111┠ḟࢭࢡࢩࣙࣥ 1㸸ATP ᳨ᰝ࡟ࡼࡿΎᤲ☜ㄆࡢᴫせ1.1 ATP ࡜ࡣ㸽
1.2 ⏕≀Ⓨග࡟ࡼࡿ ATP ࡢ55

ᐃ

1.3 SystemSURE Plus ࡢ౑⏝

7ࢭࢡࢩࣙࣥ 2㸸ATP ࡟ࡼࡿΎᤲ☜ㄆࡢᐇ᪋
2.1 ᳨ᰝሙᡤࡢ㑅ᐃ࡜ࡋࡁ࠸್  

82.2 ᑐฎ᪉ἲ       

13

2.3 Ύᤲࠊ᳨ᰝࠊᑐฎࡢ᥎ዡࡍࡿᡭ㡰       

142.4 ᳨ᰝ࣏࢖ࣥࢺࡢⓏ㘓

15

2.5 ᳨ᰝࣉࣛࣥࡢタᐃ  

16

2.6 ᳨ᰝࡢ㢖ᗘ  

17

2.7 ᪥ᖖࡢࣔࢽࢱࣜࣥࢢ

20

2.8 ⥭ᛴ᫬ࡢ᳨ᰝ   

21

2.9 ᰯṇ  22ࢭࢡࢩࣙࣥ 3㸸௜㘓2

௜㘓 A: CDC ᥎ዡ᳨ᰝ࣏࢖ࣥࢺ      23௜㘓 B: ᗈ⠊ᅖ࡞༴㝤⟠ᡤ࡜ࡋࡁ࠸್  24௜㘓 C: 㐺ṇ࡞ࢧࣥࣉࣜࣥࢢ   

25

SystemSURE Plus ࢆ⏝࠸ࡓ ATP ᳨ᰝ࡟ࡼࡿΎίᗘ☜ㄆHygiena ♫ࡢ SystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺࡣ་⒪᪋タ࡛ࡢ⾲㠃ࡢΎίᗘࣞ࣋ࣝࢆࣔࢽࢱࣜࣥࢢࡋ⾨⏕⎔ቃࢆᨵၿࡍࡿࡓࡵ࡟౑⏝ࡉࢀࡿࢶ࣮࡛ࣝࡍࠋࡉࡽ࡟ࠊࡇࡢࢩࢫࢸ࣒ࡣΎᤲࢆ⾜࠺ࢫࢱࢵࣇࡸࡑࡢ௚ࡢ⑓㝔㛵ಀ⪅ࡀࠊ㐺ษ࡞Ύᤲࢆᐇ᪋࡛ࡁࡿࡼ࠺࡟ᩍ⫱ࡍࡿࡓࡵࡢࢶ࣮ࣝ࡜ࡋ࡚ࡶ౑࠺ࡇ࡜ࡀ࡛ࡁࡲࡍࠋ ⑌⑓⟶⌮ண㜵ࢭࣥࢱ࣮㸦CDC㸧ࡣࡍ࡭࡚ࡢ⑓㝔࡟㧗ᗘ࡞⾲㠃Ύίᗘࡢ඲⯡ⓗ࡞ࣔࢽࢱࣜࣥࢢ࡜ࠊࡑࢀࢆ᭱㐺໬ࡍࡿண㜵ⓗ࡞ࣉࣟࢢ࣒ࣛࢆ㛤Ⓨࡍࡿࡇ࡜ࢆ່ࡵ࡚࠸ࡲࡍࠋ
SystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺ࡛ࡢΎίᗘࢆ☜ㄆࡍࡿࡇ࡜࡛ࠊ⑓㝔ࡣᵝࠎ࡞⾲㠃Ύίᗘࡢホ౯ࢆᶆ‽໬ࡋࠊὙί࣭Ύᤲຠᯝࢆ⥅⥆ࡋ࡚ࣔࢽࢱࣜࣥࢢࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ
SystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺࡣ་⒪᪋タ࡟ᑐࡋ࡚ḟࡢྛ㡯┠ࢆྍ⬟࡟ࡋࡲࡍࠋxxxxxxxx

⾲㠃Ύίᗘࡢ༶᫬ࡢホ౯࡜ࡑࡢᑐᛂ
Ύίᗘࣞ࣋ࣝࡢᶆ‽໬࡟ࡼࡾࠊ⾲㠃ࡢὙί࣭Ύᤲຠᯝࡢࡤࡽࡘࡁࢆᑡ࡞ࡃࡍࡿ࠿ࠊࡲࡓࡣ࡞ࡃࡍࡇ࡜Ύᤲࢫࢱࢵࣇࡢࢫ࢟ࣝྥୖࡢࡓࡵࡢࢺ࣮ࣞࢽࣥࢢ⌧⾜ࡢὙί࣭Ύᤲࣉࣟࢭࢫ࡛౑⏝ࡍࡿΎᤲࢶ࣮ࣝࡀ༑ศ࡞ࡶࡢ࡛࠶ࡿ
࠿ࡢぢศࡅ㎿㏿ᛶ࡟Ḟࡅࠊປຊ࡜㈝⏝ࡀ࠿࠿ࡿᚑ᮶ࡢᚤ⏕≀᳨ᰝࡢపῶ
グ㘓ࠊ㏣㊧ࠊᨵၿࠊࡑࡋ࡚┘ᰝᙺ࡟ࡑࡢྲྀࡾ⤌ࡳෆᐜ࡜㐺ྜᛶࢆ♧ࡍࡇ࡜㝔ෆឤᰁࡢཎᅉ࡜࡞ࡾᚓࡿ⣽⳦࣭࢘࢕ࣝࢫࡢᣑᩓ㜵Ṇࢆຓࡅࡿ⎔ቃΎᤲࣉࣟࢢ࣒ࣛࡢᙉ໬
ᝈ⪅ࡢᏳ඲ࢆ☜ಖࡋࠊ‶㊊ᗘࢆྥୖࡉࡏࡿࡇ࡜Hygiena ♫ࡢ ATP ᳨ᰝ࢟ࢵࢺ࡛ࠊ་⒪᪋タࡣ᭷ຠᛶࡢ࠶ࡿΎίᗘᶆ‽ࢆసࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ
*http://www.cdc.gov/HAI/toolkits/Evaluating-Environmental-Cleaning.html
333

SystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺࡢࢩࢫࢸ࣒ᵓᡂSystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺࡣḟࡢࡶࡢࢆྵࡳࡲࡍࠋ

SystemSURE Plus㸦 ࣑ࣝࣀ࣓࣮ࢱ㸧㸸౑࠸ࡸࡍ࠸⡆༢࡞タィ࡛ࡑࡢሙ࡛ࡍࡄ࡟⤖ᯝࢆぢࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋUltraSnap㸦ヨ⸆㸧ࢆ౑⏝ࡋ࡚ࠊࢃࡎ࠿ 15 ⛊࡛ᚤ㔞ࡢởᰁࡶ᳨▱ࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ(Catalog # SS3)

UltraSnap㸦ヨ⸆㸧㸸SystemSURE Plus ࡟ᤄධࡋ࡚⤖ᯝࢆぢࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ1 ⟽ 100 ᮏධࡾ࡛ࡍࠋ⡆༢࡞᧯స᳨࡛ᰝࡀ⾜࠼ࡲࡍࠋ(Catalog# US2020)

SureTrend㸦ࢹ࣮ࢱゎᯒࢯࣇࢺ࢙࢘࢔㸧㸸⤖ᯝࢆࢹ࣮ࢱ࣮࣋ࢫ࡟ಖᏑࡋࠊ⟶⌮࡜グ㘓ಖᣢࡢࡓࡵࡢ
ሗ࿌᭩ࢆసᡂࡍࡿࡇ࡜࡜ࢺࣞࣥࢻࡢゎᯒࢆྍ⬟࡟ࡍࡿࢯࣇࢺ࢙࢘࢔࡛ࡍࠋ(Catalog # DS201)

