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消化器内視鏡の洗浄・消毒標準化 ... - jges.net

1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 2) 1) 1) 1) 2) Key words 1 1970

消化器内視鏡の洗浄・消毒標準化にむけたガイドライン 岩切龍一 1) 田中聖人 1) 後藤田卓志 岡 志郎 大塚隆生 坂田資尚 1) 千葉俊美 樋口和秀 1) 増山仁徳 野崎良一 松田浩二 1) 下野信行 2) 藤本一眞 1) 田尻久雄 1) 1) 日本消化器内視鏡学会, 2) 日本感染症学会

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Transcription of 消化器内視鏡の洗浄・消毒標準化 ... - jges.net

1 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 1) 2) 1) 1) 1) 2) Key words 1 1970

2 1),2). 1980 3),4) 5) 8) 9) 1980 B AGML 10),11) AGML Helicobacter pylori H. pylori 12) 3 30 70 1,700 13) 2015 9 8 7 14) 2015 8 9,15)

3 1. Greene WH, Moody M, Hartley R et al. Esophagoscopy as a source of Pseudomonas aeruginosa sepsis in patients with acute leukemia: the need for sterilization of endoscopes.

4 Gastroenterology 1974 67 912-9. 2. Silvis SE, Nebel O, Rogers G et al. Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA 1976 235 928-30. 3. Infection control during gastrointestinal endoscopy. Guidelines for clinical application. Gastrointest Endosc 1988 34 37S-40S. 4. Cleaning and disinfection of equipment for gastrointestinal flexible endoscopy: interim recommendations of a Working Party of the British Society of Gastroenterology. Gut 1988 29 1134-51. 5. ASGE Quality Assurance In Endoscopy Committee, Petersen BT, Chennat J, Cohen J et al.

5 Multisociety guideline on reprocessing flexible gastrointestinal endoscopes: 2011. Gastrointest Endosc 2011 73 1075-84. 6. Guideline for Disinfection and Sterilization in Healthcare Facilities (2008). 7. Beilenhoff U, Neumann CS, Rey JF et al. ESGE-ESGENA Guideline: cleaning and disinfection in gastrointestinal endoscopy. Endoscopy 2008 40 939-57. 8. Comit technique des infections nosocomiales et des infections li es aux soins Conseil sup rieur d hygi ne publique de France. Elements d'assurance qualite en hygiene relatifs au contr le microbiologique des endoscopes et la tra abilit en endoscopie.

6 2007. 9. Verfaillie CJ, Bruno MJ, Voor in 't Holt AF et al. Withdrawal of a novel-design duodenoscope ends outbreak of a VIM-2-producing Pseudomonas aeruginosa. Endoscopy 2015 47 493-502. 10. B HBV 1 Gastroenterol Endosc 1985 27 2727-33. 11. AGML Gastroenterol Endosc 1989 31 785-90. 12. Sugiyama T, Naka H, Yabana T et al. Is Helicobacter pylori infection responsible for postendoscopic acute gastric mucosal lesions? Eur J Gastroenterol Hepatol 1992 4 S93-6.

7 13. 1 . e-Stat . 14. 1 2008 23 S1-21. 15. 27 8 27 0827 15 . 2 I II III IV V CQ Figure 1 3 Table 1 Delphi 1) 3)

8 Delphi 1-3 4-6 7-9 2017 7 17 Delphi RCT Minds 1 2 1. Eddy DM. Clinical decision making: from theory to practice. Designing a practice policy. Standards, guidelines, and options. JAMA 1990 263 3077-82.

9 2. Fink A, Kosecoff J, Chassin M et al. Consensus methods: characteristics and guidelines for use. Am J Public Health 1984 74 979-83. 3. Naylor CD. What is appropriate care? N Engl J Med 1998 338 1918-20. Table 1 2

10 4 10,500 2,500 13,000 30 1 1 900 1 2,800 1,140 1.


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