Korean Journal of Clinical Laboratory Science (대한임상검사과학회지)

Korean Society for Clinical Laboratory Science (대한임상검사과학회)
권호 표지
DOI QR코드

DOI QR Code

Status of Infection Control in Jeju-area General Hospitals

제주특별자치도 종합병원의 감염관리 현황

  • Chong, Moo Sang (Department of Clinical Pathology, Cheju Halla University) ;
  • Lee, Kyutaeg (Department of Laboratory Medicine, Cheju Halla General Hospital)
  • 정무상 (제주한라대학교 임상병리과) ;
  • 이규택 (제주한라병원 진단검사의학과)
  • Received : 2016.03.25
  • Accepted : 2016.04.30
  • Published : 2016.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to examine and analyze the infection management status of Jeju-area general hospitals, and in order to convey the importance of infection management, and to determine role plans of medical technologists as infection management staff, the infection management status was examined through surveys targeting 7 general hospitals located in Jeju Special Self-Governing Province. The infection management of Jeju-area medical institutions showed excellence in that all institutions operated an infection management room, there was dedicated manpower, and hospital infection management guidelines were established and executed. However most institutions were operating their infection management room with only 1 nurse, reporting many difficulties in securing dedicated manpower, microbe-related culture deciphering, frequency of multiple-resistance bacteria, infection statistics, and details on microbe testing. Accordingly, it is believed that the medical technologist who can perform the practical tasks of infection management has sufficient qualification and experience in infection management as per the medical law enforcement regulations, and in operation of an infection management room. If medical technologists (infection control microbiological technologist) with expert knowledge on microbes and infection control nurses can execute the tasks as dedicated personnel, the operation of the infection management room will be more advanced. In addition, for proper infection management in the future, the introduction of a medical system specialized in infection management and full support for infection management of vulnerable small/medium hospitals in addition to general hospitals across the country is considered important.

제주지역 종합병원 감염관리 현황을 조사하여, 병원감염관리 실태와 문제점을 파악하고자 하였으며 감염관리의 중요성을 인식시키고 감염관리 실무자로서 임상병리사의 역할 방안을 모색하기 위하여 제주특별자치도 제주시와 서귀포시에 위치한 종합병원 7개 기관을 대상으로 감염관리 현황을 설문지를 통하여 조사하였다. 제주지역 의료기관의 감염관리는 모든 기관이 감염관리실을 운영하고 전담인력을 구성하고 병원감염관리지침을 보유하고 수행하는 우수한 점을 보였지만, 대부분의 기관이 간호사 1인 구성의 감염관리실을 운영하여 전담인력 확보 및 미생물 관련 배양 판독, 다제내성균의 출현빈도, 감염통계 등 미생물 검사에 대한 내용을 보고 받는데 많은 부분 어려움을 호소하였다. 이에 감염관리의 실질적인 업무를 담당할 수 있는 임상병리사가 의료법 시행규칙에 있는 감염관리에 경험과 지식이 있는 사람으로 충분한 자질과 경험이 있다고 생각되며 감염관리실을 운영함에 있어 감염관리간호사와 미생물에 전문적인 지식을 갖춘 임상병리사(감염관리임상병리사)가 전담자로서 업무를 수행한다면 지금보다 더욱 발전된 감염관리실 운영이 될 것으로 보이며, 향후 감염관리를 제대로 하기 위해서는 전국적으로 종합병원을 비롯한 취약한 중소병원의 감염관리에 대한 전폭적 지원과 감염관리 전문 의료시스템 도입이 중요한 과제라 사료된다.

