• 제목/요약/키워드: Hospital Infection Management

검색결과 494건 처리시간 0.028초

Factors Influencing the COVID-19 Infection Control Practice of Physical Therapists

  • Jang Mi Lee;Changwoo Shon
    • The Journal of Korean Physical Therapy
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    • 제34권6호
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    • pp.304-311
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    • 2022
  • Purpose: The purpose of this study was to investigate the knowledge, awareness and performance of COVID-19 infection control among physical therapists and to identify the impact factors on performance Methods: Data were collected from March 16th to March 24th in 2022 from the physical therapist's in Busan. Data analysis was conducted on 170 surveys, after excluding 27 surveys that were found to be unsuitable for data analysis. Results: When correlating the study variables, knowledge and awareness were found to have a positive, meaningful correlation with performance. Performance of COVID-19 personal infection control regression analysis showed that the working department (clinic and long-term care hospital), clinical experience, the more knowledgeable, the awareness (personal), and the more clinical experience had significant positive impacts on the performance of COVID-19 infection control. Performance of COVID-19 treatment room infection control regression analysis showed that the working department (long-term care hospital), educational experience, the awareness (treatment room) had significant positive impacts on the performance of COVID-19 infection control Conclusion: The results of this study may be used as basic data for educating physical therapist's working at the COVID-19 response department. This study suggests that physical therapist's need educational programs to improve their knowledge and awareness and performance of infection control against infectious diseases such as COVID-19. Differentiated physical therapists practice education curricula must be developed and provided after understanding the varying characteristic of physical therapist's with different levels of work experience.

Prevention of COVID-19 in Dental Hospitals: Literature Review and Countermeasures (치과 병원의 COVID-19 예방:문헌 검토에 따른 대응 전략)

  • Lee, Jungwon;Kim, Yeo-Jin;Jung, Haueul;Lee, Yong-Moo
    • The Journal of the Korean dental association
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    • 제58권10호
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    • pp.615-626
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    • 2020
  • The outbreak of COVID-19, caused by SARS-CoV-2 infection, has spread worldwide and resulted in a pandemic for health systems. The disease is transmitted via respiration as droplets or aerosol. Due to the nature of dental treatment, aerosols, including body fluid, blood, and saliva, are frequently produced in dental hospitals. The present study investigated the potential risk of nosocomial infection of COVID-19 in dental hospitals to provide recommendations in clinical situations. The Seoul National University Dental Hospital in Korea established a countermeasure to cope with the clinical situation based on The Guidelines of Korean Centers for Disease Control & Prevention (KCDC) for dental practitioners and the available literature. Notably, numerous considerations for patient reservation and schedule management are required for space separation in the hospital, including infection control. Experiences in dental hospitals in Korea would be referable for other dental hospitals facing this infectious respiratory disease.

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Cytomegalovirus Infection in Pediatric Renal Transplant Recipients: A Single Center Experience

  • Kim, Mi Jin;You, Ji Hye;Yeh, Hye Ryun;Lee, Jin A;Lee, Joo Hoon;Park, Young Seo
    • Childhood Kidney Diseases
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    • 제21권2호
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    • pp.75-80
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    • 2017
  • Purpose: To investigate the frequency, presentation, management, and outcome of cytomegalovirus (CMV) infection in pediatric patients who underwent renal transplantation. Methods: We performed a retrospective chart review of 70 patients under the age of 18, who underwent renal transplantation between January 1990 and November 2014. A diagnosis of CMV infection was based on serology, molecular assays, antigenemia assays, and culture. CMV infection was defined as detection of virus and CMV disease was diagnosed when clinical signs and symptoms were present. Results: The number of patients with CMV infection was 18 (25.7% of renal transplant recipients). Twelve were male (66.7%), and the $mean{\pm}standard$ deviation (SD) age at infection was $13.3{\pm}3.9$ years. Median time of infection after renal transplantation was 4 months (range 1.0-31.0 months). Pretransplantation CMV status in the infected group was as follows: donor (D)+/recipient (R)+, 11 (61.1%); D+/R-, 7 (38.9%); D-/R+, 0; and D-/R- 0. Nine patients had CMV disease with fever, leukopenia, thrombocytopenia, or organ involvement such as enteritis, hepatitis, and pneumonitis. The age of disease occurrence was $13.1{\pm}3.9$ years and the median time to disease onset after renal transplantation was 8 months (range 1.0-31.0). Immunosuppressive agents were reduced or discontinued in 14 patients (77.8%), antiviral agents were used in 11 patients (61.1%), and all patients with CMV infection were controlled. Conclusions: A quarter of the patients had CMV infection about 4 months after renal transplantation. CMV infection was successfully treated with reduction of immunosuppressants or with antiviral agents.

