針刺し事故
WordNet
- pierce with a thrust using a pointed instrument; "he stuck the cloth with the needle"
- a small thin branch of a tree
- a lever used by a pilot to control the ailerons and elevators of an airplane (同)control_stick, joystick
- a long implement (usually made of wood) that is shaped so that hockey or polo players can hit a puck or ball
- a long thin implement resembling a length of wood; "cinnamon sticks"; "a stick of dynamite"
- an implement consisting of a length of wood; "he collected dry sticks for a campfire"; "the kid had a candied apple on a stick"
- threat of a penalty; "the policy so far is all stick and no carrot"
- a rectangular quarter pound block of butter or margarine
- saddle with something disagreeable or disadvantageous; "They stuck me with the dinner bill"; "I was stung with a huge tax bill" (同)sting
- be or become fixed; "The door sticks--we will have to plane it"
- cover and decorate with objects that pierce the surface; "stick some feathers in the turkey before you serve it"
- endure; "The label stuck to her for the rest of her life"
- fasten into place by fixing an end or point into something; "stick the corner of the sheet under the mattress"
- fasten with an adhesive material like glue; "stick the poster onto the wall"
- fasten with or as with pins or nails; "stick the photo onto the corkboard"
- pierce or penetrate or puncture with something pointed; "He stuck the needle into his finger"
- have or feel a need for; "always needing friends and money"
- a condition requiring relief; "she satisfied his need for affection"; "God has no need of men to accomplish His work"; "there is a demand for jobs" (同)demand
- anything that is necessary but lacking; "he had sufficient means to meet his simple needs"; "I tried to supply his wants" (同)want
- prick with a needle
- a sharp pointed implement (usually steel)
- a slender pointer for indicating the reading on the scale of a measuring instrument
- goad or provoke,as by constant criticism; "He needled her with his sarcastic remarks" (同)goad
- anything that happens suddenly or by chance without an apparent cause; "winning the lottery was a happy accident"; "the pregnancy was a stroke of bad luck"; "it was due to an accident or fortuity" (同)stroke, fortuity, chance event
- an unfortunate mishap; especially one causing damage or injury
- of trees whose leaves are acerate
PrepTutorEJDIC
- (とがったもので)…‘を'『刺す』,突く《+『名』+『with』+『名』》 / (…に)〈とがったもの〉‘を'『突き刺す』,突き立てる《+『名』+『in』(『into, through』)+『名』》 / (…で…に)…‘を'『刺して留める』,刺す《+『名』+『on』+『名』+『with』+『名』》 / (のりなどで…に)…‘を'『はる』,くっける《+『名』+『on』+『名』+『with』+『名』》 / 《話》(…に)…‘を'置く,すえる(put)《+『名』+『on』(『in』)+『名』》 / 《受動態で》〈人・車など〉‘を'『動けなくする』,〈仕事など〉‘を'行き詰まらせる / 《話》〈人〉‘を'困惑させる;〈人〉‘を'だます,‘に'たかる / (…に)『突す刺さる』,刺さっている《+『in』+『名』》 / 『くっついて離れない』,はりつく / 動かなくなる,立往生する
- 『棒』,棒きれ,枝 / (歩行用)『スデッキ』,つえ,警棒 / 棒状(の…)《+『of』+『名』》 / (ホッケーなどで用いる)スティック / (またcontrol stick)(飛行機の)操縦かん / 《話》でくの棒 / 《話》処罰,せっかん / 《複数形で》《the~》《米話》都会から離れた所,へき地.田写
- 厳しい処罰,おきゅう
- 〈U〉《時にa~》『必要』,入用 / 〈C〉《しばしば複数形で》『必要なもの』,(…の)必要品《+『for』+『名』》 / 〈C〉(…に対する)欲求,切望《+『for』+『名』》 / 〈U〉(…の)『困窮』,欠乏,不足《+『of』(『for』)+『名』》 / 〈U〉『困った時』(『事態』),まさかの時 / …‘を'必要とする,要する / 《疑問文・否定文,また疑問・否定の内容を表す文で》…『する必要がある』,しなければならない / 《need not have doneの形で》…する必要はなかったのに
- 『針』,縫い針;(編物用の)かぎ針,編み棒 / (レコードプレーヤーの)針;(磁石・らしん盤など各種計器の)針 / 外科用の針(縫合針など);注射針 / 針状のもの;小尖塔(しょうせんとう);とがった山頂 / (マツ・モミなどの)針葉 / …‘を'針で縫う(編む);…‘に'針を通す / (…のことで)〈人〉‘をいじめる,脳ます《+『名』+『about』+『名』(do『ing』)》;〈人〉‘を'いじめて(…)させる《『名』+『into』do『ing』》 / 縫い物(編物)をする
- 〈C〉『偶然』,偶発,めぐり合わせ / 〈C〉『事故』,災難
UpToDate Contents
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- 1. 医療従事者へのB型肝炎ウイルスおよびC型肝炎ウイルスの感染予防prevention of hepatitis b virus and hepatitis c virus infection among health care providers [show details]
…the average incidence of HCV seroconversion to be 1.8 percent (range, 0 to 7 percent) after a needle stick or sharps exposures from a source with HCV infection . Other studies have shown similar rates …
- 2. HIVに曝露した医療従事者のマネージメントmanagement of health care personnel exposed to hiv [show details]
