• Tuberculosis and Respiratory Diseases
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• 제79권4호
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• pp.234-240
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• 2016

Transmission of tuberculosis (TB) is a recognized risk to patients and healthcare workers in healthcare settings. The literature review suggests that implementation of combination control measures reduces the risk of TB transmission. Guidelines suggest a three-level hierarchy of controls including administrative, environmental, and respiratory protection. Among environmental controls, installation of ventilation systems is a priority because ventilation reduces the number of infectious particles in the air. Natural ventilation is cost-effective but depends on climatic conditions. Supplemented intervention such as air-cleaning methods including high efficiency particulate air filtration and ultraviolet germicidal irradiation should be considered in areas where adequate ventilation is difficult to achieve. Personal protective equipment including particulate respirators provides additional benefit when administrative and environmental controls cannot assure protection.

• Tuberculosis and Respiratory Diseases
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• 제79권4호
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• pp.201-206
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• 2016

Active tuberculosis (TB) has a greater burden of TB bacilli than latent TB and acts as an infection source for contacts. Latent tuberculosis infection (LTBI) is the state in which humans are infected with Mycobacterium tuberculosis without any clinical symptoms, radiological abnormality, or microbiological evidence. TB is transmissible by respiratory droplet nucleus of $1-5{\mu}m$ in diameter, containing 1-10 TB bacilli. TB transmission is affected by the strength of the infectious source, infectiousness of TB bacilli, immunoresistance of the host, environmental stresses, and biosocial factors. Infection controls to reduce TB transmission consist of managerial activities, administrative control, engineering control, environmental control, and personal protective equipment provision. However, diagnosis and treatment for LTBI as a national TB control program is an important strategy on the precondition that active TB is not missed. Therefore, more concrete evidences for LTBI management based on clinical and public perspectives are needed.

• 한국치위생학회지
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• 제10권3호
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• pp.459-464
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• 2010

Objectives : The purpose of this study was to minimize cross infection that can take place within dental office, to make dental workers recognize importance of infection management, and to improve dental-care environment that is exposed to infection. Methods : It conducted the self-reported questionnaire survey on the practice of wearing PPE(personal protective equipment) from April 1, 2008 to May 30 targeting 180 dental workers who are working for dental offices where are located in Jeonnam region. Results : 1. As for research subjects' general characteristics, age was the largest in under 29 years old with 75.0%. It was surveyed to be large in over 5 years(56.1%) for working career, in a city(83.3%) for working region, and in having licence of dental hygienist(75.0%). 2. As a result of surveying the practice of wearing PPE, wearing mask given dental care was surveyed to have the highest practice level with 75.6%. Wearing protective glasses showed the lowest practice ratio with 23.3%. 3. As a result of surveying the difference in the practice of wearing PPE according to general characteristics, the difference according to the working region was surveyed to be the greatest. Conclusions : As the above result, the education of infection management for dental workers needs to be performed continuously even after curriculum of school. Even the in-service education on infection management needs to be vitalized. Also, the necessity was examined for always recognizing and practicing importance of infection by using a method of publishing newsletter via post to dental clinics where are located in rural area, with considering regional deviation.

• 기본간호학회지
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• 제15권2호
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• pp.153-160
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• 2008

Purpose: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing programs for nosocomial infection control in the emergency room. Method: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. Results: The average level for practice of infection control was relatively low Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. Conclusion: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.

• 한국치위생학회지
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• 제20권6호
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• pp.875-888
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• 2020

Objectives: The purpose of this study was to investigate the infection control system and actual conditions according to the type of dental medical institution. Methods: From April 1st to May 10th, 2020, dental institutions were recruited through stratified random sampling. Each item constituting the infection control system by dental institution type was analyzed using the chi-square test and fisher's exact test. Results: The infection control system and operation level of each dental institution type was 89.0 points for university-general hospitals, 75.6 points for dental hospitals, and 34.4 points for dental clinics. The environment management levels were 76.1, 72.5, 73.0, and 74.0 points for university-general hospitals, similar to 77.2, 75.1, 71.0, and 73.8 points for dental hospitals, while dental clinics had 61.1, 40.0, 37.0, and 45.6 points. Prevention and management of staff infection exposure, wearing personal protective equipment, and hand hygiene levels were 90.7, 75.5, 88.5 points for university-general hospitals, 79.8, 79.5, 80.4 points for dental hospitals, and 50.2, 88.0, 61.5 points for dental clinics, respectively. Conclusions: Efforts are required to bring about improvement in the areas of insufficient infection control in order to raise the overall infection control levels, especially the management of dental clinics is urgently needed.

