• Title/Summary/Keyword: 병원감염예방

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Predictors of MERS-related Preventive Behaviors Performance among Clinical Practice Students in a Tertiary Hospital (상급종합병원 임상실습 학생의 메르스 예방행위 수행 예측요인)

  • Kim, Hee Sun;Park, Jin Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.174-185
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    • 2018
  • This study was conducted to explore the levels of Middle East Respiratory Syndrome (MERS)-related knowledge, attitudes and preventive behaviors performance and to identify predictors of MERS-related preventive behaviors performance among clinical practice students in a tertiary hospital. The participants were 480 nursing and medical clinical practice students. Data collection was conducted using self-reported questionnaires in June of 2015 and were analyzed using descriptive statistics, independent t-tests, one-way ANOVA, and hierarchical regression using the SPSSWIN 24.0 program. The MERS-related knowledge (9.56 out of 13 points) was high, attitudes towards MERS, such as severity cognition and prevention about MERS was positive (4.15 out of 5 points), and MERS-related preventive behaviors performance level was moderate (3.02 out of 5 points). Female students, having education experience regarding MERS, taking vaccination for influenza H1N1 infection in the last year, having the intention of taking influenza H1N1 in the current year, having fear of MERS infection, higher knowledge and more positive attitudes about MERS were predictors of better MERS-related preventive behaviors performance. These results show that general characteristics associated with MERS-related preventive behaviors performance should be considered to improve preventive behaviors of clinical practice students. Furthermore, this study highlights the need to develop effective and useful MERS education programs that provide essential knowledge and attitude about MERS that clinical practice students must acquire to promote the MERS-related preventive behaviors performance.

The Study on Improvement for Prevention and Nonproliferation on Infectious Disease Proliferations (감염병 예방 및 확산 방지를 위한 개선방안에 관한 연구)

  • Roh, Tae-Ho
    • Fire Science and Engineering
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    • v.31 no.3
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    • pp.144-150
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    • 2017
  • The inflow of infectious diseases is increasing due to the expansion of exchanges between countries and climate change. The public concern and anxiety about the increase of the possibility of infectious disease due to the social environment change are increasing greatly.These pandemics are a serious threat to the economy. Hence, multifaceted efforts are required to prevent them from spreading.In many hospitals, it is very important to promptly report infectious diseases, such as the CDC, when infectious diseases occur. In addition, it is difficult to separate general patients and suspected infected patients in these facilities, so there is a high risk of infection spreading within them. The paper presents the improvements of prevention and nonproliferation by researching the occurrence of infectious diseases, the method of separating infected patients, and the methods of preventing infectious diseases based on the audit results of MERS of the Board of Audit and Inspection.

사육제한으로 '멍드는 오리농가' AI 대책, 개선이 필요하다

  • 한국오리협회
    • Monthly Duck's Village
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    • s.244
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    • pp.8-13
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    • 2023
  • 지난 11월 2일 전북 부안군 소재 육용오리 농장에서 출하전 검사 중 H5 항원이 검출됐다. 방역대 내 전업농이 23호로 오리 126만4,000마리가 사육되고 있어 오리업계 전체가 긴장을 했었다. 언론에서는 럼피스킨병과 구제역, 아프리카돼지열병, 고병원성 조류인플루엔자(AI)등 가축감염병 4개가 한해동안 모두 창궐하는 사상 초유의 '가축감염병 쿼드러플' 악재를 우려하며 연일 경고의 기사를 쏟아내고 있다. AI 발병에 대한 위험도가 높아지고 있는 가운데 농림축산식품부가 평창 동계올림픽을 앞두고 AI 예방차원에서 시작한 오리농가 사육제한이 올해로 7년째에 접어들었다. 게다가 올해 10월부터는 농식품부가 AI 위험지역 내 오리농가를 대상으로 농식품부장관이 지자체장에게 사육 제한을 지시하는 것을 내용으로 하는 가축전염병 예방법 시행령을 개정해 시행 중에 있다. 사육제한으로 오리업계는 고질적인 수급 불안과 오리고기 가격 폭등으로 산업적 발전이 저해당하고 있는 상황이다. 오리사육제한 시행 7년, 과연 AI 예방에는 오리 사육제한만이 방법일까. 오리사육제한에 대한 명암을 살펴보고 AI예방을 위한 보다 근본적인 방안을 고민해 본다.