Calibration Control Kit㸦ᰯṇ࢟ࢵࢺ㸧㸸࢜ࣉࢩࣙࣥࡢᰯṇ⏝ࣟࢵࢻࡣ SystemSURE Plus ࡀ௙ᵝࡢ⠊ᅖෆ࡟࠶ࡿࡇ࡜ࢆಖドࡋࡲࡍࠋ㸦2.9 ᰯṇࡢヲ⣽ࢆཧ↷ࡢࡇ࡜㸧Hygiena ♫ࡢ࣑ࣝࣀ࣓࣮ࢱࠊヨ⸆ࠊ࠾ࡼࡧࢯࣇࢺ࢙࢘࢔ࡣ⡆༢࡟౑⏝࡛ࡁࡿࡼ࠺࡟タィࡉࢀ࡚࠸ࡲࡍࡢ࡛ࠊ࡝࡞ࡓ࡛ࡶ SystemSURE Plus ࢆ᧯సࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ4ࢭࢡࢩࣙࣥ 1㸸SystemSURE Plus ATP ᳨ᰝ࡟ࡼࡿΎίᗘ☜ㄆࡢᴫせSystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺࡣࠊ⑓㝔ࡸࡑࡢ௚ࡢ་⒪᪋タ࡛᭱㐺࡞Ύίᗘࣞ࣋ࣝࢆ⥔ᣢࡍࡿࡓࡵ࡟౑ࢃࢀࡿ㎿㏿Ύίᗘࣔࢽࢱࣜࣥࢢࢩࢫࢸ࣒࡛ࡍࠋ
SystemSURE Plus ATP ᳨ᰝ࢟ࢵࢺࡣ⏕≀Ⓨගἲࢆ⏝࠸࡚ ATP㸦࢔ࢹࣀࢩࣥ୕ࡾࢇ㓟㸧ࡢ┦ᑐ㔞ࢆ ᐃࡋࡲࡍࠋ1.1ATP ࡜ࡣ㸽ATP ࡣࡍ࡭࡚ࡢ⏕≀⣽⬊ࡀ௦ㅰࡍࡿ࡜ࡁ࡟౑⏝ࡍࡿ࢚ࢿࣝࢠ࣮ศᏊ࡛ࡍࠋ་⒪᪋タ࡟࠾࠸࡚ࡣࠊయᾮࡸ⾑ᾮࠊ≉ᐃࡢ⣽⳦࡞࡝ࡢ⾲㠃࡟ṧࡉࢀࡓ᭷ᶵ≀ࡀࠊᝈ⪅࡜ࢫࢱࢵࣇ㛫࡛┦஫ởᰁࡀ࠾ࡇࡿ༴㝤ᛶࡀ࠶ࡾࠊ㐺ษ࡞Ύᤲࡀ⾜ࢃࢀ࡞࠸ሙྜ࡟ࡣឤᰁ⑕ࡢᣑ኱࡟ࡘ࡞ࡀࡾࡲࡍࠋࡋࡓࡀࡗ࡚ࠊΎᤲᚋ࡟ ATP ࡀከࡃ᳨ฟࡉࢀࡿሙྜࡣࠊ㐺ษ࡞Ύᤲࡀ⾜࠼࡚࠸࡞࠸ࡇ࡜ࢆ♧ࡋࠊ⣽⳦ࡸ⣽⳦ࡢቑṪࢆಁࡍởᰁ≀㉁ࡀࡲࡔࠊࡑࡢ⾲㠃࡟Ꮡᅾࡍࡿࡇ࡜࡟࡞ࡾࡲࡍࠋ1.2⏕≀Ⓨග࡟ࡼࡿ ATP ࡢ

ᐃUltraSnap ࡢヨ⸆࡟ࡣࣝࢩࣇ࢙࣮ࣛࢮ࡜࿧ࡤࢀࡿ㓝⣲ࢆྵࡲࢀ࡚࠾ࡾࠊATP ࡜᥋ゐࡍࡿࡇ࡜࡛⏕≀Ⓨග㸦ගࡀⓎࡍࡿ㸧཯ᛂࢆ♧ࡋࡲࡍࠋ⏕≀Ⓨග཯ᛂ࡟ࡼࡾࠊ
SystemSURE Plus ࡣ UltraSnap ࡛ࢧࣥࣉࣜࣥࢢࡉࢀࡓపࣞ࣋ࣝࡢ ATP ࡛ࡶ ᐃࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ555

ATP 㔞࡜ RLUᐃ್

୙ྜ᱁



ྜ᱁Ύί



⏕≀Ⓨග཯ᛂ࡛Ⓨ⏕ࡋࡓⓎග㔞ࡣࢧࣥࣉࣝ୰࡟Ꮡᅾࡍࡿ ATP 㔞࡟┤᥋ẚ౛ࡋࡲࡍࠋ཯ᛂࡣ㎿㏿࡛ࠊ⤖ᯝࡣSystemSURE Plus ࡢ⏬㠃࡟┦ᑐⓎග㔞༢఩㸦ATP㸧࡜ࡋ࡚ᩘ್࡛⾲ࡉࢀࡲࡍࠋ

㧗࠸ RLU ್㸻㧗࠸ởᰁᗘ6 ởᰁ

1.3

SystemSURE Plus ࡢ౑⏝⎔ቃࢧ࣮ࣅࢫ㒊⨫࡛ࡢ᪥ᖖⓗ࡞㸿㹒㹎᳨ᰝ࡟ࡃࢃ࠼࡚ࠊ ATP ᳨ᰝࢩࢫࢸ࣒ࡣḟࡢ⏝㏵࡛⏝࠸ࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ୰ኸ⁛⳦ᐊ⫶࣓࢝ࣛࡸ௚ࡢ෌฼⏝་⒪ჾලࡢὙί☜ㄆ࡟౑⏝࡛ࡁࡲࡍࠋ⁛⳦ฎ⌮๓ࡢჾලࡢ୙㐺ษ࡞Ὑίࡣ⁛⳦ࡀ⾜ࢃࢀ࡞࠸ࡇ࡜ࢆព࿡ࡋࡲࡍࠋ㣗ᇽ࣭࢝ࣇ࢙㣗ရࡀ⨨࠿ࢀࡿ⾲㠃࡜㣗ᇽ࢚ࣜ࢔ࡀ㐺ษ࡟Ὑί࣭Ύᤲࡉࢀࡓ࠿ࢆ☜ㄆࡍࡿࡓࡵ࡟౑⏝࡛ࡁࡲࡍࠋᩍ⫱᪂ࡋ࠸ࢫࢱࢵࣇ࡟㐺ษ࡞Ὑί᪉ἲࢆᩍ࠼ࡿ᭷ຠ࡞ࢶ࣮ࣝ࡜ࡋ࡚౑⏝࡛ࡁࡲࡍࠋᡭὙ࠸ᩍ⫱ࢫࢱࢵࣇࡢᡭࡢὙί๓ᚋࡢ ATP ࢆ ᐃࡍࡿࡇ࡜࡛ᡭὙ࠸ࡀṇࡋࡃ⾜࠼࡚࠸ࡿ࠿ࢆ♧ࡍࡇ࡜ࡀ࡛ࡁࡲࡍࠋ777ࢭࢡࢩࣙࣥ 2㸸ATP ࡟ࡼࡿὙί☜ㄆࡢᐇ᪋2.1

᳨ᰝሙᡤࡢ㑅ᐃ࡜ࡋࡁ࠸್SystemSURE Plus ࡟ࡣึᮇタᐃ࡛ࡋࡁ࠸್ࡀタᐃࡉࢀ࡚࠸ࡲࡍࠋࡇࢀࡽࡢࡋࡁ࠸್
ࡣ་⒪᪋タࡢ⁛⳦ࢆᐇ᪋ࡋ࡚࠸ࡿ㒊⨫࡛ᐇ㝿࡟౑ࢃࢀ࡚࠸ࡿ್࡟ᇶ࡙࠸࡚࠸ࡲࡍࠋࡇࡢ್ࡣࡋࡁ࠸್ࢆ෌タᐃࡍࡿࡲ࡛ࡢᇶ‽್࡜ࡋ࡚ࡈ౑⏝࡟࡞ࢀࡲࡍࠋ
ྜ᱁

<10 RLU

せὀព୙ྜ᱁

11-29 RLU>30 RLUATP ᳨ᰝࡢࣉࣟࢢ࣒ࣛࢆ᭱㐺໬ࡍࡿࡓࡵ࡟ࠊከࡃࡢ⑓㝔࡛ࡣ᳨ᰝሙᡤ࡟ࡼࡗ࡚ࡋࡁ࠸್ࢆタᐃࡋ࡚࠸ࡲࡍࠋ᳨ᰝࢆጞࡵࡿ๓࡟ࠊ᳨ᰝࢆࡍࡿሙᡤࢆ≉ᐃࡋࠊ㐺ษ࡞ྜྰࡢࡋࡁ࠸್ࢆࡑࢀࡒࢀࡢሙᡤ࡛タᐃࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋCDC ࡣ⑓㝔ෆ࡛ࡢ᥎ዡࡍࡿ᳨ᰝሙᡤࡢࣜࢫࢺࢆබ
㛤ࡋ࡚࠸ࡲࡍࠋ㸦௜㘓 A 23 ࣮࣌ࢪཧ↷㸧 ඾ᆺⓗ࡞᳨ᰝሙᡤࡣឤᰁᛶࡢ⣽⳦ࡀᏑᅾࡍࡿྍ⬟ᛶࡢ㧗࠸ࠊேࡢᡭࡀ㧗࠸㢖ᗘ࡛ゐࢀࡿ⾲㠃࡛ࡍࠋࣜࢫࢡࡢప࠸࣏࢖ࣥࢺ࡛ࡶࠊᐃᮇⓗ࡟ࣔࢽࢱࣜࣥࢢࡍࡿࡇ࡜ࡣ᪋タ඲యࡀຠᯝⓗ࡟Ύᤲࡉࢀ࡚࠸ࡿ࠿ࢆ☜ㄆࡍࡿࡓࡵ࡟㔜せ࡛ࡍࠋ᳨ᰝሙᡤࣜࢫࢺࢆ⣬࡟᭩ࡃ࠿ࠊ࢚ࢡࢭࣝ➼ࡢ࣮࣡ࢡࢩ࣮ࢺ࡛⏝ពࡋ࡚ࡃࡔࡉ࠸ࠋ᳨ᰝࢧࣥࣉࣝࡢ཰㞟᳨ᰝሙᡤࡀỴࡲࢀࡤࠊྛሙᡤ࡛ࡢྜྰࡢࡋࡁ࠸್ࡣࢧࣥࣉࣝࢆ཰㞟ࡍࡿ࠿ࠊࡑࡢሙᡤࢆࣜࢫࢡ࢝ࢸࢦ࣮ࣜ࡟ศ㢮ࡍࡿࡇ࡜࡛Ỵࡵࡿࡇ࡜ࡀ࡛ࡁࡲࡍ㸦௜㘓 B ࡢ 24 ࣮࣌ึᮇࢧࣥࣉࣝࢆ཰㞟ࡍࡿ๓࡟ࠊ௜㘓 C ࡢ 25 ࣮࣌ࢪ࡟グ㏙ࡉࢀࡓ㐺ษ࡞ࢪཧ↷㸧ࠋึࢧࣥࣉࣝ᪉ἲࢆ⩦ᚓࡋ࡚࠾ࡃࡇ࡜ࡀ኱ษ࡛ࡍࠋ⟶⌮⪅ࡣḟࡢ 2 ࡘࡢ࠺ࡕ 1 ࡘࡢ᪉ἲ࡛ࢧࣥࣉࣝࢆ཰㞟ࡋࡲࡍࠋ1. ᪥ᖖΎᤲࡢᚋ
ᐇ᪋ᮇ㛫㸸1㹼4 㐌ࡇࡢ᪉ἲ࡛ࡣࠊ᪥ᖖΎᤲᚋ࡟ྛ᳨ᰝሙᡤࡈ࡜࡟ 10 ᅇࢧࣥࣉࣜࣥࢢࡋࡲࡍࠋ
ࡶࡋࠊྛ㒊ᒇ᳨࡛ᰝሙᡤࡀྠࡌ࡞ࡽࠊ␗࡞ࡿ㒊ᒇ࡛ࡢ᳨ᰝࡶྍ⬟࡜⪃࠼ࡲ
ࡍࠋ8

