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Vol.33 No.5 contents | Japanese/English |
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Full Text of PDF (248K) Article in Japanese |
Virus Infection Control Based on the Second Edition of the Vaccine Guideline for Healthcare Professionals
Isamu KAMIMAKI1)2), Yuki FUKUMOTO2), Tamami KUDO2) and Tomohiko GOTO3)
1)National Hospital Organization Saitama National Hospital Pediatric/Perinatal Center, 2)National Hospital Organization Saitama National Hospital Infection Control Team, 3)National Hospital Organization Ibarakihigashi National Hospital
In 2014, the second edition of the Vaccine Guideline for Healthcare Professionals (Guideline below) was released. According to the guideline, we investigated the history of immunization and management of virus antibody titers for measles, rubella, varicella, and mumps. The infection control team collected copies of maternal and child healthcare handbooks from officials and information on their past virus antibody titers. Subsequently, we created a database with information on the results of the virus antibody titers used at our hospital.
The submission rate of copies of maternal and child healthcare handbooks was 8% of the incumbent and 60% of the new recruits. For the antibody titers, information was collected from electronic medical charts. According to the guideline, cases suitable for immunization were categorized into the three following groups: first, those with two vaccination records; second, those whose antibody titers satisfied the criteria twice, and third, those with antibody-positive vaccination that did not meet the criteria. We decided as immunized enough were follows, 155 (33%) of measles, 145 (30.9%) of rubella, 116 (24.7%) of varicella, and 115 (24.5%) of mumps. In many cases, the vaccination record could not be confirmed. This is because of the many lost maternal and child healthcare handbooks and many inadequate vaccination records after adulthood. In our hospital, we created a database of vaccination history and antibody titers of all the staff members. Every year, the infection control team evaluates and informs about recommended measures, making it possible for hospitals and individuals to manage. Henceforth, we propose to manage them in a common format for healthcare professionals.
Key words：viral infection, guideline, maternal and child healthcare handbook
e-mail: ikami＠wakho.hosp.go.jp
Received: October 31, 2017
Accepted: June 6, 2018
33 (5)：203─206,2018
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