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Study of constructing comprehensive system for quality improvement of infection control in the medical institution

Research Project

Project/Area Number 15K08843
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical and hospital managemen
Research InstitutionMie University

Principal Investigator

Tanabe Masaki  三重大学, 医学部附属病院, 准教授 (50456737)

Co-Investigator(Renkei-kenkyūsha) Muraki Yuichi  京都薬科大学, 臨床薬剤疫学分野, 教授 (50571452)
Research Collaborator Nakamura Akiko  三重大学, 医学部附属病院, 主任臨床検査技師
Arai Akie  三重大学, 医学部附属病院, 副看護師長
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords感染制御 / サーベイランス / 抗菌薬 / 手指衛生 / 院内感染対策 / 微生物サーベイランス / 抗菌薬サーベイランス / 手指衛生サーベイランス
Outline of Final Research Achievements

Regional microbiological surveillance and accurate diagnosis of infectious disease, antimicrobial stewardship, and infection control improvement such as hand hygiene practice, are important for quality improvement of nosocomial infection control. We could analyze microbiological data at the level of sub-regional and hospital-scale group using original surveillance system accumulating microbiological data from regional hospitals. Although broad-range PCR applied to whole blood have potential to presume causative microorganism in culture-negative cases, accuracy evaluation is still needed. Antimicrobial use stratified by age group and 47-prefecture was successfully assessed using the national database (NDB). Physicians' adherence to hand hygiene practices during outpatient examinations was successfully monitored remotely using electronic counting devices, which has the potential to be a useful tool for monitoring physicians’ hand hygiene compliance.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (18 results)

All 2018 2017 2016

All Journal Article (8 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 8 results,  Open Access: 5 results,  Acknowledgement Compliant: 1 results) Presentation (10 results) (of which Int'l Joint Research: 6 results,  Invited: 1 results)

  • [Journal Article] Gemella haemolysans による感染性心内膜炎の1 例2018

    • Author(s)
      豊嶋弘一、久田拓央、坂部茂俊、中村明子、田辺正樹
    • Journal Title

      感染症学雑誌

      Volume: 92 Pages: 71-75

    • NAID

      130007734304

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The first report of Japanese antimicrobial use measured by national database based on health insurance claims data (2011?2013): comparison with sales data, and trend analysis stratified by antimicrobial category and age group2017

    • Author(s)
      Yamasaki Daisuke、Tanabe Masaki、Muraki Yuichi、Kato Genta、Ohmagari Norio、Yagi Tetsuya
    • Journal Title

      Infection

      Volume: 46 Issue: 2 Pages: 207-214

    • DOI

      10.1007/s15010-017-1097-x

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Direct Comparison of Two Interferon-gamma Release Assays in the Tuberculosis Screening of Japanese Healthcare Workers2017

    • Author(s)
      Tanabe Masaki、Nakamura Akiko、Arai Akie、Yamasaki Daisuke、Hirano Kyoko、Kobayashi Tetsu、Taguchi Osamu、Kaneko Toshihiro、Ito Masaaki
    • Journal Title

      Internal Medicine

      Volume: 56 Issue: 7 Pages: 773-779

    • DOI

      10.2169/internalmedicine.56.7533

    • NAID

      130005530243

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Utility of electronic hand hygiene counting devices for measuring physicians' hand hygiene adherence applied to outpatient settings.2016

    • Author(s)
      Arai A, Tanabe M, Nakamura A, Yamasaki D, Muraki Y, Kaneko T, Kadowaki A, Ito M.
    • Journal Title

      Am J Infect Control.

      Volume: 44(12) Issue: 12 Pages: 1481-1485

    • DOI

      10.1016/j.ajic.2016.08.002

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Japanese antimicrobial consumption surveillance: First report on oral and parenteral antimicrobial consumption in Japan (2009-2013).2016

    • Author(s)
      Muraki Y, Yagi T, Tsuji Y, Nishimura N, Tanabe M, Niwa T, Watanabe T, Fujimoto S, Takayama K, Murakami N, Okuda M.
    • Journal Title

      Journal of Global Antimicrobial Resistance

      Volume: 7 Pages: 19-23

    • DOI

      10.1016/j.jgar.2016.07.002

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Tracking isolated myocarditis in a young adult with acute rheumatic fever on cardiac magnetic resonance imaging.2016

    • Author(s)
      Moriwaki K, Okamoto R, Sakuma H, Suzuki Y, Tanabe M, Yamada N, Ito M.
    • Journal Title

      Int J Cardiol.