2. ᐃᮇΎᤲࡢᚋ
ᐇ᪋ᮇ㛫㸸1㹼3 ᪥ࡇࡢ᪉ἲ࡛ࡣࠊATP ᳨ᰝࡢ⟶⌮⪅ࡀΎᤲࢆ⾜࠺࡜⪃࠼ࡿྛሙᡤࢆࡑࡢ㒔ᗘ᳨ᰝࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋྛ࣏࢖ࣥࢺࡀ 2 ᗘ௨ୖ᳨ᰝࡉࢀࡿࡇ࡜ࡀ࡞
࠸ࡼ࠺ࠊ␗࡞ࡿ㒊ᒇࡢྠࡌሙᡤ࠿ࡽᑡ࡞ࡃ࡜ࡶ 10 ࢧࣥࣉࣝࢆ཰㞟ࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ ౛࠼ࡤࠊΎᤲᚋࡢ 10 㒊ᒇࡢ↷᫂ࢫ࢖ࢵࢳࡢࢧࣥࣉࣝࢆ཰
㞟ࡋࡲࡍࠋ࠸ࡎࢀࡢࢧࣥࣉࣝ᪉ἲࢆ⏝࠸ࡓሙྜ࡛ࡶࠊグ㘓⾲࡟ RLU ್ࢆグ㘓ࡋࡲࡍࠋ㸦౛㸯㸧౛ 1:᳨ᰝ㸡᳨ᰝሙᡤ

1234࣋ࢵࢻᡭࡍࡾIV ࣏࣮ࣝ࣋ࢵࢻᶓࡢᮘࣜࣔࢥࣥ
ࢱࢵࢳࣃࢿࣝ

48
1045
112
049
25
27
215
050
67
078
1038
35
245
956RLU ್
38
35
8551
589
86
15
127891073
50
0
95
0118
47
2148
1036
32
1062
515
24671
5999

ྜྰุᐃሙᡤࡢ࠾ࡅࡿࠊࡋࡁ࠸್ࡢỴᐃ࡟ࡣ㸰ࡘࡢ᪉ἲࡀ࠶ࡾࡲࡍࠋࡇࡢ㸰ࡘࡢ᪉ἲࡢ㐪࠸ࡣྜྰุᐃ್ࢆ࡝ࡢࡼ࠺࡟ィ⟬ࡍࡿ࠿࡜࠸࠺ࡇ࡜࡛ࡍࠋᶆ‽೫ᕪἲ࡛ࡣࠊ⤫ィⓗ࡟್ࢆ⟬ฟࡍࡿࡓࡵ࡟ᩘᏛⓗ࡞ィ⟬ࡀ౑ࢃࢀࡲࡍࠋࣂࣥࢻ᪉ᘧࡣࡼࡾ⡆༢࡟ RLU ್࠿ࡽྜྰุᐃ್ࢆタᐃࡋࡲࡍࠋ1. ᶆ‽೫ᕪἲྛሙᡤ࡛ࡢప࠸᪉ࡢࡋࡁ࠸್㸦ྜ᱁್㸧ࢆỴࡵࡿ࡟ࡣ཰㞟ࡉࢀࡓࢧࣥࣉࣝ࠿ࡽRLU ್ࡢᖹᆒࢆィ⟬ࡋࡲࡍࠋὀព㸸ᖹᆒ RLU ್ࡀ 10 ࡼࡾᑠࡉ࠸࡜ࡁࡣࠊᖹᆒ࡟ࡓ࠸ࡋ࡚ᶆ‽೫ᕪࢆຍ⟬ࡋࡲࡍࠋࡶࡋࠊ࠶ࡿሙᡤ࡛ࡢᖹᆒࡀ“0RLU”ࡢሙྜࡣࠊࡋࡁ࠸್ࡣࢩࢫࢸ࣒ࡢࢹࣇ࢛ࣝࢺ࡛࠶ࡿ 10RLU㸦ྜ᱁㸧ࠊ30RLU㸦୙ྜ᱁㸧࡟タᐃࡋࡲࡍࠋ ࡲࢀ࡟ࠊ✵ࡢUltraSnap ヨ⸆ࡀ 2RLU ⛬ᗘࡢ⮬↛࡞Ⓨගࢆ♧ࡍࡇ࡜ࡀ࠶ࡾࡲࡍࠋྜ᱁ࡋࡁ࠸್
࡜ࡋ࡚࠸ࡿ 10RLU ࡣ⑓⾰ࡢ⾲㠃ࡸ⿦⨨࡟ࡘ࠸࡚ࡢឤᗘ࡜ࡋ࡚࣮ࣜࢬࢼࣈࣝ࡞ࡶࡢ࡛ࡍࠋୖࡢࡋࡁ࠸್㸦୙ྜ᱁್㸧ࢆỴࡵࡿ࡟ࡣࠊ཰㞟ࡋࡓࢧࣥࣉࣝࡢᶆ‽೫ᕪࢆィ⟬ࡋࠊᖹᆒ್࡟ᶆ‽೫ᕪ×3 ಸ್ࢆຍ⟬ࡋࡲࡍࠋ ⤫ィⓗ࡟ࡇࡢィ⟬್ࡣࠊ㐺ษ࡟Ύᤲࡉࢀࡓ࢚ࣜ࢔ࡢ RLU ࡀࡇࡢࣞ࣋ࣝࢆ㉸࠼ࡿ࡜୙ྜ᱁࡛࠶ࡿࡇ࡜ࡀ 99.6㸣ࡢಙ㢗ᛶ࡛࠶ࡿࡇ࡜ࢆ♧ࡋࡲࡍࠋ౛㸯࠿ࡽࡢࢹ࣮ࢱ᳨ᰝሙᡤ
࣋ࢵࢻᡭࡍࡾIV ࣏࣮ࣝ࣋ࢵࢻᶓࡢᮘ
ࣜࣔࢥࣥࢱࢵࢳࣃࢿࣝ10ᖹᆒ
50
30
15100
7 12*

ᖹᆒ್ + (3 x ᶆ‽೫ᕪ)
134
91
73
248
23ྜ᱁್࡜୙ྜ᱁್ࡢ㛫ࡢ⠊ᅖࡣὀពࢆࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋࡋࡓࡀࡗ࡚ࠊ౛ 1ࡢࢹ࣮ࢱ࡟ࡘ࠸࡚ࡣࠊᶆ‽೫ᕪἲ࡟ࡼࡿࡇࡢሙᡤࡢࡋࡁ࠸್ࡣ௨ୗࡢࡼ࠺࡟࡞ࡾࡲࡍࠋ᳨ᰝሙᡤ࣋ࢵࢻᡭࡍࡾIV ࣏࣮ࣝ࣋ࢵࢻᶓࡢᮘࣜࣔࢥࣥࢱࢵࢳࣃࢿࣝ

ྜ᱁50
30
15100
12せὀព51-133
31-90
16-72
101-247
13-22୙ྜ᱁13491
73248
23

ࡇࢀࡽࡣྛሙᡤ࡟ࡼࡗ࡚␗࡞ࡿྜྰࠊࡲࡓࡣせὀពࣞ࣋ࣝࢆタᐃࡍࡿ᪉ἲ࡛ࡍࠋ
ࡇࡢ᪉ἲࡣ␗࡞ࡿࢱ࢖ࣉࡢ⾲㠃㸦ࣉࣛࢫࢸ࢕ࢵࢡࠊࢫࢸࣥࣞࢫࠊࡑࡢ௚㸧ࢆ᳨ᰝࡍࡿሙྜࡸࠊ␗࡞ࡿ⿦⨨ࢆ౑⏝ࡍࡿሙྜ࡟෌タᐃࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ

