手指衛生コンプライアンス指標の向上とMRSA分離率の減少

久斗 章広; 宮良 高維; 森山 健三; 戸田 宏文; 山口 逸弘; 松島 知秀; 田中 加津美; 吉田 理香; 竹山 宜典

doi:10.4058/jsei.26.243

Report

Relation between Increase of Hand Hygiene Compliance Indexes and Decrease of MRSA Isolation Ratio in a Hospital

Akihiro HISATO, Takayuki MIYARA, Kenzo MORIYAMA, Hirofumi TODA, Toshihiro YAMAGUCHI, Tomohide MATSUSHIMA, Kazumi TANAKA, Rika YOSHIDA, Yoshifumi TAKEYAMA

Author information

Akihiro HISATO
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Department of Pharmacy, Department of Medical Safety Administration, Kinki University Hospital
Takayuki MIYARA
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Office of Infection Control and Prevention, Department of Medical Safety Administration, Kinki University Hospital
Kenzo MORIYAMA
Department of Pharmacy, Department of Medical Safety Administration, Kinki University Hospital
Hirofumi TODA
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Department of Clinical Laboratory, Department of Medical Safety Administration, Kinki University Hospital
Toshihiro YAMAGUCHI
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Department of Clinical Laboratory, Department of Medical Safety Administration, Kinki University Hospital
Tomohide MATSUSHIMA
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Kazumi TANAKA
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Rika YOSHIDA
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital
Office of Infection Control and Prevention, Department of Medical Safety Administration, Kinki University Hospital
Yoshifumi TAKEYAMA
Infection Control Team, Department of Medical Safety Administration, Kinki University Hospital

Keywords: hand hygiene, compliance, staff education, contact precaution, methicillin resistant Staphylococcus aureus (MRSA)

JOURNAL FREE ACCESS

2011 Volume 26 Issue 4 Pages 243-248

DOI https://doi.org/10.4058/jsei.26.243

Details

Abstract

To prevent infection and dissemination of drug-resistant bacteria as the main causes of contact infection in medical institutions, the improvement and maintenance of hand hygiene compliance are important. However, there are no established parameters for the evaluation of such compliance. We used the rates of consumption of alcohol-based hand disinfectants and hand cleaning agents as indirect parameters of hand hygiene compliance, and compared the MRSA detection and isolation rates in inpatients during 24-month periods before and after the intensification of a hand hygiene promotion project (April 2007). Significant increases (p<0.01) were observed in the mean consumption of hand disinfectants from 2.93±0.84 to 8.58±2.93 (L/1,000 patient days) and that of hand cleaning agents from 2.88±1.04 to 5.09±1.20 (L/1,000 patient days). Although there was no significant difference in the frequency of MRSA detection between the groups, the isolation rate significantly decreased (p<0.01) from 12.6±2.5 to 10.4±1.5%. Frequent interventions to promote hand hygiene employing various approaches may be effective for improving and maintaining hand hygiene compliance.

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