보건의료산업학회지 (The Korean Journal of Health Service Management)

  • 제8권4호
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  • Pages.163-173
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  • 2014
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  • 2093-5986(pISSN)
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  • 2288-0666(eISSN)
보건의료산업학회 (Korea Society of Health Service Management)
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국내 200병상이상 의료기관의 다약제 내성균 감염관리 실태조사

Current Status of Infection Control of Multidrug Resistant Organisms in Hospitals with more than 200beds in the Republic of Korea

  • 오향순 (우송대학교 보건복지대학 간호학과)
  • 투고 : 2014.11.05
  • 심사 : 2014.12.19
  • 발행 : 2014.12.31
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초록

This study was performed to investigate the current status of isolation precautions of multidrug resistant organisms(MDROs) in general hospitals with more than 200bed. The questionnaires were mailed from 3rd, April 2013 to 30th, April 2013. Methicillin resistant Staphylococcus aureus:(MRSA), vancomycin resistant Staphylococcus aureus:(VRSA), vancomycin resistant Enterococcus(VRE), multidrug-resistant Acinetobacter baumannii, carbapenem-resistant Enterobacteriaceae multidrug-resistant Pseudomonas aeruginosa were enrolled. MRSA(100.0%) and VRE(98.7%) were isolated respectively. VRE(97.3%) and MRSA(64.0%) were regulated strictly respectively. VRE(91.5%) and VRSA(50.7%) were isolated in a single room respectively. Hospital being located in Seoul(p<0.001), and beds(${\geq}600$)(p=0.008) were different significantly. The isolation space limitation(71.1%) was the highest difficulty. The development of refunding the costs of the extra supplies and other hygienic materials for infection control was discovered as the most urgent strategy.

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참고문헌

  1. J.D. Siegel, E. Rhinehart, M. Jackson, L. Chiarello, Healthcare Infection Control Practices Advisory Committee(2007), Management of Multidrug-resistant Organisms in Health Care Settings, 2006, American Journal of Infection Control, Vol.35(10 Suppl 2);S165-93. https://doi.org/10.1016/j.ajic.2007.10.006
  2. L.J. Strausbaugh, J.D. Siegel, R.A. Weinstein(2006), Preventing Transmission of Multidrug-resistant Bacteria in Health Care Settings: A Tale of 2 Guidelines, Clinical Infectious Diseases, Vol.15(42);828-835.
  3. C.A. DiazGranados, S.M. Zimmer, M. Klein, J.A. Jernigan(2005), Comparison of Mortality Associated with Vancomycin-resistant and Vancomycin-susceptible Enterococcal Bloodstream Infections: A Meta-Analysis, Clinical Infectious Diseases, Vol.41(3);327-333. https://doi.org/10.1086/430909
  4. C.D. Salgado, B.M. Farr(2003), Outcomes Associated with Vancomycin-Resistant Enterococci: A Meta-Analysis. Infection Control and Hospital Epidemiology, Vol.24(9);690-698. https://doi.org/10.1086/502271
  5. M.J. Neidell, B. Cohen, Y. Furuya, J. Hill, C.Y. Jeon, S. Glied, E.L. Larson(2012), Costs of Healthcare- and Community-associated Infections with Antimicrobial-resistant versus Antimicrobial-susceptible Organisms, Clinical Infectious Diseases, Vol.55(6);807-815. https://doi.org/10.1093/cid/cis552
  6. C.E. Herr, T.H. Heckrodt, F.A. Hofmann, R. Schnettler, T.F. Eikmann(2003), Additional Costs for Preventing the Spread of Methicillin-resistant Staphylococcus aureus and a Strategy for Reducing these Costs on a Surgical Ward, Infection Control and Hospital Epidemiology, Vol.24(9);673-678. https://doi.org/10.1086/502274
  7. I.M. Gould, J. Reilly, D. Bunyan, A. Walker (2010), Costs of Healthcare-associated Methicillin-resistant Staphylococcus aureus and It's Control, Clinical Microbiololy and Infectious Diseases, Vol.16(12);1721-1728.
  8. http://www.cdc.gov/hicpac/2007IP/2007isolationPrecautions.html
  9. M.F. Kluytmans-Vandenbergh, J.A. Kluytmans, A.Voss (2005), Dutch Guideline for Preventing Nosocomial Transmission of highly resistant Microorganisms(HRMO), Infection, Vol.33(5-6):309-13. https://doi.org/10.1007/s15010-005-5079-z
  10. H.S. Oh, E.S. Park, S.Y. Jeong, H.G. Cheon, S.R. Kim, Y.S. Chang, E.K. Kim, N.H. Cho(2011), Activation of Infection Prevention and Control Program in Hospital via Healthcare Accreditation System. Final report, Korea Association of Infection Control Nurses, Vol.1;1-72
  11. M.H. Jeon, W.B. Park, S.R. Kim, H.K. Chun, S.H. Han, J.H. Bang, E.S. Park, S.Y. Jeong, J.S. Eom, Y.K. Kim, H.B. Kim, K.Y. Lee, H.J. Choi, H.Y. Kim, K.M. Kim, J.H. Sung, Y.Uh, H.S. Chung, J.W. Kwon, J.H. Woo(2012), Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2010 through June 2011, Korean Journal of Nosocomial Infection Control, Vol.17(1);1-12
  12. http://www.cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1132-MNU1138-MNU0037-MNU1380&cid=12713
  13. Y.J. Park, J.S. Jeong, E.S. Park, E.S. Shin, S.H. Kim, Y.S. Lee(2007), Survey on the Infection Control of Multidrug-Resistant Microorganisms in General Hospitals in Korea, Korean Journal of Nosocomial Infection Control, Vol.12(2);112-121
  14. H.S. Oh, H.W. Chung, J.S. Kim, S.I. Cho(2006), National Survey of the Status of Infection Surveillance and Control Programs in Acute Care Hospitals with More than 300 Beds in the Republic of Korea, American Journal of Infection Control, Vol.34(4);223-33. https://doi.org/10.1016/j.ajic.2006.01.003
  15. T.K. Kim, H.S. Min, H.Y. Jung(2012), Knowledge and Performance of Infection Control with MRSA of Medium and Small Hospital Nurses, The Korean Journal of Health Service Management, Vol.6(3);157-169 https://doi.org/10.12811/kshsm.2012.6.3.157
  16. H.Y. Jung, Y.K. Jung(2013), Recognition and Performance Level of Hospital Infection Control in Nurses of Long-term Care Hospital, The Korean Journal of Health Service Management, Vol.7(4);131-141 https://doi.org/10.12811/kshsm.2013.7.4.131
  17. C. O'Boyle, M. Jackson, S.J. Henly(2002), Staffing Requirements for Infection Control Programs in US Health Care Facilities: Delphi project, American Journal of Infection Control, Vol.30(6);321-33. https://doi.org/10.1067/mic.2002.127930

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  3. Analysis of the Status of Infection Controls after Application of the Healthcare Accreditation System vol.9, pp.4, 2015, https://doi.org/10.12811/kshsm.2015.9.4.033
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  5. Factors Influencing Length of Intensive Care Unit among Older Patients Transferred from Long Term Care Hospital vol.45, pp.4, 2014, https://doi.org/10.21032/jhis.2020.45.4.341
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