日本112家医疗机构的个人防护装备管理：初步调查。

IF 3.9 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2025-04-24 DOI:10.1016/j.jhin.2025.03.016

T. Ohishi , S. Shinomiya , Y. Tsuda , H. Kurosu , T. Yoshikawa

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引用次数: 0

摘要

背景：个人防护装备（PPE）的管理对于通过保护卫生保健工作者来预防卫生保健相关感染至关重要。目的：本研究旨在全面阐明日本医疗机构个人防护装备管理的选择过程和现状，并收集有助于该国个人防护装备管理质量提高的证据。方法：于2024年2 - 3月对日本200家医疗机构的个人防护用品管理情况进行调查。结果：有效率为56.0%（112/200）。虽然99.1%的响应机构有文件化的个人防护装备使用规程，并提供全面培训（包括实用技能），但只有3.8%的机构将这种培训扩展到外包员工。58.0%的设施配备了多种尺寸的医用口罩，58.9%的设施配备了N95口罩适配性测试。此外，58.9%的设施结合环境查房和手卫生评估对个人防护装备管理情况进行监测和评估。结论：尽管样本量有限，但本研究是日本首次大规模调查个人防护用品使用情况。我们的发现为未来的调查提供了基础，并为建立最佳的ppe相关方案提供了证据。它们还可能有助于促进卫生保健相关的感染控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Personal protective equipment stewardship across 112 medical facilities: a preliminary survey in Japan

Background

The stewardship of personal protective equipment (PPE) is crucial in preventing healthcare-associated infections by safeguarding healthcare workers.

Aim

To comprehensively elucidate the selection process and current status of PPE stewardship in Japanese medical facilities and gather evidence that will contribute to the qualitative enhancement of PPE stewardship in the country.

Methods

A survey on PPE stewardship was conducted at 200 Japanese medical facilities between February and March 2024.

Findings

The response rate was 56.0% (112/200). While 99.1% of the responding facilities had documented protocols for PPE use and provided comprehensive training (including practical skills), only 3.8% extended this training to outsourced staff. Multiple sizes of surgical mask were available in 58.0% of the facilities, and 58.9% were equipped to conduct fit testing for N95 respirators. Moreover, 58.9% of the facilities monitored and evaluated PPE stewardship in conjunction with environmental rounds and hand hygiene assessments.

Conclusion

Despite the limited sample size, this study is the first large-scale survey of PPE use in Japan. Our findings provide a basis for future surveys and evidence for establishing optimal PPE-related protocols. They may also contribute to the advancement of healthcare-associated infection control.

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.