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SARAYA - 2025 Vol. 2

Improving Hand Hygiene Compliance in Infectious Disease Hospitals

  • Magazine Volume: 2025 Vol. 2
  • Article number: 4
  • Content Type: World Information
  • Category: Hand Hygiene
  • Facility: Acute Care Hospital
  • Field to link to full PDF field: HosCom_International_2025_vol2.pdf
  • Authors :

    Dr. Wei Huang
    Chief of Infection Control Department, Infectious Disease Hospital of Heilongjiang Province

Hand hygiene is the basis for medical quality and an important part of patient safety. Specifically, ensuring and strengthening healthcare workers' implementation of hand hygiene can reduce the incidence of healthcare-associated infection significantly...

Nutrition Management for the Elderly

  • Magazine Volume: 2025 Vol. 2
  • Article number: 5
  • Content Type: SARAYA Healthcare Hygiene News
  • Category: Nutrition
  • Facility: Acute Care Hospital
  • Field to link to full PDF field: HosCom_International_2025_vol2.pdf
  • Authors :

    Satoshi Yoshida, Ph.D.
    Pharmacist, Vice General Manager, Product Development Division, Saraya Co., Ltd.

  • References:
    1. United Nations, Department of Economic and Social Affairs, Population Division. (2022). World Population Prospects 2022: Summary of Results (UN DESA/POP /2021/fR/NO. 3, p. 7).
    2. Volkert, D., Beck, A M., Cederhohn, T., Cruz-Jentoft, A, Hooper, L, Kiesswetter, E., Maggio, M., Raynaud-Simon, A, Sieber, C., Sobotka, L, van Asselt, D., Wirth, R., & Bischoff, S. C.
      (2022). ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clinical Nutrition, 41(4), 958- 989. http://doi.org/10.1016/j.clnu.2022.01.024
    3. Salari, N., Darvishi, N., Bartina, Y., Keshavarzi, F., Hosseinian-Far, M., & Mohammadi, M. (2025). Global prevalence of malnutrition in older adults: A comprehensive systematic review and meta-analysis. Public Health Practice (Oxf) 9, 100583. http://doi.org/10.1016/j.puhip.2025.100583
    4. Arifin, H., Chen, R, Banda, K J., Kustanti, C. Y., Chang, C.-Y., Un, H.-C., liu, D., lee, T.-Y., & Chou, K-R (2024). Meta-analysis and moderator analysis of the prevalence of malnutrition and malnutrition risk among older adults with dementia, International Journal of Nursing Studies, 150, 104648. http://doi.org/10.1016/j.ijnurstu.2023.104648 Epub 2023 Nov 22.
    5. Hussein, S., Kantawalla, RF., Dickie, S., Suarez.Durall, P., Enciso, R, & Mulligan, R (2022). Association of oral health and mini nutritional assessment in older adults: A systematic review with meta-analyses. Journal of Prosthodontic Research, 66(2), 208-220. https://doi.org/10.2186/jpr.JPR_D_20_00207
    6.  Zhu, S.-R, Wei, L-Y., Jia, K, Xie, Y.-X., Tan, Z.-K-K, Mo, S.-T., & Tang, W.-Z. (2024). Prevalence and unfavourable outcome of oral frailty in older adults: A systematic review and met.a-analysis. Frontiers in Public Health, 12, 1501793. https://doi.org/10.3389/fpubh.2024.1501793
    7. Guigoz, Y., Vellas, B., & Gany, P. J. (1994). Mini nutritional assessment: A practical assessment tool for grading the nutritional state of elderly patients. In B. Vellas (Ed.), Mini nutritional assessment (MNA) (Supplement No 2, pp. 15-59). SERDI Publisher. 
