Hagiya Hideharu, Fujita Koji, Kamiyama Shinya, Ocho Kazuki, Yamada Haruto, Otsuka Fumio
Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, JPN.
Department of General Medicine and Infectious Disease, Tsuyama Chuo Hospital, Tsuyama, JPN.
Cureus. 2021 Jul 26;13(7):e16643. doi: 10.7759/cureus.16643. eCollection 2021 Jul.
Objective During the ongoing global pandemic of novel coronavirus disease 2019 (COVID-19), an emerging infectious disease, the implementation and execution of infection prevention and control (IPC) is of paramount importance. In this study, we aimed to assess the current deployment of infection control medical personnel in Okayama prefecture, who are supposed to play an essential role to prevent the outbreak of infectious diseases, and the current prevalence of antimicrobial-resistant (AMR) bacteria isolated in Okayama. Materials and methods This was a descriptive study using publicly available data. The numbers of infectious disease (ID)-doctors and the certified nurses in infection control (CNIC) per 100,000 population in 47 prefectures in Japan were calculated. We then compared the detected proportions of AMR pathogens among the prefectures in 2019 to be employed as a comparative parameter, which was obtained from Japan Nosocomial Infections Surveillance (JANIS) data. Results The number of ID-doctors was the 11thhighest in Japan; however, they were unevenly distributed in southern Okayama, particularly at three tertiary hospitals. While the deployment of CNIC was geographically less uneven in the prefecture, their number was lower than the domestic average. According to the JANIS data, isolation rates of AMR pathogens were high in Okayama compared to other prefectures in Japan: vancomycin-resistant (the third-worst); cefotaxime-resistant and (the third-worst and the second-worst, respectively); and meropenem-resistant (the worst). Conclusions Our assessment provides underlying data and reinforces the need for educating multi-professional experts in the field of infectious diseases to prevent future public health threats in Okayama.
目的 在新型冠状病毒肺炎（COVID-19）这一正在全球流行的新兴传染病期间，感染预防与控制（IPC）的实施和执行至关重要。在本研究中，我们旨在评估冈山地区感染控制医务人员的当前部署情况，他们在预防传染病爆发中应发挥关键作用，同时评估冈山地区分离出的抗菌药物耐药（AMR）细菌的当前流行情况。材料与方法 这是一项利用公开可用数据的描述性研究。计算了日本47个县每10万人口中传染病医生和感染控制认证护士（CNIC）的数量。然后，我们比较了2019年各县AMR病原体的检测比例，将其作为比较参数，该参数来自日本医院感染监测（JANIS）数据。结果 传染病医生数量在日本排名第11；然而，他们在冈山南部分布不均，特别是在三家三级医院。虽然CNIC在该地区的地理分布不均衡程度较低，但其数量低于国内平均水平。根据JANIS数据，与日本其他县相比，冈山地区AMR病原体的分离率较高：耐万古霉素（第三差）；耐头孢噻肟（分别为第三差和第二差）；以及耐美罗培南（最差）。结论 我们的评估提供了基础数据，并强化了在传染病领域培养多专业专家以预防冈山地区未来公共卫生威胁的必要性。
