{"created":"2023-06-19T07:50:41.173948+00:00","id":238,"links":{},"metadata":{"_buckets":{"deposit":"f3a26e86-d009-4361-971a-d268a50b707f"},"_deposit":{"created_by":3,"id":"238","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"238"},"status":"published"},"_oai":{"id":"oai:seisen-u.repo.nii.ac.jp:00000238","sets":["79:82"]},"author_link":["1772","1774","1773","1766","1771","1768","1767","1770","1769"],"item_1_alternative_title_5":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_alternative_title":"チュウシン ジョウミャク カテーテル カンレン ノ ケツリュウ カンセン ボウシ ヘノ トリクミ"}]},"item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-04","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"83","bibliographicPageStart":"79","bibliographicVolumeNumber":"1","bibliographic_titles":[{"bibliographic_title":"聖泉看護学研究"},{"bibliographic_title":"Seisen journal of nursing studies","bibliographic_titleLang":"en"}]}]},"item_1_creator_6":{"attribute_name":"著者名(日)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松永, 早苗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"今井, 恵"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"本城, 智絵"}],"nameIdentifiers":[{}]}]},"item_1_creator_7":{"attribute_name":"著者名よみ","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"マツナガ, サナエ"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"イマイ, メグミ"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"ホンジョウ, チエ"}],"nameIdentifiers":[{}]}]},"item_1_creator_8":{"attribute_name":"著者名(英)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Sanae, Matsunaga","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Megumi, Imai","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Chie, Honjyo","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_1_description_1":{"attribute_name":"ページ属性","attribute_value_mlt":[{"subitem_description":"P(論文)","subitem_description_type":"Other"}]},"item_1_description_11":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"背景/目的 A病院では, 中心静脈カテーテルに関連した血流感染 (Catheter Associated Blood Stream Infection:以下CA-BSIと略す) を防止するため, 既存のガイドラインからA病院にできる感染対策を導入し, CA-BSIサーベイランスで評価を行った. その結果と今後の課題を報告する. 方法 2006年8月～2009年8月まで継続したCA-BSIデータを前向き能動的 (感染管理認定看護師が情報を収集) に情報を収集した. CA-BSI判定は, NNISの基準にA病院の現状を追加した. 分析 CA-BSI予防策導入前後のデータをχ 2 乗値と感染率の減少率で分析した. 導入したCA-BSI防止策 2007年9月閉鎖式輸液セットを, 2008年9月マキシマル・バリア・プリコーションを導入し, 感染防止マニュアル, 看護手順の改定と導入に伴う教育を行った. 結果及び考察 閉鎖式輸液システム導入前後のCA-BSIサーベイランス結果は, χ 2値1.83, p値0.176で統計学的な有意差はなかった. しかし, CA-BSIの減少率は48.7%であり, 閉鎖式輸液システム導入は, CA-BSI減少に影響を与えた. 次に, マキシマル・バリア・プリコーション導入前後の結果は, χ 2 値5.19, p値0.023で統計学的な有意差があった. さらに, CA-BSIの減少率は87.2%と高値であり, CA-BSI予防に効果的であった. 結論と課題 導入したCA-BSI予防策は, A病院でのCA-BSIを低減させた. また, データで結果を示せることは, 次の改善策を提言できる材料となる. 更なるCA-BSI予防策として, 継続したサーベイランスの実施と定期的に新たな感染対策を実施するべきか検討する必要がある.","subitem_description_type":"Other"}]},"item_1_description_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"At the A hospital, it introduced the infection measure to form in the A hospital from existing guideline to prevent from the bloodstream infection (Catheter Associated Blood Stream Infection: hereinafter, abbreviate with CA-BSI ) which is related with the central vein of suprarenal gland catheter and it evaluated by the CA-BSI surveillance.It implemented the CA-BSI surveillance which was continued until August, 2006 - August, 2009 and it introduced a closed-system fluid-infusion set in September, 2007, a Maximal barrier precaution in September, 2008. There was not a statistical significant difference in the CA-BSI surveillance result before and after closed-system fluid-infusion system introduction. However, the decrement of CA-BSI was nearly 50 % and the introduction of the closed-system fluid-infusion system had an influence on the CA-BSI decrease.Next, statistically, the decrement of CA-BSI, too, showed a high price and the result before and after Maximal barrier precaution introduction was effective as the CA-BSI prevention. The introduced CA-BSI preventive made CA-BSI in the A hospital reduce. Also, that the result of the infection prevention plan can be shown by the surveillance becomes the material which can propose the following reform measure. It reviews the implementation of the surveillance which was continued as further CA-BSI preventive and fluid-infusion creating in the clean bench.","subitem_description_type":"Other"}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.34359/00000238","subitem_identifier_reg_type":"JaLC"}]},"item_1_source_id_13":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA12578604","subitem_source_identifier_type":"NCID"}]},"item_1_text_10":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"School of Nursing,Seisen University"},{"subitem_text_language":"en","subitem_text_value":"School of Nursing,Seisen University"},{"subitem_text_language":"en","subitem_text_value":"Certified of Infection Control Nurse in Yasu Hospital"}]},"item_1_text_2":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_text_value":"資料"}]},"item_1_text_9":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"聖泉大学看護学部"},{"subitem_text_value":"聖泉大学看護学部"},{"subitem_text_value":"特定医療法人社団御上会野洲病院"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-05-18"}],"displaytype":"detail","filename":"KJ00008587859.pdf","filesize":[{"value":"585.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00008587859","url":"https://seisen-u.repo.nii.ac.jp/record/238/files/KJ00008587859.pdf"},"version_id":"c5dad985-ecea-45ba-aeee-696a4d50914b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"中心静脈カテーテル関連感染 (CA-BSI)","subitem_subject_scheme":"Other"},{"subitem_subject":"サーベイランス","subitem_subject_scheme":"Other"},{"subitem_subject":"感染率 /感染対策","subitem_subject_scheme":"Other"},{"subitem_subject":"catheter of the central vein associated blood stream infection (CA-BSI)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"the surveillance of CA-BSI","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"the infection percentage","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"infection control","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"中心静脈カテーテル関連の血流感染防止への取り組み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"中心静脈カテーテル関連の血流感染防止への取り組み"},{"subitem_title":"The Efforts to Prevention for Catheter of the Central Vein","subitem_title_language":"en"}]},"item_type_id":"1","owner":"3","path":["82"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-05-18"},"publish_date":"2015-05-18","publish_status":"0","recid":"238","relation_version_is_last":true,"title":["中心静脈カテーテル関連の血流感染防止への取り組み"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-19T08:03:00.130138+00:00"}