• Journal of Gastric Cancer
• /
• v.3 no.2
• /
• pp.97-103
• /
• 2003

Purpose: This study aims to determine the infection rate of Helicobacter pylori (H. pylori) in gastric cancer patients who received gastrectomies, and to compare the rates of H.pylori infection detected by serological test and that of histopathological test, and to evaluate its clinical meaning. Materials and Methods: Fifty two patients were selected from those who underwent gastrectomies at the Department of Surgery, Samsung Medical Center, from March 1997 to May 1997. The control group consisted of healthy 103 persons visited the center for health promotion in Samsung Medical Center. In both groups, we quantitatively checked serum level of IgG anti H. pylori antibody titer by ELISA using GAP IgG test kit (BioRad, USA) for the serological test, and we microscopically examined the surgical specimen stained by Warthin-Starry silver staining method for the histopathological test. Results: The seropositive rate of H. pylori in the patients' group was $71.2\%$ (37/52), and the control group was $65.0\%$ (67/103). The difference between two groups was statistically significant. However the histopathological study showed that the overall detection rate of H. pylori was $61.5\%$ (32/52) in the patients' group and $61.2\%$ (63/103) in the control group; nd this difference was not statistically significant Conclusion: We could confirm that H.pylori infection rate in the gastric cancer resected patients was statistically higher than in the normal healthy persons even in small population. And the detection method for the H. pylori infection by serological test was presumed to be better than that of histopathological test using surgical specimen. Further study for the larger population by well-organized multicenters will be needed.

• Quality Improvement in Health Care
• /
• v.2 no.2
• /
• pp.156-171
• /
• 1996

Background: Nosocomial infection control is one of important means to assure the quality of medical care in the hospital, however, it has been neglected by most of the hospital personnels. Of nosocomial infections, urinary tract infection is the highest incidence, which is related to the indwelling catheter. It is, therefore, necessary to pay primary attention to the patients with the indwelling catheter in intensive care unit in order to control nosocomial Infection and to improve the quality of medical care in the hospital. Methods : The subjects of this study were patients with indwelling catheter who were admitted to the ICU of Pusan Paik Hospital from March 1994 to May 1995. The author calculated UTI rate among the subjects through the cultivation of the urine, identified the related factors of the UTI through brain storming of study team and head nurses working at ICU, and analized the effectiveness of the proposed approaches through comparing the infection rates of before and after activities. Results : The major activities carried out by the study team were to conduct in-service education programs for the staffs working at ICU about the importance of the nosocomial infection control in QA, and nursing intervention to reduce the UTI rate among the patients with indwelling catether. 1. The major nursing interventions that the study team had implemented were as follows ; 1) Drainage system was changed from partial open system to completely closed system. 2) Bladder irrigation which was routinely practised in all patients stopped among the noninfected patients. 3) Bladder irrigation set was changed to the disposable one. 4) Catheter was inserted under the anesthesia for patients to be operated. 5) Male patient receiving wrapped with gauze after perineal care was not wrapped. 6) Clamp which had not been before was newly attached to drainage tube. 7) Urine bag which had been packed into a lot of pieces was done into each piece. 8) The interval of change of indwelling catheter had regularly been four weeks, however it was used continously until it worked well. 9) Catheter was attached well at the defined site. 10) Paper towel was used instead of cotton towel. 11) Mats at the entrance were removed and cleansing of wards was enhanced. 2. The UTI rate by month was 34.4% in maximum and 9.8% in minimum during the period of this study, however it had gradually decreased. After 6 months from initiating infection control activities, the trend of rates was relatively stable. It was identified that UTI rate was different by season 12.5% in winter and 27.2% in summer. 3. Utilization rate of indwelling catheter was maintained at under 50%, but it was increased above 57% from April 1995. 4. The number of bladder irrigation sets used per day was 33.3 sets in maximum and 2.8 sets in minimum. The number used per day were also remarkably deceased. Conclusion : It was found that a program to control UTI could contribute to nosocomial infection control, and it was, in turn, a mean to assure the quality of medical care in the hospital. The nursing interventions which this study team had implemented were effective in the reduce of UTI rates.

• Korean Journal of Occupational Health Nursing
• /
• v.11 no.1
• /
• pp.44-51
• /
• 2002

Purpose: Surgical Site Infection(SSI) is the third most common cause of nosocomial infection, so that it results in serious socioeconomic impact such as extra hospitalization, mortality and health care cost. The aim of this study was to analyses the SSI that based on the degree of wound contamination and patient risk index after general surgery and to generate a reference data for the effective management and reducing SSI. Method: From July, 1999 to June, 2000, 1080 cases which presented with surgical site infection after general surgery at S hospital in chunchon city were included in this study. The data were collected by review of the medical records retrospectively. The collected data, in accordance with the test purpose, is analyzed by SPSS/PC+ program, using real numbers, percentage, $X^2$ test, Pearson's correlation and stepwise logistic regression. Result: The overall wound infection rate was 4.7%(51 cases out of 1,080). The infection rate of clean wounds was 1.4%. Surgical site infection rate for patient risk index scores of 0, 1, 2 and 3 was 1.9%, 8.0%, 13.1% and 20.0%, respectively and increased significantly according to patient risk index(p=.000). Sixteen of the fifty one(31.4%) surgical site infections were found during an outpatient visit after discharge. Multivariate analysis, identified two independent variables : duration of postoperation stay(p=.000), age(p=.037). The most frequent isolated organisms were Pseudomonas aeruginosa(21%) and Staphylococcus aureus(21%). Also Staphylococcus aureus were all MRSA(Methicillin Resistant S. aureus). Conclusion: In this study, SSI was analysed according to the degree of wound contamination and patient risk index after general surgery. The data that obtained from this study is expected that it would be available for surveillance and control of SSI.