Investigation of Infection Control Management in Occupational Therapy and Clinical Practice Students (작업치료(학)과 임상실습 학생들의 감염관리 인식 및 실태조사)

  • Won, Junghee;Chang, Moonyoung
    • Journal of The Korean Society of Integrative Medicine
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    • 제7권3호
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    • pp.95-107
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    • 2019
  • Objective : The aim of this study was to investigate the infection management awareness and infection prevention management status of students who participated in occupational therapy and clinical practice. Methods : The study was carried out from June 27th to August 4th, 2017, to survey the awareness and practice of infection control in 11 practice institutes among 193 students who had experience in 8 universities. Results : A total of 93.3 % of the respondents said that they needed education about infectious diseases, but 53.3 % of them did not receive infection prevention education at school or in clinical trial institutes. Hygienic practices for infection prevention and infection control practices related to handwashing were high, but the use of protective equipment was poor in the observation of swallowing disorder treatment. It is also important to educate students who have been trained in infection control. However, infection prevention training at universities and training centers is insufficient suggesting the importance of future infection education. Conclusion : Infection control education to prevent infection is necessary not only for clinicians but also for students participating in on-the-job training. Effective efforts are also needed in universities and clinical practice institutes so that infectious disease prevention education can be implemented. This study provides basic data for infection control education in universities and practice educational institute that perform clinical training and occupational therapy.

A Case of Neurocysticercosis in Entire Spinal Level

  • Lim, Byung-Chan;Lee, Rae-Seop;Lim, Jun-Seop;Cha, Kyu-Yong
    • Journal of Korean Neurosurgical Society
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    • 제48권4호
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    • pp.371-374
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    • 2010
  • Cysticercosis is the most common parasitic infection affecting the central nervous system. Spinal neurocysticercosis (NCC) is very rare compared with intracranial NCC arid requires more aggressive management because these lesions are poorly tolerated. The authors report a case of intradural extramedullary cysticercosis of the entire level of spine with review of the literature.

A survey on Hospital Infection (병원 감염관리에 대한 실태조사 -간호수기를 중심으로 -)

  • 이선옥
    • Journal of Korean Academy of Nursing
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    • 제23권3호
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    • pp.325-338
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    • 1993
  • This study was conducted to evaluate the methods used in nursing procedures for infection control. Skilled nursing procedures are related to prevention of hospital infection. The sample consisted of 301 nurses’ response to the questionnaire. Data were collected from Feb. to March, 1993 from 35 hospitals located in five major cities. The findings of the study are as follows : 1) Rotatively unsafe nursing procedures were reported for preperation of IV therapy, change of IV site and aseptic dressing on IV site, hand wash-ing and use of paper towels, use of sterile urine bottle with indwelling urinary catheter, management of dressing cart, disinfection of transfer forcep, ambu respirator, laryngoscope, humidifier and handling of incubator. 2) Relatively safe nursing procedures were reported for management of suction tube, marking for contaminated materials and waste collection. The rate of participation in education programs for infection control by the nurses was higher than in other research results. 3) Further study on procedures for IV site in-fusion and care of dressing cart are recommended.

