2019 Volume 19 Issue 4 Pages 208-214
The aim of this study is to clarify the role of hospital infection control team to encourage physician's behavioral change on blood stream infection control of amino acid infusion. In the light of the occurrence of bacteremia caused by contamination of Bacillus cereus grown in amino acid infusion preparations, our hospital infection control team (ICT) proposed two infection control measures to our physicians：1) mixing of the drug solution into the amino acid preparations should be prohibited, and 2) the drip time of the preparation should be set at 8 hours maximum. As a result, 37 physicians (78%) of them who answered a questionnaire by ICT agreed on the prohibition of mixed injection of drugs into the solutions. Regarding the infusion time, approval approached 68%. Based on the result we started to implement infection control measures in the preparation. One of the ways was conducting a questionnaire survey in advance for faithfully reflecting the physicians' opinions, so that measures could be implemented relatively easily. In the countermeasures against infection mainly involving physicians, it is thought that the top-down measures from hospital management will probably give physicians an impression of “forced duty”, and will hinder acceptance and adoption of the crucial anti-infection measures in physicians in the true sense. In order to encourage physician's behavioral change, we propose the bottom-up approach which grasps the physician's thoughts. It should be noted that this approach may be very effective in hospital infection control.
