• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.349-361
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• 2019

Objectives: The purpose of this study was to investigate nursing students' knowledge, awareness and performance and to identify the influencing factors on performance of standard precaution for Healthcare-associated Infection. Methods: Subjects were 334 nursing students who were 3rd and 4th years in the nursing university in Gwangju. Data were collected using questionnaires from April 24 to May 25, 2018. The collected data was analyzed by descriptive statistics, pearson's correlation coefficient and stepwise multiple regression using IBM SPSS 21.0 program. Results: Mean scores of knowledge, awareness and performance about standard precaution for Healthcare-associated Infection were 19.95±2.43, 4.71±0.37, 4.55±0.49, respectively. Statistically significant differences were shown in the performance of standard precaution related to grade(t=-3.627, p=.000) and experience of infection prevention education(t=3.239, p=.001). Significant relationships were found among knowledge(r=.201, p=.000), awareness(r=.522, p=.000) and performance of standard precaution in nursing students. The results of stepwise multiple regression indicates that awareness(β=.507, p=.000) and grade(β=.169, p=.000) and experience of infection prevention education(β=.094, p=.043) predicts 30.8% in performance of standard precaution(F=50.520, p=.000). Conclusions: to enhance performance of standard precaution for nursing students, it is necessary to develop and utilize a program that experience of infection prevention education according to the appropriate grade group and enhances awareness.

• Tuberculosis and Respiratory Diseases
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• v.81 no.4
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• pp.274-280
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• 2018

Background: The risk of tuberculosis (TB) infection among health care workers (HCWs) is higher than as noted among workers in the general population. The prevalence and risk factors of TB infection among HCWs were assessed in a tertiary hospital in South Korea, resulting in a conclusion of an intermediate TB burden within the country. Methods: This cross-sectional study enrolled HCWs who underwent a QuantiFERON-TB Gold In-Tube (QFT-GIT) test to detect the presence of a latent TB infection (LTBI), in patients admitted to a tertiary hospital in South Korea in 2017. The departments of the hospital were divided into TB-related and TB-unrelated departments, which were based on the risk of exposure to TB patients. In this sense, the risk factors for LTBI, including current working in the TB-related departments, were analyzed. Results: In this case, a total of 499 HCWs (54 doctors, 365 nurses and 80 paramedical personnel) were enrolled in this study. The median age of the subjects was 31 years (range, 20-67 years), 428 (85.8%) were female, and 208 (41.7%) were working in the TB-related departments. The prevalence of LTBI was 15.8% based on the QFT-GIT. Additionally, the prevalence of experience of exposure to pre-treatment TB patents was higher among HCWs working in the TB-related departments, than among HCWs working in the TB-unrelated departments (78.8% vs. 61.9%, p<0.001). However, there was no significant difference in the prevalence of LTBI between the two groups (17.3% vs. 14.8%, p=0.458). On a review of the multivariate analysis, only the factor of age was independently associated with an increased risk of LTBI (p=0.006). Conclusion: Broadly speaking, the factor of age was associated with an increased risk of LTBI among the HCWs in South Korea. However, those workers current working in the TB-related departments was not associated with an increased risk of LTBI.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.466-476
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• 2010

Purpose: The purpose of this study was to examine the under-reporting rate and related factors after blood and body fluid (BBF) exposure among hospital employees. Methods: Fifteen hundred l employees were conveniently sampled from ten university and acute care hospitals. The survey questionnaire consisted of 37 items. Data were collected from September 10 to November 30, 2008. Results: The survey response rate was 88.7%. The 47.9% (638/1,331) of hospital employees were exposed to BBF and the mean number of exposure was $4.7{\pm}5.942$ within the previous year. Under-reporting rate after BBF exposure was 69.4% (443/638). By multi-variate logistic regression analysis, the exposure number, exposure type, infectious disease and hospital were independently related to the under-reporting of BBF among hospital employees. Conclusion: The under-reporting rate after being exposed to blood and body fluids was relatively high. To address this problem, educational programs are needed to decrease the under-reporting rate for healthcare workers. Further, it might be helpful if other factors related to under-reporting be investigated in future studies.

