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Nurses' awareness against nosocomial infection and onitoring of Methicillin resistant Staphyloccous aureus : a comparative study of developing country and Japan

护士对医院感染的认识及耐甲氧西林金黄色葡萄球菌的监测：发展中国家与日本的比较研究

基本信息

批准号：
15592235
负责人：
KAKINOHANA Shige
金额：
$ 2.18万
依托单位：
University of the Ryukyus
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

项目摘要

Nurses' awareness against nosocomial infection was examined by questionnaire and sixteen Laotian nurses' actual behaviors with standards precautions were observed for future reference from 2003 to 2004. Monitoring drug-resistant Staphylococcus aureus has been carried out in Laos since 1993. 151 nurses (respond rate 100%) for 5 community hospitals in Laos and 223 nurses (respond rate 50.5%) for 3 community hospitals in Okinawa answered the questionnaire. Most nurses thought that the nurses' roll and hand washing were very important to prevent hospital infection. 92% of Laotian nurses always thought about nosocomial infection, but 65% of Okinawan nurses always thought about it. 87% of nurses who wore gloves when touching body fluid substance, blood, urine and feces were in Lao and 88.7% in Okinawa. Other nurses answered "If available." 97% of nurses wore masks when taking care of tuberculosis patients in Lao, 3% didn't wear anything. 65.3% of nurses wore gowns in an infected patient care, but actual hand-washing was seen in only 10.4% of the necessary occasions in Laos. Individual nurses' hand-washing rates differ from each other. Then there is a difference between the rate of hand-washing before and after patient care. There were only a few nurses who washed their hands properly. We think that the necessary equipment and facilities for standard precaution are scarce in 2 hospitals. Monitoring of MRSA suggests that the hospitals are in the initial stage of an MRSA epidemic in Lao PDR. Infection control teams should be established and systematic surveillance should be carried out in the hospitals in Lao PDR. Therefore, systematic nursing education about infection control and careful monitoring of MRSA in Lao PDR are required.

采用问卷调查法对护理人员医院感染防范意识进行调查，并对2003~2004年16名老挝护理人员的实际行为进行了观察，制定了规范的预防措施，以供参考。自1993年以来，老挝一直在监测耐药金黄色葡萄球菌。老挝5所社区医院151名护士(应答率100%)和冲绳3所社区医院223名护士(应答率50.5%)进行问卷调查。大多数护士认为护士的卷筒和洗手对预防医院感染非常重要。92%的老挝护士总是想到医院感染，但65%的冲绳护士总是想到医院感染。接触体液物质、血液、尿液和粪便时戴手套的护士中，老挝占87%，冲绳占88.7%。其他护士回答：如果可以的话。在老挝，97%的护士在照顾结核病患者时戴口罩，3%的护士什么都不戴。65.3%的护士在护理感染病人时穿着长袍，但在老挝，真正洗手的情况只占必要场合的10.4%。个别护士的洗手率各不相同。那么病人护理前后的洗手率就有差别了。只有少数几个护士能正确洗手。我们认为，两家医院缺乏标准预防所需的设备和设施。对耐甲氧西林金黄色葡萄球菌的监测表明，老挝人民民主共和国的医院正处于耐甲氧西林金黄色葡萄球菌疫情的初期阶段。应建立感染控制小组，并在老挝人民民主共和国的医院进行系统监测。因此，需要对老挝人民民主共和国进行系统的感染控制护理教育和严密监测MRSA。