Sasaki Junichi, Shiino Yasukazu, Kato Yasuyuki, Kudo Daisuke, Fujita Masahisa, Miyairi Isao, Mochizuki Toru, Okuda Hiroshi, Nagato Tadashi, Nabetani Yoshiko, Takahashi Takeshi
Department of Emergency and Critial Care Medicine Keio University School of Medicine Tokyo Japan.
Department of Acute Medicine Kawasaki Medical School Kurashiki Japan.
Acute Med Surg. 2020 Sep 3;7(1):e540. doi: 10.1002/ams2.540. eCollection 2020 Jan-Dec.
The risk of encountering human-to-human infections, including emerging infectious diseases, should be adequately and appropriately addressed in the emergency department. However, guidelines based on sufficient evidence on infection control in the emergency department have not been developed anywhere in the world. Each facility examines and implements its own countermeasures. The Japanese Association for Acute Medicine has established the "Committee for Infection Control in the Emergency Department" in cooperation with the Japanese Association for Infectious Diseases, Japanese Society for Infection Prevention and Control, Japanese Society for Emergency Medicine, and Japanese Society for Clinical Microbiology. A joint working group has been established to consider appropriate measures. This group undertook a comprehensive and multifaceted review of infection control measures for emergency outpatients and related matters, and released a checklist for infection control in emergency departments. This checklist has been prepared such that even small emergency departments with few or no emergency physicians can control infection by following the checklist, without committing any major errors. The checklist includes a control system for infection control, education, screening, and vaccination, prompt response to suspected infections, and management of the risk of infection in facilities. In addition, the timing of the check and interval at which the check is carried out are specified as categories. We hope that this checklist will contribute to improving infection control in the emergency department.
在急诊科，应充分且适当地应对包括新发传染病在内的人际感染风险。然而，世界上任何地方都尚未制定基于充分证据的急诊科感染控制指南。每个机构都自行审查并实施各自的应对措施。日本急性医学协会与日本传染病协会、日本感染预防与控制协会、日本急诊医学协会和日本临床微生物学协会合作，成立了“急诊科感染控制委员会”。已设立一个联合工作组来考虑适当措施。该小组对急诊门诊患者的感染控制措施及相关事项进行了全面且多方面的审查，并发布了急诊科感染控制清单。这份清单的编制目的是，即使是急诊医生很少或没有急诊医生的小型急诊科，也能通过遵循该清单来控制感染，而不会犯任何重大错误。该清单包括感染控制的控制系统、教育、筛查和疫苗接种、对疑似感染的及时应对以及设施内感染风险的管理。此外，还将检查的时间和检查间隔作为类别进行了规定。我们希望这份清单将有助于改善急诊科的感染控制。
