著者
荒牧 まいえ 人見 重美
出版者
一般社団法人 日本内科学会
雑誌
日本内科学会雑誌 (ISSN:00215384)
巻号頁・発行日
vol.98, no.11, pp.2843-2848, 2009 (Released:2012-08-02)
参考文献数
11

針刺し防止対策には,標準予防策の徹底,安全機材の活用,適切な廃棄システムの確立などが有効である.針刺しが起こった場合に速やかに対応できるよう,各施設でマニュアルを作成し,全職員に周知しておく必要がある.曝露者に特別な背景(妊娠,B型肝炎,腎障害など)がある場合や,薬剤耐性HIVの曝露を疑う場合は,予防内服用の抗ウイルス薬を注意して選択する必要がある.
著者
堤 徳正 宇田 恵美 木内 環 人見 重美
出版者
Japanese Society of Environmental Infections
雑誌
環境感染 (ISSN:09183337)
巻号頁・発行日
vol.18, no.4, pp.404-407, 2003-10-27 (Released:2010-07-21)
参考文献数
20

Yeasts in the oral cavities of newborns with thrush can transmit to other patients through devices used for milk feeding. We examined the efficacy of boiling with a domestic microwave oven for disinfection of nipples used by patients with thrush. Nipples, used by three patients with thrush, were cleansed by nursing staff and cultured in tryptone broth with 2% glucose at 37° for seven days. Yeast grew in eight of 17 samples with cleansing and all of 15 samples without cleansing (p=0.001). Next, other nipples used were cleansed and boiled by microwave for ten minutes in a container with one liter of tap water. The nipples were left in the container for an additional 50 minutes or more, and individually cultured similarly. Yeast grew in none of 32 samples with cleansing and boiling, and in 32 of 37 samples without cleansing and boiling (p<0.0001). These findings indicate that the combination of hand cleansing and boiling in a microwave oven is an effective procedure for disinfection of nipples contaminated with yeast and that hand cleansing without boiling can significantly but insufficiently wash the organism off contaminated nipples.