Study of the hand hygine in family having the infant in pandemic swine-origin influenza A (H1N1) : Hand hygiene during pandemic influenza
抄録
新型インフルエンザ流行時の感染予防対策と感染対策として実施されることの多い手指衛生方法の検証を目的に調査を行った.その結果,幼児を持つ310家庭中224家庭(78.6%)から有効回答が得られた.内容として感染予防対策は「手洗い・うがいの励行」が86%と最も多く,次いで「手指消毒剤の準備」,「手指消毒の実施」と手指衛生に関する項目が上位を占めていた.また手指衛生方法として家庭内では「手洗い」が90.6%であったが,外出時には72.8%と減少し代わりに「手指消毒」が39.7%と多く行われていた.「手指消毒」では,方法を知っている家庭の「1回使用量」として保護者と幼児の両者で「ポンプ1回押し」が最も多く,保護者よりも減量した量を幼児が使用している家庭がこれに続いた.手指消毒後における手指の「乾燥の程度」では「手指消毒」方法を実施している群において「十分に乾燥している」が61.9%,実施していない群で11.2%,さらに「気にしたことが無い」が実施している群で1.3%,実施していない群で8.9%と実施していない群で乾燥が不十分であった.
The purpose of this study was to verify the methods of hand hygiene often implemented as measures for prophylaxis and infection control when swine-origin influenza A(H1N1) was spreading. Results showed that as a preventive measure for infection “the strict enforcement of hand washing and gargling” placed highest at 86%, followed by the hand hygiene-related methods of “making hand sanitizer available” and “implementing hand ant isepsis.” In addition, within the home “hand washing” as a method of hand hygiene accounted for 83%, but fell to 61% outside the home where 37% employed hand antisepsis instead. In families aware of the “hand antisepsis” method, the “amount used at one time” for most parents and children was “1 push of the pump,” followed by families where children used less quantity than parents. In regard to “degree of dryness,” 62% of the group that implemented the “hand antisepsis” method indicated “sufficient dryness” compared to 38% of the group that did not implement the “hand antisepsis” method. Furthermore, 7% of the group implementing the “hand antisepsis” method “has never been concerned” with dryness compared to 31% of the group not implementing the “hand antisepsis” method. Dryness was insufficient for the group not implementing the “hand antisepsis” method.