Japanese Society for Infection Prevention and Control-Online Journal

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Checklist for infection control in the emergency department

Junichi Sasaki¹, Yasukazu Shiino², Yasuyuki Kato³, Daisuke Kudo⁴, Masahisa Fujita⁵, Isao Miyairi⁶, Touru Mochizuki⁷, Hiroshi Okuda⁸, Tadashi Nagato⁹, Yoshiko Nabetani¹⁰, Takeshi Takahashi¹¹, and on behalf of Committee for Infection Control in the Emergency Department¹² and the Joint Working Group ^13,14,15,16
¹Department of Emergency and Critical Care Medicine, Keio University School of Medicine, ²Department of Acute Medicine, Kawasaki Medical School, ³Department of Infectious Diseases, International University of Health and Welfare School of Medicine, ⁴Division of Emergency and Critical Care Medicine, Tohoku University Graduate School of Medicine, ⁵Infection Control Team, Nippon Medical School Hospital, ⁶Division of Infectious Diseases, National Center for Child Health and Development, ⁷Infection Control Team, Nippon Medical School Musashi Kosugi Hospital, ⁸Division of Comprehensive Medicine, Tohoku University Graduate School of Medicine, ⁹Department of Internal Medicine, Chugoku Central Hospital, ¹⁰Division of Nursing, Osaka University Hospital, ¹¹National Hospital Organization Kumamoto Medical Center, ¹²Japanese Association for Acute Medicine, ¹³Japanese Society for Infection Prevention and Control, ¹⁴Japanese Association for Infectious Diseases, ¹⁵Japanese Society for Emergency Medicine, ¹⁶Japanese Society for Clinical Microbiology

The risk of encountering a variety of human-to-human infections, including emerging infectious diseases, should be adequately and appropriately addressed in the emergency department. However, no guidelines have been developed anywhere in the world based on sufficient evidence on infection control in the emergency department. Each facility examines and implements its own countermeasures. The Japanese Association for Acute Medicine has established the "Committee for infection Control in the Emergency Department" in cooperation with the Japanese Association for Infectious Diseases, the Japanese Society for infection Prevention and Control, the Japanese Society for Emergency Medicine, and the Japanese Society for Clinical Microbiology. A joint working group has been established to consider appropriate measures. This group conducted a comprehensive and multifaceted review of infection control measures for emergency outpatients and related matters, and released a Checklist for infection Control in Emergency Departments. This checklist has been prepared so that even small emergency departments with few or no emergency doctors can control infection by following the checklist, without committng any major mistakes. The checklist includes a control system for infection control, education, screening, and vaccination, promptly responding to suspected infections, and managing the risk of infection in facilities. In addition, the timing of the check and the interval at which the check is performed are specified as categories. We hope that this checklist will contribute to improving infection control in the emergency department.

Key words：emergency room (ER), infection prevention, occupational infection, vaccinations, environmental improvement

Received: December 25, 2019

35 (3)：110─149,2020