院内感染と病院・医師の注意義務について : 最近の裁判例の分析から

Through analyzing judicial precedents on nosocomial infection for the past ten years, I will summarize the important methods preventing troubles and damages caused by nosocomial infection in medical institutions as follows :
（i）To prevent nosocomial infection, the whole hospital should systematically take preventive measures against nosocomial infection. It is essential to carry out systematical preventive measures ever suggested, such as to set up the committee for preventing nosocomial infection, which works as organizing committee in the Medical Security Committee or teams up with it, to lay down the manual for preventing nosocomial infection and make use of it, to do periodical surveillance, to examine patients before entering the hospital, to isolate infectious patients, to make a habit of washing hands, disinfecting or sterilizing equipments, to utilize disposable products, to dispose of medical waste properly, and to clean rooms and air.
（ii）But these measures are not enough. What is more important, all medical stuff engaged in medical treatment should recognize the importance of preventing nosocomial infection, and be strongly conscious of preventing nosocomial infection with self-responsibility, not leaving to the person in charge.
Particularly, physicians in charge engaged in treating patients directly are required to identify microbe or virus which causes inflammation and take preventive measures against such microbe or virus immediately, and not to neglect to communicate with clinical examiners in the hospital. And furthermore, they must start to treat patients as soon as possible, selecting the proper antibiotic and giving it to them, and do their best in order to save their lives.

四国医学雑誌 : http://www.tokushima-u.ac.jp/med/research/shikoku_acta_medica.html