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

一般老年人或居家就医的人对感染的抵抗力较差。现在，它们正在增加。传染病和耐药细胞也在增加。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，我们的目标是根据在家接受治疗的证据来测量有关感染的数据。护理行为前手部和手指的污染明显，但护理行为后MRSA和粘质沙雷菌的致病性粘附在护士身上。从4例患者的身体或环境中检出MRSA，从患者的手指、手掌、袜子和护士的长袍中检出相同的MRSA菌株。在家中N站接受治疗的两名患者检出的MRSA是相同的菌株。上述县居家站护士换装、换衣频率为每周1 ~ 5次。在护士的长袍和袜子中检测到MRSA，这表明每个病人的长袍都应该更换。在访问时，从背部或汽车方向盘上检测到鲍曼不动杆菌或枯草芽孢杆菌。当我们一天访问几次时，我们必须注意触摸背部后的传染性污染。与居家治疗相关的工作人员自己照顾好自己，防止传染源，不用担心被居家医疗的学者传染，自己不带细菌就可以进行治疗。需要居家医疗的人数不断增加，未来我们希望在不同地区开展抗感染护理的建设。

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.