    8. Cederholm, T., Jensen, G. L, Correia, M. I. T. D., Gonzalez, M. C., Fukushima, R, Higashiguchi, T., Baptista, G., Barazzoni, R, Blaauw, R, Coats, A, Crivelli, A, Evans, D. C., Gramlich, L, Fuchs-Tarlovsky, V., Keller, H., Uido, L, Malone, A, Mogensen, K M., Morley, J. E., Muscaritoli, M., Nyulasi, I., Pirlich, M., Pisprasert, V., de van der Schueren, M. A E., Silthann, S., Singer, P., Tappenden, K, Velasco, N., Waitzberg, D., Yamwong, P., Yu, J., Van Gossum, A, & Compher, C. (2019). GUM criteria for the diagnosis of malnutrition• A consensus report from the global clinical nutrition community. Clinical Nutrition, 38(1), 1-9. https://doi.org/10.1016/j.clnu.2018.08.002
    9. Logemann, J. A, Rademaker, A. W., Pauloski, B. R, & Kahrilas, P. J. (1995). Screening for oropharyngeal dysphagia. Dysphagia, 10(4), 235-239.
    10. Belafsky, P. C., Mouadeb, D. A, Rees, C. J., Pryor,]. C., Posbna, G. N., Allen, J., & Leonard, R J. (2008). Validity and reliability of the Eating Assessment Tool (EAT-10). Annals of Otology, Rhinology & Laryngology, 117(12), 919-924. https://doi.org/10.1177/000348940811701210
    11. Sjtlgren, P., Nilsson, E., Forsell, M., Johansson, 0., & Hoogstraate, J. (2008). A systematic review of the preventive effect of oral hygiene on pneumonia and respiratory tract infection in the elderly people in hospitals and nursing homes: Effect estimates and methodological quality of randomised controlled trials. Journal of the American Geriatrics Society, 56(11), 2124-2130. https://doi.org/10.1111/j.1532-5415.2008.01926.x
    12. IDDSI Framework: International Dysphagia Diet Standardisation Initiative. IDDSl.org. https://iddsi.org/ (Accessed April 2025) 測定方法 Cichero, J. A Y., Lam, P., Steele, C. M., Hanson, B., Chen, J., Dantas, R. O., Duivestein, J., Kayashita, J., Lecko, C., Murray, J., Pillay, M., Riquelme, L, & Stanschus, S. (2017). Development of international terminology and definitions for texture-modified foods and thickened fluids used in dysphagia management: The IDDSI Framework Dysphagia, 32, 293-314. http://doi.org/10.1007/s00455-016-9758-y
    13. Cawood, AL, Burden, S. T., Smith, T., & Stratton, R J. (2023). A systematic review and meta-analysis of the effects of community use of oral nutritional supplements on clinical outcomes. Ageing Research Reviews, 88, 101953. http://doi.org/10.1016/j.arr.2023.101953 Epub 2023 May 12.
    14. Wright, L, Cotter, D., Hickson, M., & Frost, G. (2005). Comparison of energy and nutrient intakes of older stroke patients consuming hospital and texture-modified diets with age-matched controls. Clinical Nutrition, 24(5), 820-827.
    15. Wu, X. S., Miles, A, & Braakhuis, A J. (2021). Texture-modified diets, nutritional status, and mealtime satisfaction: A systematic review. Healthcare (Basel), 9(6), 624.
    16. World Health Organization. (2024). Integrated care for older people (ICOPE): Guidance for person-centred assessment and pathways in primary care (2nd ed.). World Health Organization. https://www.who.int/pub­lications/i/item/9789240103726 (Accessed April 29, 2025)
Introduction The progression of global aging stands as one of the most significant social transformations of the 21st century, exerting profound effects on healthcare and long-term care systems, economies, and social security frameworks. According...

SARAYA Supports Global Efforts for World Hand Hygiene Day

  • Magazine Volume: 2025 Vol. 2
  • Article number: 2
  • Content Type: SARAYA Activity Report
  • Category: Hand Hygiene
  • Facility: SARAYA Activity
  • Field to link to full PDF field: HosCom_International_2025_vol2.pdf
SARAYA proudly supports the global initiative of World Hand Hygiene Day and continues to engage in related activities across various countries. The slogan for 2025's campaign is: "It might be gloves, it's always hand hygiene." In line with this message,...

