重症心身障害児(者)施設における呼吸器感染症対策の実態調査  [in Japanese] Survey on Respiratory Infection Measures in Institutions for Patients with Severe Motor and Intellectual Disabilities  [in Japanese]

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Abstract

<p>重症心身障害児(者)(以下重症児)の死因第1位は呼吸器感染症である.本研究の目的は,重症児施設の呼吸器感染症対策の実態を明らかにすることである.日本の重症児施設全202施設の療育および看護責任者それぞれ1名を対象に,郵送による自記式質問紙調査を行った.</p><p>療育調査120施設(59%),看護調査112施設(55%)の回答を集計した.約半数の施設が直近1年間に呼吸器感染症アウトブレイクを経験しており,感染症状有症者の集団療育や複数病棟合同での療育を中止していた.多くの施設で,集団療育や床上での療育を行っており,セラピーマットや玩具を介した呼吸器感染症伝播経路が示唆された.感染症の持ち込み防止策としての症状スクリーニング実施率は,実習生は高かったが,職員,教諭,ボランティアの実施率は十分ではなかった.今後は症状スクリーニング,および呼吸器症候群サーベイランスの推進が必要であると考える.</p>

<p>Respiratory infection is the leading cause of death in patients with severe motor and intellectual disabilities (SMID). The purpose of this study was to elucidate the measures being taken to combat respiratory infection in institutions for patients with SMID. The subjects included one person responsible for <i>Ryouiku</i> and one person responsible for nursing at each of the 202 institutions for patients with SMID in Japan. Self-administered questionnaires were sent to the subjects via mail. <i>Ryouiku</i> surveys were collected from 120 institutions (59%) and nursing surveys from 112 institutions (55%). Approximately half of the institutions had gone through outbreaks of respiratory infections in the past year, during which group <i>Ryouiku</i> with patients showing symptoms of infection and joint <i>Ryouiku</i> among multiple wards had been cancelled. Group <i>Ryouiku</i> and activities on the floor were practiced at many of the institutions, suggesting that the respiratory infection transmission route was via therapy mats and toys. Symptom screening to prevent people from bringing in infectious disease was conducted at a high rate for student apprentices but not at a sufficient rate for staff, teachers, and volunteers. Therefore, in the future, it will be necessary to promote symptom screening and respiratory syndrome surveillance.</p>

Journal

  • Japanese Journal of Infection Prevention and Control

    Japanese Journal of Infection Prevention and Control 33(5), 213-219, 2018

    Japanese Society for Infection Prevention and Control

Codes

  • NII Article ID (NAID)
    130007618871
  • Text Lang
    JPN
  • ISSN
    1882-532X
  • Data Source
    J-STAGE 
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