• 제목/요약/키워드: 병원 감염 관리

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SARS 역학적 특성과 관리 원칙(II)

  • 전병철
    • 월간산업보건
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    • 통권187호
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    • pp.4-9
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    • 2003
  • 세계보건기구(WHO)에서는 동남아시아를 중심으로 발생하기 시작했던 급성호흡기감염을 '중증급성호흡지증후군(SARS)'으로 공식 명명하고 전 세계에 경보령을 발동, 각국에서는 경계령을 발동하여 환자 발생감시체제를 가동하였다. 또한 올 겨울 SARS가 다시 유행할 것에 대비해 철저한 대비책을 세워나가야 한다는 전문가의 의견이 제시되기도 하였다. 특히 우리나라는 WHO의 SARS 위험평가 분류에 의거 저위험지역에 해당되나 상반기 사스유행지역인 중국 등과 밀접한 교류가 많은 점을 감안하여 교점지역에 준하여 의료기관 중심 SARS 감시체계를 운영하고 단계별로 감시체계를 전국 병원으로 확대하기로 하였다. 이에 편집실에서는 한동안 전 세계 초미의 관심사였던 SARS에 대해 정리해보는 기회를 갖고자 원고를 청탁하여 특별기고로 다루고자 한다.

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SARS 역학적 특성과 관리 원칙(I)

  • 천병철
    • 월간산업보건
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    • 통권186호
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    • pp.4-16
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    • 2003
  • 세계보건기구(WHO)에서는 동남아시아를 중심으로 발생하기 시작했던 급성호흡기감염을 '중증급성호흡지증후군(SARS)'으로 공식 명명하고 전 세계에 경보령을 발동, 각국에서는 경계령을 발동하여 환자 발생감시체제를 가동하였다. 또한 올 겨울 SARS가 다시 유행할 것에 대비해 철저한 대비책을 세워나가야 한다는 전문가의 의견이 제시되기도 하였다. 특히 우리나라는 WHO의 SARS 위험평가 분류에 의거 저위험지역에 해당되나 상반기 사스유행지역인 중국 등과 밀접한 교류가 많은 점을 감안하여 교점지역에 준하여 의료기관 중심 SARS 감시체계를 운영하고 단계별로 감시체계를 전국 병원으로 확대하기로 하였다. 이에 편집실에서는 한동안 전 세계 초미의 관심사였던 SARS에 대해 정리해보는 기회를 갖고자 원고를 청탁하여 특별기고로 다루고자 한다.

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신생아중환자실 의료기구의 소독방법, 소독주기, 교환주기에 대한 감염관리 표준화를 위한 연구 (A Study for Infection Control Standards for Medical Devices in NICU)

  • 김희영;이은정;장은경;박영애
    • 임상간호연구
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    • 제16권2호
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    • pp.69-84
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    • 2010
  • Purpose: The purpose of this study was to identify the state of infection control in neonatal intensive care units (NICUs) including disinfection methods, disinfection cycles, and exchange cycles for medical devices and to suggest a basic framework which would help develop standardized infection control guidelines. Methods: From a list of NICU equipment developed from the NICUs in 4 tertiary hospitals, a structured questionnaire on 74 types of medical equipment was developed and sent to 31 hospitals by mail. The results were reviewed by panel of experts (56 persons), and analyzed for internal validity by a focus group (4 persons) using guidelines from the Centers for Disease Control and the Korean Hospital Nurses Association. Results: The results showed various methods, cycles, disinfectant levels for the disinfectants and exchange cycles in the medical equipment infection control of the 31 hospitals. The focus group developed a 66-item basic framework based on validity testing. Conclusion: From the results of this study, a framework of infection control standards for 66 types of medical equipment in the NICU was developed. It is suggested that further study be done to more precisely establish standard infection control guidelines for NICU medical equipment.

자기공명영상(MRI)검사 장비의 세균오염도 측정 및 소독 실태에 관한 연구 (A Study on Magnetic Resonance Imaging Scan to Measure Bacterial Contamination and Disinfection of Equipment Status)

  • 임청환;정성운;김정희
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2013년도 춘계 종합학술대회 논문집
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    • pp.213-214
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    • 2013
  • 본 연구는 밀폐된 공간과 다른 검사보다 시간이 오래 걸리는 자기공영상(MRI)검사 장비에서 환자와의 접촉이 많은 Head coil, Block, 밀폐된 공간인 Bore 등의 세균오염도를 측정 및 세균의 종류를 파악하고, 설문을 통하여 감염관리 실태를 파악하고 자기공명영상(MRI)장비의 소독 상태를 파악함으로써 환자의 병원감염에 대한 인식의 개선과 소독의 중요성을 제시하고자 한다.