…threefold increase in the risk of needlestick injuries . A survey performed among 699 surgeons-in-training at 17 medical centers found that the mean number of needlestick injuries by the fifth (final) year of …
- 3. 職業感染以外で成人がHIV、B型肝炎ウイルス、C型肝炎ウイルスに感染した場合のマネージメントmanagement of nonoccupational exposures to hiv and hepatitis b and c in adults [show details]
…elsewhere: For patients with a possible exposure to blood or body fluids after a needle-stick injury or a skin or mucous membrane exposure, it is important to clean the wound. Discussions of wound …
- 4. 手術室の安全性safety in the operating room [show details]
…infectious pathogens that may be transmitted via contact, droplet, or airborne modes, as well as via needle stick or other sharp object injuries . Frequent hand hygiene and proper donning and doffing of personal …
- 5. C型肝炎ウイルス感染の疫学および伝染epidemiology and transmission of hepatitis c virus infection [show details]
…18 Spanish hospitals, which accounted for more cases than intravenous drug use (8 percent), needle stick injury (6 percent), and sexual contact (5 percent). Of these patients, 33 had undergone surgery, 24…
English Journal
Japanese Journal
- 二宮 早苗,高橋 辰典,西岡 幸満,神岡 良助,白石 幸恵,森山 保則,玉岡 啓子,西山 政孝
- 松山赤十字病院医学雑誌 43(1), 23-28, 2018-12
- NAID 120006595487
- 点滴・輸血等の技術演習を主体とした研修医補完研修の評価
- 大津 佐知江
- 日本医療マネジメント学会雑誌 = The journal of the Japan Society for Health Care Management 18(2), 75-78, 2017-09
- NAID 40021321739
- 1802 先端が尖った棒材による突き負荷に伴う非線形材料の挙動解析(G04-1 構造要素の応力・変形解析,G04 材料力学部門)
- 永井 克典,古屋 耕平,苗村 潔,大久保 信行
- 日本機械学会関東支部総会講演会講演論文集 2012.18(0), 35-36, 2012
- … In epidural anesthesia, dural puncture is a serious medical accident. … Then, we are studying the needle and the puncture method for preventing this medical accident. … As a fundamental examination of failure analysis when sticking a biomechanical material with a needle, failure analysis at the time of applying load to the filmy natural rubber by the sharp bar was carried out with the finite element method. …
- NAID 110009955203
Related Links
- 針刺し損傷(Needle Stick Injury) "Please be a safety stickler." 日本では過去には「誤刺」とも表現された「針刺し事故」ですが、米国では、事故、すなわちAccidentという表現は従来からなく、Injuryという用語が用いられてきました。
- Needle stick injuries are a reality for people who regularly use needles, like nurses and lab workers. It also can happen if you handle trash, even if it’s not medical waste. According to the ...
- Our Needle Stick Insurance takes the guesswork out and gives you back some confidence about your future. Apply for Coverage Today The CDC estimates about 385,000 sharps-related injuries every year (according to the CDC’s Stop Sticks Campaign ).
★リンクテーブル★
[★]
- 英
- needle-stick injury, needle stick injury, needle stick accident
針刺し事故の対処
- 針刺しをした場合はすぐに大量の流水で血を絞り出すようにして傷口をよく洗い流し、つぎに消毒薬で消毒する。創傷面はポビドンヨードで消毒する。
- 2. 既往歴・ワクチン歴の問診
- 3. ワクチンの接種、γグロブリン製剤・抗ウイルス薬の投与
針さし・切創対策
病原体
|
感染率(1)
|
感染率(2)
|
感染率(3)
|
HBV
|
20-40%
|
30%
|
約30%
|
HCV
|
1.2-10%
|
<5%
|
3.5~5.0%
|
HIV
|
0.1~0.4%
|
0.3%
|
0.3~0.4%
|
- 1:院内感染予防対策ハンドブック--厚生省保健医療局監修
- 2:不明
- 3:SUB12.304
病原体別
B型肝炎ウイルス
- 事故者の抗原、抗体(HBs抗体(-))が陰性の場合、48時間以内の早い時期に抗HBsヒト免疫グロブリンを接種する。そしてHBワクチンを接種する。
C型肝炎ウイルス
- 肝機能のモニタリングを継続し、発症した段階で治療を行う。
HIV
- 事故後、なるべく早期(2時間以内)に抗HIV薬の予防内服を開始。4週間予防内服する。
参考
- 1. 針刺し事故の予防と対策 飯野四郎 日医雑誌第127巻・第3号/平成14(2002)年2月1日
- http://www.med.or.jp/anzen/innai/harisasi.pdf
- http://www.city.hiroshima.med.or.jp/hma/archive/needle.pdf
国試
[★]
- (英正式)~する必要がある
- [need not have done](主に英)~する必要はなかったのに(実際にはした)
- (英正式)[need not do]必ずしも~でない
- furthermore, aneurysms need not always be present, and angiographic findings may be limited to stenotic segments and obliteration of vessels.(HIM.2125)(さらに、動脈瘤はいつも存在するわけでないし、血管造影所見は血管の狭窄や閉塞に限られるかもしれない。)
- 関
- ask for, call, claim, demand, desire, entail, essential, fundamental, necessary, necessitate, necessity, order, prerequisite, request, require, requirement
[★]
- 偶然の出来事。思いがけない不幸な出来事、奇禍、椿事、不慮の災難、事故、災害。(医)偶発症候。偶然の機会、好運。偶有的な性質/事態。(論理)偶然、偶有性
- アクシデント
- 関
- accidental、accidentally、casual、casually、chance、culpability、event、fault、fortuitous、mistake、negligence、occasional
[★]
- 関
- adhere、adherence、adhesion、anchor、anchoring、contact、paste、perseveration、sessile、sticking
[★]
- 関
- needle crystal
[★]
- 関
- paracentesis、prick、pricking、puncture、stab