\u3054\u5229\u7528\u306b\u3042\u305f\u3063\u3066\u306f\u4e38\u77f3\u88fd\u85ac\u682a\u5f0f\u4f1a\u793e\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3082\u4f75\u305b\u3066\u3054\u89a7\u4e0b\u3055\u3044
http:\/\/localhost:8001\/medical\/knowledge\/disinfect-navi\/linen\/<\/p>\n
\u6d88\u6bd2NAVI\u300c\u30ea\u30cd\u30f3\u300d<\/p>\n
\u30db\u30fc\u30e0
\n\u533b\u7642\u95a2\u4fc2\u8005\u5411\u60c5\u5831\u30b5\u30a4\u30c8
\n\u533b\u7642\u30ca\u30ec\u30c3\u30b8
\n\u6d88\u6bd2NAVI
\n\u30ea\u30cd\u30f3<\/p>\n
\u73fe\u5834\u3067\u304a\u56f0\u308a\u306e\u6d88\u6bd2\u65b9\u6cd5\u306b\u3064\u3044\u3066\u3001\u5c3e\u5bb6 \u91cd\u6cbb\u5148\u751f\uff08\u5c71\u967d\u5c0f\u91ce\u7530\u5e02\u7acb \u5c71\u53e3\u6771\u4eac\u7406\u79d1\u5927\u5b66 \u85ac\u5b66\u90e8 \u5ba2\u54e1\u6559\u6388\uff09\u306b\u89e3\u8aac\u3057\u3066\u9802\u304d\u307e\u3057\u305f\u3002
\u306a\u304a\u3001\u5668\u5177\u30fb\u7269\u54c1\u7b49\u306e\u53d6\u308a\u6271\u3044\u306b\u3064\u304d\u307e\u3057\u3066\u306f\u3001\u5404\u88fd\u54c1\u306e\u53d6\u6271\u8aac\u660e\u66f8\u7b49\u3092\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\u3002<\/p>\n
\u5370\u5237\u7528\u30da\u30fc\u30b8
\n\u5370\u5237\u3059\u308b<\/p>\n
\u30ea\u30cd\u30f3\u306e\u6d88\u6bd2\u65b9\u6cd5<\/p>\n
\u71b1\u6c34\u306b\u3088\u308b\u6d88\u6bd2<\/p>\n
\u30ea\u30cd\u30f3\u306e\u6d88\u6bd2\u306b\u306f\u3001\u71b1\u6c34\u304c\u9069\u3057\u3066\u3044\u307e\u30591-3)\u3002\u96fb\u6c17\u5f0f\u3084\u84b8\u6c17\uff08\u30b9\u30c1\u30fc\u30e0\uff09\u5f0f\u306e\u71b1\u6c34\u6d17\u6fef\u6a5f\u3092\u7528\u3044\u3066\u6d17\u6fef\u3092\u884c\u3048\u3070\u3001\u5b89\u5168\u304b\u3064\u78ba\u5b9f\u306b\u6d88\u6bd2\u304c\u884c\u3048\u307e\u3059\uff08\u56f31\uff09\u3002\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc\uff08MRSA\uff09\u3084\u8178\u7ba1\u51fa\u8840\u6027\u5927\u8178\u83cc\uff08O-157\u306a\u3069\uff09\u306a\u3069\u306e\u7d30\u83cc\u6c5a\u67d3\u3067\u306f70\u2103\u30fb10\u5206\u9593\u3001B\u578b\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u3084\u30ce\u30ed\u30a6\u30a4\u30eb\u30b9\u306a\u3069\u306e\u30a6\u30a4\u30eb\u30b9\u6c5a\u67d3\u3067\u306f80\u2103\u30fb10\u5206\u9593\u306a\u3069\u306e\u6761\u4ef6\u3067\u6d17\u6fef\u3057\u307e\u30594-6)\u3002