Keywords

References

  1. CDC. CDC/NHSN Surveillance definitions for specific types of infections [internet]. USA: Center for Disease Control and Prevention; 2014 [cited 2016 March 21]. Available from: http://www.cdc.gov/nhsn/pdfs/pscmanual/17pscnosinfdef_current.pdf.
  2. CDC. Antibiotic resistance threats in the United States, 2013 [internet]. USA: Center for Disease Control and Prevention; 2014 [cited 2016 March 21]. Available from: http://www.cdc.gov/drugresistance/threat-report-2013/pdf/ar-threats-2013-508.pdf.
  3. Yun KO, Kim HY. A study regarding bacterial contamination of surfaces in dental offices. Korean J Clin Lab Sci. 2015;47:279-285. https://doi.org/10.15324/kjcls.2015.47.4.279
  4. Lee JK. Hospital infection control system improvement - Hospital infection control system enhanced. Research Institute for Healthcare Policy Korean Medical Association. 2015;13:155-158.
  5. Kim Y. Hospital infection control system improvement - Hospital and health care utilization culture for infection control. Research Institute for Healthcare Policy Korean Medical Association. 2015;13:159-161.
  6. Oh HS, Chung HW, Kim JS, Cho SI. 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. Am J Infect Control. 2006;34:223-233. https://doi.org/10.1016/j.ajic.2006.01.003
  7. Jeong JS, Yoon SW, Park ES, Kim KM, Yoo SY, Jeong IS, et al. The present situation of infection control professionals, organization, and activities in Korean acute care general hospitals. Korean Journal of Nosocomial Infection Control. 2006;11:58-69.
  8. Kim YA, Lee HM, Lee KW. Contamination of the hospital environmental by pathogenic bacteria and infection control. Korean J Nosocomial Infect Control. 2015; 20:1-6. https://doi.org/10.14192/kjnic.2015.20.1.1
  9. Korean society for nosocomial infection control [KOSNIC]. Infection control and prevention in healthcare facilities. 4th ed. Seoul: Hanmi medical publishing company; 2011. p3-8.
  10. The Steering Committee of the Korean Nosocomial Infections Surveillance System. Korean Nosocomial Infections Surveillance System (KONIS) report: data summary from July 2013 through June 2014[Internet]. Chungcheongbuk-do: The Korean Nosocomial Infections Surveillance System; 2014 [cited 2016 March 21]. Available from: http://konis.cdc.go.kr/konis/sub/reports_icu.htm.
  11. Barsanti MC, Woeltje KF. Infection prevention in the intensive care unit. Infectious Disease Clinics of North America. 2009;23:703-725. https://doi.org/10.1016/j.idc.2009.04.012
  12. Cosgrove SE. The relationship between antimicrobial resistance and patient outcomes: mortality, length of hospital stay, and health care costs. Clinical Infectious Diseases. 2006;42(2):82-89. https://doi.org/10.1086/498512
  13. Kim KM, Kim HJ. Nationwide survey on the current status of infection control in oriental medical hospital. Korean J Nosocomial Infect Control. 2011;16:63-69.
  14. Choi JS, Kim MR, Kim YH, Huh AJ, Kim KS. Analysis of the effectiveness in the hospital management of methicillin-resistant Staphylococcus aureus by different isolation policies. Korean J Nosocomial Infect Control. 2005;10:73-77.
  15. Siegel JD, Rhinehart E, Jackson M, Chiarello L. The Healthcare Infection Control Practices Advisory Committee. Management of multidrug-resistant organisms in healthcare settings. Am J Infect Control. 2007;35(Suppl):S165-193. https://doi.org/10.1016/j.ajic.2007.10.006
  16. Park YJ, Jeong JS, Park ES, Shin ES, Kim SH, Lee YS. Survey on the infection control of multidrug-resistant microorganisms in general hospitals in Korea. Korean J Nosocomial Infect Control. 2007;12:112-121.
  17. Yang BS. Rapid detection of vancomycin-resistance Enterococci by SYBR green real-time PCR. Korean J Clin Lab Sci. 2014;46:64-67. https://doi.org/10.15324/kjcls.2014.46.2.64
  18. Jeong SY, Kim OS, Lee JY. The status of healthcare-associated infection control among healthcare facilities in Korea. Journal of Digital Convergence. 2014;12(5):353-366. https://doi.org/10.14400/JDC.2014.12.5.353
  19. Kang MW. National survey and development of standardized practice on the infection control in Korea. Seoul: Ministry of Health and welfare; 2004. p101-118.

Cited by

  1. 감염관리를 위한 항생제 사용량 데이터마트의 구축 vol.48, pp.4, 2016, https://doi.org/10.15324/kjcls.2016.48.4.348
  2. 감염관리 분야에서 감시배양검사의 표준화 연구 vol.50, pp.3, 2016, https://doi.org/10.15324/kjcls.2018.50.3.359