• Title/Summary/Keyword: 감염 위험요인

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Risk Factors for Surgical Site Infections in Patients Undergoing Craniotomy (개두술을 받은 환자의 수술부위감염 관련요인 분석)

  • Cha, Kyeong-Sook;Cho, Ok-Hee;Yoo, So-Yeon
    • Journal of Korean Academy of Nursing
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    • v.40 no.2
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    • pp.298-305
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    • 2010
  • Purpose: The objectives of this study were to determine the prevalence, incidence, and risk factors for postoperative surgical site infections (SSIs) after craniotomy. Methods: This study was a retrospective case-control study of 103 patients who had craniotomies between March 2007 and December 2008. A retrospective review of prospectively collected databases of consecutive patients who underwent craniotomy was done. SSIs were defined by using the Centers for Disease Control criteria. Twenty-six cases (infection) and 77 controls (no infection) were matched for age, gender and time of surgery. Descriptive analysis, t-test, $\chi^2$-test and logistic regression analyses were used for data analysis. Results: The statistical difference between cases and controls was significant for hospital length of stay (>14 days), intensive care unit stay more than 15 days, Glasgrow Coma Scale (GCS) score (${\leq}7$ days), extra-ventricular drainage and coexistent infection. Risk factors were identified by logistic regression and included hospital length of stay of more than 14 days (odds ratio [OR]=23.39, 95% confidence interval [CI]=2.53-216.11) and GCS score (${\leq}7$ scores) (OR=4.71, 95% CI=1.64-13.50). Conclusion: The results of this study show that patients are at high risk for infection when they have a low level of consciousness or their length hospital stay is long term. Nurses have to take an active and continuous approach to infection control to help with patients having these risk factors.

Seroprevalence and Risk Factors for Severe Fever with Thrombocytopenia Syndrome among the Korea National Park Service Workers (국립공원 종사자의 중증열성혈소판감소증후군 혈청유병률 및 위험요인)

  • Kim, Dong-Hwi;Kim, Kye-Hyung;Yi, Jongyoun;Ko, Mee Kyung;Park, Sung-Jun;Yoo, Seok-Ju;Lee, Kwan;Park, Ji-Hyuk
    • Journal of agricultural medicine and community health
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    • v.46 no.3
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    • pp.162-170
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    • 2021
  • Objectives: This study was carried out to understand the seroprevalence and risk factors for severe fever with thrombocytopenia syndrome (SFTS) among the Korea National Park Service (KNPS) workers. Methods: We used the stored serum samples (763) and survey results collected from the previous investigation on scrub typhus and Lyme disease among the KNPS workers during 2016-2017. The serum samples were analyzed by double-antigen sandwich enzyme-linked immunosorbent assay, which was used to test the total antibody including IgG and IgM. Results: The SFTS seroprevalence among the KNPS worrkers was 1.4%. In multivariate logistic analysis, the national park exploration programs (odds ratio, 3.48; 95% confidence interval, 1.01-12.01) was significantly associated with the seroprevalence of SFTS. Conclusion: This study was the first serological study of SFTS among forestry workers in South Korea. Although the KNPS workers are at a high-risk group of SFTS, the prevention activities related to the working environment and habit was insufficient. Thus, systematic prevention education and training for the KNPS workers need to be strengthened.

Necrotizing Fasciitis in a 7-day-old Term Healthy Neonate

  • Koo, Soo-Hyun;Chung, Mi-Lim;Park, Kun-Bo
    • Neonatal Medicine
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    • v.18 no.1
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    • pp.148-152
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    • 2011
  • Necrotizing fasciitis is a rare, but life-threatening infection. Prompt diagnosis and early aggressive intervention is required for survival. However, there has been frequently occurred in delays of diagnosis and treatment due to its non-specific nature. Therefore, a high index of suspicion is needed to ensure timely intervention. We report a case of necrotizing fasciitis in a 7-day-old term healthy neonate.