SARAYA's Commitment to Combating Ocean Pollution at EXPO 2025

  • Magazine Volume: 2025 Vol. 2
  • Article number: 3
  • Content Type: SARAYA Activity Report
  • Category: Other
  • Facility: SARAYA Activity
  • Field to link to full PDF field: HosCom_International_2025_vol2.pdf
At Expo 2025 Osaka Kansai, as a company committed to environmental responsibility, SARA YA is supporting the BLUE OCEAN DOME, which serves as a powerful reminder of our collective role in protecting the ocean. The BLUE OCEAN DOME is a stunning, innovative...

The Importance of PPE in Oral Care Procedures

  • Magazine Volume: 2025 Vol. 2
  • Article number: 6
  • Content Type: Practical Resources
  • Category: Oral Care
  • Facility: Acute Care Hospital
  • Field to link to full PDF field: HosCom_International_2025_vol2.pdf
  • References:

    (References are translated)

    1. Japan Home Dental Care Association. (2024, April 9). The mouth is full of bacteria. Available https://www.houmonshika.org/oralcare/c109/ (accessed: 9th Apr 2024)
    2. Umetsu, A., et al. (2017). Dispersion of cleaning fluid and investigation of the oral environment during oral care. Journal of the Japanese Society for Environmental Infections, 32(4), 186-192.
    3. Okamori, K. (2017). Basic principles of exposure risk and countermeasures during oral care. Infection Control ICT Journal, 12(2), 179-184.
    4. Sasahara, T. (2020). Oral care: Infection control procedures for daily resident assistance in residential elderly facilities (1st ed.). Infection Control Research Group, Jichi Medical University.
  The oral cavity contains many pathogenic microorganisms, such as Candida Staphylococcus aureus, and Pseudomonas aeruginosa1. During oral care procedures, there is a risk of splashing moist biological substances such as saliva and blood. Therefore,...

The Role of Decolonization Strategies in Preventing Healthcare-Associated Infection (HAIs)

  • Magazine Volume: 2025 Vol. 2
  • Article number: 1
  • Content Type: World Information
  • Category: HAI
  • Facility: Acute Care Hospital
  • Field to link to full PDF field: HosCom_International_2025_vol2.pdf
  • Authors :

    Professor. Sasheela Ponnampalavanar
    Infectious Disease Consultant, Faculty of Medicine, University of Malaya, Malaysia

