• Title/Summary/Keyword: 감염관리 교육

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Knowledge, Awareness, Safety-climate and Performance of Standard Precautions for Healthcare Associated Infection Control among Nurses in Small and Medium Hospitals (중소병원 간호사의 의료관련 감염관리를 위한 표준주의 지식, 인지도, 안전환경과 수행도)

  • Sim, Mi-Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.425-435
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    • 2019
  • The purpose of this study was to examine the knowledge, awareness, safety-climate and performance of standard precautions for healthcare-associated infection control and to identify the factors that influence the performance of standard precautions among nurses in small- and medium-sized hospitals. The subjects of this study were 151 nurses who worked for more than 1 year in 6 small to medium-sized hospitals (less than 300 beds). The data was collected using self-report questionnaires from January 15 to February 15, 2018. The collected data was analyzed using the SPSS Statistics 22.0 program. The mean score for safety climate and performance of standard precautions showed significant differences according to the working department. There were significant positive correlations among knowledge, awareness, safety climate, and performance of standard precautions. The factors influencing the performance of standard precautions were safety climate and awareness. The explanatory power of the performance of the two variables was 23.3%. Based on the findings, it is necessary to improve the safety-climate and continuous educational program, and administrative support should be provided to improve nurses' performance of standard precautions for healthcare-associated infection control in small- and medium-sized hospitals.

Survey of Staphylococcus epidermidis Contamination on the Hands of Dental Hygienists and Equipment Surface of Dental Clinics (치과의료기관 의료장비 표면 및 치과위생사 손의 Staphylococcus epidermidis 오염도 조사)

  • Kim, Seol-Hee
    • Journal of dental hygiene science
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    • v.17 no.6
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    • pp.472-480
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    • 2017
  • The purpose of this study was to investigate Staphylococcus epidermidis contamination on hands of 20 dental hygienists and 140 equipment surface of 20 dental clinics in a local area, from July to August 2017. The degree of S. epidermidis contamination was measured using a hand plate and a rodac plate and then cultured at $35^{\circ}C$ for 24 hours. Based on hand plate criteria, hand contamination was classified into low, middle, and high groups. Analysis of the variance (ANOVA) of the contamination level of the hand parts of the group surface contamination level of the dental clinic equipment was descriptive statistics after clustering lock count. S. epidermidis contamination was moderate in 55% of the hands of dental hygienists. The area of contamination was 29.45 colony-forming units (CFU) on the palm, followed by the middle finger 7.8 CFU, ring finger 6.4 CFU, and thumb 6 CFU. Medical equipment surface contamination was showed that 3-way handle 4.45 CFU, computer mouse 3.37 CFU, mirror handle 1.60 CFU were higher than other areas. The group with high hand contamination had a high positive correlation with the S. epidermidis contamination of the hand. S. epidermidis contamination level was higher on hands than on the medical equipment surface contamination. Therefore, medical staff should recognize the importance of hand hygiene which should be practiced in the manner suggested by World Health Organization. In addition, the medical team needs to be responsible for performing infection control tasks, implementing infection management guidelines and providing systematic education on infectious disease management.

A Multicenter Survey on the Current Status of Pediatric Blood Cultures in Korea (소아 대상 혈액배양검사 현황 파악을 위한 국내 다기관 설문조사)

  • Lee, Young Joon;Lee, Ji Young;Kong, Seom Kim;Yeon, Gyu Min;Hong, Yoo Rha;Oh, Chi Eun
    • Pediatric Infection and Vaccine
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    • v.25 no.1
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    • pp.17-25
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    • 2018
  • Purpose: Blood culture is an essential diagnostic tool and requires clear indications, proper techniques, and quality control. We aimed to investigate whether blood cultures in children are appropriate for indications, are performed correctly, and receive proper quality control. Methods: We conducted an online survey targeting pediatric infectious diseases (ID) specialists working in general hospitals and neonatologists (Neo) working at hospitals operating a neonatal intensive care unit in Korea. Results: Approximately 81.1% (30/37) of pediatric ID specialists and 72.2% (52/72) of Neo responded to the survey. Some of the respondents (33.3% of ID and 59.6% of Neo) performed blood culture as a regular test irrespective of the indication. Approximately 40% of ID and 65.4% of Neo ordered only one set of blood culture in patients suspected with bacteremia. The most commonly used disinfectant for skin preparation was povidone-iodine, while the skin preparation method varied by institution. Approximately two-thirds of the institutions were monitoring the blood culture contamination rate, whereas relatively few provided staff with feedback on that rate. In addition, less than half of the institutions were providing regular staff training on blood culture (40% of ID and 28.8% of Neo). Conclusions: The indication and methods of blood culture for children varied according to institution, and few hospitals exert effort in improving the quality of blood culture. Institutions have to strive constantly toward improvement of blood culture quality and evidence-based recommendations for pediatric blood cultures should be standardized.