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Convergence research on education needs for prevention and control of infectious diseases (감염병 예방 및 관리에 대한 교육요구도 융복합 연구)

  • Kang, Kyung-hee;Park, Arma;Lim, HyoNam;Hwang, Hye-Jeong;Kim, Kwang Hwan
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.95-103
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    • 2021
  • This study was aimed to investigate the education needs for prevention and control of infectious diseases by lifecycle based on age group and to provide the fundamental data to develop the educational programs. A research was conducted with 328 adults over 19 years old for a month of February 2021 through online and mobile survey by Gallup Korea. Research contents include the general characteristics, personal hygiene practices related to infection, perceived risks related to infection, importance and level of knowledge on infectious diseases, and education needs for prevention and control of infectious diseases. For the research data analysis, PASW Statistics Ver 20.0 was used as a statistical program. Ranks from analysis upon conversion as the formula of Borich needs to sum up with importance and knowledge level showed first (Borich 3.11) with treatments for infectious diseases; second (Borich 2.15) with process in case of suspicion and diagnosis of infectious diseases; third (Borich 1.75) with transmission routes of infectious diseases; fourth (Borich 1.73) with preventive ways of infectious diseases; fifth (Borich 1.50) with diagnostic and test methods of infectious diseases; sixth (Borich 1.45) with characteristics of infectious diseases; and seventh (Borich1.38) with main symptoms of infectious diseases. It is anticipated that development of educational programs applying education needs for prevention and control of infectious diseases in this research can contribute to enhance the physical health, mental health, and psychological well-being of the subjects.

Study on the Standardization of a Surveillance Culture Laboratory in Infection Control Fields (감염관리 분야에서 감시배양검사의 표준화 연구)

  • Park, Chang-Eun;Jeong, Na-Yeon;Yang, Min-Ji;Kim, Han-Wool;Joo, Sei-Ick;Kim, Keon-Han;Seong, Hee-Kyung;Hwang, Yu-Yean;Lim, Hyun-Mi;Son, Jae-Cheol;Yoon, Sun-Han;Yoon, Nam-Seob;Jang, In-Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.3
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    • pp.359-369
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    • 2018
  • An essential measure to prevent healthcare-associated infections (HAI) is to develop a consistent system of surveillance, thereby promoting a reliable situation diagnosis to perform efficient control for the problem. Patient-to-patient transmission of pathogens within the hospital plays a substantial role in the epidemiology of HAIs. Contamination of healthcare environments commonly occurs, including facilities surfaces (e.g., bed rails, bedside tables), drinking water, cooling tower water, endoscopic instruments, food, airborne, endotoxin test, sterile test and medical equipment, with pathogenic organisms. In addition, epidemiological analysis is performed by multi locus sequence tying, pulsed-field gel electrophoresis for active surveillance. Therefore, an environmental surveillance culture test for prevention improves patient safety and blocks infection agents. Effective infection control and increased safety are possible by controlling the national infection control system. In conclusion, this study contributes to an effective infection control system through the standardization of active surveillance culture laboratory and secure expertise as infection control specialist. The primary objective of the standardization is to improve the safety of the nation's healthcare system by reducing the rates of HAIs.

Post-exposure Prophylaxis against Varicella Zoster Virus in Hospitalized Children after Inadvertent Exposure (수두-대상포진 바이러스에 노출된 소아 환자의 예방 조치)

  • Yang, Song I;Lim, Ji Hee;Kim, Eun Jin;Park, Ji Young;Yun, Ki Wook;Lee, Hoan Jong;Choi, Eun Hwa
    • Pediatric Infection and Vaccine
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    • v.23 no.3
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    • pp.180-187
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    • 2016
  • Purpose: This study described the post-exposure prophylaxis (PEP) and secondary varicella infection in children inadvertently exposed to varicella zoster virus (VZV) in the hospital. Methods: We retrospectively analyzed data from patients with VZV infection who were initially not properly isolated, as well as children exposed to VZV at the Seoul National University Children's Hospital between January 2010 and December 2015. The PEP measures were determined by the presence of immunity to VZV and immunocompromising conditions. Patient clinical information was reviewed via medical records. Results: Among 147 children hospitalized between 2010 and 2015, 13 inadvertent exposures were notified due to VZV infection. Five index children had a history of VZV vaccination. Eighty-six children were exposed in multi-occupancy rooms and 62.8% (54/86) were immune to VZV. The PEP measures administered to 27 exposed patients included varicella zoster immunoglobulin and VZV vaccination. Four children developed secondary varicella, which was linked to a single index patient, including one child who did not receive PEP and three of the 27 children who received PEP. The rates of secondary varicella and prophylaxis failure were 4.7% (4/85) and 11.1% (3/27), respectively. The secondary varicella rates were 1.9% (1/54) and 9.7% (3/31) among immunocompetent and immunocompromised children, respectively. Conclusions: Delayed diagnosis of VZV infection can lead to unexpected exposure and place susceptible children and immunocompromised patients at risk for developing varicella. The appropriateness of the current PEP strategy based on VZV immunity may require re-evaluation.

