• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.6
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• pp.334-344
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• 2018

This study was conducted to identify the relationship between knowledge, attitude, and compliance regarding infection preventive behaviors among long-term care hospital staff during a Middle East Respiratory Syndrome (MERS) epidemic. The subjects were 211 staff members of a long-term care hospital in J province evaluated using a structured survey. Data were collected between June 15 and July 15, 2015 and analyzed using SPSS/WIN 24.0 based on an independent t-test, ANOVA, and Welch test, while post-hoc tests were conducted using the Scheffe test and the Grames-Hawell test. The MERS knowledge score of the staff at the long-term care hospital was high for nurses and nurse aids, who had experienced infection management when they received influenza vaccine in the previous year and were provided with easy access to hand sanitizers. Attitude towards MERS was more positive for nurses than nurse aids and caregivers. The degree of execution of infection preventive behaviors in terms of daily activity was high when influenza shots were received in the prior year; in terms of caring for patients, it was high when influenza shots were received in the previous year and they had easy access to hand sanitizers. The relationship between knowledge, attitude, and infection preventive behavior regarding MERS was such that high knowledge and positive attitude led to a higher degree of execution of infection preventive behavior. Therefore, during periods of high prevalence of newly infectious diseases such as MERS, it is important for the long-term care hospitals to conduct infection management education including the characteristics of the MERS disease, its transmission, and its prevention to enhance knowledge regarding MERS and induce positive change in attitude to improve the level of infection preventive behaviors.

• The Korean Journal of Pain
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• v.2 no.1
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• pp.97-99
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• 1989

Epidural block is used extensively in each of the fields of surgical anesthesia, obstetric anesthesia, and diagnosis and management of acute and chronic pain. New developments in the understanding of pain conduction have extended the use of continuous epidural blockade to the administration of drugs that selectively block pain conduction while leaving sensation and motor power essentially unchanged. The safety and the reliability of spinal epidural catheter techniques have permitted relief of acute and chronic pain. However, one of the important aspects of the management of the epidural catheter is the possibility of epidural infection. We have experienced a case of epidural infection during control of post-herpetic neuralgia and discuss management of the epidural catheter in this article.

• Journal of radiological science and technology
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• v.24 no.2
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• pp.65-70
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• 2001

The purpose of this study is to prevent nosocomial infection in patients through contact of radiographic cassettes. Data were collected from radiographers working in 29 university hospitals in Seoul in February and March 2001. Radiographic cassettes were disinfected daily in 5 hospitals, weekly in 4 hospitals, monthly in 5 hospitals, bimonthly in 1 hospital and once every three months in another hospital. 12 other hospitals do not practice regular disinfections of radiographic cassettes. Gauze soaked in disinfectant solution is used in 7 hospitals while 11 hospitals used cotton and cloth soaked in disinfectant solution to clean the radiographic cassettes. 26 hospitals used 99% alcohol based disinfectant solutions while 3 hospitals used 75% alcohol based disinfectant. 26 hospitals use of intercourse cassettes outpatients and in patients. In 26 hospitals, all patients shared the same set of radiographic cassettes used in the hospitals, or in 26 hospitals, separate sets of radiographic cassettes are used for outpatients and inpatients. Separate sets of cassettes are used for ICU and inpatients in 6 others hospitals. 23 hospitals used the same sets of radiographic cassettes for all their patients. radiographic cassettes are cleaned in wash area in the study room of the radiographic department in 17 hospitals. 12 other hospitals do not have designated cleaning areas for the cassettes. All radiographers practiced hands washing with soap. All 29 hospitals surveyed have infection control committee. However, only 9 out of the 29 hospitals surveyed provided Infection disinfections control education to radiographers. Only 3 hospitals have radiographers sitting in the infection control committee. Infection management education is conducted in 63 hospitals annually, twice a year in 1 hospital and once every 3 months in 2 hospitals.

