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http://dx.doi.org/10.5762/KAIS.2020.21.9.134

Status of Infectious Disease Inpatients at Long-Term Care Hospitals in Korea  

Bang, Ji Ya (Home Care Fee Schedule Division, Health Insurance Review & Assessment Service)
Lee, Hanju (Department of Nursing, Sangmyung University)
Son, Yedong (College of Nursing, Woosuk University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.21, no.9, 2020 , pp. 134-143 More about this Journal
Abstract
This study investigated the status of infectious disease inpatients at long-term care hospitals in Korea. A descriptive study was conducted on patients with 14 infectious diseases at 798 long-term care hospitals during 2016-2017. The number of infected patients, total admission days, and total medical expenses were higher in 2017 than in 2016. The most common infectious diseases were enterocolitis due to Clostridium difficile, influenza, and scabies. The number of hospitals with patients who had enterocolitis due to C. difficile and resistance to carbapenem was higher in 2017 than in 2016. Hospitals with 150-299 beds had higher numbers of infectious disease patients than those with under 150 or over 300 beds. Therefore, intensive efforts are needed to control the most common diseases at long-term care hospitals, such as enterocolitis due to C. difficile, influenza, and scabies. It is recommended to apply relevant guidelines related to infection control management as well as implement educational programs. It will also be necessary to develop applicable infection monitoring standards and support the facilities and health workforce of long-term care hospitals under 300 beds through an effective infection surveillance system.
Keywords
Infectious Disease; Infection Control; Inpatients; Long-Term Care Hospitals; Status;
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Times Cited By KSCI : 12  (Citation Analysis)
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1 H. H. Kim, N. H. Kim, "A study of the knowledge, awareness and performance of the infection control among nurses in long-term care hospital", Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol. 7, No. 11, pp. 457-471, Nov. 2017.   DOI
2 Y. J. Kim, J. S. Park, "Survey on infection control status and perceived importance of ICP(infection control practitioner) in long term care hospital", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 7, pp. 466-475, Jul. 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.7.466   DOI
3 J. M. Chae, H. J. Song, G. S. Kang, J. Y. Lee, "Impact of nurse staffing level and oral care on hospital acqired pneumonia in long-term care hospitals", Journal of Korean Academy of Nursing Administration, Vol. 21, No. 2, pp. 174-183, Mar. 2015. DOI: https://doi.org/10.11111/jkana.2015.21.2.174   DOI
4 K. W. Kim, Infection status and clinical outcome in long term care hospitals patients visiting an emergency medical center, Ph.D dissertation, Chung-Ang University, Seoul, Korea, pp. 25, 2017.
5 M. S. Kim, J. H. Shin, Y. S. Jeong, J. K. Cho, J. P. Choi, "Multidrug-resistant, gram-negative bacteria in hospitalized elderly patients from non-hospital long-term care facilities", The Korean Journal of Medicine, Vol. 94, No. 1, pp. 107-113, Feb. 2019. DOI: https://doi.org/10.3904/kjm.2019.94.1.107   DOI
6 H.-S. Ahn, Patient care and management in long-term care hospitals, Research Report, Korean Medical Association, Korea, pp. 32-39.
