| Project/Area Number |
23593245
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Clinical nursing
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| Research Institution | Yokohama City University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
GOKITA Kazue 横浜市立大学, 医学部, 准教授 (40290051)
HIRATA Akemi 横浜市立大学, 医学部, 准教授 (00444943)
INABA Hiroshi 横浜市立大学, 附属病院, 准教授 (40336574)
MORI Mizue 横浜市立大学, 医学部, 教授 (50317070)
MOROTA Naomi 横浜市立大学, 医学部, 准教授 (20210205)
KANESHIMA Yuka 横浜市立大学, 医学部, 助教 (80513986)
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| Project Period (FY) |
2011 – 2013
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| Project Status |
Completed (Fiscal Year 2013)
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| Budget Amount *help |
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2013: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2011: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | 人工股関節全置換術 / 術後創感染 / 感染予防 / 術前皮膚処置 / 術前皮膚準備 |
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| Research Abstract |
In the present study, we sought to investigate the efficacy of strict preoperative skin preparation conventionally practiced in Japan to prevent surgical site infection (SSI) following THA. We enlisted 40 personnel at a facility practicing strict preoperative skin preparation (group1) and 149 personnel at a facility practicing preoperative skin preparation in accordance with the Guideline (group2). We then compared the SSI risk factors and infection rates among these two groups, and found that neither group experienced any SSIs. In group1, "disinfecting the skin by scrubbing and applying sterilized covers" on the day before surgery took two nurses 25 minutes to perform, and "disinfecting the skin" on the day of surgery took two nurses 11 minutes to perform. These findings indicate that there is no evidence confirming the need for conventional strict skin preparation practices, and that urgent measures should be taken to remedy the current approach in consideration of patient burden.
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