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生理検査室におけるざっくり感染対策

 生理検査室におけるざっくり感染対策

2020年5月 Zoom×オンラインセミナー
オンライン配信分に口頭説明の内容を加筆したものです。前半は感染対策の基礎、後半は生理検査室における感染対策をどのように行っていけばよいか、のポイントについて説明しています。
2020年5月22日 「空気感染と飛沫感染」のページを一部修正しました。

mackerel385

May 04, 2020
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  1. ඪ४༧๷ࡦͱ͸ ײછରࡦͷجຊͱͳΔ΋ͷ w ໨తɹײછɾ఻೻ͷ๷ࢭ w దԠɹ͢΂ͯͷױऀ ײછ঱ͷ਍அͷ༗ແɺਪఆ͞ΕΔපଶʹ͔͔ΘΒͣ  w 11&

    ݸਓ๷ޢ෰ ͷద੾ͳ࢖༻ɹγνϡΤʔγϣϯʹԠͯ͡࢖༻͢Δ w खચ͍ खࢦফಟ  ɹ໨ʹݟ͑ΔԚΕ͕͋Δ৔߹ˠੴݨͱྲྀਫʹͯӴੜతखચ͍ ɹͦΕҎ֎ͷ৔߹ˠࡲࣜফಟΞϧίʔϧ੡ࡎʹΑΔखࢦফಟ ɹ˞ΞϧίʔϧͰͷফಟޮՌ͕ͳ͍ඍੜ෺ʹ઀৮ͨ͠ޙ͸ɺӴੜతखચ͍Λߦ͏ ࢀߟɹҩྍݱ৔ʹ͓͚ΔखࢦӴੜͷͨΊͷ$%$ΨΠυϥΠϯ ೥
  2. ײછܦ࿏ͱ༧๷ࡦ ఢ ײછܦ࿏ Λ஌Γɺݾ ༧๷ࡦ Λ஌Ζ͏ ײછܦ࿏ ఆٛ ࣬ױɾපݪମ ༧๷ࡦ

    ۭؾײછ පݪମΛؚΉඈລ֩·ͨ͸ਖᆍΛ ͡Μ͍͋ ະײછऀ͕ٵ͍ࠐΈɺײછΛى͜͢ ݁֩ɺຑ਄ɺਫ౱ ଳঢ়᙮਄ ױऀͷӄѹݸࣨ΁ͷೖࣨ /ϚεΫͷண༻ ඈລײછ පݪମΛؚΉඈລΛະײછऀ͕ٵҾ͢Δ͔ɺ ඓ΍໨ͳͲͷ೪ບ૊৫ʹ෇ண͢Δ͜ͱʹΑΓ ײછΛى͜͢ ΠϯϑϧΤϯβɺ෩਄ ϚΠίϓϥζϚɺඦ೔֏ ֏Τνέοτͷࢦಋ αʔδΧϧϚεΫͷண༻ ःṭ෺ ΧʔςϯͳͲ  Ͱͷ๷ޚ ઀৮ײછ ײછऀͱ௚઀తʹ઀৮ɺ·ͨ͸Ԛછ͞Εͨ ػث΍ث۩ͳͲΛհͯ͠ɺؒ઀తʹ ະײછऀ͕઀৮͢Δ͜ͱʹΑΓײછΛى͜͢ ༀࡎ଱ੑە .34"ͳͲ  C. difficileɺᙥᚔ ϩλ΢Πϧε ௎؅ग़݂ੑେ௎ە 11& ݸਓ๷ޢ෰ ͷண༻ खࢦফಟͷపఈ ױऀͷݸࣨ΁ͷऩ༰
  3. ײછରࡦɹجຊͷ͖ खࢦӴੜͷλΠϛϯάɺ஌͍ͬͯ·͔͢ʁ w ױऀʹ৮ΕΔલ w ਗ਼ܿʗແەૢ࡞ͷલ w ମӷʹ๫࿐͞ΕͨՄೳੑͷ͋Δ৔߹ w ױऀʹ৮Εͨ͋ͱ