청소년의 성병/에이즈감염 위험 요인

  • 박현이
    • RED RIBBON
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    • s.39
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    • pp.40-41
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    • 2001
  • `성'에 대해서 바로 알면 자기 몸에 대한 소중함을 알아 자존감을 갖고, 잘못된 성으로 인해 가져올 수 있는 여러 가지 문제점들을 생각해 봄으로써 세상을 살아가는데 옳은 것과 그른 것을 가려낼 수 있는 능력이 생기게 된다. 성적 행위는 일순간에 끝날 수도 있지만 그 결과는 삶 전반에 영향을 미칠 수 있다는 것을 인식할 필요가 있다. 특히 성적인 관계가 말초적이고 감각적인 쾌락만을 추구하는 상품이 아니라 상대방과 사랑과 친밀감을 나누는 대화의 장으로서 인식할 수 있는 성교육이 실시되어야 한다고 본다. 더불어 자신과 상대방의 성적인 건강을 고려하면서 만남을 만들어 갈 수 있는 안전한 성에 대한 정확한 이해를 줄 수 있는 열린 성교육이 필요하다고 본다.

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신선 과채류 편의 식품의 미생물 오염방지 및 조절방법

  • Hong, Seok-In;Lee, Eun-Sil;Kim, Dong-Man
    • Bulletin of Food Technology
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    • v.13 no.2
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    • pp.3-13
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    • 2000
  • 신선 과일, 채소 편의식품의 주요 특징으로는 박피, 절단 등에 의한 식물조직의 손상, 최소가공에 따른 제품의 불확실한 미생물 안전성, 식물 조직의 활발한 물질대사, 제품 종류의 제한 등을 들 수 있다. 따라서 이들 제품에서는 미생물이 증식하기 쉬우나 실제 미생물의 거동은 식물조직의 대사에 의해 영향을 받으며, 또한 생체의 호흡과 필름 포장재의 기체투과도에 의해 좌우되는 포장내부 환경기체에도 영향을 받는다. 수확후 감염은 과일, 채소와같은 원료 농산물의 주요 손실요인으로(Harvey, 1978;Lund, 1983) 신선 과채류 편의식품의 경우 절단면의 노출과 포장내부의 고수분 함량 등에 의해 미생물 감염의 위험은 더욱 더 증가할 수 있다. 특히 대부분의 신선 편의식품이 어떠한 가열처리도 없이 그대로 이용되므로 식품유래 병원균의 오염과 저장중 이들의 증식은 각별한 관심의 대상이 되고 있다. 이에 본고에서는 현재 과채류 편의식품에 주로 사용되고 있는 미생물 오염 방지 또는 조절 방법에대해 설명하고 이의 적용과 관련한 주의사항을 살펴보고자 한다.

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Prediction model of peptic ulcer diseases in middle-aged and elderly adults based on machine learning (머신러닝 기반 중노년층의 기능성 위장장애 예측 모델 구현)

  • Lee, Bum Ju
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.289-294
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    • 2020
  • Peptic ulcer disease is a gastrointestinal disorder caused by Helicobacter pylori infection and the use of nonsteroid anti-inflammatory drugs. While many studies have been conducted to find the risk factors of peptic ulcers, there are no studies on the suggestion of peptic ulcer prediction models for Koreans. Therefore, the purpose of this study is to implement peptic ulcer prediction model using machine learning based on demographic information, obesity information, blood information, and nutritional information for middle-aged and elderly people. For model building, wrapper-based variable selection method and naive Bayes algorithm were used. The classification accuracy of the female prediction model was the area under the receiver operating characteristics curve (AUC) of 0.712, and males showed an AUC of 0.674, which is lower than that of females. These results can be used for prediction and prevention of peptic ulcers in the middle and elderly people.

Factors Affecting the Intention of Acceptance of the COVID-19 Antibody Test (코로나19 항체검사 수용의도에 영향을 미치는 요인)

  • Yeojoo Chae
    • Journal of Industrial Convergence
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    • v.21 no.6
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    • pp.53-60
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    • 2023
  • The purpose of this study is to identify the subjective health status, COVID-19 risk perception, antibody knowledge, social influence, intention of acceptance of the COVID-19 antibody test for general adults and the factors affecting the acceptance of the COVID-19 antibody test. The subjects of the study were 147 adults, and the collected data were analyzed using the SPSS 27.0 program using the frequency, percentage, average and standard deviation, independent t-test, ANOVA, pearson's correlation coefficients, and multiple regression analysis. The results, the acceptance of the COVID-19 antibody test has a significant static correlation with the social influence, the COVID-19 risk perception, and the negative correlation with the subjective health. The factor affecting the acceptance of the COVID-19 antibody test of the general adult was a social influence, and their explanatory power was 50.2%. As a result of this study, COVID-19 antibody tests may be used by preparing effective measures to prevent the spread of the COVID-19 infection.