1111112. ࣂࣥࢻ᪉ᘧ
ࣂࣥࢻ᪉ᘧࡣ⤖ᯝࢆ␗࡞ࡿࡋࡁ࠸್⠊ᅖ࡟ศ㢮ࡋࡲࡍࠋࣂࣥࢻ
4321ྜ᱁
150
100
50
25

せὀ
ὀព
151-300
101-200
51-10026-50

୙ྜ᱁301+201+101+51+ᶆ‽೫ᕪἲ࡛ㄝ᫂ࡋࡓࡢ࡜ྠࡌ᪉ἲ᳨࡛ᰝࢧࣥࣉࣝࢆ཰㞟ࡋࡲࡍࠋࡋࡁ࠸್⠊ᅖࢆ᭱㐺࡟タᐃࡍࡿ࡟ࡣࠊྛ࣏࢖ࣥࢺ⤖ᯝࡢ 80㸣௨ୖࡀ⠊ᅖෆ࡟࠾ࡉࡲࡿࡼ࠺࡟ࡋࡲࡍࠋ
ࡓ࡜࠼ࡤࠊࡶࡋ࠶ࡿ᳨ᰝ࣏࢖ࣥࢺ࡛཰㞟ࡉࢀࡓ⤖ᯝࡢ 80㸣࠿ࡑࢀ௨ୖࡀ100RLU ᮍ‶࡛࠶ࢀࡤࣂࣥࢻ 3 ࡀࡑࡢ࣏࢖ࣥࢺ࡟ࡘ࠸࡚㐺ᙜ࡜ゝ࠼ࡲࡍࠋ௨ୗࡣࠊ8 ࣮࣌ࢪࡢ౛㸯࡛౑ࢃࢀࡓࢹ࣮ࢱ࡟ࡘ࠸࡚㐺⏝ࡋࡓ⤖ᯝ࡛ࡍࠋ
᳨ᰝሙᡤ

ࢧࣥࣉࣝᩘ

࣋ࢵࢻᡭࡍࡾIV ࣏࣮ࣝ࣋ࢵࢻᶓࡢᮘࣜࣔࢥࣥ
ࢱࢵࢳࣃࢿࣝ

1010101010᳨ᰝሙᡤ࣋ࢵࢻᡭࡍࡾIV ࣏࣮ࣝ࣋ࢵࢻᶓࡢᮘ
ࣜࣔࢥࣥࢱࢵࢳࣃࢿࣝ
ᖹᆒ12ࣂࣥ
ࢻ322
4
1
2<150<100<50<25
ࣂࣥࢻ 4 ࣂࣥࢻ 3 ࣂࣥࢻ 2 ࣂࣥࢻ 1
100%
90%
70%
10%
100%
100%
80%
40%
100%
100%
90%
70%
90%
70%
10%
0%
100%
100%
100%
100%

2.2 ᑐฎ᪉ἲࡇࡇ࡛ࡣ᳨ᰝ⤖ᯝࡀྜ᱁ࠊせὀពࠊ୙ྜ᱁ࡔࡗࡓሙྜࡑࢀࡒࢀ࡟ࡘ࠸࡚ࠊ⾜ࢃࢀࡿ࡭ࡁᡭ㡰ࢆᣦ♧ࡋ࡚࠸ࡲࡍࠋ
᥎ዡࡍࡿᑐฎ᪉ἲࡣ௨ୗࡢ㏻ࡾ࡛ࡍࠋATP ᳨ᰝ⤖ᯝ(ྜ᱁)(せὀព)ᑐฎ᪉ἲ⾲㠃ࡣࡁࢀ࠸࡟Ύᤲࡉࢀࡲࡋࡓࠋ⾲㠃ࡀࡁࢀ࠸࡟Ύᤲࡉࢀ࡚࠸࡞࠸ྍ⬟ᛶࡀ࠶ࡾࡲࡍࠋ෌᳨ᰝࢆ⾜࠺࠿ࠊ࢚ࣜ࢔ࡢΎᤲࢆࡶ࠺୍ᗘ⾜࠸෌᳨ᰝࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ⤖ᯝࡀせὀព࡛࠶ࡿࡇ࡜ࢆ♧ࡋࡓ᳨ᰝሙᡤࡣၥ㢟࡟ࡑ࡞࠼࡚ࠊὀព
ࡋ࡚ࣔࢽࢱࣜࣥࢢࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ(୙ྜ᱁)⾲㠃ࡣᇶ‽ࢆ‶ࡓࡍΎᤲࡀ࡞ࡉࢀ࡚࠸ࡲࡏࢇࠋ෌
Ύᤲࢆ⾜࠸ࠊ෌᳨ᰝࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ

࣮ࣘࢨ࣮࡟ࡼࡗ࡚ࡣࠊせὀពタᐃࢆࡏࡎࠊ୙ྜ᱁ᇶ‽ࡢࡳタᐃࡍࡿሙྜࡀ࠶ࡾࡲࡍࠋ౛
࠼ࡤࠊࡶࡋ࠶ࡿ࣮ࣘࢨ࣮ࡀ 100RLU ࢆ୙ྜ᱁࡜ࡋ࡚㑅ᢥࡋࡓሙྜࠊ100 ᮍ‶ࡢࡍ࡭࡚ࡢ
⤖ᯝࢆྜ᱁ࠊ100 ௨ୖࡣࡍ࡭࡚୙ྜ᱁࡜ࡍࡿࡇ࡜࡟࡞ࡾࡲࡍࠋࡇࡢࡼ࠺࡞ࢣ࣮ࢫ࡛ࡣࠊ࣮ࣘࢨ࣮ࡣྜ᱁࡜୙ྜ᱁ࡢ⤖ᯝ࡟ᑐࡍࡿᑐฎ᪉ἲࢆᐇ᪋ࡋࡲࡍࠋ131313

2.3 Ύᤲࠊ᳨ᰝࠊᑐฎࡢ᥎ዡᡭ㡰14

2.4 ᳨ᰝ࣏࢖ࣥࢺࡢⓏ㘓
᳨ᰝ࣏࢖ࣥࢺ࡜ྜྰุᐃᇶ‽ࢆỴᐃࡋࡓࡽࠊࡑࢀࡽࡢタᐃࢆࢯࣇࢺ࢙࢘࢔ SureTrend࡟ධຊࡋࠊ࣑ࣝࣀ࣓࣮ࢱ SystemSURE Plus ࡟ྠᮇࡉࡏࡲࡍࠋ
SureTrend ࢆ࢖ࣥࢫࢺ࣮ࣝࡋࠊ᳨ᰝ࣏࢖ࣥࢺࢆタᐃࡍࡿᡭ㡰࡟ࡘ࠸࡚ࡣࠊSureTrend CD࡟ධࡗ࡚࠸ࡿ࢖ࣥࢫࢺࣛࢡࢩ࣭ࣙࣥ࢞࢖ࢻ࡜࣐ࢽࣗ࢔ࣝࢆཧ↷ࡃࡔࡉ࠸ࠋሙᡤ࡜ࡋࡁ࠸್ࡢタᐃ࡟ࡘ࠸࡚ࡣ SureTrend ࡢ࣐ࢽࣗ࢔ࣝࠊࢭࢡࢩࣙࣥ 8.3 ࢆཧ↷ࡋ࡚ࡃࡔࡉ࠸ࠋ
᪂ࡋ࠸᳨ᰝ࣏࢖ࣥࢺࢆタᐃࡋࡓሙྜࠊSureTrend ࡣࢹࣇ࢛ࣝࢺ࡜ࡋ࡚ࡋࡁ࠸್ࢆୗ㝈10ࠊୖ㝈 30 ࡟タᐃࡋ࡚࠸ࡲࡍࠋࢭࢡࢩࣙࣥ 2.1 ࡛㏙࡭ࡓᡭ㡰࡟ࡼࡾࠊྛ࣏࢖ࣥࢺࡈ࡜࡟㐺ṇ࡞ࡋࡁ࠸್ࢆタᐃࡋ࡚ࡃࡔࡉ࠸ࠋࢢ࣮ࣝࣉタᐃࢆ⾜࠺ࡇ࡜ࡶ࡛ࡁࡲࡍࠋࢢ࣮ࣝࣉࡣሗ࿌᭩సᡂ᫬࡟᳨ᰝ࣏࢖ࣥࢺࢆࢢ࣮ࣝࣆࣥࢢࡍࡿࡇ࡜࡟౑ࢃࢀࡲࡍࠋ౛࠼ࡤࠊࢢ࣮ࣝࣉࡣ࣮ࣘࢨ࣮ࡀྛ㒊⨫ࠊᘓ≀ࡢ㒊ศࡲࡓࡣ᪋タࡢ≧ἣࢆẚ㍑ࡍࡿ┠ⓗ࡛౑࠺ࡇ࡜ࡀ࡛ࡁࡲࡍࠋ
ୗグ࡟ࠊSureTrend ࡢሙᡤタᐃࡢ౛ࢆ♧ࡋࡲࡍࠋProg #123456᳨ᰝሙᡤ࣋ࢵࢻࡢᶓᯈ㸫ᮾᲷࣜࣔࢥࣥ㸫ᮾᲷࢩࣥࢡ 㸫ᮾᲷ࣋ࢵࢻࡢᶓᯈ㸫すᲷࣜࣔࢥࣥ㸫すᲷࢩࣥࢡ 㸫すᲷࢢ࣮ࣝࣉCommunity Hospital 㸫ᮾᲷCommunity Hospital 㸫ᮾᲷCommunity Hospital 㸫ᮾᲷCommunity Hospital 㸫すᲷCommunity Hospital㸫すᲷ
Community Hospital 㸫すᲷྜ᱁502515502515