Control of Human Clonorchiasis at Gokseong-gun and Sunchang-gun near the Sumjin River in Korea (섬진강 유역 곡성군, 순창군 지역 주민의 간흡충증 관리)

  • Kim, Suk-Il;Yun, Woo-Sang
    • Journal of agricultural medicine and community health
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    • v.29 no.1
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    • pp.163-175
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    • 2004
  • Objectives: This study was carried out to decrease the prevalence of human clonorchiasis and to evaluate the control effect in two Clonorchis sinensis-endemic area of Gokseong-gun and Sunchang-gun adjacent to the Sumjin River in Korea. Methods: The formalin-ether concentration method for stool egg examination or ELISA was applied for the diagnosis of clonorchiasis. As a primary survey, according to the non-probability sampling, a total of 1,2.13 inhabitants at Gokseong-gun were screened through the stool examination, and 1,004 inhabitants at Sunchang-gun were screened through the ELISA. The humans infected with C. sinensis were medicated with praziquantel and educated for the prevention of reinfection with the fluke. After 9 months, as a secondary survey, each prevalence of 616 inhabitants at Gokseong-gun and 2.637 inhabitants at Sunchang-gun was followed-up for the decrease of human clonorchiasis. Results: The prevalence before the mass control was 39.0% at Gokseong-gun and 30.1% at Sunchang-gun in average from 61.5% to 8.9% according to the villages (Myeon) of the survey. In the riverside villages to the Sumjin River the prevalences were higher than other villages located far from the river. The prevalence after the control was decreased to the level of 22.4% at Gokseong-gun(P<0.0001) and 16,3% at Sunchang-gun (P<0.0001). Conclusions: These results suggested that human clonorchiasis was still highly endemic in riverside area of the Sumjin River and could be decreased through the control activities such as diagnosis, medication and education. It was highly recommended that a integrated control such as those of the present study must be adopted in other localities along the Sumjin River for the eradication of human clonorchiasis.

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A Study on the Demand of K-Nursing in Southeast Asian Nursing Colleges to Activate International Exchange Convergence in the Untacked Era (언택드 시대에 국제교류융합 활성화를 위한 동남아시아 간호대학에서 한국 간호에 대한 수요도 조사연구)

  • Kim, Seon Jeong;Kim, Kyung-yong;Choi, Byung Hwan;Song, Mei Ling
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.429-438
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    • 2020
  • The purpose of this study was to investigate the demand of K-nursing in Southeast Asian nursing colleges, and to promote international exchange convergence. In this study, we surveyed the professors and students who were living in Thailand, Vietnam, and the Philippines. For investigating the demands of the topics, two times of surveys were conducted using the google form In the first survey, the emergency care and infectious control showed the most frequent. In the second survey, the classification of emergency patients, showed the most, according the highest priority of emergency department. In infectious control department, management of new infectious diseases, such as COVID-19, showed the most, according to the highest priority. Based on the result, we make a suggestion to develop the contents, according to the highest priority, and to utilize them in international exchange programs.

Knowledge, Attitudes and Preventive Infection Behaviors regarding AIDS of General Hospital Nurses (종합병원 간호사의 AIDS에 대한 지식, 태도 및 예방적 감염관리 행위)

  • Han, An-Na;Choi, Soon Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.2
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    • pp.1-12
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    • 2014
  • Objectives: This study was conducted to identify the correlations among the knowledge, attitude and preventive infection behaviors regarding AIDS of general hospital nurses. Methods: Participants were 314 nurses who have been working for a C hospital in G city. Data were collected from December 3, 2012 to December 14, 2012 after the informed consents were obtained from the participants with the help of nursing department. Results: Knowledge based on general characteristics was not different significantly. AIDS attitudes showed significant differences by age, marital status, religion and workplace and preventive infection behaviors, by age, position, duration of clinical experience. Significant correlations were not observed among the knowledge, attitude and preventive infection behaviors regarding AIDS. Conclusions: This study showed that the knowledge of nurses regarding AIDS will need to be improved by systematic training, and, rather than preventive infection behaviors simply based on knowledge, a training program that includes physical, mental, and social aspects based on the latest information.