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A Study on the Level of Recognition and Performance of the Clinical Nurses about the prevention of Nosocomial Infection (간호사의 병원감염 예방행위에 대한 인지도와 수행정도에 관한 연구)

  • Cho, Hyun-Sook;Yoo, Kyung-Hee
    • Korean Journal of Occupational Health Nursing
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    • 제10권1호
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    • pp.5-23
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    • 2001
  • The purpose of this study was to analyse the level of recognition and performance of clinical nurses about the prevention of nosocomial infection. Subjects of the study were 425 nurses working at two university hospitals. Self report questionnaires were used to measure the level of recognition and performance about the prevention of nosocomial infection. These instruments had five dimensions of the management of nosocomial infection : hand washing, fluid therapy, foley catheterization, respiratory tract, and aseptic articles. Reliability coefficients of these instruments were found Cronbach's ${\alpha}=.94-.95$. Data were collected from August 1 to August 15, 2000. The results of the study were as follows : 1) The mean score of the recognition scores about the management of nosocomial infection was 3.89. 2) The mean score of the performance about the management of nosocomial infection was 3.42. 3) The mean score of the recognition about the management of nosocomial infection was significantly higher than the performance score(t=25.72. p<.001). 4) There was significant difference in the score of the recognition about managment in nosocomial infection according to nurses working unit(p<.001).

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A Study on the Architectural Planning for Prevention of Nosocomial Infection in Intensive Care Unit (병원감염 방지를 위한 중환자부의 건축계획적 연구)

  • Kim, Sang-Bok;Yang, Nae-Won;Kim, Hong-Kye
    • Journal of The Korea Institute of Healthcare Architecture
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    • 제10권2호
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    • pp.29-37
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    • 2004
  • Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.

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Actual Disinfection and Sterilization Control in Korean Healthcare Facilities (국내 의료기관의 소독과 멸균 관리 실태)

  • Jeong, Sun Young;Choi, Jeong Hwa;Kim, Eun Kyoung;Kim, Su Mi;Son, Hee;Cho, Nan Hyoung;Choi, Ji Youn;Park, Eun Suk;Park, Jin Hee;Lee, Ji Young;Choi, Soon Im;Woo, Jin Ha;Kim, Og Son
    • Journal of Korean Academy of Fundamentals of Nursing
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    • 제21권4호
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    • pp.392-402
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    • 2014
  • Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities. Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, ${\chi}^2$ test, Fisher's exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0. Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10. Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.

A Comparative Study of Nurses' Recognition and Practice Level of General Nosocomial Infection, MRSA and VRE Infection Control (일반 병원감염, MRSA 및 VRE 감염관리에 대한 간호사의 인지도와 수행정도 비교연구)

  • Yoo Moon-Sook;Son Youn-Jung;Ham Hyoung-Mi;Park Mi-Mi;Um Aee-Hyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • 제11권1호
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    • pp.31-40
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    • 2004
  • Purpose: The purpose of this study was to describe nurses' recognition of, and practice level in management of general nosocomial infections, and methicillin resistant staphylococcus aureus (MRSA) and vancomycin resistant enterococci (VRE) infections. Method: A self-administered questionnaire was used to collect data. Data were collected on June, 2003 from 190 nurses in one university affiliated hospital located in Suwon. Result: The mean score for nurses' recognition of general nosocomial infection control was 3.57, MRSA control was 3.54, and VRE control was 3.86. The mean score on practice for control of general nosocomial infection was 3.19, for MRSA control, 3.20, and for VRE control, 3.63. There were statistically significant relationships between the recognition level and practice level for general nosocomial, MRSA, and VRE infection control. According to the general characteristics of the nurses, the mean scores for both recognition and practice were higher for those nurses who had had infection control education, for those who had worked longer in nursing, and for those who worked in the ICU. Conclusion: It is suggested that appropriate hospital infection control programs should be developed through continuous education and practice to improve nurses' level of the practice in general infection control, and especially in MRSA and VRE infection control.

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