\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\/injection_site\/<\/p>\n
\u6d88\u6bd2NAVI\u300c\u6ce8\u5c04\u90e8\u4f4d\u300d<\/p>\n
\u533b\u7642\u95a2\u4fc2\u8005\u5411\u60c5\u5831\u30b5\u30a4\u30c8
\n\u533b\u7642\u30ca\u30ec\u30c3\u30b8
\n\u6d88\u6bd2NAVI
\n\u6ce8\u5c04\u90e8\u4f4d<\/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 \u6559\u6388\uff09\u306b\u89e3\u8aac\u3057\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002
\n \u306a\u304a\u3001\u5668\u5177\u30fb\u7269\u54c1\u3084\u6d88\u6bd2\u5264\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
\u6ce8\u5c04\u90e8\u4f4d\u306e\u6d88\u6bd2\u65b9\u6cd5<\/p>\n
\u6ce8\u5c04\u90e8\u4f4d
\n \u6ce8\u5c04\u90e8\u4f4d\u3078\u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u3092\u9078\u629e\u3059\u308b\uff08\u88681\uff091,2\uff09\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u306f\u6bba\u83cc\u52b9\u679c\u306e\u767a\u73fe\u304c\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u306b\u6bd4\u3079\u3066\u3059\u307f\u3084\u304b\u3067\u3001\u304b\u3064\u901f\u4e7e\u6027\u3067\u3042\u308b\uff08\u88682\uff09\u3002\u4e00\u65b9\u3001\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u306f\u7740\u8272\u304c\u751f\u3058\u3066\u3001\u6d88\u6bd2\u90e8\u4f4d\u304c\u3088\u304f\u308f\u304b\u308b\u3068\u3044\u3063\u305f\u5229\u70b9\u304c\u3042\u308b\u3002\u3053\u306e\u4ed6\u3001\u6ce8\u5c04\u90e8\u4f4d\u306b\u306f\u5f37\u529b\u306a\u6d88\u6bd2\u85ac\u306f\u4e0d\u8981\u3068\u306e\u89b3\u70b9\u304b\u3089\u30010.05\uff5e0.1\uff05\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u3082\u6c4e\u7528\u3055\u308c\u3066\u3044\u308b\u3002\u306a\u304a\u3001\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u304a\u3088\u3073\u30a2\u30eb\u30b3\u30fc\u30eb\u306b\u30a2\u30ec\u30eb\u30ae\u30fc\u3092\u793a\u3059\u60a3\u8005\u306b\u306f\u30010.1\uff05\uff5e0.5\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30840.05\uff5e0.1\uff05\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u3092\u7528\u3044\u308b\u3002\u306a\u304a\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u523a\u5165\u90e8\u4f4d\u3084\u8840\u6db2\u57f9\u990a\u6642\u3067\u306e\u63a1\u8840\u90e8\u4f4d\u306e\u6d88\u6bd2\u306b\u306f\u30010.5\uff5e1\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u30a8\u30bf\u30ce\u30fc\u30eb\u542b\u6709\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u306e\u307b\u3046\u304c\u671b\u307e\u3057\u3044\u3002\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u306b\u6bd4\u3079\u3066\u3001\u3088\u308a\u5f37\u3044\u6d88\u6bd2\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b\u304b\u3089\u3067\u3042\u308b\u30020.5\uff5e1\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30a2\u30eb\u30b3\u30fc\u30eb\u3067\u306f\u3001\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u306e\u6301\u7d9a\u52b9\u679c\u306b\u52a0\u3048\u3066\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u306e\u3059\u307f\u3084\u304b\u306a\u6bba\u83cc\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b3-8)\u3002\u307e\u305f\u3001\u30a8\u30bf\u30ce\u30fc\u30eb\u542b\u6709\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u3067\u306f\u3001\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u306b\u6bd4\u3079\u3066\u3088\u308a\u3059\u307f\u3084\u304b\u306a\u4e7e\u71e5\u5316\u3068\u5f37\u3044\u6bba\u83cc\u52b9\u679c\u304c\u671f\u5f85\u3067\u304d\u308b9)\u3002