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특집-저병원성 조류인플루엔자에 대한 사독오일백신의 이해

  • 모인필
    • 월간양계
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    • 제39권2호통권448호
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    • pp.88-92
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    • 2007
  • 1996년 저병원성조류인플루엔자(Lowpathogenic avian influenza:LPAI)가 국내에서 처음으로 발생된 지 10년이 지난 지금 백신접종이 실시될 것 같다. 아니면 이 글이 발표될 시점에는 이미 출시가 되었을 수도 있을 것이다. 국내방역이 잘 되었다면 이와 같은 백신접종이 필요 없었을 것 이라는 아쉬움을 간직하며 한편으로는 어차피 백신접종을 할 것이라면 좀 더 잘 알고 해야 하겠기에 저병원성 사독백신에 대하여 소개하고자 한다. 오늘 소개하고자 하는 자료는 LPAI 백신을 개발하는 과정 중 일부인 백신의 안전성과 효능평가에서 획득한 것으로 다소 학문적인 표현도 있으나 개발된 백신의 본질을 이해하기 위하여 그대로 표현하고자 한다. 참고로 본 사업은 농림기술관리센터의 연구비 지원과 (주)중앙백신연구소와의 산학협동으로 충북대 수의대에서 진행되었다. LPAI 백신도 다른 사독백신과 마찬가지로 야외바이러스를 사멸시켜 만든 것으로 효능을 평가하기 위해서는 1) 백신 접종 후에 야외감염으로부터 방어가 가능하도록 역가가 충분히 높아야하고 2) LPAI의 특징적인 임상증상을 충분히 감소시켜야 하며 3) 감염된 바이러스의 총배설강 배설을 최대한 억제시켜야 한다. 따라서 이러한 관점에서 본 원고를 작성하였음을 이해해주기 바란다.

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2016년도 국내 150병상 이상 의료기관의 감염관리간호사 현황 및 감염관리 활동 영향 요인 (The Status of Infection Control Nurses and Factors Affecting Infection Control Activities in Healthcare Facilities with more than 150 Beds in 2016 in KOREA)

  • 이지영;정선영;김옥선;천희경;최지연;김성란
    • 임상간호연구
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    • 제23권3호
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    • pp.267-280
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    • 2017
  • Purpose: The purpose of this study was to describe the status of infection control nurses (ICNs) and their activities, and to identify the factors affecting the level of infection control activities. Methods: Data were collected from 199 hospitals from June 24 to July 26, 2016. The structured questionnaires included status of infection control nurses, type and level of infection control activities. Results: Most participating hospital were advanced general hospital (20.1%) and general hospital (67.8%). Among the hospitals, 86.4% had an infection control department (ICD). The average hospital work experience of ICNs was 14.62 years, and their average infection control career was for 4.94 years. Among the ICNs, 85.6% worked in full time and the average number of beds per ICN was 311.21. There were significant differences in the existence of ICD, infection control activities including surveillance, outbreak investigation, negative pressure room, hand hygiene monitoring, disinfection, and sterilization according to hospital size. The level of infection control activities was higher with more number of ICNs, ICN employment as full time, and healthcare institution accreditation status. The explanatory power was 37.5%. Conclusion: These results of this study which reflect infection control status of healthcare facilities with more than 150 beds in 2016 will provide baseline data to establish infection control system in small to medium sized hospitals after the Middle East Respiratory Syndrome outbreak in 2015.

시뮬레이션기반 감염관리교육이 중환자실 간호사의 감염 관리에 대한 인식도, 임상 수행도, 자기효능감에 미치는 영향 (The Effects of Simulation-based Infection Control Training on the Intensive Care Unit Nurses' Perception, Clinical Performance, and Self-Efficacy of Infection Control)

  • 조성숙;김경미;이병여;박선아
    • 임상간호연구
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    • 제18권3호
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    • pp.381-390
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    • 2012
  • Purpose: This study was conducted to examine the effects of simulation-based infection control training on the ICU nurses' perception, clinical performance, and self-efficacy of infection control. Methods: Thirty-eight nurses were assigned into two groups using a career stratified randomization. In the experimental group, the subjects received a simulation-based infection control training, whereas the control group participated in a conventional lecture-based training. Two weeks after the completion of the training sessions, the participants were evaluated for perception, clinical performance, and self-efficacy regarding the infection control. Results: The experimental group that received simulation-based infection control training showed an improvement in perceiving the infection control compared to that of the control group, but the difference was not statistically significant. In terms of the clinical performance, the experimental group and the control group scored $26.05{\pm}3.22$ and $18.53{\pm}3.37$ points respectively, demonstrating a statistical significance (p<.001). There was no significant difference between the two groups in regards to the self-efficacy. Conclusion: The developed simulation-based infection control training showed positive effects in improving clinical performance of infection control over conventional lecture-based training, confirming that a simulation-based training is an effective method in advancing the practical performance of ICU nurses.