7 A. Deshpande, C. Pant, M. Olyaee, C. J. Donskey, "Hospital readmissions related to Clostridium difficile infection in the United States", American Journal of Infection Control, Vol. 46, No. 3, pp. 346-347, Mar. 2018. DOI: https://doi.org/10.1016/j.ajic.2017.08.043   DOI
8 A. Daniel, A. Rapose, "The evaluation of Clostridium difficile infection (CDI) in a community hospital", Journal of Infection and Public Health, Vol. 8, No. 2, pp. 155-160, Mar.-Apr. 2015. DOI: https://doi.org/10.1016/j.jiph.2014.08.002   DOI
9 M. Mizusawa, S. Doron, S. Gorbach, “Clostridium difficile diarrhea in the elderly: current issues and management options,” Drugs & Aging, Vol. 32, No. 8, pp. 639-647, Aug. 2015. DOI: https://doi.org/10.1007/s40266-015-0289-2   DOI
10 A. Krishna, A. Pervaiz, P. Lephart, N. Tarabishy, S. Varakantam, et al, "Prevalence of Clostridium difficile infection in acute care hospitals, long-term care facilities, and outpatient clinics: Is Clostridium difficile infection underdiagnosed in long-term care facility patients?", American Journal Of Infection Control, Vol. 45, No. 10, pp. 1157-1159, Oct. 2017. DOI: https://doi.org/10.1016/j.ajic.2017.04.288   DOI
11 D. Pawar, R. Tsay, D. Nelson, M. Elumalai, F. Lessa, L. Clifford McDonald, et al, "Burden of Clostridium difficile Infection in Long-Term Care Facilities in Monroe County, New York", Infection Control and Hospital Epidemiology, Vol. 33, No. 11, pp. 1107-1112, Nov. 2012. DOI: https://doi.org/10.1086/668031   DOI
12 A. K. Barker, C. Ngam, J. S. Musuuza, V. M. Vaughn, N. Safdar, "Reducing Clostridium difficile in the inpatient setting: a systematic review of the adherence to and effectiveness of C. difficile prevention bundles", Infection Control & Hospital Epidemiology, Vol. 38, No. 6, pp. 639-650, Jun. 2017. DOI: https://doi.org/10.1017/ice.2017.7   DOI
13 S. J. Kim, J. S Jeong, E. S. Park, S. H. Choi, "A survey on the scabies outbreak and infection control", Korean Journal of Healthcare-Associated Infection Control and Prevention, Vol. 24, No. 1, pp. 1-10, Jun. 2019. DOI: https://doi.org/10.14192/kjhaicp.2019.24.1.1   DOI
14 D. R. Chung, "Transmission and prevention of healthcare-associated infections", Korean Journal of Medicine, Vol. 93, No. 4, pp. 317-323, Aug. 2018. DOI: https://doi.org/10.3904/kjm.2018.93.4.317   DOI
15 J. A. Cassell, J. Middleton, A. Nalabanda, S. Lanza, M. G. Head, J. Bostock, et al, "Scabies outbreaks in ten care homes for elderly people: a prospective study of clinical features, epidemiology, and treatment outcomes", The Lancet Infectious Diseases, Vol. 18, No. 8, pp. 894-902, Aug. 2018. DOI: https://doi.org/10.1016/S1473-3099(18)30347-5   DOI
16 S. Esposito, E. Franco, G. Gavazzi, A. G. de Miguel, R. Hardt, et al, "The public health value of vaccination for seniors in Europe", Vaccine, Vol. 36, No. 19, pp. 2523-2528, May 2018. DOI: https://doi.org/10.1016/j.vaccine.2018.03.053   DOI
17 Health Insurance Review & Assessment Service.Healthcare bigdata hub [Internet]. Health InsuranceReview & Assessment Service, c2018[cited 2018september 29, Available From: http://opendata.hira.or.kr/op/opc/yadmOpCloPrsnt.do?searchType=&dateType=&frYear=2018&frMonth=08&ykihoPlcTpCd=&ykihoPlcTpCdNm=&clCd=28&shwSbjtCd (accessed May 9, 2020)
18 K. A. Kline, D. M. Bowdish, "Infection in an aging population", Current Opinion in Microbiology, Vol. 29, pp. 63-67, Feb. 2016. DOI: https://doi.org/10.1016/j.mib.2015.11.003   DOI
19 Korean Statistical Information Service. The Koreanational health and nutrition examination survey[Internet]. Korea Centers for Disease Control andPrevention, c2019 [cited 2019 Febuary 10], AvailableFrom: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N083&conn_path=I2 (accessed May 9, 2020)
