汚染された消毒剤と消毒剤に関連したヘルスケアアウトブレイク: スコーピングレビュー
Hiroaki Baba1, Hajime Kanamori2, Emily E Sickbert-Bennett3,4
1Department of Clinical Infectious Diseases, Internal Medicine, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Infection control and hospital epidemiology
|August 25, 2025
まとめ
汚染された消毒剤や消毒剤は 保健医療における感染症の発生の原因となり,その原因はしばしば 本質的な汚染や不適切な使用である. これらのリスクを理解し,適切な処理を行うことは,感染や死亡を防ぐための鍵です.
科学分野:
- 医療関連の感染症
- 感染対策
- 微生物学
背景:
- 以前のレビューでは,汚染された消毒剤と消毒剤に関連したアウトブレイクのユーザーエラーが強調されました.
- 規制にもかかわらず 流行が続いているため 認識と予防戦略の更新が求められています
研究 の 目的:
- 汚染された消毒剤と消毒剤に関連したアウトブレイクと偽アウトブレイクをレビューする.
- 疫病の特徴を更新し,予防戦略の強化を提案する.
主な方法:
- 2006年から2024年までのPubMedの文献検索
- 汚染された消毒剤と消毒剤に関連した21件のアウトブレイクと4件の擬似アウトブレイクのレビュー
主要な成果:
- 17件のアウトブレイク (81%) は,消毒剤 (例えば,クロルヘキシジン) または低レベルの消毒剤 (例えば,四次アンモニア化合物) を含んでいた.
- 感染は平均12例で55人が死亡しました
- 13件 (62%) のアウトブレイクは本質的に汚染された製品から発生し,7件 (33%) のアウトブレイクは不適切な慣行による外部汚染から発生した.
結論:
- 医療従事者は,汚染された消毒剤や消毒剤に伴うリスクを認識しなければなりません.
- 適切な調理と保管によって外的汚染を防ぐことは,患者の安全にとって極めて重要です.
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