병원감염관리 집중 교육이 간호대학생의 감염관리에 대한 지식, 태도 및 수행 자신감에 미치는 효과 (The Effects of an Intensive Education Program on Hospital Infection Control on Nursing Students' Knowledge, Attitude, and Confidence in Infection Control)

  • 김윤미;김미영;서영희
    • Journal of Korean Biological Nursing Science
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    • 제18권4호
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    • pp.318-326
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    • 2016
  • Purpose: The purpose of this study was to develop and conduct an intensive education program on infection control and investigated how the program influenced nursing students' knowledge, attitude, and confidence in the infection control. Methods: The program was conducted for four days between January 5 and 8, 2016, for seven hours per day. The program was conducted by the specialists in infectious diseases and the nurses specializing in infection, and the third year students enrolled in E University participated in the program. Knowledge, attitude, and confidence in infection control were measured before and after the program in the students that participated in the program and those who did not. The experimental group consisted of 33 students while the control group comprised 28 students. Results: The two groups were found to be homogeneous before the education program. After four days of intensive education program, the experimental group showed statistically significant improvements in knowledge (t=2.02, p=.048), attitude (t=2.04, p=.045), and performance confidence (t=2.75, p=.008) in infection control when compared to the control group. Conclusion: The present study showed that our intensive education program on hospital infection control was effective for the nursing students who will be professional nurses who will carry out autonomous roles in infection control in a near future.

장기요양시설 요양보호사를 위한 통합적 감염관리 교육프로그램의 효과 (Impact of an Integrated Infection Control Education Program on Caregivers in Long-Term Care Facilities)

  • 이경미;전은영
    • 가정간호학회지
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    • 제31권1호
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    • pp.77-88
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    • 2024
  • Purpose: This study aimed to develop and assess the impact of an integrated infection control education program on the awareness, attitudes, and performance of infection control among caregivers in long-term care facilities. Methods: Participants were recruited from two long-term care facilities with 25 caregivers in both the experimental group and the control group. This study used non-equivalent control group quasi-experimental pre-post design. The effectiveness of a developed Integrated Infection Control Education Program was evaluated based on infection control awareness, attitudes, and performance. Data were analyzed using SPSS/WIN 28.0 through descriptive statistics, chi-square tests, Fisher's exact tests, and independent t-tests. Results: There was a statistically significant difference in the degree of awareness (t=-5.00, p<.001), attitude (t=-4.91, p<.001), and performance (t=-6.66, p<.001) of infection control between the two groups. Conclusion: Given these results, the integrated infection control education program significantly improved infection control awareness, attitudes, and performance among caregivers in long-term care facilities. This study is noteworthy because it provided comprehensive education on infection control practices to caregivers in environments that are particularly susceptible to infections, especially following COVID-19. This educational program is actively utilized and validated in practice, it would enhance the infection control performance of caregivers, thereby reducing infection rates within facilities, shortening the length of stay for elderly residents in long term care facilities, and contributing to the reduction of healthcare costs.

Pearl Gourami (Trichogaster leeri)로부터 분리한 Iridovirus의 유전적 특성과 병원성 분석 (Genomic Characterization and Pathogenicity of Iridovirus Isolated from Pearl Gourami (Trichogaster leeri))

  • 김호열;정준범;전려진;윤소혜;조혜진;정현도
    • 한국해양바이오학회지
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    • 제1권3호
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    • pp.163-169
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    • 2006
  • 본 연구에서는 비장 내의 비대해진 세포 존재와 조직 괴사라는 병리조직학적 관찰에 의하여 우리 나라의 pearl gourami (Trichogaster leeri)에서 iridovirus에 의한 자연 감염이 나타남을 확인하였다. 이러한 iridovirus 감염을 더욱 정확하게 진단하기 위해서 iridovirus 감염 진단에 주로 사용되는 MCP와 ATPase gene 부위에서 2 primer sets를 제작하여 PCR을 실시한 결과, PCR 생성물은 기대한 size와 부합하게 나타났고, MCP gene 부위의 염기서열은 reference strain인 ISKNV와 매우 높은 유사성 (99.6%)을 보였다. 공격 실험을 통하여 pearl gourami에서 분리된 iridovirus의 병원성을 확인하였고, 무분별한 관상어 관리에 의하여 관상어로부터 양식어류에로의 질병 전이가 나타남으로서 일어날 수 있는 국내 양식 산업에 대한 위험성을 제시하였다.

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