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The Status of Blood and Body Fluid Exposure and Affecting Factors among Nursing Students including Knowledge, Performance regarding Standard Precautions (간호대학생의 임상실습중 혈액 및 체액 노출현황과 영향 요인 - 감염관리 지식 및 수행도 중심으로-)

  • Kim, Hee-Jung;Kim, Nam-Cho
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.17-30
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    • 2014
  • Objectives: The purpose of this study was to investigate the status of exposure to blood and body fluid and factors affecting on blood and body fluid exposure of nursing students including knowledge, performance regarding standard precautions. Methods: 280 nursing students in D-city and S-city participated in this study. Data collection was conducted from January to March 2012. Students' knowledge and performance on standard precautions of infection control in hospitals were measured using the measurement developed by Hong(2010). Data analysis was performed using descriptive statistics, t-test, one way-ANOVA, ${\chi}^2-test$, Pearson correlation coeficient, logistic regression by the SPSS WIN 18.0 program. Results: 58.6 percent of subjects experienced a exposure to blood and body fluid. The level of nursing students' knowledge level regarding standard precautions was $22.44{\pm}2.11$ and performance level was $4.31{\pm}0.50$. The factors affecting on blood and body fluid exposure of nursing students were knowledge level and education type about infection control. Conclusions: Based on the findings of this study, to decrease the exposure to blood and body fluid of nursing students, a proper education need to be stressed to improve nursing students' infection control knowledge and awareness.

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Statue of Intestinal Parasitic Infections in a Remote Island, Yondo, Jeonranarn-do (Province) (전라남도 여천군 남면 연도 주민의 장내 기생충 감염상황)

  • 구기수;민득영
    • Parasites, Hosts and Diseases
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    • v.26 no.4
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    • pp.275-284
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    • 1988
  • This study was performed to observe the present status of intestinal parasitic infections in a remote island, Yondo, located in southern part of Jeonranam-do (Province) , Korea. In February and May, 1988, total 1,011 individual stool samples were collected and examined for intestinal helminths and protozoa using formalin-ether centrifugal sedimentation technique. The results are summarized as follows: 1. Of 1,011 inhabitants examined, 398(39.4%) were positive for intestinal parasites. Helminth positives were 372(36.8%) , and protozoan cyst positives were 56(5.5%) . 2. Ten species of parasites were found. Trichuris trichiura revealed the highest infection rate of 27.5%, Ascaris lumbricoides 17.4%, Taenia sp. 5.8%, Entamoeba coli 3.3%, Ciardia Zamblia 1.5%, Endelimax nasa 0.8%, Hymenolepis nana 0.4%, Hookworm 0.2%, Trichostrongylus orientalis 0,2%, and Entamoeba histolytica 0.2%, respectively. 3. The female group showed higher positive rate(44.0%) than males (34.7%). Also, higher positive rates were observed among adults as compared with the group younger than 10 years old. 4. Average value of E.P.G. was 1,876(range 200∼17,800) in A. lumbricoides positives, and 327 (range 200∼1,600) in T. trichiura positive cases. 5. In helminth egg Positive cases, single in(traction was 63.4%, double infection 34.7%, and triple infection 1.9%, respectively. Among protozoan cyst positives, single infection was 94.6%, and double infection was 5.4%. The present study revealed that the prevalence of intestinal parasites among inhabitants in Yondo island is still so high that special control measures should be performed.

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The relationship between hand washing practice and health belief model of hand washing among dental practitioners (치과종사자의 손씻기에 대한 건강신념과 손씻기 수행도의 관련성)

  • Kim, Ga-Hyun;Kwon, Yong-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.3
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    • pp.587-594
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    • 2018
  • The purpose of this study was to evaluate the correlation between hand washing practice and hand washing on the health belief model among dental practitioners. A self-reported questionnaire was completed by each 140 dental practitioners in dental clinics, general and university dental hospitals. The data were analyzed statistically with t-test, 1-way ANOVA, Pearson's correlation coefficient test(${\alpha}=.05$). The hand washing practice showed a quantitative linear relationship(p<0.01) of r=0.285 with the hand washing on health belief. In order to prevent hospital infection of dental practitioners working in dental clinics or general and university dental hospitals, health beliefs about hand washing consisting of perceived susceptibility, perceived seriousness, perceived benefit, perceived barriers, and cues to action in infection control education should be considered.

The Detection System for Hosts infected Malware through Behavior information of NAC post-connect (NAC 의 post-connect에서 행위정보를 사용한 악성코드 감염 호스트 탐지 시스템)

  • Han, Myung-Mook;Sun, Jong-Hyun
    • The Journal of Korean Association of Computer Education
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    • v.13 no.6
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    • pp.91-98
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    • 2010
  • NAC(Network Access Control) has been developed as a solution for the security of end-point user, to be a target computer of worm attack which does not use security patch of OS and install Anti-Virus, which spreads the viruses in the Intra-net. Currently the NAC products in market have a sufficient technology of pre-connect, but insufficient one of post-connect which detects the threats after the connect through regular authentication. Therefore NAC users have been suffered from Zero-day attacks and malware infection. In this paper, to solve the problems in the post-connect step we generate the normal behavior profiles using the traffic information of each host, host information through agent, information of open port and network configuration modification through network scanner addition to authentication of host and inspection of policy violation used before. Based on these we propose the system to detect the hosts infected malware.

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