Japanese Society for Infection Prevention and Control-Online Journal

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Survey on Respiratory Infection Measures in Institutions for Patients with Severe Motor and Intellectual Disabilities

Naoki TAKAYAMA¹⁾²⁾, Mayumi AMINAKA¹⁾, Namiko MORI¹⁾, Masahiro SHIRAI²⁾, Atsushi TOYODA²⁾, Retsu FUJITA³⁾ and Midori NISHIOKA¹⁾
¹⁾National College of Nursing, Japan, ²⁾National Healthcare Organization Tenryuu Hospital, ³⁾Teikyo University

Respiratory infection is the leading cause of death in patients with severe motor and intellectual disabilities (SMID). The purpose of this study was to elucidate the measures being taken to combat respiratory infection in institutions for patients with SMID. The subjects included one person responsible for Ryouiku and one person responsible for nursing at each of the 202 institutions for patients with SMID in Japan. Self-administered questionnaires were sent to the subjects via mail. Ryouiku surveys were collected from 120 institutions (59%) and nursing surveys from 112 institutions (55%). Approximately half of the institutions had gone through outbreaks of respiratory infections in the past year, during which group Ryouiku with patients showing symptoms of infection and joint Ryouiku among multiple wards had been cancelled. Group Ryouiku and activities on the floor were practiced at many of the institutions, suggesting that the respiratory infection transmission route was via therapy mats and toys. Symptom screening to prevent people from bringing in infectious disease was conducted at a high rate for student apprentices but not at a sufficient rate for staff, teachers, and volunteers. Therefore, in the future, it will be necessary to promote symptom screening and respiratory syndrome surveillance.

Key words：patients with severe motor and intellectual disabilities (SMID), respiratory tract infection, infection control, Ryouiku

e-mail: takayaman＠d17.ncn.ac.jp

Received: October 6, 2017
Accepted: May 25, 2018

33 (5)：213─219,2018