• Clinical and Experimental Pediatrics
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• v.54 no.9
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• pp.363-367
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• 2011

Central venous catheters (CVCs) are regularly used in intensive care units, and catheter-related bloodstream infection (CRBSI) remains a leading cause of healthcare-associated infections, particularly in preterm infants. Increased survival rate of extremely-low-birth-weight infants can be partly attributed to routine practice of CVC placement. The most common types of CVCs used in neonatal intensive care units (NICUs) include umbilical venous catheters, peripherally inserted central catheters, and tunneled catheters. CRBSI is defined as a laboratory-confirmed bloodstream infection (BSI) with either a positive catheter tip culture or a positive blood culture drawn from the CVC. BSIs most frequently result from pathogens such as gram-positive cocci, coagulase-negative staphylococci, and sometimes gram-negative organisms. CRBSIs are usually associated with several risk factors, including prolonged catheter placement, femoral access, low birth weight, and young gestational age. Most NICUs have a strategy for catheter insertion and maintenance designed to decrease CRBSIs. Specific interventions slightly differ between NICUs, particularly with regard to the types of disinfectants used for hand hygiene and appropriate skin care for the infant. In conclusion, infection rates can be reduced by the application of strict protocols for the placement and maintenance of CVCs and the education of NICU physicians and nurses.

• Journal of The Korea Institute of Healthcare Architecture
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• v.23 no.3
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• pp.9-17
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• 2017

Purpose : The easiest and most cost-effective way to prevent medical-related infections is known as proper hand washing of health care workers. The experience of MERS in domestic medical institutions has increased the importance of hand hygiene for medical workers to prevent infections in hospitals. It is necessary to investigate the level of hand hygiene practice by type of medical institutions and the factors influencing the infection prevention. Methods : Domestic and overseas hand hygiene related business cases and literature data were collected and analyzed in order to investigate the hand hygiene status of medical institutions in Korea. Result : As a result of hand hygiene monitoring of all hospital-level medical institutions in 2016, the total number of observations was 24,328 and the hand hygiene performance rate was 75.9%. The hand hygiene performance rate of hospitals was 71.5% for general hospitals, 75% for general hospitals, and 81.3% for hospitals. Implications : In general hospitals and hospitals, the HR(Hand Rubbing) method is preferred as a way of performing hand hygiene, whereas the HW(Hand Washing) method is relatively high in the small hospitals. It is estimated that the HW system is preferred because of the cost burden at the hospital medical institution. Therefore, it is necessary to compensate the related expenses to improve the hand hygiene performance of the physicians who are engaged in the hospitals.

• Journal of the Korea Society of Computer and Information
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• v.28 no.2
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• pp.171-179
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• 2023

This study was conducted to evaluate the association between knowledge of Coronavirus disease 2019 (COVID-19), perception of infection control and practice of infection control among dental hygienists. The questionnaires consisted of 9 demographic questions, 10 questions about COVID-19 knowledge, and 36 questions about perception and practice of infection control. The study analyzed 120 participants' data gathered from May 1 to May 31, 2021. For data analysis, T-test, ANOVA, and Pearson correlation were used. As a result, COVID-19 knowledge was 6.59 out of 10, the perception of infection control was 3.57 out of 4 and the practice of infection control was 3.55 out of 4. The COVID-19 knowledge(r=0.485) and perception of infection control(r=0.614) were significantly positively related to practice of infection control. To improve the practice of infection control in the dental field, education of infection control should be mandatory for dental hygienists. Also, the practice of infection control following "Dental Infection Control Standard Policy & Procedure" must be mandatory.

