新生児集中治療室におけるメチシリン耐性黄色ブドウ球菌定着防止対策としての手袋着用の効果

抄録

Despite strict adherence to standard precautionary methods, such as hand washing, isolation precaution, and individual use of various devices, methicillin-resistant Staphylococcus aureus (MRSA) has become epidemic in our neonatal intensive care unit (NICU). To prevent nosocomial MRSA transmission via the hands of hospital personnel, we have worn gloves while caring for neonates since July 2005. The colonization rate of MRSA was calculated as the ratio of the neonates colonized with MRSA to the total number of neonates in our NICU. With the glove precaution, the mean colonization rate has decreased from 20% (April 2004 through June 2005) to 8.8% (July 2005 through June 2006). This study suggests that the glove precaution can significantly reduce the nosocomial transmission of MRSA, although it might be necessary to survey MRSA carriers and search for effective control measures in each NICU.