\n\u306a\u304a\u3001MRSA\u3084O-157\u306a\u3069\u306e\u7d30\u83cc\u6c5a\u67d3\u3092\u53d7\u3051\u305f\u30ea\u30cd\u30f3\u306b\u5bfe\u3057\u3066\u306f\u300170\u2103\u30fb1\u5206\u9593\u308480\u2103\u30fb10\u79d2\u9593\u306a\u3069\u306e\u71b1\u6c34\u6d78\u6f2c\u306e\u307f\u3067\u3082\u6d88\u6bd2\u53ef\u80fd\u3067\u30597,8)\u3002 \u305f\u3060\u3057\u3001\u3053\u306e\u71b1\u6c34\u6d78\u6f2c\u6cd5\u3067\u306f\uff0c\u71b1\u50b7\u3092\u8ca0\u3046\u5371\u967a\u6027\u304c\u3042\u308a\u307e\u3059\u3057\u3001\u86cb\u767d\u51dd\u56fa\u9632\u6b62\u306e\u89b3\u70b9\u304b\u3089\u524d\u3082\u3063\u3066\u4ed8\u7740\u8840\u6db2\u306a\u3069\u3092\u6d17\u3044\u6d41\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\n\u56f31\uff09\u71b1\u6c34\u6d17\u6fef\u6a5f
\uff08\u4e0a\uff1a\u96fb\u6c17\u5f0f\uff0c\u4e0b\uff1a\u84b8\u6c17\u5f0f\uff09\u30ea\u30cd\u30f3\u6d88\u6bd2\u304c\u78ba\u5b9f\u306b\u884c\u3048\u308b\u3002<\/p>\n
\u6d88\u6bd2\u85ac\u306b\u3088\u308b\u6d88\u6bd2<\/p>\n
\u71b1\u6c34\u304c\u5229\u7528\u3067\u304d\u306a\u3044\u5834\u5408\u306b\u306f\u3001\u6d88\u6bd2\u85ac\u306b\u3088\u308b\u6d88\u6bd2\u3092\u884c\u3044\u307e\u3059\u3002\u3053\u306e\u969b\u306e\u7b2c\u4e00\u9078\u629e\u6d88\u6bd2\u85ac\u306f\u6b21\u4e9c\u5869\u7d20\u9178\u30ca\u30c8\u30ea\u30a6\u30e0\u3067\u3001\u7b2c\u4e8c\u9078\u629e\u6d88\u6bd2\u85ac\u306f\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u306a\u3069\u3067\u3059\u3002
\n\u2460\u6b21\u4e9c\u5869\u7d20\u9178\u30ca\u30c8\u30ea\u30a6\u30e0
\u8272\u30fb\u67c4\u7269\u3067\u306a\u3044\u30ea\u30cd\u30f3\u306b\u5bfe\u3057\u3066\u306f\u3001\u6b21\u4e9c\u5869\u7d20\u9178\u30ca\u30c8\u30ea\u30a6\u30e0\u304c\u9069\u3057\u3066\u3044\u307e\u3059\u3002\u306a\u305c\u306a\u3089\u3001\u672c\u85ac\u306f\u5b89\u4fa1\u3067\u3001\u304b\u3064\u4e7e\u71e5\u6642\u306b\u5869\u7d20\u30ac\u30b9\u3068\u3057\u3066\u84b8\u767a\u3059\u308b\u305f\u3081\u751f\u5730\u306b\u6b8b\u3089\u306a\u3044\u304b\u3089\u3067\u3059\u3002\u307e\u305f\u3001\u6297\u83cc\u30b9\u30da\u30af\u30c8\u30eb\u304c\u5e83\u304f\u3001MRSA\u306a\u3069\u306e\u7d30\u83cc\u306e\u307f\u306a\u3089\u305a\u30a6\u30a4\u30eb\u30b9\u306b\u3082\u6709\u52b9\u3060\u304b\u3089\u3067\u3059\u3002\u3059\u3059\u304e\u306e\u6bb5\u968e\u30670.02% \uff08200ppm\uff09\u6db2\u30785\u5206\u9593\u4ee5\u4e0a\u6d78\u6f2c\u3057\u3066\u3001\u305d\u306e\u5f8c\u306b\u518d\u5ea6\u3059\u3059\u304e\u3092\u884c\u3044\u307e\u3059\u3002
