• Title/Summary/Keyword: Cross infection control

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A comparison of single dose efficacy of Mycoplasma hyopneumoniae bacterin in swine farms with different serological patterns of PRRSV and PCV2

  • Kim, Hye Kwon;Moon, Hyoung Joon;Kim, Eun Mi;Yang, Jeong Sun;Pakr, Seong Jun;Luo, Yuzi;Lee, Chul Seung;Song, Dae Sub;Kang, Bo Kyu;Lee, Jaebum;Park, Bong Kyun
    • Korean Journal of Veterinary Research
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    • v.48 no.3
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    • pp.267-274
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    • 2008
  • This study was to evaluate the efficacy of single dose Mycoplasma hyopneumoniae (M. hyo)-vaccination in the swine farms which had different serological patterns of porcine reproductive and respiratory syndrome virus (PRRSV) and porcine circovirus type 2 (PCV2). A minimum of 240 pigs from each farm was applied, allocating M. hyo vaccinated and control groups. The PRRSV and PCV2 infections were analyzed by serological method (commercial ELISA kit). After administrating pigs a single dose of M. hyo vaccine or control saline at 3 weeks of age, serum antibodies to M. hyo, PRRSV and PCV2 were monitored at 4, 10, 16 and 22 weeks of age. Mortality, weight changes, feed conversion ratio (FCR) and lung score were also evaluated. A single-dose vaccination of M. hyo bacterin was efficacious to reduce mycoplasmal lung lesions and induce good humoral immune response. However, FCR was improved only in one of the three farms where showed seronegative status to both PRRSV and PCV2 in the period from 4 to 16 weeks of age. These results might imply that M. hyo vaccine alone could not overcome the PRRSV and PCV2 infection-associated wasting in the field condition. Therefore, the control of PRRSV and PCV2 should be considered to obtain the better effects of M. hyo vaccination.

Integrated Schistosomiasis and Soil-Transmitted Helminthiasis Control over Five Years on Kome Island, Tanzania

  • Kaatano, Godfrey M.;Siza, Julius E.;Mwanga, Joseph R.;Min, Duk-Yong;Yong, Tai-Soon;Chai, Jong-Yil;Ko, Yunsuk;Chang, Su Young;Kullaya, Cyril M.;Rim, Han-Jong;Changalucha, John M.;Eom, Keeseon S.
    • Parasites, Hosts and Diseases
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    • v.53 no.5
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    • pp.535-543
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    • 2015
  • Integrated control strategies are important for sustainable control of schistosomiasis and soil-transmitted helminthiasis, despite their challenges for their effective implementation. With the support of Good Neighbors International in collaboration with National Institute of Medical Research, Mwanza, Tanzania, integrated control applying mass drug administration (MDA), health education using PHAST, and improved safe water supply has been implemented on Kome Island over 5 years for controlling schistosomiasis and soil-transmitted helminths (STHs). Baseline surveys for schistosomiasis and STHs was conducted before implementation of any integrated control strategies, followed by 4 cross-sectional follow-up surveys on randomly selected samples of schoolchildren and adults in 10 primary schools and 8 villages, respectively, on Kome islands. Those follow-up surveys were conducted for impact evaluation after introduction of control strategies interventions in the study area. Five rounds of MDA have been implemented from 2009 along with PHAST and improved water supply with pumped wells as other control strategies for complementing MDA. A remarkable steady decline of schistosomiasis and STHs was observed from 2009 to 2012 with significant trends in their prevalence decline, and thereafter infection rate has remained at a low sustainable control. By the third follow-up survey in 2012, Schistosoma mansoni infection prevalence was reduced by 90.5% and hookworm by 93.3% among schoolchildren while in adults the corresponding reduction was 83.2% and 56.9%, respectively. Integrated control strategies have successfully reduced S. mansoni and STH infection status to a lower level. This study further suggests that monitoring and evaluation is a crucial component of any large-scale STH and schistosomiasis intervention.