• Journal of Clinical Nutrition
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• v.10 no.2
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• pp.31-37
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• 2018

Recently, in Korea, the importance of preparation and use of injectable drugs has been emphasized due to successive fatal accidents caused by injection infections. Parenteral nutrition (PN) has also been identified as a cause of infection. Cases of infection due to PN have been reported not only in Korea, but also abroad, and contamination occurs mainly during the preparation of PN. Because sterile preparation and compounding of injections are very important for infection control and patient safety, this article reviews the major guidelines outlined thus far. The Korea Ministry of Food and Drug Safety in 2006 published guidelines and the KSHP (Korean Society of Health-System Pharmacists) recently issued guidelines for the aseptic preparation of injections. In addition, as US guidelines, the ASHP (American Society of Health-System Pharmacists) guidelines and United States Pharmacopeia (USP) <797> are also reviewed. The recent guidelines published by the KSHP have significance in that they were adopted in accordance with the domestic reality, even though they conform to foreign guidelines, and are expected to be guidelines for hospital pharmacists performing aseptic preparation work. In addition, the Korea Ministry of Health and Welfare is considering appropriate guidelines for the safe management of medications, training staff for infection prevention and strengthening staff capacity. Furthermore, the gradual expansion of aseptic compounding facilities and human resources, as well as the provision of adequate medical costs are also considered. Based on the establishment and standardization of injectable drugs compounding guidelines for Korean hospitals, it is believed that if human resources and facilities are supported and medical charges are improved, it will be possible to expect the safer preparation and use of injections.

• Journal of Korean society of Dental Hygiene
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• v.17 no.5
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• pp.769-777
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• 2017

Objectives: The study was to promote patient safety by analyzing the effect of dental hygienist's perception of patient safety culture on infection control activities. Methods: The study is based on a survey of 377 dental hygienists in total working in dental settings. The questionnaire consisted of 119 questions, including 34 questions on perception of patient safety culture, and 85 questions on infection control activities. Hierarchical regression analysis was used to examine the relationship between the perception of patient safety culture and infection control activities. The data was analyzed using the SPSS version 20.0, and p<0.05 was adopted to decide on significance. Results: The longer dental hygienists have worked n the dental settings, the more active they become in infection control activities. Among the different types of dental care settings, general (university) hospitals had the largest number of infection control activities, followed by dental clinics, and network dental clinics, in descending order. The dental settings possessing a higher number of dental hygienists were found to conduct more infection control activities than other dental settings. In addition, it was found that when a dental setting adopts a patient safety policy across all the units in the hospital, more systems and procedures for patient safety tend to be established, and that stricter management response to error leads to improvement of infection control activities. Conclusions:In order to enhance infection control activities, infection control activity programs should develop and implement periodic reinforcement of infection control education. regular monitoring of infection control activities.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.42 no.1
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• pp.13-19
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• 2016

Objectives: As the craniofacial and neck regions are prime areas of injury in bear attacks, the careful management of soft and hard tissue injuries and selection of reconstructive options is of the utmost importance. This study will review the incidence and patterns of bear mauling in eastern India reported to our department and the various modalities used for their treatment over a period of 7 years. It also documents the risks of infection in bear mauling cases and the complications that have occurred. Materials and Methods: Twenty cases were treated over the study period. Cases were evaluated for soft and hard tissue injuries including tissue loss and corresponding management in the craniofacial region. Cases were also evaluated for other associated injuries, organ damage and related complications. Results: Various modalities of treatment were used for the management of victims, ranging from simple primary repairs to free tissue transfers. Simple primary repairs were done in 75% of cases, while the management of the injured victims required reconstruction by local, regional or distant flaps in 25%. Free tissue transfers were performed in 15% of cases, and no cases of wound infection were detected in the course of treatment. Conclusion: Knowledge of various reconstructive techniques is essential for managing maxillofacial injuries in bear mauling cases. Modern reconstructive procedures like free tissue transfer are reliable options for reconstruction with minimal co-morbidity and dramatic improvement in treatment outcomes.

