• Research in Community and Public Health Nursing
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• v.6 no.2
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• pp.250-258
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• 1995

The purpose of this study was to determine the level of health promotive behavior of adults and thereby to develope the health promotive behavior scale adjusting our sociocultural situation. The item for health promotive behavior was aquired from statements which was reported by Kim through deep interview with 164 Korean adults. The scale was measured with 4 points Likert type. Data was collected with questionnaire for population living in farm of Chungnam Province and Dae Jon City, from July to August 1994 by research assistant trained by researchers. Data was analysed using SPSS program with Cronbach $\alpha$ and factor analysis. The results are as follows : 1. For the reliability of the scale, Cronbach $\alpha$ was .8264 2. The factor analysis to examine the construct validity showed that health promotive behaviors included 9 factors: health management (16.0%), regular life style(7.4%), psychosomatic control(5.6%), moderation of living(4.6%), stress rnanagement(4.1%), abstain from favorite (3.9%), sanitary habit (3.8%), thought (3.2%), diet habit(3.1%). Nine factors explained 51.7% of varient.

• Childhood Kidney Diseases
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• v.8 no.2
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• pp.214-222
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• 2004

Purpose: Appropriate antibiotic therapy is important in childhood urinary tract infection and the selection of anibiotics is based on antimicrobial sensitivity of Escherichia coli. Extended-Spectrum ${\beta}-Lactamase(ESBL)$ is an enzyme produced by gram-negative bacilli that has the ability to hydrolyse penicillins, broad-spectrum cephalosporin and monobactam. There have been many reports of outbreaks of hospital infection by ESBL-producing organism. However, community-acquired infection with ESBL-producing organism are rare. This study was performed to retrospectively identify the incidence, characteristics and risk factors of ESBL (+) E. coli in community-acquired childhood UTI. Methods: In 288 children admitted in Ewha Womans University Hospital with E. coli UTI from Mar 2001 to February 2003, ESBL was isolated. ESBL was confirmed by the utilization of an automatized machine(Vitek GNS 433 card) using liquid medium dilution method according to National Committee for Clinical Laboratory Standard. The clinical characteristics, risk factors, antimicrobial resistance and treatment effectiveness were compared with ESBL(-) E. coli UTI. Results: Of 288 E. coli isolates, 31(10.8%) produced ESBL and 93.5%(29/31) occurred in infants younger than 6 month of age(P<0.01). No significant differences were noted in prior antibiotic use, prior admission history and underlying urogenital anomaly. Antimicrobial resistance was significantly higher in ESBL(+) E. coli compared with control patients (P<0.05). Although ceftriaxone showed 100% resistance in ESBL(+) E. coli, bacteriologic sterilization rate after ceftriaxone therapy was higher(96.8%). However, the recurrence rate of febrile UTI within 6 months was higher(25.8%) than control patients(6.6%). Conclusion: Epidemiologic study is required to find out any new risk factors of community-acquired ESBL(+) E. coli UTI and changes in selection of empirical antibiotics should be considered.