\n \u88683\u306b\u3001\u6ce8\u5c04\u90e8\u4f4d\u306b\u4f7f\u7528\u3067\u304d\u308b\u6d88\u6bd2\u85ac\u306e\u5358\u5305\u88fd\u5264\u3092\u793a\u3057\u305f\u3002\u6d88\u6bd2\u85ac\u306e\u5358\u5305\u88fd\u5264\u3067\u306f\u3001\u6e05\u6f54\u306b\u6271\u3048\u308b\u3001\u6301\u3061\u904b\u3073\u306b\u4fbf\u5229\u3001\u4f7f\u3044\u6b8b\u3057\u304c\u306a\u3044\u306a\u3069\u306e\u5229\u70b9\u304c\u3042\u308b\u3002\u4e00\u65b9\u3001\u305d\u306e\u3064\u3069\u306e\u958b\u5c01\u304c\u3084\u3084\u9762\u5012\u306a\u3053\u3068\u3084\u3001\u30b3\u30b9\u30c8\u304c\u4e0a\u6607\u3059\u308b\u5834\u5408\u304c\u3042\u308b\u306a\u3069\u306e\u6b20\u70b9\u3082\u3042\u308b\u3002 <\/p>\n
\u88681\uff0e\u6ce8\u5c04\u90e8\u4f4d\u306b\u7528\u3044\u308b\u6d88\u6bd2\u85ac<\/p>\n
\u6d88\u6bd2\u85ac
\n \u7279\u5fb4
\n \u5099\u8003<\/p>\n
\u30a2\u30eb\u30b3\u30fc\u30eb
\n \uff08\u6d88\u6bd2\u7528\u30a8\u30bf\u30ce\u30fc\u30eb\uff09<\/p>\n
\u901f\u52b9\u6027
\n \u901f\u4e7e\u6027<\/p>\n
\u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u306b\u30a2\u30ec\u30eb\u30ae\u30fc\u3092\u793a\u3059\u60a3\u8005\u306b\u306f\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9\u3092\u4f7f\u7528\u3059\u308b
\n \u30fb\u30e8\u30fc\u30c9\u30a2\u30ec\u30eb\u30ae\u30fc\u60a3\u8005\u306b\u306f\u30a2\u30eb\u30b3\u30fc\u30eb\u3092\u4f7f\u7528\u3059\u308b
\n \u30fb\u30a2\u30eb\u30b3\u30fc\u30eb\u304a\u3088\u3073\u30e8\u30fc\u30c9\u3044\u305a\u308c\u306b\u3082\u30a2\u30ec\u30eb \u30ae\u30fc\u3092\u793a\u3059\u60a3\u8005\u306b\u306f\u30010.1\uff5e0.5\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30840.05\uff5e0.1\uff05\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269\u3092\u4f7f\u7528\u3059\u308b <\/p>\n
\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9<\/p>\n
\u7740\u8272\u3059\u308b<\/p>\n
0.1\uff5e0.5\uff05
\n \u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3<\/p>\n
\u6301\u7d9a\u52b9\u679c\u3092
\n \u793a\u3059<\/p>\n
0.05\uff5e0.1\uff05
\n \u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269 <\/p>\n
\u6d17\u6d44\u52b9\u679c\u304c\u3042\u308b<\/p>\n
\u88682\uff0e\u30e1\u30c1\u30b7\u30ea\u30f3\u8010\u6027\u9ec4\u8272\u30d6\u30c9\u30a6\u7403\u83cc\uff08MRSA\uff09\u306b\u5bfe\u3059\u308b\u6d88\u6bd2\u85ac\u306e\u52b9\u679c*1<\/p>\n
\u6d88\u6bd2\u85ac
\n \u83cc\u682a\uff0a2
\n \u63a5\u89e6\u5f8c\u306e\u751f\u83cc\u6570 \/\uff4dL <\/p>\n
15\u79d2
\n 30\u79d2
\n 1\u5206
\n 2\u5206
\n 5\u5206<\/p>\n
\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9
\n A
\n 5.7\u00d7103
\n 4.0\u00d7102
\n 5
\n 0
\n 0<\/p>\n
B
\n 1.4\u00d7105
\n 1.0\u00d7104
\n 1.3\u00d7102
\n 0
\n 0<\/p>\n
\u6d88\u6bd2\u7528\u30a8\u30bf\u30ce\u30fc\u30eb
\n A
\n 0
\n 0
\n 0
\n 0
\n 0 <\/p>\n
B
\n 0
\n 0
\n 0
\n 0
\n 0 <\/p>\n