୙ྜ᱁
100
50
30
100
50
30151515

2.5 ᳨ᰝࣉࣛࣥࡢタᐃ᳨ᰝ࣏࢖ࣥࢺ࡜ࡋࡁ࠸್ࢆ SureTrend ࡟タᐃᚋࠊ᳨ᰝࣉࣛࣥࢆタᐃࡋࡲࡍࠋ᳨ᰝࣉࣛࣥࡢタᐃ࡟ࡘ࠸࡚ࡣ SureTrend ࡢ࣐ࢽࣗ࢔ࣝࡢࢭࢡࢩࣙࣥ 8.4 ࢆཧ↷ࡃࡔࡉ࠸ࠋ᳨ᰝࣉ࡛ࣛࣥࡣ㑅ᢥࡍࡿྛ᳨ᰝ࣏࢖ࣥࢺࢆࢢ࣮ࣝࣉ໬ࡋࠊ≉ᐃࡢሙᡤࡸ᪥࡟ᛂࡌࡓ᳨ᰝෆᐜࢆィ⏬ࡍࡿ㝿࡟ࡈά⏝࠸ࡓࡔࡅࡲࡍࠋ
ࡇࡇ࡟ࠊ࠸ࡃࡘ࠿ࡢ᳨ᰝࣉࣛࣥࡢ౛ࢆ♧ࡋࡲࡍࠋࢼ࣮ࢫࢫࢸ࣮ࢩࣙࣥ

㞟୰἞⒪ᐊඹ᭷ࢫ࣮࣌ࢫ

࣮࣮࢟࣎ࢻேᕤ࿧྾ჾไᚚ┙ᡭࡍࡾ㟁ヰࢻ࢔ࣀࣈࢸ࣮ࣈࣝኳ㠃IV ࣏࣮ࣝࣔࢽࢱ࣮ࢣ࣮ࣈࣝᡞᲴࡢྲྀᡭࢥ࣮ࣝ࣎ࢱࣥ㟁ヰ㟁Ẽࢫ࢖ࢵࢳࢻ࢔ࣀࣈ࢛࣮࢘ࢱ࣮ࢡ࣮࣮ࣛᩆᛴฎ⨨ᐊす㤋⑓ᐊ᭶᭙᪥ᩆᛴ⏝ྎ㌴࣮࢜ࣂ࣮ࢸ࣮ࣈࣝ࣋ࢵࢻᶓᯈᚰ㟁ᅗ⏝ྎ㌴㟁ヰIV ࣏࣮ࣝ⿣യ἞⒪⏝ྎ㌴ࢥ࣮ࣝ࣎ࢱࣥ࣋ࢵࢻࢧ࢖ࢻࢸ࣮ࣈࣝᯖඖࡢྎ㌴࣋ࢵࢻᶓᯈࣜࣔࢥࣥእയ἞⒪⏝ྎ㌴㟁Ẽࢫ࢖ࢵࢳࢱࢵࢳࣃࢿࣝIV ྎ㌴⺬ཱྀࣁࣥࢻࣝIV ᢞ⸆ྎ㌴ࢺ࢖ࣞࣞࣂ࣮ࣁࣥࢻࣝࢠࣈࢫ⏝ྎ㌴ᾎᐊ㟁Ẽࢫ࢖ࢵࢳᾎᐊᡭࡍࡾTV ࣜࣔࢥࣥ16ᚅྜᐊࡢ᳔Ꮚ

2.6 ᳨ᰝࡢ㢖ᗘSureTrend ࡟タᐃࡋࡓ᳨ᰝࣉࣛࣥࢆ SystemSURE Plus ࡟ྠᮇࡉࡏࡓࡽ᳨ᰝࢆ㛤ጞࡋࡲࡍࠋ᳨ᰝࡢ㢖ᗘࡣ௨ୗࡢࡼ࠺࡟Ỵࡵࡿࡇ࡜ࡀ࡛ࡁࡿ࡛ࡋࡻ࠺ࠋxxxx

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ΎᤲᚋࡢΎίᗘࡢ㔜せᛶ≀ὶࡲࡓࡣࢫࢱࢵࣇࡢไ㝈x

CDC ࡸ௚ࡢ┘ᰝᅋయࡀ⎔ቃࣔࢽࢱࣜࣥࢢࢆ᥎ዡࡍࡿࡇ࡜࡬ࡢ‽ᣐCDC ࡣࢧࣥࣉࣝࢧ࢖ࢬࡢỴᐃ࡟ࡘ࠸࡚௨ୗࡢ᥎ዡࡍࡿᩘᘧࢆᐃࡵ࡚࠸ࡲࡍࠋ࣮࣋ࢫࣛ
࢖࣭ࣥࣔࢽࢱࣜࣥࢢ࡜࢜ࣥࢦ࣮࢖ࣥࢢ࣭ࣔࢽࢱࣜࣥࢢ1. ࣮࣋ࢫࣛ࢖࣭ࣥࣔࢽࢱࣜࣥࢢࡇࢀࡣึᮇࡢ᳨ᰝ⩌࡛⌧⾜ࡢΎᤲࣞ࣋ࣝ࡜Ύᤲᡭ㡰ࡢ㐺ṇࡉࢆṇ☜࡟ホ౯ࡍࡿࡓࡵ࡟⾜ࢃࢀࡲࡍࠋึᮇ᳨ᰝࡣ඲⯡ⓗ࡞Ύᤲࡢᨵၿࡲࡓࡣຎ໬ࡢᣦᶆࡢᇶ࡜࡞ࡿࡶࡢ࡛ࠊᐃᮇⓗ࡟ࣔࢽࢱࣜࣥࢢࡍ࡭ࡁ࣏࢖ࣥࢺᩘࢆỴᐃࡋࡲࡍࠋ
ᐇ㝿࡟ຠᯝⓗ࡞Ύᤲࡀᐇ᪋ࡉࢀࠊ᳨ᰝ⤖ᯝࡶࢃࡎ࠿࡞ኚື࡛཰ࡲࡿࡇ࡜ࡣ⌮᝿࡛ࡍࡀ㸦౛࠼ࡤࠊ10㸣ࡢ┦ᑐኚ໬㸧ࠊࡑࡢࡼ࠺࡞࢔ࣉ࣮ࣟࢳࡣከࡃࡢ᫬㛫࡜᳨ᰝࢆせࡋࡲࡍࠋ௦ࢃࡾ࡟ࠊከࡃࡢ࣏࢖ࣥࢺࡢ᳨ᰝࡋ࡞ࡃ࡜ࡶࠊΎᤲ⤖ᯝࡢព࿡࠶ࡿ
ኚ໬ࢆࡳࡿࡇ࡜ࡀ࡛ࡁࡲࡍ㸦౛࠼ࡤࠊ20㸣ࡢ┦ᑐኚ໬㸧ࠋCDC ࡣࢭࢡࢩࣙࣥ 2.1
ࡲࡓࡣ௜㘓 A(23 ࣮࣌ࢪ)࡛ 150 ᗋࢆ㉸ࡍ⑓ᐊ࡛ࡣࠊ10㸣࠿ࡽ 15㸣ࡢࢧࣥࣉࣝࢆ
᥇ྲྀࡍࡿࡇ࡜ࢆ᥎ዡࡋ࡚࠸ࡲࡍࠋ 150 ᗋࡼࡾᑡ࡞࠸⑓㝔࡛ࡣ࣮࣋ࢫࣛ࢖ࣥࠊ࢜
ࣥࢦ࣮࢖ࣥࢢ࣭ࣔࢽࢱࣜࣥࢢ࡜ࡶ࡟᭱ప 15 㒊ᒇࡢࡍ࡭࡚ࡢ᥇ྲྀྍ⬟࡞࣏࢖ࣥࢺ
ࢆ᳨ᰝࡍ࡭ࡁ࡜ࡋ࡚࠸ࡲࡍࠋ171717

௨ୗ࡟࣮࣋ࢫࣛ࢖ࣥホ౯㸦Ύίᗘࣞ࣋ࣝࡢ᳨ᰝ㸧ࡢ౛ࢆ♧ࡋࡲࡍࠋ250 ᗋࡢ⑓㝔࡛ྛ⑓ᐊࡢ 10 ࡢ࣏࢖ࣥࢺࠊ100 ࡢᡭ⾡ᐊࠊ100 ࡢ⿦⨨࡜⁛⳦ᐇ᪋㒊⨫࡛ࠊ⥲ྜィ 2700 ࣏࢖ࣥࢺࡢ᳨ᰝࡀᐇ᪋ࡉࢀࡲࡋࡓࠋ10㹼15㸣ࡢ࣏࢖ࣥࢺࢆ
ࣔࢽࢱࣜࣥࢢࡍࡿࡓࡵ࡟ࡣࠊィ 270 ࠿ࡽ 405 ሙᡤ࡟ࡘ࠸࡚ᖺ 3 ᅇࡢ᳨ᰝࡀᚲせ࡟࡞ࡾࡲࡍ㸦ィ 810㹼1215 ᅇ㸭ᖺ㸧ࠋ⑓㝔 A⑓ᐊ

