個人用防護具（PPE）
Contents
1. CONTENTS PPE PPE 08 UES I R i EX VLIE A ll T I R ee 102. 0 we a E a 2 10
3. 4 0 4 F481 3 26 61 9 7 Zr a
4. 6 PPE personal protective equipment PPE
5. 1 e s T 158 8583 2 33 1 0570 011 321 NIOSH National Institute of Occupational Safety and Health http www mmm co jp hc medical NaCI N95 350 N95 KE NIOSH DS2
6. PPE CDC Guidance for the Selection and Use of Personal Protective Equipment PPE in Healthcare Settings http www cdc gov ncidod dhqp ppe html CDC Guideline for Isolation Precautions Preventing Transmission of Infections Agents in Healthcare Settings 2007 Association for the Advancement of Medical Instrumentation AAMI Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities Arlington VA AAMI 2003 117 INFECTION CONTROL 2010 PPE
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9. Vee cat ee 3 BRON 5 PPE 2003
10. 2009 FA HINI Hashikura 5 1 N95 4 1 4
11. personal protective equipment PPE PPE LFA 2 7 Centers for Disease control and Prevention CDC 1996 PPE
12. M PPE DHHS Department of Health and Human Services DoL Department of Labour 6 1970 PPE OSHA Acbj Occupational Safety and Health Administration OSHA He OSHA OSHA Act
13. 17 BFW BOS ARSE 11 BSE So he ea AS CS Se R 12 RATAR RAS HL BAW AV Ivy HRA 3 1m 18
14. 10 11 12 13 14 15 16 17 Mast ST Woolwine JD Gerberding JL Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury J Infect Dis 1993 168 1589 1592 CDC Guideline for Isolation Precautions Preventing Transmission of Infectious Agents in Healthcare Settings 2007 Krikorian R Lozach Perlant A Ferrier Rembert A et al Standardization of needlestick injury and evaluation of a novel virus inhibiting protective glove J Hosp Infect 2007 66 339 345 Occupational Safety and Health Administration Bloodborne Pathogens Regulations 1910 1030 d 2 i Doebbeling BN Pfaller MA Houston AK et al Removal of nosocomial pathogens from the contaminated glove Implications for glove reuse and handwashing Ann Intern Med 1988 109 394 398 2 CDC
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18. 2007 CDC CDC Centers for Disease Control and prevention ORRKSSOFOMPICASENS 0 5 10 3 x 101m gt
19. 3 20 N95 PAPR N95 N95 N95 N95 PAPR
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35. PPE 3 Da 4 TL N 2 90 1 CDC Guidelines for Preventing the Transmission of Mycobacterium N tuberculosis in Health Care Settings 2005 http kansen med nagoya u acJp general gl2 gl2 html N95 Infection control 2010 19 3 P41 CDC NIOSH Particulate Respirator Selection and Use I DETAILED GUIDELINES FOR USE 1996 Chttp www cdc gov niosh respguid html OSHA Fit Testing Procedures Mandatory http www osha gov pls oshaweb owadisp show_document p_ id 9780 amp p_table STANDARDS 2
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50. B RAED AVAL CHAD AVA HIV B 2009 Japan EPINet Survey Working Group JEPSWG 2009 7 9 377 JBS JES2009
51. 2007 10 2007 No 27 Vol 84 7 17 18 FER 20 3 Lewis R Goldfrank Catharyn T Liverman Occupational Safety and Medical Techinology Health Context Preparing For An Influenza Pandemic Personal Protective Equipment for Healthcare Workers INSTITUTE OF MEDICINE National Academes Press Washington D C 2008 p147 168 p25 OSHA 1CT 2007 2 3 314 318 Occupational Safety and Health Administration OSHA Occupational exposure to bloodborne pathogens final rule 29 CFR Part 1910 1030 Fed Reg 1991 56 64004 64182 Needlestick Safety and Prevention Act of 2000 Publication no 106 430 114 Stat 1901 November 6 2000 Occupational Safety and Health Administration OSHA Occupational exposure to bloodborne pathogens needle stick and other sharps injuries final rule 29 CFR Part 1910 1030 Fed Reg 2001 66 5318 525 Occupational Safety and Health Administration OSHA Respiratory Protection final rule 29 CFR 1910 134 Occupational Safety and Health Administration OSHA General regulatory standard 29 CFR 1910 132 Occupational Safety and Health Administration O
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54. 19 MAT A a F 10 11 12 13 14 15 16 17 Siegel JD Rhinehart E Jackson M et al Healthcare Infection Control Practices Advisory Committee 2007 Guideline for Isolation Precautions Preventing Transmission of Infectious Agents in Healthcare Settings June 2007 http www cdc gov ncidod dhqp gl_isolation html Henderson DK Dembry L Fishman NO et al SHEA guideline for management of healthcare workers who are infected with hepatitis B virus hepatitis C virus and or human immunodeficiency virus Infect Control Hosp Epidemiol 2010 Mar 31 3 203 32 Boyce JM Havill NL Dumigan DG et al Monitoring the effectiveness of hospital cleaning practices by use of an adenosine triphosphate bioluminescence assay Infect Control Hosp Epidemiol 2009 Jul 30 7 678 84 Mast ST
