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Vol.34 No.5 contents | Japanese/English |
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Full Text of PDF (308K) Article in Japanese |
Initiative for the Proper Use of Disinfectants in Hospitals
Tomohide SHIMODAIRA1)2), Itaru NAKAMURA2), Yoshiyuki FURUMI1), Atsuo INUBUSE1), Hiroshi SOEDA1)2), Ayako KOMATSU2), Tsukako HAYAKAWA2), Akihiro SATO2), Akira MAE1) and Hidehiro WATANABE2)
1)Department of Pharmacy, Tokyo Medical University Hospital, 2)Department of Infection Prevention and Control, Tokyo Medical University Hospital
The use of disinfectants in our hospital was inconsistent because of the large number of disinfectant items available in the field. We set up a project team for the purpose of ensuring the proper use of disinfectants in the hospital (i.e., the Disinfectant Stewardship Team). We then interviewed all departments to investigate their actual use of disinfectants. Based on these interviews, we tried to standardize the method for using disinfectants.
We conducted an interview comprising 25 items in all 71 departments, including wards and outpatients, central medical, and administrative departments, wherein 629 disinfectants were used from April 2015 to March 2016. Referring to the interview results and guidelines, we revised the hospital's infectious disease control manual.
As a result of the interviews, we identified the disposition of several improper and unnecessary uses of disinfectants scattered throughout the departments. Therefore, we reviewed and organized the appropriate use of disinfectants. The infectious disease control manual was also revised into a pocket manual to encourage proper use and disseminated to the staff. We accepted questions about nonrecommended use of disinfectants after this revision. Then, the Disinfectant Stewardship Team answered the questions. Following the implementation of the above measures, the recommended disinfectant delivery rates increased from 48.8% to 52.9% and the inadvisable disinfectant delivery rates decreased from 8.6% to 1.2%.
It was suggested that standardization could be achieved after the situation of disinfectant use was understood by performing interventions based on field confirmations and interview surveys regarding the proper use of disinfectants.
Key words：disinfectants, proper use, infectious disease control manual
e-mail: shimo＠tokyo-med.ac.jp
Received: November 28, 2018
Accepted: June 3, 2019
34 (5)：254─259,2019
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