NICUにおけるクベース収容児のMRSA保菌率の減少‐一処置一手洗い及び手袋着用の導入と感染予防行動の定着の効果‐

書誌事項

タイトル別名
  • Reduction in MRSA Carrier Rate among Infants Placed in Incubators in the NICU
  • NICU ニ オケル クベース シュウヨウジ ノ MRSA ホキンリツ ノ ゲンショウ イチ ショチ イチ テアライ オヨビ テブクロ チャクヨウ ノ ドウニュウ ト カンセン ヨボウ コウドウ ノ テイチャク ノ コウカ
  • 一処置一手洗い及び手袋着用の導入と感染予防行動の定着の効果

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抄録

MRSA is associated with high carrier rates in NICU, and presents a significant problem as a nosocomial infection. Our hospital has promoted infection prevention measures such as enforcement of hand washing using running water and soap or disinfectant in addition to the use of hand disinfectants, but no reductions in MRSA carrier rate were observed. Therefore, a new infection control measure was introduced involving one hand wash per procedure (hand disinfection) by medical personnel in addition to the use of gloves. Maintenance of infection prevention behavior among medical personnel resulted in decreases in new MRSA carrier infections among infants admitted to the NICU from a mean of 8.8% during the year preceding the new measure (August 2000 to July 2001) to 0% during the first year of the new measure (August 2001 to July 2002), and to 2.1% during the first five years (August 2001 to July 2006). These findings suggest that one hand wash per procedure (hand disinfection) and the use of gloves provides an effective measure for preventing MRSA transmission in the NICU.

収録刊行物

  • 環境感染

    環境感染 22 (2), 98-104, 2007

    日本環境感染学会

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