Bacteriological study about prevention on infection in elder people received treatment at home Community nursing based on evidence

预防老年人居家治疗感染的细菌学研究 循证社区护理

• 批准号: 15592323
• 负责人: WATARAI Mutsuko
• 金额: $ 1.79万
• 依托单位: Tokyo Healthcare University (2005)Yamagata Prefectural University of Health Science (2003-2004)
• 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
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592323/
• 关键词: Home nursing; Infection; Visiting care; Hand-washing; MRSA; Bacteria; Infection control; Pulse field gel electrophoresis; 在宅感染; 手指; Serratia marcescens; 吸引物品; パルスフィールド; 在宅; 予防衣

Generally elder people or person of at-home medical treatment is compromised host against infection. Now they are increasing. The infectious disease and resistant cells are also increasing. In addition prevention of infection in homes and outbreak of infectious disease are future important problems.In current study, we aimed that we measure the data concerning infections based on evidence in received treatment at home. The contamination from the hands and fingers before nursing deed was outstanding evident but MRSA and serratia marcescens of pathogenicity stuck to a nurse after nursing deed.The MRSA was detected from the body or environment of four patients and same strains of MRSA from the patient was detected from fingers, palm, socks, and gowns of nurses. The MRSA detected from two patients who had received treatment at home station N was the same strains. The exchange frequency of clothes and gowns for nurses at home station in the above-mentioned prefecture was 1 to 5 times a week. The MRSA was detected in gowns and socks from nurses, and this evidences indicated gowns on every one patient should be exchanged. From a back for visit or a steering wheel of a car to use at the time for a visit, acinetobacter baumannii or bacillus subtilis was detected after a visit. When we visit several times on a day, we must pay attention for infectious contamination after touching the back for a visit. The staffs associated with treatment at home care enough by their self and prevent the source of infection, and without worrying about infection from a scholar of at-home medical treatment of others, they can perform treatment if they do not bring bacteria. Person who needed at-home medical treatment increases and we want to perform the construction of nursing against infection in the different areas in future.

一般老年人或居家医疗者对感染的抵抗力较差。现在他们正在增加。感染性疾病和抗性细胞也在增加。此外，预防家庭感染和传染病的爆发是未来的重要问题。在目前的研究中，我们的目标是，我们衡量的数据，有关感染的证据的基础上，在家里接受治疗。护理前手和手指污染明显，护理后有1名护士粘有MRSA和致病性粘质沙雷氏菌，4名患者的身体或环境中均检出MRSA，护士的手指、手掌、袜子、罩衣中均检出同一株MRSA。从两名曾在家庭站N接受治疗的患者中检出的MRSA为同一菌株。在上述地区，护士在家站更换衣服和长袍的频率为每周1 - 5次。从护士的工作服和袜子中检测到MRSA，这一证据表明每个病人都应该更换工作服。在就诊后，从就诊背部或就诊时使用的汽车方向盘上检测到鲍曼不动杆菌或枯草芽孢杆菌。当我们一天内多次访问时，我们必须注意触摸背部进行访问后的传染性污染。与家庭治疗相关的工作人员自己照顾足够，防止感染源，而不必担心其他人的家庭医疗学者的感染，如果他们没有带来细菌，他们就可以进行治疗。需要居家医疗的人数增加，我们希望未来能在不同地区进行预防感染的护理建设。

项目成果

Prevention of infection and the making of physical strength

感染的预防和体力的建设

• 发表时间: 2005
• 期刊: The plan of infectious prevention and sterilization at the home care, (in Japanese) Vol.3.No.4
• 作者: M.Komatsu;Y.Okayama;K.Misaka;Mutsuko Watarai
• 通讯作者: Mutsuko Watarai

感染予防と体力づくり

预防感染和增强体力

• 发表时间: 2005
• 期刊: 在宅ケアの感染対策と消毒 Vol.3.No.4
• 作者: 小松光代;岡山寧子;木村みさか;渡會 睦子;玉木 敦子;渡會 睦子
• 通讯作者: 渡會 睦子

在宅ケアと感染制御 在宅における感染制御の基礎知識 在宅ケアにおける感染制御の特殊性.

家庭护理和感染控制 家庭感染控制基础知识 家庭护理感染控制专业。

• 发表时间: 2005
• 作者: 渡會 睦子;小林寛伊編
• 通讯作者: 小林寛伊編

A study about a nursing home

关于疗养院的研究

• 发表时间: 2005
• 期刊: The plan of infectious prevention and sterilization at the home care, (in Japanese) Vol.3.No.2
• 作者: 岡山寧子;小松光代;木村みさか;Mutsuko Watarai
• 通讯作者: Mutsuko Watarai

The study of infectious prevention in the patient received home care ; bacterial examination on the home caring

家庭护理患者感染预防研究；

• 发表时间: 2004
• 期刊: Japanese Society Of Environmental Infections, (in Japanese) 19.1
• 作者: Mutsuko Watarai;Junko Goto;Asako Hiratsuka;Minako Kobayashi;Takao Yamashita;Mikio Matsuda;Atsuko Hara
• 通讯作者: Atsuko Hara