疥癬患者の病室の殺虫剤撒布について

APICのメンバーとメーリングリスト上で上記についてやり取りしました。翻訳はあとで。

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6 May 2004

Hi everybody!
In our country, in order to prevent the spread of scabies, we usually spray
the pesticides such as pyrethroids onto the floor of the patient room,
especially the patients with Norwegian scabies.
Do you think this measure is effective? Do you do that?
Would you tell me the references of this issue?

Kenji Kono
Fukuoka Wajinkai Hospital
1-33-18, Ikinomatsubara, Nishi-ku
Fukuoka 819-0055
Japan

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6 May 2004

We do not spray pesticide on the floor to control scabies. We treat the person with a topical scabicide. Norwegian scabies may require
several treatments. Contact Precautions should be used for at least 24 hours after treatment - longer for Norwegian scabies.
All bed linen, clothing is washed in hot water and machined dried.
The Red Book - American Academy of Pediatrics - 26th Edition - 2003

Akron General Medical Center
Diane Salisbury
330-344-6532

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6 May 2004

Dr. Kono
Unless there are some very extenuating circumstances, i.e. many people
walking barefoot, I don't think you need to us a pesticide. Please see the
Control of Communicable Disease Manual, by Abram S Benenson for additonal
recomendations. Contact Isolation, using gowns and gloves while treating the
infected patient in most cases is enough. Washing clothes in hot soapy water
and dry in a heated dryer should be enough to treat clothing. FYI if the
employee caring for the infected patient has long hair. I recomend the
employee wear a cap to cover her hair so that it dosen't touch the patient.

From: "Stephens, Claudester" <StephenC@summa-health.org>

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7 May 2004

Like Diane, we do routine cleaning in the room of patients with scabies.
You may find some helpful information on the CDC website www.cdc.gov When
you get to the home page click on the tab at the top that says" a-z index."
Next click on the letter "s" and you will find the topic scabies. From this
page there is also a link to an MMWR article on Norwegian scabies. I am
fortunate that I have never had to deal with this. I wish you good luck.

Beth Young, R.N., B.S.N., C.I.C.
Infection Control Coordinator
Robinson Memorial Hospital
6847 N. Chestnut Street
Ravenna, Ohio 44266-1204
330.297.2574
eyoung@rmh2.org

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8 May 2004

Thanks a lot, Diane, Stephens, and Beth.
We have practiced a lot of "infection control dogma" in our country.
To catch up with your country, we will try to change our old customs;
non-evidence-based infection control measures.
So please cooperate with us forever!

Kenji Kono
Fukuoka Wajinkai Hospital
1-33-18, Ikinomatsubara, Nishi-ku
Fukuoka 819-0055
Japan