• 디지털융복합연구
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• 제18권12호
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• pp.335-341
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• 2020

본 연구는 4학년 간호대학생을 대상으로 코로나19 감염관리 교육을 위한 중요도와 수행도 정도를 파악하고, 이를 바탕으로 코로나19 감염관리 간호교육프로그램 개발에 기초자료를 마련하고자 한다. 2020년 1월 6일부터 1월 30일까지 A시 간호대학 4학년 72명에게 구조화된 설문지를 사용하여 자료를 수집하였다. 코로나19 감염관리 간호의 중요도 전체 평균은 5점 만점에 4.4점이었고, 수행도의 전체 평균은 5점 만점에 2.4점이었다. 중요도와 수행도의 차이가 가장 큰 영역은 개인 보호구 레벨D 착탈의와 안전한 검체 채취영역이었다. 간호대학생의 코로나19 감염관리 간호의 요구도 분석결과 개인 보호구 레벨D 착탈의, 안전한 검체채취의 수행도를 높일 수 있는 시뮬레이션 교육프로그램 개발의 기초자료가 될 것이다.

• 한국융합학회논문지
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• 제13권3호
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• pp.91-103
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• 2022

본 연구는 COVID-19 발생 전후에 작업치료를 수행하고 있는 작업치료사 101명을 대상으로 손 씻기, 개인 보호 장비 사용, 주변 환경 정리의 감염관리에 대한 인식과 수행을 비교하고자 설문조사를 실시했으며, 맨-휘트니 U 검정(Mann-Whitney U test), 크루스칼-왈리스 H 검정(Kruskal-wallis H test), 윌콕슨 부호 순위 검정(Wilcoxon signed-rank test), 피어슨 상관분석(Pearson's correlation coefficient)을 사용해 분석하였다. 그 결과, COVID-19 발생 이전보다 발생 이후에 감염관리 교육을 더 잘 받았고 감염성 질환의 경험이 낮은 것으로 확인되었다. 또한, COVID-19 발생 이전보다 발생 이후에 손 씻기, 개인 보호장비 사용, 주변 환경정리에서의 감염관리에 대한 인식 및 수행이 향상된 것으로 나타났다. 하지만 현재까지도 질병관리청에서 권고하는 흐르는 물에서 40초 이상의 손 씻기와 치료실 청소 및 치료 도구의 소독은 개선이 필요한 실정이다. 본 연구를 통하여 감염성 질환의 발생을 최소화하기 위해 감염관리 교육을 정기적으로 반복해야 하며, 향후 작업치료사를 대상으로 하는 감염관리 교육 및 후속 연구에서 활용할 수 있는 기초자료가 될 수 있을 것이다.

• 대한통합의학회지
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• 제10권3호
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• pp.161-172
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• 2022

Purpose : 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 210 dental hygienists in total working in dental settings. To find out infection control activities according to patient safety culture awareness, there were 6 general characteristics, 3 teamwork within the department, 2 infection control systems, 4 surface management, 9 equipment washing, disinfection, and laundry management, 4 infectious wastes, and 3 personal protection phrases.The data was analyzed using the SPSS version 20.0, and p<.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. Conclusion :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.

• 기본간호학회지
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• 제23권2호
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• pp.136-148
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• 2016

Purpose: This study was done to investigate the level of nursing students' awareness, attitude, safety climate, and performance of infection control, and to identify factors influencing performance. Methods: The sample consisted of 239 nursing students from 5 nursing schools. Data were collected from November 15 to December 11, 2013 and analyzed by frequency, t-test, ANOVA, Pearson correlation coefficients, and multiple stepwise regression with SPSS/WIN 21.0. Results: Of the participants, 216 (90.4%) had experienced contact with infectious diseases. The performance of personal hygiene was scored the highest followed by standard precautions, transmission precautions, and vaccination. There were significant correlations between awareness, attitude, safety-climate and performance. Awareness, safety-climate, attitude, contents of infection control education, and direct exposure to infectious disease collectively explained 30% of the variance in performance, and awareness was the most influential factor. Conclusion: The results indicate that performance of infection control by nursing students can be increased if awareness, safety climate, attitude, and contents of infection control education are improved, and exposure to infectious disease is decreased. These findings can be utilized to improve performance by developing education programs for infection control.

• 한국치위생학회지
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• 제17권3호
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• pp.343-354
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• 2017

Objectives: The purpose of this study was to provide a satisfactory and reliable dental care service for the patients and to establish a plan to raise the perception about dental infection control. Methods: The perception of infection control in the dental clinic of the patients was examined who visited to dental clinics, over 20 years old and living in Seoul and Gyeonggi province since December 2016. The questionnaire was used as the survey tool, and 274 questions in the questionnaire were analyzed. Results: Results of examined factors affecting the perception of dental infection control in dental clinics show that the perception of infection control in dental clinics is affected by the degree of university graduates (p<0.05), full-time workers (p<0.01), housewives (p<0.001), and oral health concerns (p<0.05), the perception of infection control of dental medical personnel (p<0.001) in order. Conclusions: Dental medical personnels must thoroughly wash their hands, wear uniforms, wear personal protective equipment, and thoroughly clean and disinfect the interior of a dental clinic.