A Study about Clinical Characteristics of Methicillin Resistant-Coagulase Negative Staphylococcus Infections in Neonatal Intensive Care Unit (신생아 중환자실에서 Methicillin Resistant-Coagulase Negative Staphylococcus 감염에 대한 임상적 고찰)

  • Yoon, Soon Hwa;Sung, Tae Jung;Shin, Seon Hee;Kim, Sung Koo;Lee, Kon Hee;Yoon, Hae Sun
    • Pediatric Infection and Vaccine
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    • v.11 no.1
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    • pp.112-120
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    • 2004
  • Purpose : Methicillin Resistant-Coagulase Negative Staphylococcus(MR-CNS) infection has become an increasingly important cause of morbidity in NICU infants. We investigated the c linical characteristics of MR-CNS sepsis. Methods : This study included 40 neonates with MR-CNS sepsis who were admitted to the neonatal intensive care unit of Kangnam Sacred Heart Hospital, Hallym University from January 1998 to July 2002. MR-CNS sepsis was defined as MR-CNS recovery from blood with clinical symptoms and signs of infection. Retrospective analyses of the medical records of patients with MR-CNS sepsis were performed. The analyses included demographic findings, clinical features, hospital courses, risk factors for infection including invasive procedures and mortality. Results : From 1998 to 2002, there were 40 cases of MR-CNS sepsis, comprising 17.7% of late onset infections in NICU of Kangnam Sacred Heart Hospital. The male/female ratio was 1.5 : 1. The mean gestational age of infected babies was $32.4{\pm}4.3$ weeks at birth. And the first positive MR-CNS culture was done in the day $10.6{\pm}9.3$ after birth. Clinical symptoms such as fever, dyspnea, cyanosis, grunting, bradycardia, vomiting and diarrhea were frequent in MR-CNS. Mechanical ventilation was applied in 12 cases and catheter was inserted in 11 cases. The mortality(12.5%) directly attributable to MR-CNS sepsis was similar to other late onset infections. Conclusion : MR-CNS is a pathogen responsible for most late onset and nosocomial infections. And it will be life-threatening in high-risk neonate. Awareness of increasing infections due to MR-CNS in NICU is important not only for infection control but also placing a great limit in use of antibiotics and invasive procedures, especially in premature infants.

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Analysis of Postnatal Acquisition Factors of the Normal Flora in Infants with Urinary Tract Infection (영아 요로감염에서 정상 세균총의 생후 획득 요인에 관한 분석)

  • Shim, Yoon-Hee;Kim, Hee-Jung;Lee, Seung-Joo
    • Childhood Kidney Diseases
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    • v.11 no.2
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    • pp.195-202
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    • 2007
  • Purpose : The normal flora, which was suggested to prevent infection, is acquired first from the birth canal and develops by dietary factors. Here presents a case-control study, aimed to evaluate the postnatal acquisition factors relating to the achievement of the normal flora in infants with urinary tract infection (UTI). Methods : 115 UTI infants, admitted at Ewha Womans University Mokdong Hospital from 2004 to 2005 and 116 age-matched control infants, who had visited well baby clinic, were evaluated. The suggested postnatal acquisition factors of the normal flora such as vaginal delivery, breast feeding, probiotics and yogurt intake and their relationship with UTI were evaluated. Results : The rate of vaginal delivery was 50%(58/l15) in UTI infants, which was not significantly different from 60%(69/116) in control infants(P>0.05). In the infants with UTI, the feeding pattern(breast milk 19%, mixed 26%, formula 55%) was significantly different from that(44%, 19%, 37%) in control infants(P<0.05). This significant difference was shown only in infants less than 6 months of age, but was not in infants over 6 months of age. The rate of probiotics intake in UTI infants was 4%(4/115), which was significantly lower than 27% (32/116) in control infants(P<0.05). The rate of regular intake of yogurt in UTI infants over 6 months of age was 27%(6/23), which was not significantly different from 35%(8/23) in control infants(P>0.05). The odds ratios of breast feeding and probiotics intake against UTI were significantly low as 0.30 (95% Cl 0.17-0.55)(P<0.01) and 0.03 (95% Cl 0.01-0.07)(P<0.01). Conclusion : The significantly lower rates of breast feeding and probiotics intake in UTI infants suggest that these dietary factors might have preventive effects in infants with UTI.

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