• Title/Summary/Keyword: Contact precaution

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Effects of Simulation Based Education Using Standardized Patient for Contact Precaution Infection Control for Nursing Students (표준화 환자를 활용한 접촉주의 환자 간호 시뮬레이션 교육의 효과)

  • Ji, Eun Joo;Seo, Hyung Eun
    • Journal of Convergence for Information Technology
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    • v.10 no.11
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    • pp.87-97
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    • 2020
  • The purpose of this study was to investigate effect of simulation based education using standardized patient for contact precaution infection control for nursing student. This study was conducted by including 67 nursing student A university from October to December 2019. This study was mixed method research design. Knowledge and performance confidence related to multidrug resistant organism(MDRO) infection control were measured using questionnaires pre and post test, analyzed using paired t-test and reflection sheet was analyzed using content analysis method. After intervention, two variables were increased significantly. Results of the content analysis showed there were 39 significant statements, which were classified into 13 categories. These results suggest that education on simulation program using standardized patient for contact precaution infection control is effective strategy to enhance knowledge and performance confidence related to MDRO infection control and practical nursing infection control skill, patient centered care, interprofessional collaboration.

Actual and Perceived Glove Uses Among Nurses in Intensive Care Unit (중환자실 간호사의 실제 장갑 사용과 인지하는 장갑 사용)

  • Ahn, Bo Ra;Kim, Eun Jung
    • Journal of East-West Nursing Research
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    • v.28 no.2
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    • pp.132-141
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    • 2022
  • Purpose: This study aimed to investigate intensive care unit (ICU) nurses' actual and perceived glove uses for preventing healthcare associated infection. Methods: We observed nurses' donning glove by occasions and adherence to guideline for glove uses in four ICU in a single hospital. Total of 378 cases were observed from August 16 through October 6, 2020. Sixty one nurses of 66 nurses observed responded to a self-reported questionnaire about perceived glove use and knowledge of glove use. Data analysis was performed using descriptive statistics. Results: The number of observed episodes for glove use was 277. Although the highest numbers of occasions of wearing gloves was contact precaution, the compliance rate was 72.1%. The rates of donning gloves were low in the insertion and removal of peripheral venous catheters, blood glucose testing and blood sampling, which were at risk for exposure to blood. We observed misuse of wearing gloves even when they were not required. Results showed that the majority of non-compliance with glove use were a failure of performing hand hygiene before and after glove use and a failure of changing gloves between procedures on the same patient. The participant's knowledge of glove use was high. Conclusion: Based on the results, it is necessary to provide ICU nurses with education and reinforcement of proper glove uses for infection control.

Effect of the Management of Infection for Methicillin Resistant Staphylococcus aureus at an Neurosurgical Intensive Care Unit (신경외과중환자실 내에서 MRSA 감염관리 효과)

  • Kim, Yun-Kyung;Lee, Ji-Min;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.11 no.2
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    • pp.114-119
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    • 2009
  • Purpose: The effectiveness of an infection control program is important to hospital quality improvement and decreases of mortality rate and prevalence. Methicillin resistant Staphylococcus aureus (MRSA) is the most common pathogen causing nosocomial infection. The aim of the study was to identify the most important risk factors for acquiring an MRSA, to evaluate the MRSA incidence rates after the nursing intervention in Neurosurgery intensive care unit (ICU). Methods: Clinical data were collected prospectively from December 2008 until July 2009 in Neurosurgery ICU. The patients were divided into preintervention and postintervention groups. An infection was defined as an MRSA if it occurred 48 hr after admission to the Unit. Infection control program including hand washing, education of health care workers about MRSA, standard precaution and contact isolation of patients were applied for three month. Results: A total of 85 patients were included in the study. Forty-five patients of S. aurerus were detected. Among 45 of S. aurerus, MRSA were isolated from 38 patients. The incidence MRSA rate of postintervention group was 26.9% while incidence MRSA rate of preintervention group was 66.7%. In total, The incidence MRSA rate was 44.7%. The incidence of MRSA have decreased in the postintervention as compared with the preintervention group. Conclusion: The infection control program for MRSA was effective to decrease the MRSA isolation rate. The health care workers regular hand washing, education of nosocomial infection control is important enough to be emphasized.

