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Vol.35 No.4 contents | Japanese/English |
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Full Text of PDF (398K) Article in Japanese |
Reduction in Bacterial Isolation Rate with Improved Compliance for the Use of Alcohol-based Hand Rub
Akiko MURATA1)2), Kaoru KAWASHIMA2), Eiji HATAKEYAMA1)2), Ayaka YAMAZAKI1)2), Katsuki MATSUMOTO1)2), Takashi FUKASAWA1)2), Natsuki MATSUMOTO2), Akane KAMIYA2) and Hiroyuki FUJITA2)
1)Department of Pharmacy, Saiseikai Yokohamashi Nanbu Hospital, 2)Infection Control Team, Saiseikai Yokohamashi Nanbu Hospital
A retrospective investigation was conducted to determine whether the use of an alcohol-based hand rub was correlated with the isolation rate of methicillin-resistant Staphylococcus aureus (MRSA) or Serratia marcescens and extended-spectrum beta-lactamase(ESBL)-producing Escherichia coli causing acquired nosocomial infection. To increase the use of alcohol-based hand rub, in 2014, we supervised the hand hygiene method used by each nurse and formed a study group to prevent nosocomial infection in each ward. In addition, we decided to make each nurse carry a personal alcohol-based hand rub from 2016. Thus, the usage rate for appropriate hand hygiene (L/1,000 patient days) increased from 4.42 to 11.0 in general wards and from 19.5 to 65.3 in critical departments before and after the approach. MRSA isolation rate (detection number/1,000 patient days) significantly decreased from 0.58 to 0.35 (p<0.05) in general wards and from 4.57 to 3.40 in critical departments. The rate of S. marcescens infection reduced from 0.08 to 0.06 in general wards and from 1.37 to 0.13 in critical departments (p<0.05). Moreover, ESBL-producing E. coli reduced from 0.17 to 0.13 in general wards and from 0.46 to 0.38 in critical departments.
To maintain a low bacterial isolation rate, we recommend educating and guiding nurses and all medical health professionals to more frequently use alcohol-based hand rubs.
Key words：hand hygiene, alcohol-based hand rub, MRSA, bacterial isolation rate
e-mail: ako.61022＠gmail.com
Received: October 6, 2019
Accepted: April 27, 2020
35 (4)：163─167,2020
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