\n\u306a\u304a\u3001\u6d17\u6fef\u524d\u306b\u6d88\u6bd2\u3092\u884c\u3044\u305f\u3044\u5834\u5408\u306b\u306f\u3001\u6c34\u6d17\u3044\u5f8c\u306b0.1%\uff081,000ppm\uff09\u6db2\u307830\u5206\u9593\u6d78\u6f2c\u3057\u3066\u3001\u305d\u306e\u5f8c\u306b\u6d17\u6fef\u3092\u884c\u3044\u307e\u3059\u3002\u305f\u3060\u3057\u3001\u3053\u306e\u5834\u5408\u3067\u3082\u3059\u3059\u304e\u6bb5\u968e\u30670.02\uff05\u6db2\u3067\u306e\u6d88\u6bd2\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002
\n\u2461\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u3001\u30d9\u30f3\u30bc\u30c8\u30cb\u30a6\u30e0\u5869\u5316\u7269
MRSA\u3084O-157\u306a\u3069\u306e\u4e00\u822c\u7d30\u83cc\u6c5a\u67d3\u306e\u8272\u30fb\u67c4\u7269\u30ea\u30cd\u30f3\u306e\u6d88\u6bd2\u306b\u306f\u3001\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u3084\u30d9\u30f3\u30bc\u30c8\u30cb\u30a6\u30e0\u5869\u5316\u7269\u304c\u9069\u3057\u3066\u3044\u307e\u3059\u30020.1%\u6db2\u3078\u306e30\u5206\u9593\u6d78\u6f2c\u3092\u884c\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u30ce\u30ed\u30a6\u30a4\u30eb\u30b9\u306a\u3069\u306e\u30a6\u30a4\u30eb\u30b9\u306b\u5bfe\u3057\u3066\u306f\u3001\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u3084\u30d9\u30f3\u30bc\u30c8\u30cb\u30a6\u30e0\u5869\u5316\u7269\u306e\u6d88\u6bd2\u52b9\u679c\u306f\u5f31\u3044\u3067\u3059\u3002
\n\u306a\u304a\u3001\u4e21\u6027\u754c\u9762\u6d3b\u6027\u5264\u3084\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u306f\u9ec4\u3070\u307f\u306e\u539f\u56e0\u306b\u306a\u308b\u306e\u3067\u3001\u3053\u308c\u3089\u306e\u6d88\u6bd2\u85ac\u3067\u306e\u30ea\u30cd\u30f3\u6d88\u6bd2\u306f\u907f\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n
\u5171\u7528\u30ea\u30cd\u30f3\u306b\u5bfe\u3057\u3066\u306f\uff65\uff65\uff65<\/p>\n
\u75c5\u9662\u3067\u4f7f\u7528\u3057\u305f\u5171\u7528\u30ea\u30cd\u30f3\u306b\u5bfe\u3057\u3066\u306f\u3001\u71b1\u6c34\u3084\u6d88\u6bd2\u85ac\u306a\u3069\u3067\u6d88\u6bd2\u3059\u3079\u304d\u3053\u3068\u304c\u7fa9\u52d9\u3065\u3051\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u59d4\u8a17\uff08\u6d17\u6fef\uff09\u696d\u8005\u3078\u51fa\u3059\u30ea\u30cd\u30f3\u3092\u524d\u3082\u3063\u3066\u75c5\u9662\u5185\u3067\u6d88\u6bd2\u3057\u3066\u304a\u304f\u5fc5\u8981\u6027\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3059\u306a\u308f\u3061\u3001\u30ea\u30cd\u30f3\u306e\u6d17\u6fef\u3092\u5916\u90e8\u59d4\u8a17\u3059\u308b\u5834\u5408\u306b\u306f\u3001\u4f7f\u7528\u5f8c\u306b\u305d\u306e\u307e\u307e\u6d17\u6fef\u696d\u8005\u3078\u51fa\u3057\u3066\u3001\u6d17\u6fef\u696d\u8005\u3067\u71b1\u6c34\u306a\u3069\u306b\u3088\u308b\u6d88\u6bd2\u3092\u884c\u3046\u306e\u304c\u671b\u307e\u3057\u3044\u3067\u3059\u3002
