24 61 1 2011 調査 研究 1 2 1 1 2 4 1 3 4 1 2 1 2 1 2 1 2 2 1 1 2 3 4 2010 11 11 2011 1 7 Infection Control in an Endoscopy Room Multi - society Guideline and Current Status at Fukushima Medical University Hospital MASAKO ITABASHI 1 2, TAKUTO HIKICHI 1, YORIKO MIZUNO 1 2 4, YUKIE YAMADA 1 3 4, YUMIKO NAKAJIMA 1 2, MIKA KATO 1 2, YURI SAITO 1 2, MICHIKO SATO 1 2, FUMIKO MEGURO 2 and KATSUTOSHI OBARA 1 1 Department of Endoscopy, 2 Division of Nursing, 3 Division of Clinical Laboratory Fukushima Medical University Hospital, Fukushima, 960-1295, Japan, 4 Gastroenterological Endoscopy Technician : 2008 2010 1 6,000 : Abstract : As gastroenterological endoscopy has spread widely, endoscopy - related infections have become a serious problem. For this reason, the Multi - society Guideline was published in Japan in 2008. Our Fukushima Medical University Hospital Endoscopy Room, which consists of 4 endoscopic examination rooms and other facilities, was remodeled according to this guideline in January 2010. All staff now : E - mail : takuto@fmu.ac.jp GACT http://www.sasappa.co.jp/online/
9 : 25 work daily with infection control in mind. 1 At the time of the remodel, we changed the layout inside the endoscopic examination rooms so that the staff s line of movement does not cross patients. 2 We also improved the structures of the hand - wash sinks, sanitary tanks, cleaning room, and lavatory. Furthermore, 3 in accordance with the concept of standard precautions, we wear personal protective equipment during endoscopic examination to prevent patient - to - staff transmission of infections, and 4 we change linens, cotton gauzes, and cups after each patient use and clean the light sources to prevent patient - to - patient infection transmission. 5 The endoscopes used are cleaned and high - level disinfected both manually and mechanically, and the details of this job are recorded in a document. At our hospital, more than 6,000 patients per year undergo gastrointestinal endoscopy, but no noticeable endoscopy - related infections have occurred so far. We will always remember infection control, and try to provide patients with safe and high - quality gastrointestinal endoscopy. Key words : endoscopy room, infection control, Multi - society Guideline, standard precautions, disinfection I. H. pylori 1 1995 6 2-2008 7 4 II. 2010 1 9 1 2 4 3
26 61 1 2011 1. A B C D E F 2. A B C D E 3. A B
9 : 27 4. A B 2 4A 1 2 1 1 2 4B 1 2 5 5. 6.
28 61 1 2011 7. A B 6 3 1 7A 7B 1% 6 III. personal protective equipment
9 : 29 8. A B C HCV B HBV H. pylori 1 8 9 HIV 10 8A 8B 9. 9 10
30 61 1 2011 10. 11. 12. 80% 3
9 : 31 13. A B 11 80% 12 13A 13B IV. 28 16 1 4 5 54 1 11 OER - 2 SolemioENDO 14 14.
32 61 1 2011 1 Getinge 8666 GETINGE : 15 93 10 1 1 15. 135 20 V. 2010 10 2 5 3 1 1 1 2 1 1 1 1 2
9 : 33 2009 6,139 4,331 1,540 233 32 3 1. Helicobacter pylori ENDOSC FORUM for digestive disease, 9 : 7-11, 1993. 2. ENDOSC FORUM for digestive disease, 11 : 18-23, 1995. 3. 16 : 57-63, 1996. 4. Gastroenterol Endosc, 40 : 2022-2034, 1998. 5. 2 32 : 82-96, 2004. 6. 3 p 53-63, 2006. 7. 2008 8. 3 Gastroenterol Endosc, 42 : 308-313, 2000. 9. Mitchell HM, Lee A, Carrick J. Increased incidence of Campylobacter pylori infection in gastro enterologists : further evidence to support person - to - person transmission of C. pylori. Scand J Gastroenterol, 24 : 396-400, 1998. 10. Centers for Disease Control and Prevention : Human immunodeficiency virus infections in health - care workers exposed to blood of infected patients. MMWR, 36 : 285-289, 1987. 11. 2 58 : 193-199, 2008