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Using Healthcare-Associated Infection Surveillance Data to Optimize Infection Prevention: Focus on Efficacy and Economic Benefits

Research Project

Project/Area Number 18H03079
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 58050:Fundamental of nursing-related
Research InstitutionNational Center for Global Health and Medicine

Principal Investigator

Nishioka Midori  国立研究開発法人国立国際医療研究センター, その他部局等, 国立看護大学校 教授 (60462785)

Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥17,160,000 (Direct Cost: ¥13,200,000、Indirect Cost: ¥3,960,000)
Fiscal Year 2022: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2021: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2020: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2019: ¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2018: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Keywords医療関連感染 / サーベイランス / 感染防止技術 / 手指衛生 / 薬剤耐性 / 職業感染 / 呼吸器感染症 / 手術 / 薬剤耐性菌 / 血流感染症 / 多剤耐性菌 / 結核 / 肺炎 / 血流感染 / 薬剤耐性緑膿菌
Outline of Final Research Achievements

Healthcare-associated infection (HAI) surveillance is the collection of clinical data to calculate infection rates, which are then used in clinical practice to monitor the occurrence and termination of infections, and to assess the efficacy of infection prevention measures. This study encompassed 12 investigations leveraging diverse HAI surveillance data to evaluate the efficacy and cost-effectiveness of infection prevention measures.
The study identified factors promoting the implementation and efficacy of hand hygiene, respiratory infection control, antimicrobial resistance control, meningitis control, and occupational infection control measures. Additionally, it elucidated the economic benefits of respiratory infection control measures. Furthermore, the study developed scales for assessing organizational climate and promoter roles for promoting hand hygiene.

Academic Significance and Societal Importance of the Research Achievements

本研究の成果は、医療者の手指衛生遵守率の長期的な改善、重症心身障害児施設における呼吸器感染症の拡大防止と重症児の生活の質の改善、病院や高齢者施設における薬剤耐性菌の拡大防止、多剤耐性緑膿菌の長期流行の防止、食道癌患者や大腿骨近位部骨折患者の術後肺炎の予防、拡大蝶形骨洞手術患者の術後髄膜炎の予防、医療者の職業感染の予防に貢献するものと考える。

Report

(6 results)
  • 2023 Final Research Report ( PDF )
  • 2022 Annual Research Report
  • 2021 Annual Research Report
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (13 results)

All 2023 2021 2020 2019 2018 Other

All Journal Article (6 results) (of which Peer Reviewed: 6 results,  Open Access: 4 results) Presentation (6 results) (of which Int'l Joint Research: 1 results) Remarks (1 results)

  • [Journal Article] The roles of bedside nurses in Japan in antimicrobial stewardship2023

    • Author(s)
      Sakaguchi Mikiyo、Aminaka Mayumi、Nishioka Midori
    • Journal Title

      American Journal of Infection Control

      Volume: 51 Issue: 1 Pages: 48-55

    • DOI

      10.1016/j.ajic.2022.02.026

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Literature Review on the Eff ect of a Hands-free Technique for Preventing Blood and Body Fluid Exposure in the Operating Room2021

    • Author(s)
      谷中 麻里、西岡 みどり、網中 眞由美
    • Journal Title

      国立看護大学校研究紀要 = Journal of Nursing Studies, NCNJ

      Volume: 20 Issue: 1 Pages: 20-26

    • DOI

      10.34514/00000237

    • NAID

      120007003074

    • URL

      https://ncgmncn.repo.nii.ac.jp/records/246

    • Year and Date
      2021-03-25
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Antimicrobial Resistance Measures at Facilities for the Elderly: A Fact-finding Survey on Infection Control Measures at Private Nursing Homes and Long-term Care Insurance Facilities2021

    • Author(s)
      呉 禮媛, 網中 眞由美, 森 那美子, 西岡 みどり
    • Journal Title

      Japanese Journal of Infection Prevention and Control

      Volume: 36 Issue: 1 Pages: 10-27

    • DOI

      10.4058/jsei.36.10

    • NAID

      130008066858

    • ISSN
      1882-532X, 1883-2407
    • Year and Date
      2021-01-25
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 看護師の手指衛生に関する組織風土尺度の開発研究2019

    • Author(s)
      桐明 孝光, 網中 眞由美, 杦木 優子, 西岡 みどり
    • Journal Title

      日本環境感染学会誌

      Volume: 34(2) Pages: 95-105

    • NAID

      130007711723

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Survey on Respiratory Infection Measures in Institutions for Patients with Severe Motor and Intellectual Disabilities2018

    • Author(s)
      高山直樹, 網中眞由美, 森那美子, 白井正浩, 豊田敦, 藤田烈, 西岡みどり
    • Journal Title

      Japanese Journal of Infection Prevention and Control

      Volume: 33 Issue: 5 Pages: 213-219

    • DOI

      10.4058/jsei.33.213

    • NAID

      130007618871

    • ISSN
      1882-532X, 1883-2407
    • Year and Date
      2018-09-25
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Risk analysis of respiratory infections in facilities for patients with severe motor and intellectual disabilities in Japan2018

    • Author(s)
      Naoki Takayama, Mayumi Aminaka, Namiko Mori, Masahiro Shirai, Atsushi Toyoda, Retsu Fujita, Midori Nishioka
    • Journal Title

      Canadian Journal of Infection Control

      Volume: 33(4) Pages: 204-208

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] ハンズフリーテクニックの採用状況と針刺し切創防止効果2020

    • Author(s)
      谷中 麻里, 網中 眞由美, 西岡 みどり
    • Organizer
      第42回日本手術医学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 結核病棟における認知症看護の困難に関する実態調査2020

    • Author(s)
      中村 聡美, 網中 眞由美, 西岡 みどり
    • Organizer
      第95回日本結核・非結核性抗酸菌症学会総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Survey on the roles of bedside nurses in antimicrobial stewardship in Japan2019

    • Author(s)
      Mikiyo Sakaguchi , Midori Nishioka, Mayumi Aminaka, Namiko Mori
    • Organizer
      The 9th Conference of the Asia Pacific Society of Infection Control
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 介護付有料老人ホームにおける薬剤耐性菌対策の実態2019

    • Author(s)
      呉禮媛, 網中眞由美, 森那美子, 西岡みどり
    • Organizer
      第34回日本環境感染学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 食道癌術後患者における術後肺炎とせん妄との関連2019

    • Author(s)
      増谷瞳, 西岡みどり, 網中眞由美, 森那美子, 高野八百子, 宇野俊介, 長谷川直樹
    • Organizer
      第34回日本環境感染学会総会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 多剤耐性菌アウトブレイク 1施設で長期に渡り流行した2剤以上耐性緑膿菌の伝播経路推定2019

    • Author(s)
      窪田志穂, 大城聡, 森那美子, 網中眞由美, 秋山徹, 切替照雄, 西岡みどり
    • Organizer
      第34回日本環境感染学会総会
    • Related Report
      2018 Annual Research Report
  • [Remarks] 看護師の手指衛生に関する組織風土尺度 Ver.1.0

    • URL

      http://www.ncn.ac.jp/for/060/hand_hygiene_20190507.pdf

    • Related Report
      2019 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2025-01-30  

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