An Animal Model to Evaluate the Protective Efficacy of Haemophilus influenzae Type b Conjugate Vaccines

  • Kim Hyun Sung;Yoo Tae Hyeon;Jang Yang Suk;Kim Hun;Park Jin Yong;Hur Byung Ki;Ryu Yeon Woo;Kim Jong Su
    • Biotechnology and Bioprocess Engineering:BBE
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    • v.9 no.6
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    • pp.490-494
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    • 2004
  • An efficacy test of PRP (polyribosylribitol phosphate)-TT (Tetanus toxoid) conjugate vaccines was carried out using BALB/c mice as an animal model by inoculating Haemophilus in­fluenzae type b (Hib) with a virulence enhancement factor (VEF). Three administrations of the conjugate vaccines at 2-week intervals elicited a significantly high level of PRP antibodies (P>0.0001). The protective activity of the PRP immunization was challenged with either Hib with iron dextran (Hib/) or with a combination of mucin and hemoglobin (Hibmh) as a VEF. The me­dium lethal dose $(LD_{50})$ for Hibmh and Hibiwas measured as 10 CFU (Colony Forming Unit) and $2.5{\times}10^{8}$ CFU respectively. Each immunized animal was challenged with five or ten times the $LD_{50}$ level of bacteria with a VEF. A significant difference in mortality between the immunized and control mice (P> 0.01) was observed with the Hibmh challenge inoculation but not with the Hibi challenge inoculation. These results show that a combination of mucin and hemoglobin was able to enhance the virulence of Hib in BALB/c mice to cause a lethal infection, thus suggesting that BALB/c mice introduced to this method can be an effective model animal for testing the protective efficacy of H. influenzae conjugate vaccines.

Review of Environmental Characteristics and Building Finishes Controlling the Spread of SARS-CoV-2 - Focused on overseas literature related to antiviral experiments (코로나 바이러스 확산억제를 위한 환경 및 건축마감재료 고찰 - 항바이러스 재료 관련 해외 문헌을 중심으로)

  • Park, Yonghyun;Lee, Hyunjin;Kwon, Soonjung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.29 no.4
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    • pp.37-44
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    • 2023
  • Purpose: Currently, research on environmental conditions and finishing materials for medical facilities with proven antiviral performance is poor in Korea. Through this study, we have explored environmental characteristics and finishing materials that can be used to control cross-infection when constructing medical facilities. Methods: Experiments in overseas papers related to antiviral effects of environmental conditions, spatial compartments, and interior finishes have been analyzed. Results: The higher the temperature, the higher the humidity, and the higher the illuminance of sunlight, the lower the viability of the corona-virus. The proliferation of viruses was suppressed on the surface of the copper alloy. Materials such as brushed steel are the ones that maintain the strongest viability. Among the characteristics of the surface, survival and propagation power differ depending on whether it is porous or hydrophilic. In the case of infection ward actually operated in Italy, the presence of airborne viruses in contaminated and non-contaminated spaces differed significantly. Corona-virus has been identified in reachable parts such as door handles and medical shelves in quasi-contaminated spaces, which are spaces between contaminated and non-contaminated spaces, but the corona-virus has not been identified in cases of out-of-touch walls. Implications: It is necessary to evaluate the performance by testing the construction finishing materials of infection control facilities according to domestic conditions.

A study on Hepatitis B and knowledge about AIDS of dental hygiene student in Korea (전국 치위생과 학생들의 B형간염과 AIDS에 관한 지식도 조사)

  • Song, Kyung-Hee;Bae, Bong-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.1 no.2
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    • pp.181-192
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    • 2001
  • The purpose of this was to evaluate the level of knowledge about Hepatitis B and AIDS among dental hygiene students at six dental hygiene educational programs in nationwide, compare the findings to those of Song's study. 1703 dental hygiene students surveyed by mail and answered a questionnaire, using the questionnaire used developed by DiClemente el al., on Hepatitis B vaccination, antibody production, experience of unintentional needle stick injuries, experience of surgical operation and blood transfusion, personal risk factors for HBV and HIV, management of HBV and HIV postexposure management et al. The data indicated that dental hygiene students (79.0%) in this study had more HIV vaccination than dental hygiene(74.3%) in Song's study. As for recognition of antibody production after Hepatitis B vaccination, only 34.6% of respondents answered they knew having antibody production and 95% of respondents knew not having antibody production. Over one-half of the respondents (55%) answered they didn't even recognize having antibody production. 52.3 percent of dental hygiene students experienced unintentional needle stick injuries. The findings on the knowledge about Hepatitis B and AIDS were that dental hygienists (76.5 points) received higher mean score than those of dental hygiene students (71.0 points) and that the distribution of right answer rate also showed wider range in dental hygiene students (27.7~97.5%) than those of dental hygienist (41.2~99.5%). There were no statistical differences among dental hygiene education programs. Finding of this study support that the curriculum of dental hygiene program should include instruction on sources and methods of transmission of infectious diseases, risk of virus transmission in the workplace and principles of infection control. Furthermore, infection-control practices should be utilized routinely and their application to dental personnel, management of HBV and HIV postexposure management. Furthermore, for preventing the further spread of infectious diseases (HBV, HIV and AIDS${\cdots}$) caused by bloodborne viruses, imposing an obligation rather than recommendation on Hepatitis B vaccination to all dental personnel and routinely utilizing infection-control guidelines for all dental patients in dental practices (include dental educational programs) should be accomplished by coordination the government agency.

