• 치위생과학회지
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• 제17권6호
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• pp.472-480
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• 2017

치과의료기관 의료장비 표면 및 치과위생사 손의 S. epidermidis 오염도 조사를 위해 2017년 7월부터 8월까지 일부지역 20개 치과의원에서 치과위생사 20인의 손 오염, 치과별 7부위 표면 140부위의 S. epidermidis 오염도를 조사하였다. S. epidermidis 오염도는 핸드플레이트와 로닥플레이트를 사용하였으며, $35^{\circ}C$ 24시간 배양하였다. 손 오염도는 핸드플레이트 기준에 근거하여 저, 중, 고 그룹으로 분류한 후 그룹별 손 부위별 오염도를 ANOVA 분석하였다. 의료장비 표면 오염수준은 집락을 계수하여 기술통계 하였다. 치과위생사 55%는 중등도 이상의 손 오염이 있었고, 부위별로는 손바닥이 29.45 CFU로 가장 높게 나타났으며, 그 다음으로는 중지 7.8 CFU, 약지 6.4 CFU, 엄지 6 CFU 순서였다. 의료장비 표면 오염도 조사결과 3-way 손잡이 4.45 CFU, 컴퓨터 마우스 3.37 CFU, 거울 손잡이 1.60 CFU로 다른 영역보다 높게 조사되었다. 손 오염도가 높은 집단일수록 손의 S. epidermidis 오염도가 높은 양적 상관관계를 나타내었다. S. epidermidis 오염도는 의료장비 표면 오염보다 손에서 높게 나타났다. 그러므로 의료진들은 손 위생의 중요성을 인식하고 WHO에서 제시한 방법으로 손 위생을 실천하는 것이 요구되었다. 의료진들이 감염관리 업무수행에 책임감을 갖고 안전한 의료 환경을 조성할 수 있도록 감염관리 지침과 체계적인 감염관리 업무 수행에 관한 교육이 요구되었다.

• 대한영양사협회학술지
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• 제23권2호
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• pp.180-191
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• 2017

The purpose of this study was to identity the probability of cross-contamination from the environment. For this, we examined foodservices at 20 universities/colleges for microbiological analysis of their working facilities and environment as well as their preventive equipment against cross-contamination. Seventy percent of the 20 foodservices were found to maintain one unified working area, which suggests high probability of contamination of food/utensils/equipment in the cooking area by pre-preparation or dish washing. According to the microbiological analysis, the hygiene acceptance ratio of working facilities in the clean zone was 70%, which was higher than the average 45% hygiene acceptance ratio of working facilities in the contamination operating zone. There was a significant difference in the total plate count (P<0.001) and coliform count (P<0.01), which demonstrates that work tables in the clean zone were in a good state compared to those in the contamination operating zone. In the contamination operating zone, refrigerator shelves had a high probability of cross-contamination. Regarding the floor surface and airborne microbes, cooking areas which should be maintained as clean zones had higher cross-contamination probability than those in the contamination operating zone. So corrective actions such as cleaning and sanitizing, keeping dry floors, lowered temperature and humidity, shoe disinfecting facilities, and checking concentrations, are necessary to manage floor surfaces and airborne microbes in the cooking area.

• 기본간호학회지
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• 제18권4호
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• pp.472-479
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• 2011

Purpose: The purpose of this study was to develop guidelines for cleaning of enteral nutrition bags by comparing the level of equipment contamination according to cleaning and disinfection methods. Method: This study was a true-experimental study, with 60 cases in total. Twenty cases each were randomly assigned to tepid water, detergent and brush, and disinfectant groups. The period of the experiment was March to April 2010, and enteral nutrition was given for 1 houre, 3 times a day at 7AM, noon, and 7PM for seven days. Enteral nutrition bags were cleaned after each feeding according to assigned cleaning and disinfection method followed by microbial cultures on 4th and 8th day before the 7AM feeding. Results: After 3 days of feeding and cleaning, the level of contamination of bags was not significantly different among the three groups. After seven days, the level of contamination was significantly lower when bags were cleaned with detergent and brush or with disinfectant compared to cleaning with tepid water. Conclusion: In cases where enteral nutrition bags are reused for example, in home care settings, studying findings indicate that cleaning bags using detergent and brush or disinfectant is an effective way to prevent contamination of bags.