    w ױऀपลͷ෺඼ʹ৮Εͨ͋ͱ 8)0(VJEFMJOFTPOIBOEIZHJFOFJOIFBMUIDBSF <'VMMWFSTJPO>IUUQXIRMJCEPDXIPJOUQVCMJDBUJPOT@FOHQEG <4VNNBSZ>IUUQXIRMJCEPDXIPJOUIR8)0@*&3@141@@FOHQEG
  4. खࢦӴੜ खચ͍ͱखࢦফಟɺͲͪΒΛ༏ઌ͢΂͖ʁ खࢦফಟͷํ͕༗ޮ w ΑΓਝ଎ʹɺΑΓଟ͘ͷපݪମΛݮগͤ͞Δ w ༰ثͷઃஔ৔ॴΛબ͹ͳ͍ʢΞΫηε͕ྑ͍ʣ w อ࣪ࡎͷఴՃʹΑΓखߥΕ͕ى͜Γʹ͍͘ w

    8)0खࢦফಟ͸εςοϓɺ$%$͸εςοϓ ˠେ͖ͳޮՌͷҧ͍͸ݟΒΕͳ͔ͬͨ RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED Apply a palmful of the product in a cupped hand, covering all surfaces; Rub hands palm to palm; Right palm over left dorsum with interlaced fingers and vice versa; Palm to palm with fingers interlaced; Backs of fingers to opposing palms with fingers interlocked; Rotational rubbing of left thumb clasped in right palm and vice versa; Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa; Once dry, your hands are safe. How to Handrub? Duration of the entire procedure: 20-30 seconds May 2009 1a 1b 2 3 4 5 6 7 8 All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material. 8)0)BOEIZHJFOFQPTUFSTIUUQTXXXXIPJOUHQTDNBZ)PX@5P@)BOE3VC@1PTUFSQEG
  5. ײછରࡦɹجຊͷ΄ ফಟʹ͸͍ΖΜͳछྨ͕͋Δʂ ਫ४ ফಟༀ ର৅ උߟ ߴਫ४ աਣࢎ άϧλϥʔϧ ϑλϥʔϧ

    ಺ࢹڸ ύϫʔ͕ڧ͍෼ɺಟੑ΋ڧ͍ தਫ४ ࣍ѥԘૉࢎφτϦ΢Ϝ ϙϐυϯϤʔυ Ξϧίʔϧ ؀ڥ ೪ບ ൽෘ ԚΕʹΑΓޮྗ௿Լ ੜମద༻ɺଈޮੑʹ͚ܽΔ ೪ບ΍૑෦΁͸ېسɺҾՐੑʹ஫ҙ ௿ਫ४ ΫϩϧϔΩγδϯ ϕϯβϧίχ΢ϜԘԽ෺ ϕϯθτχ΢ϜԘԽ෺ ྆ੑք໘׆ੑࡎ ૑෦ ೪ບ ؀ڥ ؀ڥ ࢖༻ೱ౓͸ˋ ਅΜத̎ͭ͸ߏ଄͸Α͘ࣅ͓ͯΓ ୈڃΞϯϞχ΢ϜԘͱݴ͏ ࣌ؒຖʹ࡞Γ௚͢ඞཁ͋Γ
  6. ײછରࡦɹجຊͷΜ ফಟༀ͸Ͳ͜ʹޮ͘ͷʁ ফಟༀ఍߅ੑ ࡉەժ๔ ݁֩ ΢Πϧε ࢳঢ়ਅە Ұൠࡉە .34"ͳͲ ߬฼༷ਅە