Improving the Infection and Isolation Alarm Program: a Case Study (감염 및 격리 알람 프로그램 개선: 사례 연구)

  • Min-Ju Nam;Young-Sook Moon;Hee-Ok Kim;Minsu Ock
    • Quality Improvement in Health Care
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    • v.28 no.2
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    • pp.39-49
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    • 2022
  • Purpose:The infection and isolation program used at a university hospital in A city was assessed and improved to provide medical staff with easy-to-understand information on isolation precautions and infectious diseases. Methods: Based on the results of the root cause analysis, the infection and isolation alarm computer program was improved. Subsequently, a survey was conducted with infection control leaders and unit managers (n=98) within the department to evaluate the degree of improvement. Results: The isolation registration and release procedures were simplified and unified to prevent confusion among the relevant departments. Additionally, the screen composition was improved so that various information related to infection can be easily accessed. After improvement in the program, the rate of isolation registration (53.0% to 100.0%, p<.001) and user satisfaction (67.6% to 92.2%) improved. Conclusion: This study will help improve the program so that other medical institutions can comply with the isolation precautions in accordance with the type of infections.

Comparison of Droplet Infection Prevention Activity and Knowledge of Cough Etiquette among Nursing Hospital Workers (요양병원 종사자들의 비말감염 예방 활동과 기침예절 지식 비교)

  • Park, Kyung-Hye;Kang, Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.360-369
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    • 2020
  • This study examined and compared the droplet infection prevention activity and cough etiquette knowledge among nursing hospital workers. Data were collected from March 4 to 29, 2019, through personal interviews using a questionnaire in 177 nursing hospital workers (health care provider: n=61, non-health care provider: n=116). The data were analyzed using a x2-test, Fisher's exact test, independent t-test, and ANOVA. The general characteristics were statistically significant between the two groups in terms of sex and age. The prevention activities of droplet infection showed statistically significant differences between the two groups in usually carrying a tissue, usually carrying a handkerchief, usually carrying a mask, carrying a handkerchief at respiratory symptoms, hand washing frequency, and cough etiquette compliance. Knowledge of cough etiquette showed significant differences between the two groups. The knowledge of cough etiquette, according to the non-health provider's prevention activities of droplet infection, was statistically significant in usually carrying a mask and cough etiquette education. Therefore, it is necessary to raise the knowledge about cough etiquette and develop strategies for habitual cough etiquette for each nursing hospital worker.

Development and Application a Multidrug Resistant Organisms Infection Control Simulation Program for Small and Medium-sized Hospital (중소병원 대상 다제내성균 감염관리 시뮬레이션 프로그램 개발 및 적용)

  • Lee, Mi Hyang;Kim, Jae Yeun
    • Journal of Digital Convergence
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    • v.19 no.4
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    • pp.159-166
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    • 2021
  • This study was an attempt to develop a multidrug resistant organisms infection control simulation program for nurses at small and medium sized hospitals and to evaluate the effectiveness of said simulation program. This is a single-group, pre-post experimental design study conducted on 33 nurses working at small and medium sized hospitals. Data obtained were analyzed using the IBM SPSS 21.0 program, along with the use of descriptive statistics and paired t-test. Regarding the results of the study, multdrug resistant organisms infecion control knowledge(t=-10.764, p<.001)and performance levels(t=-4.215, p<.001) of the nurses displayed statistically significant increases following application of the simulation program. There is a need for the development of more diversified simulation programs in the future since the improvement in the infection control knowledge and performance levels of nurses is important to block the spread of multidrug resistant organisms and prevent infection outbreak thereof with medical institutions.

Factors Influencing Preventive Behavior against Coronavirus Disease 2019(COVID-19) among Nursing Students (간호대학생의 코로나19 감염예방행위 영향요인)

  • Jun, Hye Jung;Hong, Younseo;PARK, HYEIN;Seo, Ah Young;Yang, Chaewon
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.54-65
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    • 2023
  • Purpose: The purpose of this study is to identify the factors influencing COVID-19 infection prevention behavior of nursing students. Methods: Data collection is from December 17 to October 22, 2021. One hundred and ninety-seven nursing students participated in this study. Data were analyzed using an independent t-test, ANOVA, correlation coefficient, scheffé test, and multiple regression analysis. Results: COVID-19 knowledge (r=.49, p<.001), attitude (r=.41, p<.001), and COVID-19 risk perception (r=.40, p<.001) were related to COVID-19 infection prevention behaviors. The factors influencing COVID-19 preventive behaviors were identified as knowledge (𝛽=.28, p<.001), attitude (𝛽=.25, p<.001), risk perception (𝛽=.18, p=003), 2th grade (𝛽=.19, p=.011), 3th grade (𝛽=.21, p=.006), 4th grade (𝛽=.20, p=.008), and gender (𝛽=.12, p=.033). Conclusion: The results of this study can be used for the development of health policies suitable for community infectious disease prevention behaviors and the development of infectious disease educational intervention programs.