• 대한기계학회논문집B
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• 제39권3호
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• pp.253-260
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• 2015

클린룸 내부에서 발생한 오염은 복잡한 공정과 여러 가지 장비에 의해서 더욱 더 복잡한 형태를 나타내며, 다양한 오염 형태로 나타나게 된다. 이러한 경향으로 인해서 클린룸 내부에서 발생한 오염입자를 생산공정에 영향을 주지 않으면서 경제적이고 효율적으로 제어하기 위해서, 오염입자 분포에 대한 상세한 해석이 요구된다. 따라서 이러한 오염제어의 목적으로 오염원 추정법이 개발되었다. 본 논문에서는 기여도를 추정하기 위한 계산 가속화 방법으로 영역분할법을 제안하였다. 이 결과로부터 각 오염원의 오염 발생량을 정량적으로 예측할 수 있었다.

• 대한방사선기술학회지:방사선기술과학
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• 제38권4호
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• pp.395-401
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• 2015

영상의학과의 흉부엑스선 검사에서 감염관리에 대한 기기의 오염 정도를 세균학적으로 확인하고 균을 동정하여 병원감염의 예방과 감염관리방안을 마련하는데 목적이 있다. 영상의학과 흉부 엑스선 검사에서 환자의 기기 접촉부위인 어깨, 손, 턱, 흉부 측면촬영의 손잡이 부위를 70% 이소프로필 알코올로 소독하기 전과 후를 면봉으로 검체를 채취하여 세균을 동정하여 비교하여 분석하였다. 흉부 엑스선 기기에서 소독전의 측면촬영의 손잡이에서 그람 양성의 Staphylococcus가 분리되었다. 최종동정을 위해 노보바이오신 (nobobiocin) 항생제 시험을 실시하여 민감성으로 Staphylococcus epidermidis로 확정하였다. 흉부촬영 기기에서 측면촬영의 손잡이 부위를 소독 전에 Staphylococcus epidermidis 균이 검출되었다. 흉부엑스선 검사에서 기기를 주기적인 소독 및 멸균을 실시하여 병원감염을 예방하는 관리방안을 마련하여야 한다.

• 대한통합의학회지
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• 제7권3호
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• pp.85-94
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• 2019

Purpose: The purpose of this study was to observe the degree of mask contamination in dental hygienist for general and oral bacteria and to identify areas of mask contamination after treatment. Methods: Masks were collected with every fifty dental hygienists who currently working in the department of preventive dentistry, prosthodontics, and orthodontics in Busan. The mask bacteria were collected in specific upper and side parts of the mask. Hand germs were collected using sterile cotton swabs, and then placed in a sterile conical tube. These were transferred to the laboratory. Hand germs and mask bacteria were incubated with nutrient broth (NB) and brain heart infusion broth (BHI) for 24 hrs and each cultured with NB and BHI plate at $37^{\circ}C$ for 48 hrs. Collected data were analyzed using the SPSS Window 20. Results: The number of bacteria was observed in the order of the department of preventive dentistry ($10.1{\times}10^5CFU/ml$), prosthodontics ($14.7{\times}10^5CFU/ml$), and orthodontics ($23.3{\times}10^5CFU/ml$) in the hand. In general bacteria, the difference of contamination was seen by the parts of the mask, but there was no significant difference. However, the oral bacteria were observed highly contaminated upper part of the mask in preventive dentistry. The mask contamination according to the medical departments was observed. Especially, the contamination of mask in preventive dentistry was significantly higher than other departments in oral bacteria. Conclusion: This study suggested that correct mask replacement and recognition of contamination areas can contribute to the prevention of infectious disease. and it would be necessary to increase hand hygiene performance to prevent cross-infection with masks. Also, this study may give an idea for making guidelines for mask management and supporting to establish clear criteria for the education program of personal protective equipment.

• 한국농공학회지
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• 제45권6호
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• pp.144-152
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• 2003

Laboratory experiments were carried out to investigate the influence of pore water contamination on the treatment effect of sandy soil which was solidified by Portland cement. In the experiments, setting time of hydraulic cement that was mixed with contaminated mixing water was measured using Vicat equipment and observed the tendency of setting process with the kind of contaminants, organic or inorganic components. It was shown that organic contaminants of the mixing water affect largely on the initial setting process of hydraulic cement and inorganics, expecially heavy metals, did not affect on the initial setting process, otherwise it was appeared that setting time of the sandy soil that was contaminated with inorganic components was apparently faster than the sandy soil that did not include inorganic components even though organic concentrations was relatively low level (COD=200∼300) in the mixing water. The results of unconfined compression strength test (UCST) were well consistent with the results of Vicat equipment test.