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A study regarding measurements of bacterial contamination levels in radiology room within the department of radiological technology (영상의학과 촬영실에서의 세균 오염도 측정에 관한 연구)

  • Dong, Kyung-Rae;Cho, Young-Kuk;Ro, Sang-Ho
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1150-1158
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    • 2009
  • Since equipment currently being used in the department of radiological technology comes into contact with patients carrying diseases, there inevitably will be the existence of pathogenic bacteria. Therefore, in order to increase the importance of using disinfectant in hospital infection precaution and the recognition of hospital infection management, comparisons were made by measuring the bacterial contamination levels in radiology room within the department of radiological technology and comparing the measurements with post disinfection levels. Disinfecting the rooms from detected bacteria was conducted with water, tissue cleaner, or 70% alcohol. When measuring bacterial contamination levels in radiology rooms, a variety of bacteria was detected. When disinfecting the interior of radiology rooms the effectiveness of destroying bacteria and preventing hospital infection was greatest when using 70% alcohol compared to water, tissue cleaner and ventilation. Therefore, there needs to be a development of a better antiseptic for destroying bacteria because there is a possibility for hospital medical equipment to be constantly contaminated. Efforts need to be made to prevent hospital infections and patient secondary infection by disinfecting and sterilizing equipment.

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Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline (일 대학병원 간호사의 다약제 내성균 감염관리지침에 대한 지식과 수행정도)

  • Kang, Ji-Yeon;Cho, Jin-Wan;Kim, Yu-Jung;Kim, Dong-Hee;Lee, Ji-Young;Park, Hey-Kyung;Jung, Sung-Hee;Lee, Eun-Nam
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.186-197
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    • 2009
  • Purpose: This study was done to investigate nurses' knowledge of, and compliance with the multidrug-resistant organism (MDRO) infection control guidelines. Methods: A survey questionnaire was developed based on the institutional and national guidelines and was administered to a convenience sample of 306 nurses in a university hospital. Results: The mean score for knowledge was 33.87 (percentage of correct answers: 82.61%). The percentages of correct answers for basic concepts, route of transmission, hand washing/protective devices and environment management were 74.27%, 94.29%, 92.90% and 75.54% respectively. The mean compliance score was 4.15 (range: 1-5). The compliance scores for education, communication, contact precaution, disinfection, surveillance culture, and hand washing were 3.29, 4.05, 4.20, 4.50, 4.40 and 4.48 respectively. Nurses indicated "lack of time (30.06%)", "lack of means (10.78%)" and "lack of knowledge (9.48%)" as reasons for noncompliance. Conclusion: While most educational programs have focused on hand washing or use of protective devices to prevent transmission of MDRO in acute care settings, hospital nurses' knowledge of the basic concepts of MDRO and environmental management has remained insufficient. Nurses are relatively non-compliant to the guidelines in the areas of education (staff, patient, family) and communication. Comprehensive educational programs are needed to decrease hospital infection rates and to improve the health of patients.

Two Children with Nontyphoidal Salmonellosis Assumed by Pets (애완동물을 통해 전파된 것으로 의심되는 비장티푸스성 살모넬라 균혈증 2례)

  • Kim, Jong Deok;Choi, Seong Yeol;Kim, Dong Soo;Kim, Ki Hwan
    • Pediatric Infection and Vaccine
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    • v.20 no.1
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    • pp.41-45
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    • 2013
  • Nontyphoidal Salmonella are gram negative bacilli organism, which may induce systemic infection such as febrile enteritis, bacteremia, and osteomyelitis. Main route of infection is known as food but also possible through reptile, amphibian, and fish raised as pets in the house. There is no known cases report of Salmonella infection through pets in Korea and also rare in the overseas. We report 2 patients who visited Severance children's hospital with chief complaint of fever and diagnosed as nontyphoidal salmonellosis. Each case had a history of raising turtle or tropical fish with possibility of Salmonella infection through these pets. Increasing incidence of raising pet reptile and fish lately, contact precaution and proper prevention and control of Salmonella infection of these pets especially in children under 5 years old are necessary due to higher risk of serious complications of salmonellosis.

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Nursing Students' Knowledge and Compliance with Multidrug-resistant Organism Infection Control Guidelines (다약제 내성균 감염관리지침에 대한 간호학생의 지식과 수행정도)

  • Kang, Ji-Yeon;Lee, Young-Ock;Yun, Seon-Young;Kang, Jeong-Hee;Park, So-Hee
    • Journal of Korean Critical Care Nursing
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    • v.3 no.1
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    • pp.67-78
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    • 2010
  • Purpose: This study was done to investigate knowledge of and compliance with the multidrug-resistant organism (MDRO) infection control guidelines among student nurses on clinical practicum, Methods: survey questionnaire on MORO infection control was administered to a convenience sample of 259 nursing students from 3 different nursing schools Results: The mean knowledge score was 28.01/39 (71.82%). The percentages of correct answers for basic concepts, route of transmission, hand washing/ protective devices and environment management, were 55.40, 81.14, 84.94 and 69.17 respectively. The mean compliance score was 3.83/5. The compliance scores for education, communication, contact precaution, environment management, and hand washing were 3.06, 3.33, 3.86, 4.50, 3.92 and 4.29 respectively. 96.9% of subjects knew that they should wash hands after touching MORO patient while only 22.8% of subjects knew how to collect samples for VRE surveillance culture, The highest compliant item was hand washing after touching MORO patient. The Lo-west compliant item was referring to infection control manual. Conclusion: Comprehensive MDRO infection control education programs for nursing students should be developed to decrease MORO infection.

