Development of Barrier precautions in Nursing Practice

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Considering the importance of the prevention of the nosocomial infection by bacteria like MRSA traditional nursing art in infection control was reexamined, and the development of a new method has been tried. The approach of taking the precautions in the care of all patients is necessary, because infectious agents can be carried for all patients. Under this approach "Bacterial Infection Protection in Hospitals" has been already proposed. When the contact with the substance in which bacteria can exist in great numbers is anticipated in patient care, the precaution by the protection (glove, mask, protecting gown, etc.) is taken in this method.On the other hand, the prevention of the viral infection through blood and body fluid such as HCV and HIV is also important as not only patient but also problem of the nosocomial infection including hospital personnel. Then, "blood and body fluid protection" was prepared in this study.By combining the above two precautions, "Barrier Precautions in Hospitals" was developed. Then it was carried out experimentally by the nursing staff in one university hospital and three general hospitals in Kanagawa, Saitama and Ishikawa prefectures. The result showed that "Barrier Precautions in Hospitals" seemed o be practicable and to be utilized by the nursing staff if appropriate protection supplies and teaching programs are provided.