비뇨기과 영역에서 의료기관 관련 감염의 예방을 위한 일본비뇨기과학회 진료지침
Guideline for the Prevention of Health Care-associated Infection in Urological Practice in Japan
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The present guideline for the prevention of health care-associated infection in urological practice is partially a result of numerous discussions of the working group in the Japanese Society of Urinary Tract Infection Cooperative Study Group. The results of these discussions were systematically organized by the Japanese Urological Association. They surveyed the literature including standard precautions, environmental considerations in both the inpatient and outpatient settings, the management of urinary catheters, endoscopy techniques, and the disinfection and sterilization of instruments used in endoscopies and related procedures. The concept of this guideline is to show the minimum precautions that urologists and other medical professionals should observe when they work in the urological field. Standard precautions based on hand hygiene and the use of personal protective equipment should be observed in both the inpatient and outpatient settings. In the inpatient setting, the management of the toilet is important. Collecting urine should be restricted only when it is necessary to determine a patient’s urinary output. The management for urinary catheter and infection are created based on the “European and Asian guidelines on management and prevention of catheter-associated urinary tract infections”. In addition, we propose that nephrostomy should be carried out after maximum barrier precautions have been taken. Urinary catheters are replaced in the event of an occlusion or if there are signs that an occlusion might occur, but the same catheter cannot be left in place for more than 2 months. Regarding the handling of urine containing Mycobacterium tuberculosis, airborne infection countermeasures are unnecessary, except for the laboratory personnel. For the procedures using urological endoscopes, aseptic techniques are recommended. Endoscopes and related devices should be used by sterilization or high-level disinfection, but formaldehyde gas cannot be used.
Abstract
The present guideline for the prevention of health care-associated infection in urological practice is partially a result of numerous discussions of the working group in the Japanese Society of Urinary Tract Infection Cooperative Study Group. The results of these discussions were systematically organized by the Japanese Urological Association. They surveyed the literature including standard precautions, environmental considerations in both the inpatient and outpatient settings, the management of urinary catheters, endoscopy techniques, and the disinfection and sterilization of instruments used in endoscopies and related procedures. The concept of this guideline is to show the minimum precautions that urologists and other medical professionals should observe when they work in the urological field. Standard precautions based on hand hygiene and the use of personal protective equipment should be observed in both the inpatient and outpatient settings. In the inpatient setting, the management of the toilet is important. Collecting urine should be restricted only when it is necessary to determine a patient’s urinary output. The management for urinary catheter and infection are created based on the “European and Asian guidelines on management and prevention of catheter-associated urinary tract infections”. In addition, we propose that nephrostomy should be carried out after maximum barrier precautions have been taken. Urinary catheters are replaced in the event of an occlusion or if there are signs that an occlusion might occur, but the same catheter cannot be left in place for more than 2 months. Regarding the handling of urine containing Mycobacterium tuberculosis, airborne infection countermeasures are unnecessary, except for the laboratory personnel. For the procedures using urological endoscopes, aseptic techniques are recommended. Endoscopes and related devices should be used by sterilization or high-level disinfection, but formaldehyde gas cannot be used.
참고문헌 (37)
- Siegel JD, "2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings", Am J Infect Control, 35(10), pp.65~164 (2007)
- Hamasuna R, "Guideline for the prevention of health care-associated infection in urological practice in Japan", Int J Urol, 18, pp.495~502 (2011)
- Matsumoto T, "Japanese guidelines for prevention of perioperative infections in urological field", Int J Urol, 14, pp.890~909 (2007)
- Boyce JM, "Guideline for hand hygiene in health-care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC", SHEA, IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America, pp.Association for Professionals in Infection Control, Infectious Diseases Society of America[DOI]