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56. PPE PPE Occupational Safety and Health Administration OSHA PPE OSHA PPE Occupational Safety and Health LT
57. OSHA Act National Institute of Occupational Safety and Health NIOSH NIOSH NIOSH OSHA OSHA NIOSH Center of Disease Control CDC NIOSH 2000 National Personal Protective Technology Laboratory NPPTL OSHA NIOSH NIOSH 42 CFR 84 N95 N99 VI PPE OSHA OSHA PPE
58. PAPR JIS NIOSH To ERY I PAPR Ml PAPR V
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79. the OSHA blood borne pathogens standards 29 CFR Part 1910 1030 BPS 1991 7 OSHA 2001 1991 OSHA BPS Needlestick Safety and Prevention Act BPS 89 BPS 1991 PPE TOT BPS 2001 PPE inhaling hazardous substances OSHA respirator regulations 29 CFR 1910 134 RR 1998
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82. l Hashikura M Kizu J Stockpile of personal protective equipment in hospital settings preparedness for influenza pandemics Am J Infect Control 2009 37 703 7 2 2010 3 McMahon E Wada K Dufresne A Implementing fit testing for N95 filtering face piece respirators Practical information from a large cohort J J of hospital workers Am J nee Control UD are 4 lt N http www mhlw go jp kinkyu kenkou influenza dl 090430 0lc pdf eit eit 1 SARS SERA Mol RRIIICTKIAITRTEE CORE
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92. 5D OSHA OSHA general regulatory standard 29 CFR 1910 132 Food and Drug Administration FDA FDA FDA FDA
93. 2007 2008 Rego A Roley L In use barrier integrity of gloves latex and nitrile superior to vinyl Am J Infect Control 1999 27 405 410 2009 2009 National Institute of Occupational Safety and Health Preventing Allergic Reactions to Natural Rubber Latex in the Workplace NIOSH Publication No 97 135 1997 2004 53 659 668 CDC Guidelines for Hand Hygiene in Healthcare Settings Published 2002 Tanner J Parkinson H Double gloving to reduce surgical cross infection Cochrane Database Syst Rev 2006 Jul 19 3 CD003087 Review Update 28 July 2009 CDC Guideline for the Prevention of Surgical Site Infection 1999
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109. _ OPPE PPE 1 CDC Guidance for the Selection and Use of Personal Protective Equipment PPE in Healthcare Settings http www cdc gov ncidod dhqp ppe html 2 National Institute for Occupational Safety and Health NIOSH http www cdc gov niosh topics eye eye infectious html 3 CDC Guideline for Isolation Precautions Preventing Transmission of Infections Agents in Healthcare Settings 2007 4 JANINE JAGGER GABRIELLA DE CARLI JANE L PERRY VINCENZO PURO GIUSEPPE IPPOLITO OCCUPATIONAL EXPOSURE TO BLOOD BORNE PATHOGENS EPODEMIOLOGY AND PREVENTION Prevention and Control of Nosocomial Infections Fourth Edition I 1
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131. Woolwine JD Gerberding JL Efficacy of gloves in reducing blood volumes transferred during simulated needlestick injury J Infect Dis 1993 Dec 168 6 1589 92 Snyder GM Thom KA Furuno JP et al Detection of methicillin resistant Staphylococcus aureus and vancomycin resistant enterococci on the gowns and gloves of healthcare workers Infect Control Hosp Epidemiol 2008 Jul 29 7 583 9 Puzniak LA Leet T Mayfield J Kollef M Mundy LM To gown or not to gown the effect on acquisition of vancomycin resistant enterococci Clin Infect Dis 2002 Jul 1 35 1 18 25 Loeb M Dafoe N Mahony J et al Surgical mask vs N95 respirator for preventing influenza among health care workers a randomized trial JAMA 2009 Nov 4 302 17 1865 71 Ang B Poh BF Win MK Chow A Surgical masks for protection of health care personnel against pandemic novel swine origin influenza A H1N1 2009 results from an observational study Clin Infect Dis 2010 Apr 1 50 7 1011 4 Hosoglu S Celen MK Akalin S et al Transmission of hepatitis C by blood splash into conjunctiva in a nurse Am J Infect Control 2003 Dec 31 8 502 4 Endo S Kanemitsu K Ishi H et al Risk of facial splashes in four major surgical specialties in a multicentre study J Hosp Infect 2007 Sep 67 1 56 61 Gastmeier P Stamm Balderjahn S Hansen S et al How outbreaks can contribute to prevention of nosocomial infection analysis of 1 022 outbreaks Infect Control Hosp Epidemiol 2005 A