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Factors Associated with Periductal Fibrosis Diagnosed by Ultrasonography Screening among a High Risk Population for Cholangiocarcinoma in Northeast Thailand

  • Intajarurnsan, Sutheera;Khuntikeo, Narong;Chamadol, Nittaya;Thinkhamrop, Bandit;Promthet, Supannee
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4131-4136
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    • 2016
  • Background: The population in northeast Thailand continues to present with hepatobiliary abnormalities, particularly periductal fibrosis (PDF) which is the result of chronic infection with liver fluke (Opisthorchis viverini; OV) and may lead to the development of cholangiocarcinoma (CCA). Although the prevalence of OV infection has been decreased due to a liver fluke control program over decades, the prevalence of PDF remains high. This study aimed to investigate demographic factors associated with PDF risk based on ultrasonography (US) screening. Materials and Methods: This cross-sectional study is part of the Cholangiocarcinoma Screening and Care Program (CASCAP), a prospective cohort study. Multiple logistic regression was used for data analysis. Results: In 55,246 subjects, the overall prevalence of PDF was 33.0% (95%CI: 32.6 - 33.4). Males (33.9 %) were at higher risk for developing PDF than females (32.2 %) (ORcrude = 0.93; 95%CI: 0.89 - 0.96; p-value < 0.001). Factors associated with an increased PDF risk, in addition to OV infection, included old age (${\geq}70$ years) (ORadj = 1.28, 95% CI: 1.14 - 1.44, p < 0.001) and hepatitis B infection (ORadj = 1.31, 95% CI: 1.11 - 1.55, p = 0.001). In contrast, number of praziquantel treatments (> 2 times) (ORadj = 0.54, 95% CI: 0.47 - 0.63, p < 0.001) and diabetes mellitus (ORadj = 0.57, 95% CI: 0.49 - 0.65, p < 0.001) were significantly associated with a decreased PDF risk. Conclusions: Future US screening should closely examine older people and hepatitis B subjects for the purpose of PDF surveillance among high risk groups for CCA. However, the results of inverse associations require further investigation in order to confirm our findings.

Opisthorchis viverrini Infection Among People in the Border Areas of Three Provinces, Northeast of Thailand

  • Kaewpitoon, Soraya J;Rujirakul, Ratana;Wakkuwattapong, Parichart;Matrakool, Likit;Tongtawee, Taweesak;Panpimanmas, Sukij;Pengsaa, Prasit;Jomkoa, Darawan;Joosiri, Apinya;Kaewpitoon, Natthawut
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.6
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    • pp.2973-2977
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    • 2016
  • Opisthorchis viverrini is still a serious problem in Northeastern and Northern Thailand. Active surveillance is required to determine updated data for further prevention and control planning. Therefore, this study aimed to examine the prevalence and risk factors for O. viverrini in three provinces, Northeastern Thailand. A cross-sectional survey was conducted during October 2015 to March 2016 at Kaeng Sanam Nang district of Nakhon Ratchasima province, Waeng Noi district of Khon Kaen province, and Khon Sawan district of Chaiyaphum province, Thailand. Stool samples were examined by using a modified Kato-Katz Thick smear technique. From a total of 978 participants screened, O. viverrini infection was found in 1.74%, the majority opf positive cases being male (6.62%), age group 51-60 years old (4.21%), educated at primary school (8.43%), occupied with agriculture (9.62%),having an income <4,000 baht per month (4.82%), and living in Khon Sawan district (8.43%). Participants had a high knowledge level (42.43%), good attitude level (34.76%), and fair level (38.04%). The present study indicates the O. viverrini infection rate is low, but elderly males with primary school education involved in agriculture are still frequently effected particularly in Khon Sawan district. Therefore, this risk group requires behavior modification and continued monitoring.

