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

2023 Fiscal Year Final Research Report

• Project/Area Number: 18H03079
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: National 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
• 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

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.

Free Research Field

感染管理

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。