論文

査読有り 国際誌
2019年1月

Changes in health care-associated infection prevention practices in Japan: Results from 2 national surveys.

American journal of infection control
  • Fumie Sakamoto
  • ,
  • Keiko Asano
  • ,
  • Tomoko Sakihama
  • ,
  • Sanjay Saint
  • ,
  • M Todd Greene
  • ,
  • Payal Patel
  • ,
  • David Ratz
  • ,
  • Yasuharu Tokuda

47
1
開始ページ
65
終了ページ
68
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.ajic.2018.06.015

BACKGROUND: A national survey conducted in 2012 revealed that the rates of regular use of many evidence-based practices to prevent device-associated infections were low in Japanese hospitals. We conducted a second survey 4 years later to evaluate changes in infection prevention practices. METHODS: Between July 2016 and January 2017, the instrument used in a survey of Japanese hospitals in 2012 was sent to 1,456 Japanese hospitals. The survey assessed general hospital and infection prevention program characteristics and use of practices specific to preventing catheter-associated urinary tract infection (CAUTI), central line-associated bloodstream infection (CLABSI), and ventilator-associated pneumonia (VAP). Independent sample chi-square tests were used to compare prevention practice rates between the first and second surveys. RESULTS: A total of 685/971 (71%) and 940/1,456 (65%) hospitals responded to the first and second surveys, respectively. For CAUTI, only use of bladder ultrasound scanners (11.1%-18.1%; P < .001) increased. For CLABSI, use of chlorhexidine gluconate for insertion site antisepsis (18.5%-41.1%; P < .001), antimicrobial dressing with chlorhexidine (3.4%-7.1%; P = .001), and central line insertion bundle (22.9%-33.0%; P < .001) increased. For VAP, use of semirecumbent positioning of patients (65.0%-72.3%; P = .002), sedation vacation (31.5%-41.6%; P < .001), oscillating/kinetic beds (4.7%-8.6%; P = .002), and a collective VAP prevention bundle (24.8%-34.8%; P < .001) increased. Fewer than 50% of Japanese hospitals reported conducting CAUTI and VAP surveillance. CONCLUSIONS: Collaborative approaches and stronger incentives promoting infection prevention efforts may be warranted to further increase use of most evidence-based practices to reduce common health care-associated infections in Japan.

リンク情報
DOI
https://doi.org/10.1016/j.ajic.2018.06.015
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30172609
ID情報
  • DOI : 10.1016/j.ajic.2018.06.015
  • ISSN : 0196-6553
  • PubMed ID : 30172609

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