@article{oai:nagasaki-u.repo.nii.ac.jp:00026812,
 author = {山田, 絵理佳 and 松浦, 江美 and 福田, 治久},
 journal = {保健学研究, Health Science Research},
 month = {Jul},
 note = {目的：接触感染による伝播から環境表面の洗浄と消毒が重要視され，複合型塩素系除菌・洗浄剤ルビスタ®の導入が増えている．本研究では，複数の病院を対象に，感染対策製品（手指消毒用アルコール製品，環境清拭用クロス製品）の使用状況及び抗菌薬使用量とMRSA検出率との関連について検証した．
方法：調査協力病院より，2015年 4 月～2017年 9 月におけるDPCデータ，JANISデータ，手指消毒用アルコール製品及び環境清拭用クロス製品の払出量データを収集した．MRSA検出率，手指消毒用アルコール製品消費量，環境清拭用クロス製品消費量，抗MRSA薬使用密度を算出し，これらについて病院別に年度比較を行い，各相関係数を算出した．
結果：頻用されている環境清拭用クロス製品は，第四級アンモニウム塩製品・アルコール製品の併用であった．しかし，ルビスタ®を他製品と併用している部署が全体の約 3 割を占めていた．また，病院全体として2016年度の感染対策製品の消費量が増加しており，MRSA検出率との間に正の相関が認められた．ルビスタ®の導入とMRSA検出率との関連性については，解析対象が少なく統計解析が行えなかった．
結論：病院における感染対策製品の使用状況について明らかとなった．
Introduction: Cleaning and disinfection of environmental surfaces is becoming increasingly important as a measure against transmission by contact infection, and there has been increasing introduction of the complex-type chlorine-based disinfectant cleaner, Rubysta®. This study verified the usage status of infection control products (alcohol-based hand disinfectants and environmental surface disinfectant wipes) and the relationship between the amount of antimicrobial agents used and the MRSA detection rate in multiple hospitals.
Methods: The data collected from the hospitals cooperating in the study consisted of DPC data, JANIS data, payout quantities of alcohol-based hand disinfectants and environmental surface disinfectant wipes from April 2015 to September 2017. The collected data was used to calculate MRSA detection rate, consumption quantity of alcohol-based hand disinfectants and environmental surface disinfectant wipes, and antimicrobial use density of anti-MRSA agents, from which yearly comparisons and correlation coefficients were calculated for each hospital.
Results: It was found that both quaternary ammonium salts and alcohol-based products were most frequently used as environmental surface disinfectant wipes. However, about 30% of departments had used Rubysta® in combination with other products. In addition, the amount of infection control products consumed by the hospitals overall increased in 2016, and it was found that the consumption quantity of infection control products correlated with the MRSA detection rate. However, regarding the effect of introducing Rubysta® on the MRSA detection rate, there were too few analysis targets and hence statistical analysis could not be performed.
Conclusion: This study clarified the usage status of infection control products in multiple hospitals., 保健学研究, 34, pp.31-38; 2021},
 pages = {31--38},
 title = {病院における感染対策製品の使用状況とMRSA検出率との関連},
 volume = {34},
 year = {2021}
}