• 한국산업보건학회지
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• 제32권2호
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• pp.182-194
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• 2022

Objectives: This study evaluates and recommends the priority of policy implementation to improve the fire protection clothing management system used by firefighters and the reduction of cross-contamination from contaminated clothing at the scene of a fire. Methods: It consisted of 7 experts and conducted three interviews and two modified Delphi surveys. Through the results of previous research and interviews with experts, a plan to reduce cross-contamination of fire suits and improve the management system was first derived. An improvement plan was presented in the four areas including resources, management, fire protection related work, and laws and regulations, and the priority of policy implementation was derived by analyzing the importance and practicality of the policy at the same time. Results: As a result of the analysis, the first priority was education on the health effects of pollutants at the disaster scene for firefighters, and the second priority was the addition of SOP for the primary decontamination of on-scene personal protective equipment in preparation for the health effects of the disaster scene, and education for fire suppression and rescue workers. The next step was to improve the management system of personal protective equipment such as fire suits and develop a training course for systematic operation. Conclusions: This findings could be used in the implementation of mid- to long-term firefighting policies for the systematic operation and establishment of a systematic management system for personal protective equipment such as fire protective suits.

• 디지털융복합연구
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• 제11권12호
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• pp.665-672
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• 2013

영상의학과에는 다양한 질병을 가진 환자들이 검사를 받는 곳으로 병원감염의 교차 오염이 될 가능성이 큰 부서이다. 특히 자기공명영상(MRI)검사는 다른 검사에 비해 검사시간이 오래 걸려 교차오염에 더욱더 노출이 될 수 있다. 이에 본 연구는 MRI검사장비의 소독실태를 파악하고, 환자와 접촉이 가장 많은 Head coil, 환자 고정용 Block, 밀폐된 공간인 Bore에서의 세균분포도를 파악 하였다. MRI 검사장비의 소독실태는 MRI실 근무자 150명을 대상으로 설문을 실시하였으며, 세균분포의 파악은 10 곳의 의료기관에서 측정하였다. MRI 장비의 세균 분포도결과 Staphylococcus, 등의 다양한 세균들이 발견되었다. MRI실 소독실태 파악결과 Head coil, Block, Bore의 소독은 잘 시행되는 것으로 나타났으며, 소독의 시기는 아침에 1회 소독을 가장 많이 시행 하는 것으로 나타났다. 또한 감염관리자에 따른 소독의 유, 무와 소독의 시기에서는 MRI실 검사자가 감염관리 할 때 잘 시행되는 것으로 나타났다. 환자를 검사한 후 교차오염을 방지하기 위하여 바로 적절한 소독제로 소독을 실시하여 교차오염을 방지하여야 할 것이다.

• Journal of Pharmaceutical Investigation
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• 제3권4호
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• pp.5-15
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• 1973

An investigation was carried out on a basis of the bacteriological examination with a view to detecting the degree of bacterial contamination for the 77 samples collected from the locally-sold liquid specialties. It's test period was 50 days from July 10 to August 30, 1971. Specially, the survey has put emphasis on the population of general bacteria and the identification of coli-form group, staphylococcus species, streptococcus species, bacillus species, fungi, and yeast species from liquid samples. The results obtained are summarized as follows; (1) For the 77 samples tested, the contamination of general bacteria was found out as minimun 0, i,e., maximum, $12{\times}10^4$ and the total average $45{\times}10^2$ per milliliter. (2) Although streptococcus species could not be detected with the samples, the contamination of the coli-form and staphylococcus species means the strong suggestion of the possibility of pathogenic bacterial contamination. (3) Specially, the products which stay in the neutral pH range and use suspending agents need to care for the microbial contamination in the manufacturing crocess. (4) It is thought necessary to perform the microbiological quality control in the liquid preparations only at least. (5) As the microbial contamination degree in the liquid decreases according to the elapse of time, the microbiological quality control will have to be carried out immediately after the completion of the manufacturing process in order to know the accurate degree. (6) The author thinks that the main reason of the microbial contamination in the liquid is the contamination during the manufacturing process. (7) For the purpose of prevention of the microbial contamination in liquid, therefore, it is more important to make efforts for the rationalization of manufacturing process, the improvement of equipment and environment, the specific training of workers for hygienic knowledges, etc. rather than the use of preservatives for the preparations.