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http://dx.doi.org/10.7739/jkafn.2014.21.4.392

Actual Disinfection and Sterilization Control in Korean Healthcare Facilities  

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)
Publication Information
Journal of Korean Academy of Fundamentals of Nursing / v.21, no.4, 2014 , pp. 392-402 More about this Journal
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
Disinfection; Sterilization; Disinfectants;
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