Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Actual Disinfection and Sterilization Control in Korean Healthcare Facilities

국내 의료기관의 소독과 멸균 관리 실태

  • Jeong, Sun Young (Konyang University, Department of Nursing) ;
  • Choi, Jeong Hwa (Kunkuk University Medical Center, Department of Infection Control) ;
  • Kim, Eun Kyoung (CHA Bundang Medical Center, CHA university, Infection Control Team) ;
  • Kim, Su Mi (Inha University Hospital, Department of Infection Control) ;
  • Son, Hee (Ewha Womans University Mokdong Hospital, Department of Infection Control) ;
  • Cho, Nan Hyoung (Gangnam Severance Hospital Yonsei University Healthcare System, Infection Control Department) ;
  • Choi, Ji Youn (Chung-Ang University Healthcare System, Infection Control Unit) ;
  • Park, Eun Suk (Severance Hospital, Infection Control Department) ;
  • Park, Jin Hee (Woosuk University, Department of Nursing) ;
  • Lee, Ji Young (The Catholic University of Korea, Seoul St. Mary's Hospital, Dept. of Infection Control) ;
  • Choi, Soon Im (Keimyung University Dongsan Medical Center, Infection Control Team) ;
  • Woo, Jin Ha (Kunkuk University Medical Center, Operating Room) ;
  • Kim, Og Son (Sangji University, Department of Nursing Science)
  • 정선영 (건양대학교 간호학과) ;
  • 최정화 (건국대학교병원 감염관리실) ;
  • 김은경 (차의과학대학교 분당차병원 감염관리팀) ;
  • 김수미 (인하대병원 감염관리실) ;
  • 손희정 (이화여대목동병원 감염관리실) ;
  • 조난형 (강남세브란스병원 감염관리실) ;
  • 최지연 (중앙대병원 감염관리실) ;
  • 박은숙 (세브란스병원 감염관리실) ;
  • 박진희 (우석대학교 간호학과) ;
  • 이지영 (가톨릭대학교 서울성모병원 감염관리실) ;
  • 최순임 (계명대학교 동산병원 감염관리팀) ;
  • 우진하 (건국대학교병원 수술실) ;
  • 김옥선 (상지대학교 간호학과)
  • Received : 2014.09.22
  • Accepted : 2014.11.12
  • Published : 2014.11.30
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Abstract

Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities. Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, ${\chi}^2$ test, Fisher's exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0. Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10. Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.

Keywords

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