臨床検査65巻5号

2021年05月発行

今月の特集 薬剤耐性（AMR）対策の現状と今後

医療機関における薬剤耐性微生物の感染対策

著者： 坂本史衣¹

所属機関： ¹聖路加国際病院QIセンター感染管理室

ページ範囲：P.530 - P.535

Point

●薬剤耐性微生物（MDRO）は，汚染された手指，器具，環境表面との直接および間接接触によって伝播する．

●全ての患者についてMDROの有無を把握することは不可能であるので，手指衛生をはじめとする標準予防策の実施率を日頃から高く維持することがMDROの伝播を防ぐうえで重要である．

●MDROを保菌していることが判明している患者には，標準予防策に加えて接触予防策を追加することが推奨されている．また，感染リスクとなり得る環境への対策も重要である．

●新型コロナウイルス感染症の流行に伴い，MDROの出現や伝播のリスクが高まっているという指摘がある．MDROは，あらゆる医療機関に常に存在するリスクとして対応する必要がある．

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