ᡭ⾡ᐊ‽ഛ࣭⁛⳦ ྜィᐊᖺ㛫ࡢྜィ(ᖺᖺ 3 ᅇ)

250 㒊ᒇ

2,500*

100

100

2,70010%250

1010270

810

15%

375

1515405

1,215*10 ⟠ᡤ/㒊ᒇ x 250 㒊ᒇ = 2,500

CDC ࡣ࣮࣋ࢫࣛ࢖࣭ࣥࣔࢽࢱࣜࣥࢢࡢࡓࡵ࡟ᑡ࡞ࡃ࡜ࡶᖺ 3 ᅇࡢ᳨ᰝࡢᐇ᪋ࢆ
᥎ዡࡋ࡚࠸ࡲࡍࠋࡇࢀࡣΎᤲࣞ࣋ࣝ࡟࠾ࡅࡿ 20㸣ࡢ┦ᑐኚ໬ࢆ♧ࡍࡓࡵ࡟ᚲせ࡞᭱ᑠࡢ᳨ᰝ㢖ᗘ࡛ࡍࠋࡶࡋࠊྜ᱁ࣞ࣋ࣝࡀῶᑡࡋࡓሙྜ࡟ࡣࠊఱࡀཎᅉ࠿ࢆ▱ࡿࡓࡵ࡟㏣᳨ᰝࢆᐇ᪋ࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ㸦ࡍ࡞ࢃࡕࠊ୙༑ศ࡞ẅ⳦ࠊ୙㐺ᙜ࡞Ύᤲᡭ㡰ࠊࢫࢱࢵࣇࡢᛰ៏࡞࡝㸧18

2. ࢜ࣥࢦ࣮࢖ࣥࢢ࣭ࣔࢽࢱࣜࣥࢢ
࣮࣋ࢫࣛ࢖࣭ࣥࣔࢽࢱࣜࣥࢢ࡛⑓㝔ࡀ 80㸣ࡲࡓࡣࡑࢀ௨ୖࡢྜ᱁⤖ᯝࢆ㐩ᡂࡋࡓሙྜࠊᐇ㝿ࡢᡭ㡰࡟࠾࠸࡚ࡢ୙㐺ษ࡞㒊ศࡀ࡞࠸࠿ࡂࡾࠊྛホ౯࿘ᮇ࡛⑓ᐊࡢ
ࢧࣥࣉࣝᩘࢆ 5㸣࡟ῶࡽࡍࡇ࡜ࡀ࡛ࡁࡲࡍࠋ
௨ୗ࡟࢜ࣥࢦ࣮࢖ࣥࢢ࣭ࣔࢽࢱࣜࣥࢢࡢ౛ࢆ♧ࡋࡲࡍࠋ㸦࣮࣋ࢫࣛ࢖ࣥホ౯࡛80㸣௨ୖࡢ“ྜ᱁”⤖ᯝࢆᚓࡓᚋ㸧250 ⑓ᐊࡢ⑓㝔࡛ྛ⑓ᐊ 10 ⟠ᡤࠊᡭ⾡ᐊࡢ 100 ⟠ᡤࠊ100 ࡢ⿦⨨࡜⁛⳦ᐇ᪋㒊⨫࡛ࠊ⥲ィ 2700 ࡢሙᡤ᳨࡛ᰝࡀᐇ᪋ࡉࢀࡲࡋࡓࠋ 5㸣ࡢሙᡤࢆࣔࢽࢱࣜࣥࢢࡍ
ࡿࡓࡵ࡟ࡣࠊ135 ࡢሙᡤࢆᖺ 3 ᅇ᳨ᰝࡍࡿᚲせࡀ࠶ࡾࡲࡍ㸦ィ 405 ᅇ㸭ᖺ㸧ࠋ⑓㝔 A⑓ᐊᡭ⾡ᐊ‽ഛ࣭⁛⳦ᐊ

ྜィ250 㒊ᒇ

2,500*

100

100

2,7005%

125

55135

ᖺ㛫ࡢྜィ(ᖺᖺ 3 ᅇ)

405

*10 ⟠ᡤ/㒊ᒇ x 250 㒊ᒇ = 2,500

191919

2.7 ᪥ᖖࡢࣔࢽࢱࣜࣥࢢ
ࡼࡾከࡃࡢ⑓㝔ࡀẖ᪥࠿ࡲࡓࡣẖ᭶ࡢ ATP ᳨ᰝ࡟ࡼࡿΎᤲ☜ㄆࢆ⾜࠺ࡼ࠺࡟࡞ࡗ࡚࠸ࡲࡍࠋẖ᪥ࡢࣔࢽࢱࣜࣥࢢࡣ 1 ᪥ᙜࡓࡾᩘᅇࡢ᳨ᰝࢆᚲせ࡜ࡋࡲࡍࠋࡋ
࠿ࡋࠊ᭱㐺࡞ࣞ࣋ࣝࡢΎᤲࢆ㐩ᡂࡍࡿ࡟ࡣΎᤲࢫࢱࢵࣇࢆẖ᪥☜ಖࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ᪥ࠎࡢ᳨ᰝ⤖ᯝ࡟ࡶ࡜࡙ࡃሗ㓘ࢩࢫࢸ࣒ࢆᵓ⠏ࡍࡿࡇ࡜ࡣࠊࢫࢱࢵࣇ࡟
ࡸࡿẼࢆ୚࠼ࠊ⑓㝔ࡢΎίᗘࢆᨵၿࡍࡿࡓࡵ࡟㠀ᖖ࡟ຠᯝⓗ࡞᪉ἲ࡛ࡍࠋ
ẖ᪥ࡢࣔࢽࢱࣜࣥࢢࡣ᫬㛫ࡀ࠿࠿ࡾࠊከࡃࡢᾘ⪖ရࢆᚲせ࡜ࡋࡲࡍࠋ⑓㝔ࡣࡇࡢᵝ࡞᳨ᰝࢆᐇ᪋ࡍࡿ࡟ࡣࠊண⟬ࡸࡑࡢࡓࡵࡢࣜࢯ࣮ࢫࡀ༑ศ࡛࠶ࡿ࠿ࢆ☜ㄆࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋୗࡢ⾲ࡣࠊ⑓㝔࡛ 250 ⑓ᐊࡢẖ᪥ࡢ ATP ᳨ᰝࣉࣟࢢ࣒ࣛࢆᐇ
᪋ࡍࡿࡢ࡟ᚲせ࡞᫬㛫࡜ᾘ⪖ရࢆ㡯┠ู࡟ศࡅࡓࡶࡢ࡛ࡍࠋ

၏ᨈưȢȋǿȪȳǰƢǔ ଐƷ౨௹ૠዮ౨௹‫ئ‬৑ૠ౨௹ƴᙲƢǔ଺᧓   உ᧓౨௹ૠ ଐ உ᧓ዮ౨௹଺᧓࠰᧓౨௹ૠ࠰᧓ዮ౨௹଺᧓ ౨௹ƋƨǓ  Ў ЎᲩଐ଺᧓ ଺᧓ ЎᲩଐ ଺᧓ ଺᧓

 ЎᲩଐ ଺᧓ ଺᧓Source: CDC Toolkit for Evaluating Environmental Cleaning, Appendix C,
http://www.cdc.gov/HAI/toolkits/Appendices-Evaluating-Environ-Cleaning.html

20

2.8 ⥭ᛴ᫬ࡢ᳨ᰝATP ᳨ᰝࡣ඲యⓗ࡞Ύίᗘࢆ᭱⤊ⓗ࡟☜ㄆࡍࡿࡓࡵ࡟ࠊ⑓㝔ࡢ⥭ᛴΎᤲᡭ㡰࡟⤌ࡳධࢀࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋᝈ⪅ࡢ࢔ࢡࢩࢹࣥࢺࠊ⏕≀ᗫᲠ≀ࡢὶฟࠊᾮయࠊ᪂⠏ࡢᘓᒇࠊ࢔࢘ࢺࣈࣞ࢖ࢡࠊࡲࡓࡣ௚ࡢ⾑ᾮࠊ⣅ᒀ➼ࢆྵࡴ஦ᨾ࡟ࡼࡿởᰁࡀ࠶ࡗࡓሙྜࠊΎᤲࢫࢱࢵࣇࡣࡑࡢ࢚ࣜ࢔ࡢ⥭ᛴΎᤲࢆ⾜ࢃ࡞ࡅࢀࡤ࡞ࡾࡲࡏࢇࠋࡑࡢ࢚ࣜ࢔ࡢ᏶඲࡞Ύᤲࢆ☜ㄆࡍࡿࡓࡵ࡟ࠊATP᳨ᰝࢆ౑࠺ࡇ࡜ࡀ࡛ࡁࡲࡍࠋࡇࢀࡣởᰁࡢ࠶ࡗࡓ࢚ࣜ࢔ࡀ㐺ṇ࡟Ύᤲࡉࢀࡓࡇ࡜ࢆಖドࡋࡲࡍࠋ

