春日井市内の７透析施設で治療されている患者の新規肝炎発生調査―透析導入施設と通院透析サテライトとの連携による患者移動も含めて―

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  • Clinical survey of hepatitis in patients treated at 7 hospitals located in Kasugai city-Including the effects of patient transfer according to the hospital network-
  • Including the effects of patient transfer according to the hospital network
  • 透析導入施設と通院透析サテライトとの連携による患者移動も含めて

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Since a new occurrence of hepatitis infection in patients undergoing hemodialysis treatment may be due to nosocomial infection, its prevention is an important task. Patients who are newly prescribed hemodialysis are likely to move from the original hospital to another satellite hospital for maintenance hemodialysis. This suggests that even if strict standard precautions are maintained in one hospital, it would be useless if other institutes do not maintain such precautions as well. Kasugai Municipal Hospital is a primary hospital facility in Kasugai city and performs this function by initiating hemodialysis. Thereafter, patients transfer to a satellite hospital or receive emergent rescue according to the hospital network. Based on this background, we designed a prospective survey of the development of new hepatitis infections over a one-year period in a collaborative study among 6 cooperating hospitals. There were 634 patients enrolled in this study, with 98 patients newly starting hemodialysis. There were 105 transfers between 7 hospitals and 28 patients died during the study period. Fortunately, there were no new hepatitis infections during this survey. Though the duration of our survey was short, it suggests that nosocomial hepatitis infection is preventable by the strict observance of established protocols to prevent the spread of nosocomial infection as well as education to the staff.

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