\n\u305f\u3060\u3057\u3001MRSA\u3084\u30b5\u30eb\u30e2\u30cd\u30e9\u306a\u3069\u306e\u611f\u67d3\u60a3\u8005\u3084\u3001B\u578b\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u3001C\u578b\u809d\u708e\u30a6\u30a4\u30eb\u30b9\u304a\u3088\u3073HIV\u306a\u3069\u306e\u30ad\u30e3\u30ea\u30a2\u60a3\u8005\u304c\u4f7f\u7528\u3057\u305f\u30ea\u30cd\u30f3\u985e\u306e\u5834\u5408\u306b\u306f\u3001\u6c34\u6eb6\u6027\u30e9\u30f3\u30c9\u30ea\u30fc\u30d0\u30c3\u30b0\u3084\u30d3\u30cb\u30fc\u30eb\u888b\u306b\u5165\u308c\u3066\u3001\u300c\u611f\u67d3\u75c7\u300d\u3068\u8868\u793a\u3057\u3066\u6d17\u6fef\u696d\u8005\u3078\u6e21\u3059\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u53d6\u308a\u6271\u3044\u8005\u306e\u5371\u967a\u9632\u6b62\u306e\u305f\u3081\u3067\u3059\u3002
\n\u306a\u304a\u3001\u8178\u7ba1\u51fa\u8840\u6027\u5927\u8178\u83cc\u611f\u67d3\u75c7\u3001\u30b3\u30ec\u30e9\u3001\u7d30\u83cc\u6027\u8d64\u75e2\u304a\u3088\u3073\u8178\u30c1\u30d5\u30b9\u30fb\u30d1\u30e9\u30c1\u30d5\u30b9\u306a\u3069\u306e\uff13\u985e\u611f\u67d3\u75c7\u60a3\u8005\u304c\u4f7f\u7528\u3057\u305f\u30ea\u30cd\u30f3\u985e\u306b\u306f\u3001\u524d\u3082\u3063\u3066\u75c5\u9662\u5185\u3067\u6d88\u6bd2\u3092\u884c\u3063\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n
\u30ea\u30cd\u30f3\u304c\u7d30\u83cc\u6c5a\u67d3\u3092\u53d7\u3051\u308b\u3068\uff65\uff65\uff65<\/p>\n
\u6e05\u62ed\u30bf\u30aa\u30eb\u304c\u30bb\u30ec\u30a6\u30b9\u83cc\uff08Bacillus cereus\uff09\u6c5a\u67d3\u3092\u53d7\u3051\u308b\u3068\u3001\u8840\u6d41\u611f\u67d3\u306e\u539f\u56e0\u306b\u306a\u308b\u3053\u3068\u304c\u5206\u3063\u3066\u3044\u307e\u30599,10)\u3002\u4e00\u65b9\u3001\u6d17\u6fef\u5f8c\u306e\u30bf\u30aa\u30eb\u306a\u3069\u304c\u30bb\u30ec\u30a6\u30b9\u83cc\u306a\u3069\u306b\u3088\u308a\u6c5a\u67d3\u3092\u53d7\u3051\u3066\u3044\u308b\u3053\u3068\u306f\u7a00\u3067\u306f\u3042\u308a\u307e\u305b\u309311)\u3002\u305d\u306e\u5b9f\u4f8b\u3092\u56f32\u306b\u793a\u3057\u307e\u3057\u305f\u3002\u6e05\u62ed\u30bf\u30aa\u30eb\u306e\u5fae\u751f\u7269\u6c5a\u67d3\u306e\u539f\u56e0\u3068\u3057\u3066\u3001\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u5de5\u5834\u3067\u306e\u518d\u5229\u7528\u6c34\uff08\u30ea\u30b5\u30a4\u30af\u30eb\u6c34\uff09\u306e\u51e6\u7406\u304c\u4e0d\u9069\u5207\u306a\u3053\u3068\u3084\u3001\u4e0d\u5341\u5206\u306a\u6d17\u6fef\u306a\u3069\u304c\u63a8\u5b9a\u3055\u308c\u307e\u3059\u3002<\/p>\n
