眼科手術感染防止対策と抗菌薬使用に関する全国アンケート調査成績

A nation-wide survey regarding control of infection and use of antimicrobial drugs in eye surgery

要約　眼科手術での術後感染防止対策について，記名式アンケート調査をした。対象は全国の大学病院106施設と一般病院296施設の合計402施設であり，187施設（46.5％）から回答が得られた。21％では手術ごとに術衣の交換はせず，29％では手洗いを毎回せずに手袋の交換だけをしていた。術後の感染防止のために，点眼薬としてニューキノロンが86％で用いられ，7日以上が51％で行われていた。静注薬としてセフェム系薬が81％で使用され，その内訳は，第1世代23％，第2世代20％，第3世代38％であり，52％が術後3日間だけ使用していた。経口薬としてセフェム系薬が87％で使用され，56％が術後4～6日間であった。

Abstract.　A nation-wide survey was conducted regarding the use of antibiotics and measures to control infection in eye surgery. A questionnaire was sent to 402 institutions in Japan,comprising 106 university eye departments and 296 hospitals. It was responded by a total of 187 institutions（46.5％）resulting in following major outcomes. Surgical clothes were not changed during consecutive eye surgeries（21％）. Surgical gloves were changed without scrubbing anew at each consecutive surgery（29％）. New quinolone as ophthalmic solution was used in 86％ of institutions. It was used longer than 7 days after surgery in 51％ institutions. Intravenously,cephems were used in 81％ of institutions,comprising first-generation ones in 23％,second-generation ones in 20％ and third-generation ones in 38％. It was used for 3 postoperative days only in 52％. Perorally,cephems were used in 87％ of institutions. It was used for 4 to 6 days after surgery in 56％.