\uff0a1\u30b5\u30b9\u30da\u30f3\u30b8\u30e7\u30f3\u6cd5\u3067\u884c\u3063\u305f\u3002\u521d\u767a\u83cc\u91cf\u306f\u83cc\u682aA\u30671.3\u00d7106\u751f\u83cc\u6570 \/mL\u3001\u83cc\u682aB\u30672.1\u00d7106\u751f\u83cc\u6570 \/mL\u3067\u3042\u3063\u305f\uff08\uff12\u56de\u304f\u308a\u8fd4\u3057\u306e\u5e73\u5747\u5024\uff09\u3002
\n \uff0a2\u81e8\u5e8a\u5206\u96e2\u682a <\/p>\n
\u88683\uff0e\u6d88\u6bd2\u85ac\u306e\u5358\u5305\u88fd\u5264<\/p>\n
\u7cfb\u7d71
\n \u6210\u5206
\n \u5264\u5f62<\/p>\n
\u30a2\u30eb\u30b3\u30fc\u30eb
\n \u6d88\u6bd2\u7528\u30a8\u30bf\u30ce\u30fc\u30eb
\n \u542b\u6d78\u7dbf\uff0c\u7dbf\u7403\uff0c\u7dbf\u68d2<\/p>\n
0.5\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30a2\u30eb\u30b3\u30fc\u30eb
\n \u7dbf\u7403\uff0c\u7dbf\u68d2<\/p>\n
1\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3\u30a2\u30eb\u30b3\u30fc\u30eb
\n \u7dbf\u68d2\uff0c\u7dbf\u5e03<\/p>\n
\u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9
\n \u30dd\u30d3\u30c9\u30f3\u30e8\u30fc\u30c9
\n \u7dbf\u7403\uff0c\u7dbf\u68d2\uff0c\u30a2\u30d7\u30ea\u30b1\u30fc\u30bf <\/p>\n
\u4f4e\u6c34\u6e96\u6d88\u6bd2\u85ac
\n 0.025\uff05\u30d9\u30f3\u30b6\u30eb\u30b3\u30cb\u30a6\u30e0\u5869\u5316\u7269
\n \u7dbf\u7403\uff0c\u7dbf\u68d2<\/p>\n
0.05\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3
\n \u7dbf\u7403\uff0c\u7dbf\u68d2<\/p>\n
0.2\uff05\u30af\u30ed\u30eb\u30d8\u30ad\u30b7\u30b8\u30f3
\n \u542b\u6d78\u7dbf <\/p>\n
\u5f15\u7528\u6587\u732e<\/p>\n
1) Clemence MA, et al: Central venous catheter practices: results of a survey. Am J Infect Control, 23: 5-12, 1995.
\n2) Nishihara Y, et al: Antimicrobial efficacies of chlorhexidine gluconate-alcohols and a povidone-iodine solution as skin preparations in vivo. Healthcare Infect, 17: 52-56, 2012.
\n3) Wong PY, et al: Validation and assessment of a blood-donor arm disinfectant containing chlorhexidine and alcohol. Transfusion, 44: 1238-1242, 2004.
\n4) Caldeira D, et al: Skin antiseptics in venous puncture-site disinfection for prevention of blood culture contamination: systematic review with meta-analysis. J Hosp Infect, 77: 223-232, 2011.
\n5) Miller DL, et al: Guidelines for the prevention of intravascular catheter-related infections: recommendations relevant to interventional radiology for venous catheter placement and maintenance. J Vasc Interv Radiol, 23: 997-1007, 2012.
\n6) Yamamoto N, et al: Efficacy of 1.0% chlorhexidine-gluconate ethanol compared with 10% povidone-iodine for long-term central venous catheter care in hematology departments: a prospective study. Am J Infect Control, 42: 574-576, 2014.
\n7) Lorente L: What is new for the prevention of catheter-related bloodstream infections? Ann Transl Med, 4: 119, 2016.
\n8) Mart\u00ednez Morel HR, et al: Effectiveness of a programme to reduce the burden of catheter-related bloodstream infections in a tertiary hospital. Epidemiol Infect, 144: 2011-2017, 2016.
\n9) Pratt RJ, et al: epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. J Hosp Infect, 65S: S1-S4, 2007.<\/p>\n
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