      Volume: 222 Pages: 921-3

    • DOI

      10.1016/j.ijcard.2016.08.087

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Infective Endocarditis Caused by Panton-Valentine Leukocidin-producing Methicillin-susceptible <i>Staphylococcus aureus</i> Identified by the Broad-range PCR Method2016

    • Author(s)
      Nakajima H, Dohi K, Tanabe M, Nakamura A, Kanemitsu S, Wada H, Yamada N, Nobori T, Shinpo H, Ito M
    • Journal Title

      Internal Medicine

      Volume: 55 Issue: 14 Pages: 1871-1875

    • DOI

      10.2169/internalmedicine.55.5403

    • NAID

      130005165000

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Hypertensive emergency preceding the progression of periaortitis and retroperitoneal fibrosis: case report and review of the literature.2016

    • Author(s)
      Ito T, Okamoto R, Taniguchi M, Tanabe M, Komatsubara H, Yamada N, Ito M.
    • Journal Title

      Blood Press.

      Volume: 25(5) Issue: 5 Pages: 327-30

    • DOI

      10.3109/07434618.2016.1168968

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Presentation] ナショナールデータベースを用いた抗菌薬使用量動向調査-卸データとの比較、年齢階級別の解析-2018

    • Author(s)
      山崎大輔、田辺正樹、村木優一、大曲貴夫、八木哲也
    • Organizer
      第33 回日本環境感染学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Geographical analysis of Antimicrobial Consumption Surveillance using the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB JAPAN) 2011-20132017

    • Author(s)
      Tanabe M,Muraki Y,Yamasaki D,Kato G,Yagi T.
    • Organizer
      ID week 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Age-specific Distribution of Antimicrobial Use Surveillance using National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB Japan) 2011-20132017

    • Author(s)
      Yamasaki D,Tanabe M,Muraki Y,Kato G,Yagi T.
    • Organizer
      ID week 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] ナショナールデータベース(NDB)を用いた地域別抗菌薬使用量調査2017

    • Author(s)
      田辺正樹、村木優一、山崎大輔、八木哲也
    • Organizer
      第65 回日本化学療法学会西日本支部総会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Impact of Repeating Blood Cultures on Detecting Unpredicted Causative Microorganisms.2016

    • Author(s)
      Yasuda K, Tanabe M, Nakamura A, Ogura T, Morimoto M, Sugimoto K, Nakatani K.
    • Organizer
      ID week 2016
    • Place of Presentation
      New Orleans, LA, USA
    • Year and Date
      2016-10-25
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Ten-year observation of Blood Culture Results in a Japanese University Hospital. Impact of Improving Infection Control Activities over the Past Decade on Blood Culture Results.2016

    • Author(s)
      Yasuda K, Tanabe M, Nakamura A, Ogura T, Morimoto M, Sugimoto K, Nakatani K.
    • Organizer
      International Innovation of Laboratory Medicine- Basic and Advanced-
    • Place of Presentation
      Kobe International Conference Center, Japan
    • Year and Date
      2016-08-31
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Impact of Measuring Physicians' Hand Hygiene Adherece in Outpatient Setting Using Automated Hand Hygiene Count Devices.2016

    • Author(s)
      Arai A, Tanabe M, Yamasaki D, Muraki Y, Yasuda K, Nakamura A, Kaneko T.
    • Organizer
      The Association for Professionals in Infection Control and Epidemiology 2016
    • Place of Presentation
      Charlotte, NC,USA
    • Year and Date
      2016-06-11
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Impact of Measuring Physicians' Hand Hygiene Adherence in Outpatient Setting using Automated Hand Hygiene Count Devices2016

    • Author(s)
      Akie Arai
    • Organizer
      The Association for Professionals in Infection Control and Epidemiology 2016
    • Place of Presentation
      Charlotte, NC, USA
    • Year and Date
      2016-06-11
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 三重県内全域を対象とした感染対策支援ネットワーク構築の取り組み2016

    • Author(s)
      田辺正樹
    • Organizer
      第31回日本環境感染学会総会学術集会
    • Place of Presentation
      国立京都国際会館(京都府・京都市)
    • Year and Date
      2016-02-19
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 手指衛生モニタリングシステムを利用した外来診療時における手指衛生の実施率向上に向けての取り組み2016

    • Author(s)
      新居晶恵
    • Organizer
      第31回日本環境感染学会総会学術集会
    • Place of Presentation
      国立京都国際会館(京都府・京都市)
    • Year and Date
      2016-02-19
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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