\u56f32\uff09\u6d17\u6fef\u5f8c\u306e\u30bf\u30aa\u30eb\u306e\u7d30\u83cc\u6c5a\u67d3
\u5de6\uff1a\u30ea\u30b5\u30a4\u30af\u30eb\u6c34\u304c\u539f\u56e0\u3068\u63a8\u5b9a\u3055\u308c\u305f\u96d1\u83cc\u6c5a\u67d3\u4f8b
\u53f3\uff1a\u71b1\u6c34\u6d88\u6bd2\u3092\u884c\u3063\u3066\u3044\u308b\u3082\u306e\u306e\u4e0d\u5341\u5206\u306a\u6d17\u6fef\u304c\u539f\u56e0\u3068\u63a8\u5b9a\u3055\u308c\u305f\u30bb\u30ec\u30a6\u30b9\u83cc\u6c5a\u67d3\u4f8b<\/p>\n
\u53c2\u8003\u8cc7\u6599<\/p>\n
1) Barrie D: How hospital linen and laundry services are provided. J Hosp Infect, 27: 219-35, 1994\u3010IC01280\u3011
\n2) Ayliffe GAJ, et al: Control of Hospital Infection. 4th ed. London, 2000, Arnold.
\n3) Department of health and social security HN (87) 1: Decontamination of equipment, linen or other surfaces contaminated with Hepatitis B or human immunodeficiency virus. DHSS
\n4) Russell AD, et al: Principles and practice of disinfection, preservation, and steriliztion, 3rd ed. Blackwell Scientific Publications. 1999
\n5) Ayliffe GAJ, et al: Hospital-Acquired Infection: Principles and Prevention, Butterworth-Heinemann. 1999
\n6) Cannon JL, et al: Surrogates for the study of norovirus stability and inactivation in the environment: a comparison of murine norovirus and feline calicivirus. J Food Prot, 69: 2761-5, 2006
\n7) \u5c3e\u5bb6\u91cd\u6cbb, \u4ed6\uff1a\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc\uff08MRSA\uff09\u306b\u5bfe\u3059\u308b\u6e29\u6c34\u306e\u52b9\u679c. \u74b0\u5883\u611f\u67d3, 8: 11-4, 1993\u3010IC01590\u3011
\n8) Oie S, et al: Efficacy of disinfectants and heat against Escherichia coli O157:H7. Microbios, 98: 7-14, 1999\u3010IC25439\u3011
\n9) Hernaiz C, et al: Nosocomial bacteremia and catheter infection by Bacillus cereus in an immunocompetent patient. Clin Microbiol Infect, 9: 973-5, 2003
\n10) Dohmae S, et al: Bacillus cereus nosocomial infection from reused towels in Japan. J Hosp Infect, 69: 361-7, 2008
\n11) Oie S, et al: Cleanliness of Linen and Clothing Items Professionally Laundered or Dry-Cleaned. Jpn J Infect Dis, 69: 75-76, 2016<\/p>\n
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