    ΧϯδμͳͲ ڧ ऑ ߴਫ४ফಟༀ தਫ४ফಟༀ    தਫ४ফಟༀ ௿ਫ४ফಟༀ ࣍ѥԘૉࢎφτϦ΢Ϝ ϙϐυϯϤʔυɺΞϧίʔϧ
  7. ੜཧݕࠪࣨͷײછରࡦ ݕࠪผʹϙΠϯτΛڍ͛ͯΈΑ͏ w ৺ిਤ w ϗϧλʔ৺ిਤ w ݂ѹ຺೾ "#* 

    w ഏػೳ εύΠϩϝτϦʔ  w ӡಈෛՙࢼݧ τϨουϛϧɺΤϧΰϝʔλ  w ௒Ի೾ݕࠪ w ೴೾ݕࠪ
  8. ৺ిਤݕࠪ ݕࠪ؀ڥฤ w ϕουɹݕࠪऴྃຖʹফಟ͢Δɺγʔπ͸ަ׵͕๬·͍͠ w ປɹݕࠪऴྃຖʹফಟ͢Δ ১͚Δࡐ࣭ͷ΋ͷ͕ྑ͍  w ୤ҥΧΰɹݕࠪऴྃຖʹফಟ͢Δ

    w υΞϊϒɹݕࠪऴྃຖʹফಟ͢Δ w ϓϥΠόγʔΧʔςϯɹఆظతʹަ׵͢Δ ௥ՃεϥΠυࢀর  w ిۃɹσΟεϙʔβϒϧͷ৔߹͸ױऀຖʹަ׵͢Δ ɹɹɹɹిۃύουར༻ͷ৔߹ˠ೔ͷۀ຿ऴྃޙʹഇغ͠ɺফಟ͢Δ ɹɹɹɹϖʔετར༻ͷ৔߹ˠݕࠪຖʹ১͖औΓɺফಟ͢Δͷ͕๬·͍͠
  9. εϙϧσΟϯάͷ෼ྨ ؆୯ʹݴ͑͹ʜײછϦεΫͷఔ౓ͰͭʹΘ͚ͯΈͨΑɺͱ͍͏͜ͱ ෼ɹྨ ఆɹٛ ࠶ॲཧํ๏ ҩྍث۩ͷྫ ΫϦςΟΧϧ ແەͷ૊৫ʹ৵ೖ ݂؅಺ʹૠೖ ໓ە

    ߴѹৠؾPS௿Թ खज़ث۩ Χςʔςϧ ηϛΫϦςΟΧϧ ଛইͷͳ͍೪ບʹ઀৮ ਖ਼ৗͰͳ͍ൽෘʹ઀৮ ফಟ ߴਫ४PSதਫ४ ಺ࢹڸ Ϛ΢εϐʔε ϊϯΫϦςΟΧϧ ਖ਼ৗͳൽෘʹ઀৮ ਗ਼১PS௿ਫ४ফಟ ೴೾ిۃ ৺ిਤిۃ Τίʔϓϩʔϒ
  10. ৺ిਤݕࠪ ରױऀฤ w ෰ͷண୤͸ɺग़དྷΔݶΓױऀࣗ਎Ͱߦͬͯ΋Β͏ w ϚεΫ͸ண༻ͨ͠··ͰݕࠪՄೳͰ͋Δ͜ͱΛ఻͑Δ ɹ ֎͞ͳ͚Ε͹ɺͱࢥ͍ͬͯΔױऀ͕ҙ֎ͱଟ͍  w

    ױऀʹ৮ΕΔલɾ৮Εͨޙʹ͸ඞͣखࢦফಟΛߦ͏ w ڳ෦ిۃΛ෇͚Δࡍʹ͸ɺױऀͱͷڑ཭ʹ஫ҙ͢Δ ɹ ిۃΛ෇͚͍ͯΔ࠷தʹಥવ֏͖ࠐΉ͜ͱ΋͋Δ͠ɺ ɹۓுΛ΄͙ͨ͢ΊਂݺٵΛ͢Δױऀ΋͍ΔɻඈລײછΛ๷͙