2121212.9 ᰯṇHygiena ࡣ SystemSURE Plus ࣑ࣝࣀ࣓࣮ࢱࡢ⢭ᗘࢆ☜ㄆࡍࡿࡓࡵ࡟ࠊᐃᮇⓗ࡞౑⏝ࢆ᥎
ዡࡍࡿ 2 ࡘࡢᰯṇ࢟ࢵࢺࢆ⏝ពࡋ࡚࠸ࡲࡍࠋ
Calibration Control Kit“ᰯṇ࢟ࢵࢺ”㸦Catalog# PCD4000㸧SystemSURE Plus ࡣグ㘓ಖᣢࡢ┠ⓗ࡟ࡼࡾᰯṇ࢟ࢵࢺ࡛᭶࡟㸯ᗘᰯṇࢆ☜ㄆࡍࡿࡇ࡜ࡀ᥎ዡࡉࢀ࡚࠸ࡲࡍࠋᰯṇ࢟ࢵࢺࢆΎᤲ☜ㄆࣉࣟࢢ࣒ࣛ࡟⤌ࡳධࢀࡿࡇ࡜࡟ࡼࡾࠊᐃჾࡀ௙ᵝࡢ⠊ᅖ࡟࠶ࡾṇࡋ࠸᧯సࡀ⾜ࢃࢀ࡚࠸ࡿࡇ࡜ࢆ☜ㄆ࡛ࡁࡲࡍࠋ࢟ࢵࢺࡣ࣏ࢪࢸ࢕ࣈࣟࢵࢻ࡜ࢿ࢞ࢸ࢕ࣈࣟࢵࢻ࠿ࡽ࡞ࡾࡲࡍࠋ࣏ࢪࢸ࢕ࣈࣟࢵࢻࡣ࣑ࣝࣀ࣓࣮ࢱࡢ⾲♧್ࡀ㐺ṇ࡛࠶ࡿࡇ࡜ࢆ
☜ㄆࡍࡿࡓࡵ࡟ࠊRLU ್࡜ࡋ࡚ィ ࡉࢀࡿᏳᐃࡋࡓᐃ㔞ගࢆⓎࡋࡲࡍࠋ ࢿ࢞ࢸ࢕ࣈࣟࢵࢻࡢ RLU ್ࡣ 0 ࡛ࠊ᳨ฟ㒊ࡢࢮࣟⅬࡀṇࡋ࠸ࡇ࡜ࡸࣀ࢖ࢬ࡜࡞ࡿയࡸởࢀࠊ࣑ࣝࣀ࣓࣮ࢱ࡟ࣂࢵࢡࢢࣛ࢘ࣥࢻගࡀ౵ධࡋ࡚࠸࡞࠸ࡇ࡜࡞࡝ࡀ☜ㄆ࡛ࡁࡲࡍࠋPositive Control Kit “࣏ࢪࢸ࢕ࣈࢥࣥࢺ࣮ࣟࣝ࢟ࢵࢺ”(Catalog # CK25)
࣏ࢪࢸ࢕ࣈࢥࣥࢺ࣮ࣟࣝ࢟ࢵࢺࡣ ATP᳨ᰝヨ⸆ UltraSnap ࡢ᭷ຠᛶ࡜ရ㉁ࢆ᳨ドࡍࡿࡓࡵ࡟౑ࢃࢀࡲࡍࠋ25 ᮏࡢࢩ࣮ࣝࡉࢀࡓ࢞ࣛࢫ〇ࣂ࢖࢔ࣝ࠿ࡽ࡞ࡾࠊྛࣂ࢖࢔ࣝࡣ≉ᐃࡢ㔞㸦⣙ 5X10-13 ࣔࣝ㸧ࡢࣇ࣮ࣜࢬࢻࣛ࢖ ATP ࡜⢾ࡀྵࡲࢀࠊUltraSnap ࡢ౑⏝࡜ಖᏑࡀ㐺ṇ࡛࠶ࡿ࠿☜ㄆࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋ22ࢭࢡࢩࣙࣥ 3㸸௜㘓௜㘓 A㸸CDC ᥎ዡ᳨ᰝ࣏࢖ࣥࢺ㧗㢖ᗘ᥋ゐ㒊:

ࢺ࢖ࣞ࿘㎶:x࣋ࢵࢻ࿘㎶xࢩࣥࢡx㟁ヰ㸦ཷヰჾ࡜࣎ࢱࣥ㸧xࢺ࢖ࣞࡢ㟁Ẽࢫ࢖ࢵࢳx᳔Ꮚxࢻ࢔ࣀࣈ࡜ࣞࣂ࣮x㟁Ẽࢫ࢖ࢵࢳxࢺ࢖ࣞࡢᡭࡍࡾxࢩࣥࢡࡢୖx౽ᗙxࢺ࢖ࣞࡢࣞࣂ࣮xࢺ࢖ࣞࡢࣞࣂ࣮xTV ࡢࣜࣔࢥࣥx౽ჾ㸦࠾ࡲࡿ㸧ࡢὙί⏝ලxࢻ࢔ࣀࣈᝈ⪅ࡢ࿘㎶:ࡑࡢ௚ࡢᑐ㇟ሙᡤ:x࣋ࢵࢻࡢᶓᯈxIV ࣏ࣥࣉไᚚ┙xࢺࣞ࢖ࢸ࣮ࣈࣝxࣔࢽࢱ࣮ไᚚ┙x㟁ヰࣈ࣮ࢫxࣔࢽࢱ࣮ࢱࢵࢳࣃࢿࣝx㟁ヰᶵxࣔࢽࢱ࣮ࢣ࣮ࣈࣝx࣋ࢵࢻࢧ࢖ࢻࢸ࣮ࣈࣝx✵ㄪไᚚ┙xᝈ⪅⏝᳔Ꮚx⛣ືྎ㌴㸦࣮࢝ࢺ㸧x

IV ࣏࣮ࣝ* Source: CDC Environmental Checklist for Monitoring Terminal Cleaning available at

http://www.cdc.gov/HAI/toolkits/Environmental-Cleaning-Checklist-10-6-2010.pdf

232323௜㘓 B㸸ᗈ⠊ᅖ࡞༴㝤⟠ᡤ࡜ࡋࡁ࠸್ࡇࢀࡽࡢ୍⯡ⓗ࡞ࡋࡁ࠸್ࡢ࢞࢖ࢻࣛ࢖ࣥࡣ⑓Ჷ࠿ࡽ㞟ࡵࡽࢀࡓࢹ࣮ࢱ࡜Ⓨ⾲ࡉࢀࡓ◊✲࡟ࡶ࡜࡙࠸࡚࠸ࡲࡍࠋࡇࢀࡽࡢ᥎ዡ್࡟ࡘ࠸࡚ࡢࡉࡽ࡞ࡿ᝟ሗ࡟ࡘ࠸࡚ࡣ Hygiena࡟ࡈ㐃⤡ࡃࡔࡉ࠸ࠋࡋࡁ࠸್ࡢタᐃࢆ⮬ࡽᮃࡲ࡞࠸᪋タ㸦7 ࣮࣌ࢪ㸧ࡣ㐺ᙜ࡞᳨ᰝሙᡤ࡟ࡘ࠸࡚ࡇࢀࡽࡢࡋࡁ࠸್ࢆ㐺⏝ࡍࡿࡇ࡜ࡀ࡛ࡁࡲࡍࠋᑐ㇟⟠ᡤ᥎ዡ್ྜ᱁ (RLU)(RLU)୙ྜ᱁ඹ᭷ࢫ࣮࣌ࢫ
౛:<50>100<25>50⁛⳦ᐇ᪋ሙᡤ<10>30࢛࢘ࢵࢩ࣮ࣕࢹ࢕ࢫ࢖ࣥࣇ࢙ࢡࢱ࣮

<5>10པᡣ࣭㣗ᇽ<10>30࢚࣮ࣞ࣋ࢱ࣮ࡢ࣎ࢱࣥᗯୗࡢᡭࡍࡾ
ᚅྜᐊ

⑓ᐊ
౛:
ࢥ࣮ࣝ࣎ࢱࣥ࣋ࢵࢻᶓᯈ
ᝈ⪅⏝ࢺ࢖ࣞ
ࣔࢽࢱ࣮⾲㠃IV ࣏࣮ࣝ24௜㘓 C: 㐺ษ࡞ࢧࣥࣉࣜࣥࢢSystemSURE Plus ࡣ┠࡛ぢࡿࡇ࡜ࡀ࡛ࡁ࡞࠸ởᰁࢆ᳨ฟࡍࡿࡼ࠺࡟タィࡉࢀ࡚࠸ࡲࡍࠋ᳨ᰝ⏝ࢧࣥࣉࣝࢆ཰㞟ࡍࡿ๓࡟ࠊ⾲㠃࡟┠࡛ぢ࠼ࡿởࢀࡀ࡞࠸ࡇ࡜ࢆ☜ㄆࡋ࡚ࡃࡔࡉ࠸ࠋࡶࡋࠊởࢀࡸṧ␃≀ࡀ࠶ࡿሙྜ࡟ࡣࠊ᳨ᰝࡢ๓࡟ࡶ࠺୍ᗘΎᤲࡍࡿᚲせࡀ࠶ࡾࡲࡍࠋ1. SystemSURE Plus ࡢ㟁※ࢆධࢀࡲࡍࠋࢩࢫࢸ࣒ࡣ⮬ືⓗ࡟ᰯṇࢆ㛤ጞࡋࡲࡍࠋᰯṇࡀ⤊ࢃࡗࡓࡽࠊ ࣎ࢱࣥ࡜ ࣎ࢱ࡛ࣥࣉࣟࢢ࣒ࣛ␒ྕ㸦PROG㸧ࢆࢫࢡ࣮ࣟࣝࡋタᐃࡉࢀ࡚࠸ࡿ᳨ᰝ࣏࢖ࣥࢺࢆぢࡘࡅࡲࡍࠋࡇࡢ᧯సࡣࡩࡁྲྀࡾࡢ๓࡟⾜ࡗ࡚ࡃࡔࡉ࠸ࠋ