- Sehulster L, "Guidelines for environmental infection control in health-care facilities. Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC)", MMWR Recomm Rep, 52(10), pp.1~42 (2003)
- Muto CA, "SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus", Infect Control Hosp Epidemiol, 24(5), pp.362~386 (2003)
- Siegel JD, "Management of multidrug-resistant organisms in health care settings, 2006", Am J Infect Control, 35(10), pp.165~193 (2007)
- Alfa MJ, "Simulateduse testing of bedpan and urinal washer disinfectors: evaluation of Clostridium difficile spore survival and cleaning efficacy", Am J Infect Control, 36, pp.5~11 (2008)
- Wong ES, "Guideline for prevention of catheterassociated urinary tract infections", Am J Infect Control, 11, pp.28~36 (1983)
- Warren JW, "Catheter-associated urinary tract infections", Int J Antimicrob Agents, 17, pp.299~303 (2001)
- Gould CV, "Guideline for prevention of catheter- associated urinary tract infections 2009", Infect Control Hosp Epidemiol, 31, pp.319~326 (2010)
- Tenke P, "European and Asian guidelines on management and prevention of catheter-associated urinary tract infections", Int J Antimicrob Agents, 31(1), pp.68~78 (2008)
- Burke JP, "Prevention of catheter- associated urinary tract infections. Efficacy of daily meatal care regimens", Am J Med, 70, pp.655~658 (1981)
- Stickler DJ, "Strategies for the control of catheter encrustation", Int J Antimicrob Agents, 19(6), pp.499~506 (2002)
- Muncie HL Jr, "Once-daily irrigation of longterm urethral catheters with normal saline, in the Lack of benefit", Arch Intern Med, 149, pp.441~443 (1989)
- Mitsui T, "Is suprapubic cystostomy an optimal urinary management in high quadriplegics?, in the A comparative study of suprapubic cystostomy and clean intermittent catheterization", Eur Urol, 38, pp.434~438 (2000)
- McPhail MJ, "A meta-analysis comparing suprapubic and transurethral catheterization for bladder drainage after abdominal surgery", Br J Surg, 93, pp.1038~1044 (2006)
- Stables DP, "Percutaneous nephrostomy: a series and review of the literature", AJR Am J Roentgenol, 130, pp.75~82 (1978)
- Ramchandani P, "Quality improvement guidelines for percutaneous nephrostomy", J Vasc Interv Radiol, 14(9), pp.277~281 (2003)
- Dealler SF, "Purple urine bags", J Urol, 142, pp.769~770 (1989)
- Dealler SF, "Enzymatic degradation of urinary indoxyl sulfate by Providencia stuartii and Klebsiella pneumoniae causes the purple urine bag syndrome", J Clin Microbiol, 26, pp.2152~2156 (1988)
- Hamill RJ, "Urinary tract infection following instrumentation for urodynamic testing", Infect Control Hosp Epidemiol, 10, pp.26~32 (1989)
- Onur R, "Incidence of bacteraemia after urodynamic study", J Hosp Infect, 57, pp.241~244 (2004)
- Grabe M, "Perioperative antibiotic prophylaxis in urology", Curr Opin Urol, 11, pp.81~85 (2001)
- Guidelines for the investigation of contacts of persons with infectious tuberculosis, "Recommendations from the National Tuberculosis Controllers Association and CDC", MMWR Recomm Rep, 54(15), pp.1~47 (2005)
- Shinnick TM, "National plan for reliable tuberculosis laboratory services using a systems approach. Recommendations from CDC and the Association of Public Health Laboratories Task Force on Tuberculosis Laboratory Services", MMWR Recomm Rep, 54(6), pp.1~12 (2005)
- Jensen PA, "Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005", MMWR Recomm Rep, 54(17), pp.1~141 (2005)
- Lamm DL, "Incidence and treatment of complications of bacillus Calmette-Guerin intravesical therapy in superficial bladder cancer", J Urol, 147, pp.596~600 (1992)
- Lamm DL, "Maintenance bacillus Calmette-Guerin immunotherapy for recurrent TA, T1 and carcinoma in situ transitional cell carcinoma of the bladder: a randomized Southwest Oncology Group Study", J Urol, 163, pp.1124~1129 (2000)
- WA, Weber DJ, "Reprocessing endoscopes: United States perspective", J Hosp Infect, 56(2), pp.27~39 (2004)
- Clemens JQ, "Joint AUA", SUNA white paper on reprocessing of flexible cystoscopes, 2010, pp.184, 2241~2245
- O'Brien HA, "The use of activated glutaraldehyde as a cold sterilizing agent for urological instruments", J Urol, 95, pp.429~435 (1966)
- Cooke RP, "Decontamination of urological equipment: interim report of a working group of the Standing Committee on Urological Instruments of the British Association of Urological Surgeons", Br J Urol, 71(1), pp.5~9 (1993)
- Sokol WN, "Nine episodes of anaphylaxis following cystoscopy caused by Cidex OPA (orthophthalaldehyde) high-level disinfectant in 4 patients after cytoscopy", J Allergy Clin Immunol, 114, pp.392~397 (2004)
- Takigawa T, "Effects of glutaraldehyde exposure on human health", J Occup Health, 48, pp.75~87 (2006)
- Mannion PT, "The use of peracetic acid for the reprocessing of flexible endoscopes and rigid cystoscopes and laparoscopes", J Hosp Infect, 29, pp.313~315 (1995)
- Final report on carcinogens background document for formaldehyde, "National Toxicology Program", i~512, pp.Rep Carcinog Backgr Doc 201