  • References:
    • Abboud, C. S., de Souza, E. E., Zandonadi, E. C., Borges, L. S., Miglioli, L, Monaco, F. C., Barbosa, V. L., Cortez, D., Bianco, A C., Braz, A, & Monteiro, J. (2016). Carbapenem­resistant Enterobacteriaceae on a cardiac surgery intensive care unit: Successful measures for infection control. Journal of Hospital Infection. 94(1), 60-64. 
    • Apisarnthanarak, A, Pinitchai, U., Warachan, B., Warren, D. K, Khawcharoenporn, T., & Hayden, M. K. (2014a). Effectiveness of infection prevention measures featuring advanced source control and environmental cleaning to limit transmission of extremely drug-resistant Acinetobacter baumannii in a Thai intensive care unit: An analysis before and after extensive flooding. American Journal of Infection Control, 42(2), 116-- 121. https://doi.org/10.1016/j.ajic.2013.09.025 
    • Apisarnthanarak, A., Hsu, L. Y.; Lim, T.-P., & Mundy, L. M. (2014b). Increase in chlorhexidine minimal inhibitory concentration of Acinetobacter baumannii clinical isolates after implementation of advanced source control. Infection Control & Hospital Epidemiology, 35(1), 98--99. https://doi.org/10.1086/674404 
    • Babiker, Ahmed, et al. Assessing the potential for unintended microbial consequences of routine chlorhexidine bathing for prevention of healthcare-associated infections. Clinical Infectious Diseases 72.5 (2021): 891-898.
    • Borer, A, Gilad, J., Porat, N., Megrelesvilli, R., Saidel-Odes, L., Peled, N., Eskira, S., Schlaeffer, F., & Almog, Y. (2007). Impact of 4% chlorhexidine whole-body washing on multidrug-resistant Acinetobacter baumannii skin colonisation among patients in a medical intensive care unit. Journal of Hospital Infection, 67(2), 149--155. https://doi.org/10.1016/j.jhin.2007.07.023 
    • Chia, P. Y., Sengupta, S., Kukreja, A., Ponnampalavanar, S.S. L, Ng, 0. T., & Marimuthu, K (2020). The role of hospital environment in transmissions of multidrug-resistant gram-negative organisms. Antimicrobial Resistance & Infection Control, 9(29). https://doi.org/10.1186/s13756-020-0685-l
    • Denny, J., & Munro, C. L. (2016). Chlorhexidine bathing effects on healthcare­-associated infections. Biological Research for Nursing, 19(2), 123-136. https://doi.org/10.1177/1099800416654013
    • Derde, L. P. G., Cooper, B. S., Goossens, H., Malhotra-Kumar, S., Willems, R. J. L., Gniadkowski, M., Hryniewicz, W., Empel, J., Dautzenberg, M. J. D., Almane, D., Aragao, I., Chalfine, A., Dumpis, U., Esteves, F., Giamarellou, H., Muzlovic, I., Nardi, G., Petrikkos, G. L, Tomic, V., & Marti, AT. (2014). Interventions to reduce colonisation and transmission of antimicrobial-resistant bacteria in intensive care units: An interrupted time series study and cluster randomised trial. The Lancet Infectious Diseases. 14(1), 31-39.  https://doi.org/10.1016/s1473-3099(13)70295-0
    • Dixon, J.M., & Carver, R. L. (2010). Daily chlorohexidine gluconate bathing with impregnated cloths results in a statistically significant reduction in central line-associated bloodstream infections. American Journal of Infection Control, 38(10), 817-821. https://doi.org/10.1016/j.ajic.2010.06.005 
    •  Edmiston, C. E., Krepel, C. J., Seabrook, G. R., Lewis, B. D., Brown, KR., & Towne, J.B. (2008). Preoperative shower revisited: Can high topical antiseptic levels be achieved on the skin surface before surgical admission? Journal of the American College of Surgeons, 207(2), 233-239. https://doi.org/10.1016/j.jamcollsurg.2007.12.054 
    • Gall, E., Long, A, & Hall, K K (2020). Chlorhexidine bathing strategies for multidrug­ resistant organisms: A summary of recent evidence. Journal of Patient Safety, 16(3), S16--S22. https://doi.org/10.1097/pts.0000000000000743
    • Gu, G. Y., Chen, M., Pan, J. C., & Xiong, X. L. (2023). Risk of multi-drug-resistant organism acquisition from prior bed occupants in the intensive care unit: A meta­analysis. Journal of Hospital Infection, 139, 44-55. https://doi.org/10.1016/j.jhin.2023.06.020
