調査したが,トイレ51 %,床面32 %,座席周辺8 %,洗面所7 %で,すべてむき出しであった.2日に1件の頻度で注射針等が発見されている一方,A事業所の針刺し事故の発生は他の報告より少ない頻度であった.教育や注射針回収の対策を講じた効果であると考える.しかし,不適切廃棄が続く限り,完全に清掃員の針刺し事故を防止することは難しい.本報告が療養指導に活用されれば幸いである.</p>

<p>The inappropriate disposal of insulin needles is becoming a social problem. Similarly, insulin needles are occasionally encountered by staff cleaning Tokaido Shinkansen trains. A cleaning company investigated the actual situation of inappropriate insulin needle disposal on Tokaido Shinkansen trains. The cleaning staff on Tokaido Shinkansen trains found 97 insulin needles from April 2013 to March 2014, 153 insulin needles from April 2014 to March 2015, and 170 insulin needles from April 2015 to March 2016. They investigated the locations of the insulin needles from April 2015 to March 2016. Insulin needles were found in the restrooms (51 %), on floors (32 %), near seats (8 %), and in washrooms (7 %). Although insulin needles were found every other day on Tokaido Shinkansen trains, only 1 case of needlestick accident occurred among the cleaning company staff. We considered that this low incidence was due to employee training. Needlestick accidents cannot be completely prevented as long as the inappropriate disposal of insulin needles continues. We hope that doctors and nurses make good use of the results of our investigation.</p>

Journal

  • Journal of the Japan Diabetes Society

    Journal of the Japan Diabetes Society 61(12), 822-826, 2018

    THE JAPAN DIABETES SOCIETY

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