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Vol.34 No.3 contents | Japanese/English |
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Full Text of PDF (382K) Article in Japanese |
Influence of Medical Facilities with 300 Beds or More on the Infection Prevention and Control System at Outsourced Housekeeping Companies
Sumie MIZUNO1), Fumihiro YAGYU2) and Teiko MURAI3)
1)Department of Infection Control and Prevention, Akita Kousei Medical Center, 2)Dpt. of Human Ecology, Graduate School of Medicine, The University of Tokyo, 3)Toho University
Taking measures against nosocomial infections among housekeeping workers in medical facilities is essential for both the workers' health and prevention of further infections. We conducted questionnaire surveys to the fiduciaries of 1,895 housekeeping companies that are accredited by the Japan Health Enterprise Foundation and had 491 replies (25.9%.) The survey consisted of 16 questions concerning infection prevention and management practices (e.g., the presence of an infection prevention and control manual; a health examination at hiring; vaccinations; training sessions on infection control and prevention; meetings between the housekeeping staff and the fiduciary; and meetings with a client medical facility).
As a result, 13 out of the 16 above practices had statistically higher implementation rates among housekeeping companies with client facilities of 300 beds or more-irrespective of the number of the housekeeping company's employees (i.e., 100 workers or more or not.)
Nonetheless, the survey also the housekeeping workers' possible exposure to blood and/or body fluid. While 60.9% of the housekeeping companies with client facilities of 300 beds or more answered that they had an incidence of their workers' exposure to blood and/or body fluid at least once in the previous three years.
Many medical facilities with 300 beds or more have actually increased infection prevention measures-the Japanese medical fee system allows them to charge a higher fee for added prevention measures. However, in Japan, there are limited numbers of medical facilities with 300 beds or more, which may cast a shadow on the outlook that increased precautions can positively affect the rate at the housekeeping company level nationwide. It is urgent to raise awareness about infection prevention and control among housekeeping companies working in medical facilities.
Key words：infection prevention and control, nosocomial infections among housekeeping workers, housekeeping company, medical facility, numbers of beds
e-mail: akkansen＠akikumihsp.com
Received: September 7, 2018
Accepted: February 1, 2019
34 (3)：169─175,2019
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