{"created":"2023-06-20T15:49:16.117484+00:00","id":1618,"links":{},"metadata":{"_buckets":{"deposit":"d0d26ee6-49ea-42da-95ce-2ea7db3b3a2d"},"_deposit":{"created_by":22,"id":"1618","owners":[22],"pid":{"revision_id":0,"type":"depid","value":"1618"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00001618","sets":["100:90:120"]},"author_link":["357","6392"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-12","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"14","bibliographicPageStart":"2","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"京都第二赤十字病院医学雑誌 "},{"bibliographic_title":"Medical journal of Kyoto Second Red Cross Hospital ","bibliographic_titleLang":"en"}]}]},"item_10001_description_12":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_description":"120004608668","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　現在はMRSAで代表される薬剤耐性菌などによる院内感染をいかに制御し予防するかが重要な時代となった．感染を防ぐには感染経路の遮断，即ち手指衛生が最も効果的である．しかし，手指衛生は啓蒙しなければ世界的にも実践されにくいのが現状である．　感染制御部門は微生物による感染動向を日々監視し，アウトブレイクが疑われた場合には病院長に速やかに報告する．病院長が中心となって病院全体で，危機管理の一環として，アウトブレイクの解決に迅速に取り組む必要がある．　感染制御には，耐性菌を「作らない活動」と「広げない活動」がある．耐性菌を作らないためには，主治医が抗菌薬を適正に使用することが最も重要である．耐性菌を広げないためには，手指衛生の推進，院内感染の実態把握，感染対策の指導，コンサルテーション，教育活動などをチーム医療で取り組む．　コンピュータ・ネットワークを利用した感染制御支援システムは，膨大な情報を自動的に集計管理できる．このシステムの導入により感染情報の共有化が可能になると同時に，院内感染対策上の問題点が迅速に明確となり，対策が早期にかつ飛躍的に向上することが期待される．　針刺し事故防止対策やB型肝炎，流行性ウイルス疾患，季節性インフルエンザのワクチン接種などにより職員を感染から守ることも重要である．","subitem_description_type":"Abstract"},{"subitem_description":"Under the advanced modern medicine, many hospitalized patients infected easily cause a weakened immune system. How to control and prevent the hospital-acquired infections is an important issue.\nAmong three elements to prevent the infection (removal of the source of infection, blocking the pathway, enhancement of the ability to fight infection), blocking the route of infection, i.e.hand hygiene, is the most convenient and effective. However, Semmelweiss lesson “hand washing”\nhas not been necessarily practiced all over the world.\nThe infection trend due to the microbe represented by MRSA is monitored by the infection control and prevention section everyday. When outbreak is doubted, it is immediately reported to the hospital head, and a quick action led by the hospital head is necessary for the solution as a part of the crisis control.\nTo prevent and control the hospital-acquired infections, there are “activities not make the resistant bacteria” and “activities not expand the microbes”. It is the most important that the physician who should know the condition of the patient well use the antibiotics appropriately so as not to make the resistant bacteria. As the activities not expand the microbes in a hospital, there are promotions of the hand hygiene, infection surveillance, guidance of infection measures, consultation, and the educational activities, etc. These activities are necessary to cope by medical team.\nInfection control support system using a computer network manages the huge information automatically and hopefully improves the infection control issues dramatically from earlier measure at the early stage.\nIt is also important to protect staff from infection due to hepatitis B, epidemic viral diseases and seasonal influenza by vaccination and prevention needlestick accidents.","subitem_description_type":"Abstract"}]},"item_10001_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"Under the advanced modern medicine, many hospitalized patients infected easily cause a weakened immune system. How to control and prevent the hospital-acquired infections is an important issue.\nAmong three elements to prevent the infection (removal of the source of infection, blocking the pathway, enhancement of the ability to fight infection), blocking the route of infection, i.e.hand hygiene, is the most convenient and effective. However, Semmelweiss lesson “hand washing”\nhas not been necessarily practiced all over the world.\nThe infection trend due to the microbe represented by MRSA is monitored by the infection control and prevention section everyday. When outbreak is doubted, it is immediately reported to the hospital head, and a quick action led by the hospital head is necessary for the solution as a part of the crisis control.\nTo prevent and control the hospital-acquired infections, there are “activities not make the resistant bacteria” and “activities not expand the microbes”. It is the most important that the physician who should know the condition of the patient well use the antibiotics appropriately so as not to make the resistant bacteria. As the activities not expand the microbes in a hospital, there are promotions of the hand hygiene, infection surveillance, guidance of infection measures, consultation, and the educational activities, etc. These activities are necessary to cope by medical team.\nInfection control support system using a computer network manages the huge information automatically and hopefully improves the infection control issues dramatically from earlier measure at the early stage.\nIt is also important to protect staff from infection due to hepatitis B, epidemic viral diseases and seasonal influenza by vaccination and prevention needlestick accidents.","subitem_description_type":"Other"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{},{}],"names":[{"name":"SHIMOTSUMA, Masataka"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"京都第二赤十字病院"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00357778","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0389-4908","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"下間, 正隆"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-10-18"}],"displaytype":"simple","filename":"MJKSRCH32_2.PDF","filesize":[{"value":"5.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kyo2_pdf000001","url":"https://redcross.repo.nii.ac.jp/record/1618/files/MJKSRCH32_2.PDF"},"version_id":"420c970f-d3a8-4ae9-b0ac-df32c89551af"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"院内感染","subitem_subject_scheme":"Other"},{"subitem_subject":"手指衛生","subitem_subject_scheme":"Other"},{"subitem_subject":"アウトブレイク","subitem_subject_scheme":"Other"},{"subitem_subject":"抗菌薬の適正使用","subitem_subject_scheme":"Other"},{"subitem_subject":"hospital-acquired_infections","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hand_hygiene","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"outbreak","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"antibiotics","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"病院内での感染を防ぐ仕組み","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"病院内での感染を防ぐ仕組み"},{"subitem_title":"How to control and prevent the infections in a hospital","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"22","path":["120"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-08-27"},"publish_date":"2012-08-27","publish_status":"0","recid":"1618","relation_version_is_last":true,"title":["病院内での感染を防ぐ仕組み"],"weko_creator_id":"22","weko_shared_id":22},"updated":"2023-12-19T06:03:46.180159+00:00"}