20 H. J. Lee, D. G. Lee, "Carbapenem-resistant Enterobacteriaceae: recent updates and treatment strategies", Journal of the Korean Medical Association, Vol. 61, No. 4, pp. 281-289, Apr. 2018. DOI: http://dx.doi.org/10.5124/jkma.2018.61.4.281   DOI
21 N. H. Kim, W. D. Han, K. H. Song, H. K. Seo, M. J. Shin, et al, "Successful containment of carbapenem-resistant Enterobacteriaceae by strict contact precautions without active surveillance", American Journal of Infection Control, Vol. 42, No. 12, pp. 1270-1273, Dec. 2014. DOI: https://doi.org/10.1016/j.ajic.2014.09.004   DOI
22 Y. H. Choi, "Prospective nationwide healthcare-associated infection surveillance system in South Korea", Journal of the Korean Medical Association, Vol. 61, No. 1, pp. 21-25, Jan. 2018. DOI: https://doi.org/10.5124/jkma.2018.61.1.21   DOI
23 J. Y. Lee, S. Y. Jeong, O. S. Kim, H. K. Chun, J. Y. Choi, et al, "The status of infection control nurses and factors affecting infection control activities in healthcare facilities with more than 150 beds in 2016 in Korea", Journal of Korean Clinical Nursing Research, Vol. 23, No. 3, pp. 267-280, Dec. 2017. DOI: https://doi.org/10.22650/JKCNR.2017.23.3.267   DOI
24 S. Y. Jeong, O. S. Kim, J. Y. Lee, "The status of Healthcare-associated infection control among healthcare facilities in Korea", Journal of Digital Convergence, Vol. 12, No. 5, pp. 353-66, May 2014. DOI: https://doi.org/10.14400/JDC.2014.12.5.353   DOI
25 Y.-J. Seo, Healthcare organization accreditation program outcomes & impect framework study, Research Report, Korea Institute for Healthcare Accreditation, Korea, pp. 62-66.
26 E.-J. Park, Quality care strategy for long-term care hospitals and nursing homes-focusing on patient (resident) safety, Research Report, Korean Institute for Health and Social Affairs, Korea, pp. 34.
27 Korea Ministry of Government Legislation. Medicalsevice act [Internet]. Korea Ministry of GovernmentLegislation, 2021[cited 2021 march 1], Available From:http://www.law.go.kr/lsSc.do?tabMenuId=tab18&query=%EC%9D%98%EB%A3%8C%EB%B2%95#undefined(accessed July 2, 2020)
28 Y. G. Song, A Study on the reorganization plan for classification system of notifiable infectious diseases, Research Report, Korea Centers for Disease Control and Prevention, Korea, pp. 14.
29 Ministry of Health and Welfare. Action plan toprevent healthcare associated infections [Internet].Ministry of Health and Welfare, c2018[cited 2018september 30], Available From:http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=2&CONT_SEQ=345237&SEARCHKEY=TITLE&SEARCHVALUE=%EA%B0%90%EC%97%BC (accessed May 9, 2020)
30 D. L. Palms, E. Mungai, T. Eure, A. Anttila, N. D. Thompson, M. A. Dudeck, et al. "The national healthcare safety network long-term care facility component early reporting experience: January 2013-December 2015", American Journal of Infection Control, Vol. 46, No. 6, pp. 637-642, Jun. 2018. DOI: https://doi.org/10.1016/j.ajic.2018.01.003   DOI
31 A. Montoya, M. Cassone, L. Mody, "Infections in nursing homes: epidemiology and prevention programs", Clinics in Geriatric Medicine, Vol. 32, No. 3, pp. 585-607, Aug. 2016. DOI: https://doi.org/10.1016/j.cger.2016.02.004   DOI
32 C. Ruscher, M. Kraus-Haas, A. Nassauer, M. Mielke, "Healthcare-associated infections and antimicrobial use in long term care facilities (HALT-2)", Bundesgesundheitsbl, Vol. 58, No. 4-5, pp. 436-451, Mar. 2015. DOI: https://doi.org/10.1007/s00103-015-2126-5   DOI
33 D. J. Lee, S. H. Ko, Y. H. Lee, "Perception and practice of hospital infection control in nurses of geriatric hospital: for convergent approach", Journal of Digital Convergence, Vol. 13, No. 11, pp. 461-470, Nov. 2015. DOI: https://doi.org/10.14400/JDC.2015.13.11.461   DOI