    • Honda H., Krauss M. J., Coopersmith C. M., Kollef, M. H., Richmond, AM. Fraser, V. J., & Warren, D. K (2010). Staphylococcus aureus nasal colonization and subsequent infection in intensive care unit patients: Does methicillin resistance matter? Infection Control & Hospital Epidemiology, 31(6), 584-591. https://doi.org/10.1086/652530
    • Huang, H., Chen, B., Wang, H.-Y., & He, M. (2016). The efficacy of daily chlorhexidine bathing for preventing healthcare-associated infections in adult intensive care units. The Korean Journal of Internal Medicine, 31(6), 1159-1170. https://doi.org/10.3904/kjirn.2015.240
    • Huang, S. S., Septirnus, E., Kleirnnan, K, Moody, J.. Hickok, J., Avery, T. R., Lankiewicz, J., Gombosev, A, Terpstra, L., Hartford, F., Hayden, M. K, Jernigan, J. A., Weinstein, RA, Fraser, V. J., Haffenreffer, K, Cui, E., Kaganov, R E., Lolans, K, Perlin, J. B., & Platt, R. (2013). Targeted versus universal decolonization to prevent ICU infection. The New England Journal of Medicine, 368(24), 2255-2265. https://doi.org/10.1056/nejmoa1207290
    • Huang, S.S., Septimus, E., Kleinman, K, Moody, J., Hickok, J., Heim, L., Gombosev, A, Avery, T. R., Haffenreffer, K, Shirnelman, L, Hayden, M. K, Weinstein, R. A, Spencer­-Smith, C., Kaganov, R. E., Murphy, M. V., Forehand, T., Lankiewicz, J., Coady, M. H., Portillo, L., & Sarnp-Patel, J. (2019). Chlorhexidine versus routine bathing to prevent multidrug-resistant organisms and all-cause bloodstream infections in general medical and surgical units (ABATE Infection trial): A cluster-randomised trial. The Lancet, 393(10177), 1205-1215. https://doi.org/10.1016/s0140-6736(18)32593-5
    • Musuuza, J. S., Guru, P. K, O'Horo, J. C., Bongiorno, C. M., Korobkin, M. A, Gangnon, R. E., & Safdar, N. (2019). The impact of chlorhexidine bathing on hospital-acquired bloodstream infections: A systematic review and meta-analysis. BMC Infectious Diseases. 19(1). https://doi.org/10.1186/sl2879-019-4002-7
    • Rhee, Y., Palmer, L. J., Okamoto, K, Gemunden, S., Harnrnouda, K., Kemble, S. K, Lin, M. Y., Lolans, K, Fogg, L., Guanaga, D., Yokoe, D.S., Weinstein, R. A, Frend!, G., Hayden, M. K., & Centers for Disease Control and Prevention Epicenter Program. (2018). Differential effects of chlorhexidine skin cleansing methods on residual chlorhexidine skin concentrations and bacterial recovery. Infection Control & Hospital Epidemiology, 39(4), 405--411. https://doi.org/10.1017/ice.2017.312
    • Ruiz, J., Ramirez, P., Villarreal, E., Gordon, M., Saez, I., Rodríguez, A., Castafieda, M. J., & Castellanos-Ortega, A. (2017). Daily bathing strategies and cross-transmission of multidrug-resistant organisms: Impact of chlorhexidine-impregnated wipes in a multidrug-resistant gram-negative bacteria endemic intensive care unit. American Journal of Infection Control, 45(10), 1069-1073. https://doi.org/10.1016/j.ajic.2017.06.029
    • Schechner, V., Lerner, A. 0., Temkin, E., & Carmeli, Y. (2023). Carbapenem-resistant Acinetobacter baumannii load in patients and their environment: The importance of detecting carriers. Infection Control & Hospital Epidemiology, 44(10), 1670-1672. https://doi.org/10.1017/ice.2023.39
    • Septimus, E. J., & Schweizer, M. L (2016). Decolonization in prevention of healthcare­ associated infections. Clinical Microbiology Reviews, 29(2), 201-222. https://doi.org/10.1128/crnr.00049-15
    • Vernon, M. 0., Hayden, M. K, Trick, W. E., Hayes, R. A, Blom, D. W., & Weinstein, R. A (2006). Chlorhexidine gluconate to cleanse patients in a medical intensive care unit. The effectiveness of source control to reduce the bio burden of vancomycin-resistant enterococci. Archives of Internal Medicine, 166(3), 306--312. https://doi.org/10.1001/archinte.166.3.306
    • World Health Organization. (2023). Key Facts and Figures: World Hand Hygiene Day 2023. World Health Organization. www.who.int. https://www.who.int/campaigns/world­hand-hygiene-day/2023/key-facts-and-figures 
The Landscape of Healthcare-Associated Infections (HAIs) The pathogenesis of HAIs involves complex interactions between the host, the pathogen, and the healthcare environment. Patients in hospitals, particu­larly those who are immunocompromised or...