Application of Mobile Hospital Computed Tomography in a State-Designated Medical Institution under the Coronavirus Disease 2019 (COVID-19) Situation by Example (코로나바이러스감염증-19 상황에서 일개 국가지정 의료기관의 이동형 병원 CT 활용 사례)

  • Shin, Hyeongho;Lee, Jungho;Kim, Kwanghun;Kim, Byeongjin;Jin, Sungchan;Park, Hyunmee
    • Journal of radiological science and technology
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    • v.43 no.2
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    • pp.71-77
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    • 2020
  • This study aims to explain the process of providing important medical images for the diagnosis of pneumonia caused by coronavirus disease 2019 (COVID-19) through the only mobile hospital computed tomography (CT) in Korea. Since January 28, 2020, medical imaging examinations have been provided to confirmed and suspected COVID-19 patients, and the quality of images was evaluated based on the objective and subjective indicators. In order to prevent the transmission in the hospital that may occur due to exposure to medical staff and general patients, personal protective equipment was worn and the separate route was used blocking human infection factors. For 11 weeks, a total of 185 tests were performed for 98 confirmed patients and 72 suspected patients. The average time to complete the test was 33 minutes. In the course of the test, no cross-infection cases were examined. During the outbreak of the COVID-19, the only mobile hospital CT room of Korea provided medical imaging examinations without infection among medical staff and patients and also provided adequate medical images without significant difference (p >0.05) in determining the degree of pneumonia progression compared to a stationary in-hospital CT.

A Study on Practice of Infection Control by Dental Hygienists -With Reference to Seoul and Incheon·Gyeonggi Province- (치과위생사의 감염방지 실천 정도에 관한 연구 - 서울 및 인천·경기도를 중심으로-)

  • Park, Hyang-Sook;Choi, Jung-Young;Sim, Su-Hyun;Kim, Jin-Soo;Choi, Boo-Keun;Jang, Hee-Kyung
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.275-281
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    • 2008
  • Background: This research aims to provide basic data for dental hygienists to implement the infection control after understanding the level of their implementation of infection control in case they have been trained of infection control or not. Method: The respondents in this research are the dental hygienists who worked in the Incheon or Gyeonggi areas between June 16 and July 5, 2008 and who attended complementary training conducted by the Seoul Branch of Korean Dental Hygienists Association in April 2008. A total of 191 questionnaires were distributed to them, and the frequency of the collected data was analyzed using SPSS WIN 12.0. Moreover, cross-tabulation analysis (${\chi}^2$) whose significance level was 0.05, was applied to the data in order to verify the statistical significance of the survey method. Result: There was significant difference in their practice to wear gloves and/or a mask, use a disposable apron and the time to change the apron depending upon the respondents' workplace. There was significant difference in the time to change their apron depending upon the respondents' time of service. 91.6% had been trained in the infection control: of them, 70.7% trained at their school. It was found that 68.6% of the respondents who had been trained in the infection control would wash their hands before treating a patient. 50.3% of the respondents who had been trained in the prevention of contamination would wear their gloves as needed for a basic treatment. Conclusion: Considering the above results of this research, it is concluded that it is necessary to provide practicing dental hygienists with many opportunities for systematic and practical training so that they may faithfully follow the guidelines for the prevention of contamination and to encourage hospitals to have a greater store of relevant facilities, equipment and supplies.

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Effect of infection control barrier thickness on light curing units (감염 조절용 차단막의 두께가 광중합기의 중합광에 미치는 영향)

  • Chang, Hoon-Sang;Lee, Seok-Ryun;Hong, Sung-Ok;Ryu, Hyun-Wook;Song, Chang-Kyu;Min, Kyung-San
    • Restorative Dentistry and Endodontics
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    • v.35 no.5
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    • pp.368-373
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    • 2010
  • Objectives: This study investigated the effect of infection control barrier thickness on power density, wavelength, and light diffusion of light curing units. Materials and Methods: Infection control barrier (Cleanwrap) in one-fold, two-fold, four-fold, and eightfold, and a halogen light curing unit (Optilux 360) and a light emitting diode (LED) light curing unit (Elipar FreeLight 2) were used in this study. Power density of light curing units with infection control barriers covering the fiberoptic bundle was measured with a hand held dental radiometer (Cure Rite). Wavelength of light curing units fixed on a custom made optical breadboard was measured with a portable spectroradiometer (CS-1000). Light diffusion of light curing units was photographed with DSLR (Nikon D70s) as above. Results: Power density decreased significantly as the layer thickness of the infection control barrier increased, except the one-fold and two-fold in halogen light curing unit. Especially, when the barrier was four-fold and more in the halogen light curing unit, the decrease of power density was more prominent. The wavelength of light curing units was not affected by the barriers and almost no change was detected in the peak wavelength. Light diffusion of LED light curing unit was not affected by barriers, however, halogen light curing unit showed decrease in light diffusion angle when the barrier was four-fold and statistically different decrease when the barrier was eight-fold (p < 0.05). Conclusions: It could be assumed that the infection control barriers should be used as two-fold rather than one-fold to prevent tearing of the barriers and subsequent cross contamination between the patients.