2. ᳨ᰝヨ⸆ࡢ UltraSnap ࢆ 1 ࡘྲྀࡾฟࡋࡲࡍࠋḟ࡟ࠊࢫࢼࢵࣉࣂࣝࣈࢆࡦࡗࡥࡾእഃࡢࢳ࣮ࣗࣈࢆࡣࡎࡋࡲࡍࠋࢫ࣡ࣈࡣ࠶ࡽ࠿ࡌࡵ‵ࡽࡏ࡚࠶ࡾࠊࢫ࣡ࣈࢳ࣮ࣗࣈෆ࡟ᾮయࡀධࡗ࡚࠾ࡾࡲࡍࠋࡇࢀࡀṇᖖࡢ≧ែ࡛ࡍࠋࢫ
ࢫ࣡ࣈࡢඛࡸ㍈ࢆᣦࡸ௚ࡢࡶࡢ࡟ゐࢀ࡞࠸ࡼ࠺࡟ࡋ࡚ࡃࡔࡉ࠸ࠋពᅗࡏࡎởᰁࡉࢀࡓࡾゐࢀ࡚ࡋࡲࡗࡓࢫ࣡ࣈࡣᗫᲠࡋ࡚ࡃࡔࡉ࠸ࠋ3. ὀព㸸᭱㐺࡞ࣃࣇ࢛࣮࣐ࣥࢫࢆᚓࡿࡓࡵ࡟ࠊ෭ⶶᗜ࠿ࡽྲྀࡾฟࡉࢀࡓࢫ࣡ࣈࡣ౑⏝๓࡟ 10 ศ㛫ᐊ ࡟⨨ࡃᚲせࡀ࠶ࡾࡲࡍࠋ

4. ௨ୗࡢ࢞࢖ࢻࣛ࢖ࣥ࡟ᚑࡗ࡚ࠊUltraSnap ࡟ࡼࡿࢧࣥࣉࣝ཰㞟ࢆ⾜࠸ࡲࡍࠋUltraSnap ࡣởᰁࢆ᳨ฟࡍࡿࡼ࠺タィࡉࢀ࡚࠸ࡲࡍࠋከ㔞ࡢࢧࣥࣉࣝࡣ⏕≀Ⓨගࢆጉࡆࡿྍ⬟ᛶࡀ࠶ࡾࠊ୙ṇ☜࡞᳨ᰝ⤖ᯝࢆ⏕ࡌࡲࡍࠋࡇࢀࡀࠊࢫ࣡ࣈ࡟ࡼࡿࡩࡁྲྀ
ࡾࡢ๓࡟┠ど࡛ࡁࡿởࢀࢆ⾲㠃࠿ࡽྲྀࡾ㝖ࡃ୺࡞⌮⏤࡛ࡍࠋ252525

ṇࡋࡃ࡞࠸ࡩࡁྲྀࡾ᪉㸸xxx

ࢫ࣡ࣈࡢ㍈ࢆᣦ࡛ゐࢀࡿࠋࢧࣥࣉࣝࢆࢫ࣡ࣈ࡛㍍ࡃࡩࡁྲྀࡿࠋࢫ࣡ࣈࡢ∦ഃࡔࡅ࡛ࢧࣥࣉࣝࢆ཰㞟ࡍࡿࠋṇࡋ࠸ࡩࡁྲྀࡾ᪉㸸xxx

ࢫ࣡ࣈࡢ㍈ࡀ᭤ࡀࡿࡼ࠺࡟༑ศ࡞ຊ࡛ᢲࡋࡘࡅࡲࡍࠋࡇࢀ࡟ࡼࡾ⾲㠃ࡢ⏕≀⭷㸦ࣂ࢖࢜ࣇ࢕࣒ࣝ㸧ࢆ᥇ྲྀࡋࡲࡍࠋ
ࢫ࣡ࣈ඲㠃࡟ࢧࣥࣉࣝࡀࡘࡃࡼ࠺ࢫ࣡ࣈࢆᅇ㌿ࡉࡏࡲࡍࠋ
ࢫ࣡ࣈࡢ㍈࡟ࡶࡢࡀゐࢀ࡞࠸ࡼ࠺࡟ࡋࡲࡍࠋa. ୍⯡ⓗ࡞⾲㠃㸸10×10 cm ᅄ᪉ࡢ᳨ᰝ⾲㠃ࢆࢫ࣡ࣈ࡛ࡩࡁྲྀࡾࡲࡍࠋᅗ࡟♧ࡍࡼ࠺࡞༑Ꮠࡢࣃࢱ࣮ࣥࢆᥥࡃࡼ
࠺࡟ࡋࡲࡍࠋb. ᭤㠃࡞࡝ࡢ⾲㠃㸸ᡭࡍࡾࡢࡼ࠺࡞ 10×10 cm ᅄ᪉ࡢࢧࣥࣉࣜࣥࢢࡀ࡛ࡁ࡞࠸ሙྜࠊ࡛ࡁࡿࡔࡅᗈ࠸⠊ᅖࡢࡩࡁྲྀࡾࢆ⾜࠸ࡲࡍࠋὀព㸸⤖ᯝࡢಙ㢗ᛶ࡜෌⌧ᛶࢆಖドࡍࡿࡓࡵ࡟࢖ࣞࢠ࣮ࣗࣛ࡞⾲㠃࡛ࡶ୍ᐃࡢࢧࣥࣉࣜࣥࢢࣃࢱ࣮ࣥࢆ࡜ࡿࡇ࡜ࡀᚲせ࡛ࡍࠋ᳨ᰝࢆᐇ᪋ࡍࡿࡍ࡭࡚ࡢసᴗ⪅ࡀྠࡌࢧࣥࣉࣜࣥࢢࣃࢱ࣮ࣥࢆ෌⌧࡛ࡁࡿࡼ࠺࡟ࡋ࡞ࡅࢀࡤ࡞ࡾࡲ
ࡏࢇࠋ26

5. ࢫ࣡ࣈࢆࢳ࣮ࣗࣈ࡟ᡠࡋࡲࡍࠋUltraSnap ࢆࡍࡄ࡟཯ᛂࡉࡏࡿࡇ࡜ࡶ࡛ࡁࡲࡍࡀࠊࡇࡢ≧ែ࡛ 4 ᫬㛫ࡲ࡛཯ᛂࡉࡏ࡞࠸࡛ᨺ⨨ࡍࡿࡇ࡜ࡀྍ⬟࡛ࡍࠋ

6. ヨ⸆ࢆ⦪࡟ಖᣢࡋࠊUltraSnap ࡢୖ᪉ࡢࣉࣛࢫࢳࢵࢡ〇ࢫࢼࢵࣉࣂࣝࣈࢆᢡࡾ᭤ࡆࠊࡑࡢᚋࠊ㏫᪉ྥ࡟ࡶᢡࡾ᭤ࡆࡲࡍࠋࣂࣝࣈ
ࢆ 2 ᅇᢲࡋࡘࡪࡋࠊࣂࣝࣈෆࡢヨ⸆ࢆᨺฟࡋࠊࢳ࣮ࣗࣈࡢᗏ࡟
ὶࢀࡿࡼ࠺࡟ࡋ࡚཯ᛂࡉࡏࡲࡍࠋ7. ヨ⸆ࢆ 5㹼10 ⛊㍍ࡃᶓ᪉ྥ࡟᣺ࡾࡲࡍࠋࢫ࣡ࣈࡢඛࢆヨ⸆࡟ᾐࡋࡲࡍࠋ᳨ᰝ࢟ࢵࢺࡣࡇࢀ࡟ࡼࡾ཯ᛂࡋ⏕≀Ⓨග཯ᛂࡀጞࡲࡾ
ࡲࡍࠋ཯ᛂࡋ࡚࠿ࡽ 60 ⛊௨ෆ࡟ SystemSURE Plus ࡼࡿ ᐃࢆ⾜ࢃ࡞ࡅࢀࡤ࡞ࡾࡲࡏࢇࠋ

8. SystemSURE Plus ࡢࡩࡓࢆ㛤ࡅࠊ཯ᛂࡉࡏࡓ UltraSnap ࢆSystemSURE Plus ࡟ᤄධࡋࡲࡍࠋࡩࡓࢆ㛢ࡵṇ☜࡟ㄞࡳྲྀࡾࡀ࡛ࡁࡿࡼ࠺ࠊ⿦⨨ࢆᆶ┤࡟ಖᣢࡋࡲࡍࠋ

9. ᆶ┤࡟ಖᣢࡋࡓࡲࡲࠊ“OK”࣎ࢱࣥࢆᢲࡋࠊSystemSURE Plus ࡢᐃࢆ㛤ጞࡋࡲࡍࠋ15 ⛊࡛⤖ᯝࡀ⏬㠃࡟⾲♧ࡉࢀࡲࡍࠋ272727

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