@article{oai:u-ryukyu.repo.nii.ac.jp:02015966, author = {遠藤, 和郎 and Endo, Kazuo}, issue = {2}, journal = {琉球医学会誌 = Ryukyu Medical Journal}, month = {}, note = {Since very few antibiotics are effective against methicillin-resistant Staphylococcus aureus (MRSA), preventing its occurence, early detection and limiting the spread are important means in controlling nosocomial MRSA infections. The basic strategies includes: 1) adequate antibiotic usage, 2) targeted screening cultures on admisson, 3) aggressive surveillance, 4) intent isolation precautions on convenience and costs. In addision to those measures, regular education programs were performed for nurses, physicians, residents, technicians, and resident house staffs. From June 1994 to May 1995, 1454(52.1%) of 2799 Stapylococcus aureus isolates were MRSA. 439(32.1%) of 1366 S.aureus isolated patients were carriers or infected MRSA. The clinical infected patients accounted for 34.6% . The route of MRSA infections were analyzed from January thru May in 1993, 1994, 1995 and respectively 127,165, and 216 patients were evaluated. The rate of nosocomial infections and reccurences declined (p<0. 05). The rate of transfer and re-admisson patients increased (p<0.01). The savings of the costs from 950,000 yen/month to 640,000 yen/month for isolations includes disposable gowns, gloves, and hand washing antisepsis. The continuous education of adequate antibiotic usage, training the infection control practitioners, interhospital communications, and quality control are highly essential., 論文}, pages = {101--103}, title = {[シンポジウム]中部病院における院内感染対策 : MRSA対策を中心に}, volume = {16}, year = {1996} }