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Effect of post-treatment routes on the performance of PVDF-TEOS hollow fiber membranes

  • Shadia R. Tewfik;Mohamed H. Sorour;Hayam F. Shaalan;Heba A. Hani;Abdelghani G. Abulnour;Marwa M. El Sayed;Yomna O. Mostafa;Mahmoud A. Eltoukhy
    • Membrane and Water Treatment
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    • v.14 no.2
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    • pp.85-93
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    • 2023
  • Membrane separation is widely used for several applications such as water treatment, membrane reactors and climate change. Cross-linked organic-inorganic hybrid polyvinylidene fluoride (PVDF) / Tetraethyl orthosilicate (TEOS) was adopted for the preparation of optimized hollow membrane (HFM) for membrane distillation or other low pressure separators for mechanical properties and permeability under varying pretreatment schemes. HFMs were prepared on semi-pilot membrane fabrication system. Novel adopted post-treatment schemes involved soaking in glycerol, magnesium sulphate (MgSO4), sodium hypochlorite (NaOCl), and isopropanol for different durations. All fibers were characterized for morphology using a scanning electron microscope (SEM), surface roughness using atomic force microscope (AFM), elemental composition by examining Energy Dispersive Spectroscopy (EDS), water contact angle (CA°) and porosity. The performance of the fibers was evaluated for pure water permeation flux (PWF). Post-treatment with MgSO4 gave the highest both tensile modulus and flux. Assessment of properties and performance revealed comparable results with other organic-inorganic separators, HF or flat. In spite of few reported data on post treatment using MgSO4 in presence of TEOS, this proves the potential of low cost treatment without negative impact on other membrane properties. The flux is also comparable with hypochlorite which manifests substantial precaution requirements in actual industrial use.The relatively high values of flux/bar for sample treated with TEOS, post treated with MgSO4 and hypochlorite are 88 and 82 LMH/bar respectively.

A Study on the Cleanliness Evaluation Methods for the Selection of Alternative Cleaning Agents (대체 세정제의 선정을 위한 세정성 평가방법 연구)

  • Shin, Jin-Ho;Lee, Jae-Hoon;Bae, Jae-Heum;Lee, Min-Jae;Hwang, In-Gook
    • Clean Technology
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    • v.15 no.2
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    • pp.81-90
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    • 2009
  • In this study various cleaning evaluation methods were tested and comparatively evaluated to help cleaning industry. In order to select alternative cleaning agents objectively and systematically, various cleaning evaluation methods such as gravimetric, optically simulated electron emission (OSEE), contact angle, and analytical instrument methods were employed for cleaning contaminants such as flux, solder and grease. The analytical instruments used in this work were Fourier transform infrared spectroscopy (FTIR), ultraviolet visible spectroscopy (UV-VIS) and high performance liquid chromatography (HPLC). The gravimetric method was able to measure cleaning efficiencies easily and simply, but it was not easy to analyze them precisely because of its limitation in the gravimetric measurement. However, the OSEE technique was able to measure quickly and precisely the clean ability of cleaning agents in comparison with the gravimetric method. The contact angle method was found to be necessary for taking special precaution in its application to the cleaning evaluation due to possible formation of tiny organic film on the substrate surface which might be generated from contaminants and cleaning agents. In case of precision analysis that cannot be done by gravimetric method, fine analytical instruments such as UV-VIS, FTIR and HPLC could be used in analyzing trace amount of flux, solder and grease quantitatively, which were extracted from the surface by special solvents.

Cognition and Practice of Standard Precautions towards Hospital Infection Control in Emergency Medical Technology Students (응급구조학과 학생의 병원감염관리 표준지침의 인지와 수행에 관한 연구)

  • Kim, Jin-Uk;Kim, Yoon-Shin;Ji, Hyun-Kyung;Bae, Ki-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.1
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    • pp.264-273
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    • 2014
  • The aim of the study is to investigate the awareness and practice of Standard Precautions towards Hospital Infection Control in Emergency medical technology students. Data were collected from 289 questionnaires from March 20, 2012 to April 25, 2012. The data were analyzed using SPSS 18.0 for window(SPSS Inc, USA) with the level of significance as 0.05. According to the results, significant differences were shown in gender, infection control education and infection control educational institutions. The factors influencing the practice of standard precautions were found to be the times of the contact to blood, body fluid, mucus, or the skin with lesions and the cognition of standard precautions. Cognition level of the EMT students was high but the practice level was low. Based on the results of this study, it is proposed to develop an effective educational program to improve the cognition and practice, and to improve the cognition and practice of the standard precaution through the systematic and repetitive education and training.