• Perspectives in Nursing Science
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• v.14 no.1
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• pp.1-9
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• 2017

Purpose: To study the internal psychological conflicts among nursing students during an infection control protocol carried out in the hospital by measuring their observation skills and performance during clinical training. Methods: Investigation of both pre- and post- infection control was conducted using questionnaires for clinical infection practices. We identified and evaluated the students' observation skills, clinical performance, clinical perception, and internal conflict regarding clinical infection control. We also interviewed the students as part of our study. Results: Among parameters such as clinical performance, observation skills, clinical perception, and internal conflict, the average observation skills (t=5.49, p<.001) were significantly lower, while internal conflict among students (t=-7.23, p<.001) was significantly higher than expected prior to clinical training. Generally, there was a negative correlation between observation skills and internal conflict in every aspect of infection control practice (r=-.281, p=.031). Internal conflict was significantly higher than expected in the context of hand hygiene (t=-2.135, p=.037), personal hygiene (t=-3.48, p=.002), and ventilator management (t=-3.69, p<.001). Clinical performance of students in the context of hand hygiene (t=4.69, p<.001), personal hygiene (t=2.06, p=.044), and ventilator management (t=2.68, p<.001) was significantly lower than expected prior to clinical training. Conclusion: Our findings showed that internal psychological conflict is higher when infection control practices are observed or performed to a lesser degree. Therefore, reinforcing education regarding infection control among students, such as developing a systematic program, or consecutive training and monitoring, is suggested.

• Journal of Digital Convergence
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• v.18 no.1
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• pp.187-198
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• 2020

The purpose of the study is to investigate infection management status of long term care hospitals and infection prevention knowledge of caregivers. This is descriptive study to investigate the factors affecting caregivers' infection control performance in long term care hospitals. The data collection period was from August, 2018, and a total of 197 caregivers from 8 long term care hospitals. The data analysis were done Win SPSS 20.0 with t-test, ANOVA, pearson's correlation coefficient, and hierarchical multiple regression analysis. Infection prevention knowledge was positively correlated with infection control performance (p=<.001). The factors influencing performance in a long term care hospital caregivers were over seventy years old (t=2.50, p=.013), eight-hour working time (t=-2.62, p=.010), nursing staffing First grades (t=2.48, p=.014), and infection prevention knowledge (t=2.96 p=.003), which explained 12.9% (F=6.70 p<.001). In summary, we recommend to develop infection education interventions to improve caregivers' infection control performance in long term care hospitals and to improve of the function in long term care hospitals.

• Journal of Korean Critical Care Nursing
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• v.15 no.3
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• pp.75-87
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• 2022

Purpose : This retrospective investigation study aimed to determine the predictive validity of superficial surgical site infection assessment tools by measuring the risk score at the surgical site. Methods : This study included patients hospitalized to the general surgery department of a Hospital from January 2021 to December 31, 2021. The inclusion criteria were age ≥19 years, general abdominal surgery under general anesthesia, and hospital stay longer than 2 days. Patients who had undergone transplantation were excluded. Results : Tool validity results showed that tools including surgical time and operative procedure were more accurate than previously developed tools, with a sensitivity of 71.1%, specificity of 71.4%, positive prediction of 12.3%, negative prediction of 97.8%, and area under the curve of 0.743 (95% confidence interval, 0.678~0.745). The tool's cut-off score was 15, and the risks of infection was increased by 6.14 times at or above this cut-off point. Preoperative hair removal period, surgical wound classification, surgery time, body temperature on the second day after surgery, drainage tube type, and suture type affected the risk of infection at the surgical site. Conclusion : The incidence of healthcare-associated infections has been declining in the past decade; however, surgical site infections still account for a considerable proportion. Therefore, early identification of high-risk groups for surgical site infection is crucial for reducing the incidence of surgical site infection using appropriate management.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.6
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• pp.370-378
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• 2019

The aim of this study was conducted to investigate the awareness and practice of personal hygiene and clinic hygiene of infection among physical therapist and to analyze the factors affecting it to provide basic data for the establishment of nosocomial infection management programs and policies in the physical therapist unit. In this study, 320 physical therapists were collected and analyzed. The study tool used a self-administered questionnaire to investigate general characteristics and awareness and practice of nosocomial infections. Responses were determined as 5-Likert scales and data were analysed using percentage, independent t-test, ANOVA. As a result of this study, 17.8% of infectious disease management departments were not found, and 41.6% of physical therapists were not educated about nosocomial infection. In addition, physical therapists with sufficient protective equipment for treatment were very low at 25.3%. Thus, in order to increase awareness and practice of nosocomial infection in the future, it is necessary to provide enough protective equipment for the treatment within the hospital, and it is considered that the nosocomial infection education of the physical therapist should be carried out regularly in the hospital itself.