• Journal of The Korea Institute of Healthcare Architecture
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• v.30 no.3
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• pp.35-44
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• 2024

Purpose: The purpose of this study is to present basic data on installation location, functional connection, and arrangement to be considered when planning a neonatal intensive care unit in a certified tertiary general hospital. Method: Review the facility standards related to the neonatal intensive care unit, such as laws and guidelines, and select a Certified Tertiary General Hospital as a case hospital among the Neonatal Intensive Care Regional Centers designated by the Ministry of Health and Welfare to analyze the placement characteristics of major NICU components such as the location of the NICU installation, the connection of movement between adjacent facilities and functions, and the treatment room and accessory room. Results and Implications: NICU is a facility for critically ill babies among newborns and needs to consider more about infection and patient management compared to adult intensive care units, which not only install close to delivery-related facilities to enable immediate action after childbirth, but also divide the treatment room into open rooms and allow access to the attached rooms through dedicated corridors to minimize movement in the treatment room.

• The Journal of the Korea Contents Association
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• v.15 no.6
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• pp.346-357
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• 2015

Purpose: This descriptive study was to examine uncertainty and performance of infection control in the VRE patients' caregivers. Methods: The participants were 82 caregivers who involved with the VRE patients care in D tertiary hospital in D metropolitan city. Data were analyzed with number, percentage, t-test, and ANOVA using SPSS/Win 21.0. Results: The participants' uncertainty was 56.99 and performance of infection control was 35.09. Performance of infection control was significantly different by age (F=121.38, p<.001), education (F=102.77, p<.001), relationship with the patient (F=17.80, p<.001), hours of caring per day (t=3.14, p=.002), and type of family (t=-8.65, p<.001). There was a significant negative correlation between participants' uncertainty and performance of infection control (r=-.96, p<.001). Conclusion: The results of the study will be used to develop nursing intervention program and standard protocol for infection control for the VRE patients' caregivers.

• Journal of Convergence for Information Technology
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• v.12 no.2
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• pp.107-115
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• 2022

The purpose of this study was to investigate the level of infection control knowledge and standard precaution practice and to identify effecting factors on standard precaution practice among nurses in small and midium-sized hospitals. A cross-sectional study was conducted with a sample of 258 nurses from 7 hospitals between July and August 2021. The mean score of infection control knowledge and standard precaution practice was 7.25 and 3.61, respectively. There were significant differences in standard precaution practice according to clinical experience (r=.123, p=.047) and position (F=5.356, p=.005). Infection control knowledge and standard precaution practice were closely correlated (r=.421, p<.001). Position (β=-.187, p=.025) and infection control knowledge (β=.408, p<.001) had an effect on standard precaution practice. It could be possible to enhance the standard precaution practice through convergence education program related to infection control among staff nurses.

• Korean Journal of Clinical Laboratory Science
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• v.48 no.2
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• pp.130-136
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• 2016

The aim of this study was to examine and analyze the infection management status of Jeju-area general hospitals, and in order to convey the importance of infection management, and to determine role plans of medical technologists as infection management staff, the infection management status was examined through surveys targeting 7 general hospitals located in Jeju Special Self-Governing Province. The infection management of Jeju-area medical institutions showed excellence in that all institutions operated an infection management room, there was dedicated manpower, and hospital infection management guidelines were established and executed. However most institutions were operating their infection management room with only 1 nurse, reporting many difficulties in securing dedicated manpower, microbe-related culture deciphering, frequency of multiple-resistance bacteria, infection statistics, and details on microbe testing. Accordingly, it is believed that the medical technologist who can perform the practical tasks of infection management has sufficient qualification and experience in infection management as per the medical law enforcement regulations, and in operation of an infection management room. If medical technologists (infection control microbiological technologist) with expert knowledge on microbes and infection control nurses can execute the tasks as dedicated personnel, the operation of the infection management room will be more advanced. In addition, for proper infection management in the future, the introduction of a medical system specialized in infection management and full support for infection management of vulnerable small/medium hospitals in addition to general hospitals across the country is considered important.