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139. RegulationandGuidance GuidanceDocuments ucm072549 htm ASTM F2100 07 Standard Specification for Performance of Materials Used in Health Care Settings 2005 bo obo ES MOV Aa Sa 23 24 N95 1I N95 N95 5m SOD WML SARS 1 FR HA 5m 5um I N95
140. SHA Respiratory Protection final rule 29 CFR 1910 134 Appendix A to 1910 134 Fit Testing Procedures Mandatory 63 19 12 11 15 686 a F 17 2 7 0207006 2007 p7 13 personal protective equipment not resistant to oil 95 bacterial filtration efficiency NIOSH 959 particle filtration efficiency American Society for Testing and Materials Centers for Disease Control and Prevention National Institute for Occupational Safety and Health OR FH WA BS EPINet Japanese Industrial Standards PAPR Exposure Prevention Information Network powered air purifying respirator National personal Protective Technology Laboratory Janine Jagger 1991 wes a NPPTL BPS blo
141. V HBs HBe ATLA 5 9 5 9 HTLV 1 5 0 3 6 1 H o 03 gon 05 4 ARORE AAO ALE H th RR AZOR T HM aM 4 U 8 GB Be amp U cs U 2 Bile gt MiO KEP 16 PPE 2 4 z M 5 1 7s BABE 0 3 1 9 1 0 i 2 8 R18 ERR LAINE io o E 0 0 20 0 40 0 60 0 80 0 5 25 4 19 0 co a 28 Bc 3 4 0 0 10 0 20 0 30 0 40 0 50 0 6 JES2009 JRGOIP 34 hospitals 2004 2008 n 905 overlapping counted cases 1205 60 0 70 0 i 85 3 gans MM 104 a ae lo JES2009 JRGOIP 34 hospitals 2004 2008 n 913 0 0 20 0 40 0 60 0 80 0 7 100 0 FL 0 EL nJ4 42 3 2 1 8 14 3 0 0 0 6
142. e 500ml 4 PE PET PE PET PE PET S M KF N eet oon KEE 2 1 0g 200mmHzO Bs 7 JVI L ME 25 ie oe 1 ae S A 2 WAR ZT 200ml P34 36 PPE
143. e co jp info moraine co jp 9 9 LDPE CD co T 273 0018 2 12 4 TEL 047 431 1971 FAX 047 431 1972 http nition jp MEL 7 50 3 am aN 15 e
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145. f face respirator fit J Hosp Infect 2005 Feb 59 2 152 5 Lee K Slavcev A Nicas M Respiratory protection against Mycobacterium tuberculosis quantitative fit test outcomes for five type N95 filtering facepiece respirators J Occup Environ Hyg 2004 Jan 1 1 22 8 ME ASC ARSE X Al K 13 m Hg Ei 0D 1 7 A IR z A B bY 14 B Episys109B B JESWG AT
146. od borne pathogens standards Japan Industrial Safety and Health Association J NIOSH Food and Drug Administration National Institute of Occupational Safety and Health Japan OSHA 51 2 3M 1827J ASTM BFE gt 99 PFE gt 95 ESTEE e e T 158 8583 2 33 1 0570 011 321 ASTM American Standards and Test Methods http www mmm co jp hc medical 3M 1818FSG ASTM ES BFE gt 99 PFE gt 95 AFAR 2
147. pr 26 4 357 61 Dancer SJ Importance of the environment in meticillin resistant Staphylococcus aureus acquisition the case for hospital cleaning Lancet Infect Dis 2008 Feb 8 2 101 13 Gasink LB Singer K Fishman NO et al Contact Isolation for Infection Control in Hospitalized Patients Is Patient Satisfaction Affected Infect Control Hosp Epidemiol 2008 Mar 29 3 275 278 Bhalla A Pultz NJ Gries DM et al Acquisition of nosocomial pathogens on hands after contact with environmental surfaces near hospitalized patients Infect Control Hosp Epidemiol 2004 Feb 25 2 164 7 Scanvic A Denic L Gaillon S et al Duration of colonization by methicillin resistant Staphylococcus aureus after hospital discharge and risk factors for prolonged carriage Clin Infect Dis 2001 May 15 32 10 1393 8 Bobulsky GS Al Nassir WN Riggs MM et al Clostridium difficile skin contamination in patients with C difficile associated disease Clin Infect Dis 2008 Feb 1 46 3 447 50 Cepeda JA Whitehouse T Cooper B et al Isolation of patients in single rooms or cohorts to reduce spread of MRSA in intensive care units prospective two centre study Lancet 2005 Jan 22 28 365 9456 295 304 18 19 20 Feigin RD Baker CJ Herwaldt LA et al Epidemic meningococcal disease in an elementary school classroom N Engl J Med 1982 Nov 11 307 20 1255 7 Derrick JL Chan YF Gomersall CD Lui SF Predictive value of the user seal check in determining hal
148. ration OSHA Centers for Disease Control and Prevention CDC 44 MRSA Alli PERE MDRP 2 1 O D O 4 D 1 4
149. sts japan com 61 MM S gt le SN 3M o OSHA N95 N95 T 158 8583 2 33 1 OSHA Occupational SAFETY amp HEALTHADMINISTRATION aoe ee http www mmm co jp hc medical FIT 1 9 1 1 o BIN 2 1 2 o 1
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