• Korean Journal of Veterinary Service
• /
• v.20 no.1
• /
• pp.95-102
• /
• 1997

Author investigated internal parasitism for the feces of dog's training center, breeding-dog farm, dairy farm, home by 120 indoor breeding dog and 566 outdoor one in Inchon area. This survey was done from February in 1994 to December in 1995. 1. As a result of total 686 samples, positives were 373(54.4%). Among them, indoor and outdoor breeding dogs were 21(3.1%) 352(51.3%), respectively. 2. According to breeding, it was manifested that 21samples (17.5%) of 120 indoor breeding dogs were positive, and 352 samples(62.2%) of outdoor breeding were positive. 3. The infection rate of dogs for food in dairy farm, breeding dogs in the farm, dog of training center and dog of house is high in order. 4. Infection rate of parasites in 24 dogs breeds, Mongrel dogs were 81.3%, Shepherds were 80.0%, Tosas were 78.4%, Akida and Siberian huskys were 76.2%, Jindos were 55.5%, Pointers were 50.0%, although Afghan hound, Spanial, Shin-tzu, Maltis and Buldog were examined as aparasites negative. 5. After administration with vermicide parasites infection rate were 43.0% in two months. In four months, it were 66.7%, and dogs without vermicide were 87.0%. It seemed like that further research about dosage of vermicide is needed. 6. The rate of single-infection was 37.6% and that of mixed-infection was 16.8%. Among classified 13 types, Ancylostoma caninum 35.6%, Toxocara cams 11.2%, Isospora sp 9.3%, Toxascaris leonina 5.1%, Trychuris vulpis 4.4% were investigated.

• Korean Journal of Veterinary Service
• /
• v.17 no.1
• /
• pp.25-31
• /
• 1994

In order to investigate the internal parasitic infection, fecal samples were collected from weaning pig(n=123), porker(n=418) and sow(n=121) in 49 sawdust fermentative pigsty of Chonbuk district. The prevalence and identification of internal parasites were determined by the fecal examination using the floatation and /or sedimentation methods and microscopical examination, respectively. The results were obtained as follows ; 1. The detection rate of parasite - eggs from 662 fecal samples was 86.6%. 2. The infection rate of parasite-egg 96.4% in porker, 76.9% in sow, 62.6% in weaning pig, in order. 3. In the concern of mired infection such as single, double triple and quadraple, the rate was 42.3%, 28.7%, 12.2% and 3.3%, respectively. 4. Ten kinds of the detected eggs were isolated from 662 fecal samples. They were classified as Balantidium coli (63.6%), Trichuris suis(24.8%), isospora spp.(23.5%), Oesoohangostomum spp.(17.8%), Ascaris suum(11.8%), Hyostronylus rubiddus (2.8%), strongyloides spp. (1.7%), Gnathostoma spp. (1.5%), Stephanurus dentatus(1.3%) and Metastrongylus spp. (0.7%), in order.

• Korean Journal of Veterinary Research
• /
• v.9 no.2
• /
• pp.7-18
• /
• 1969

Researches to determine the infectious status on the pancreatic fluke, Eurytrema pancreaticum(Janson 1889) Looss, 1907, were made into several slaughter hauses at four different districts through seven years from 1963 to 1969. The infection rate showed 2962 positive of 5974 heads (49.6%) of cattle at the Seoul first slaughter hause in Seoul, 881 positive of 1021 heads (86.3%) in Cheju, and six(6) positive of 56 heads (11.1%) at Suwon, 58 positive of 306 heads(19.0%)at Joenju. The infection rate 53.1%, (2907 positive heads of total 7357 heads exammed) is the representative infection rate at the cattle eurytremiasis in Korea. It showed little variation through a year and was increased as compared with those of the past period, from 1915 to 1945. Fecal examinations in order to find out the local distribution of the pancreatic fluke were conducted on cattle, sheep, and goats raised in four districts, showing two(2) of 269 heads (0.7%) in Kyonggi-do, 41 of 212 heads (19.3%) in Cheju-do, and negative in both Chungnam-do and Joenbuk-do. When an artificial infection wss performed on rabbits and goats with metacercaria of the pancreatic fluke, Parenchyma of their pancreas were degenerated and the ducts were dilated. When cattle and sheep were infected naturally, the pancreatic ducts were also dilated, the wall was thickened, and adenomatous and epithelial hyperplasia was appeared. The conclusion, putting the foregoing pathological changes, has been arrived at chronic hyperplastic pancreatitis in the eurytremiasis of cattle, sheep, goats and rabbits.

• Korean Journal of Veterinary Service
• /
• v.13 no.2
• /
• pp.189-195
• /
• 1990

During 9 months (March-November, 1989), observation of Leucocytozoon infection rate to blood and parenchymatous viscera (spleen, liver, heart) in Pusan, Gyeongnam (Kimhae, Yangsan) districts slaughtered chicken and the results obtained were as follow : 1. Among the blood smear sample of 213 heads of the chicken, 43 heads (20.2%) were infected with Leucocytozoon 2nd stage gametocyte and 4 heads (1.9%) were mixed infected with Leucocytozoon 5th stage gametocyte. 2. In histopathological detection of schizont in tissues section of spleen, liver and heart, there were 16.7% in spleen, 5.6％ in liver and 9.1％ in heart, mean detection rate were 10.6%. Spleen had the highest detection rate of schizont. 3. In seasonal-related Infection rate, summer was higher than spring.

• Journal of Korean Academy of Nursing
• /
• v.16 no.2
• /
• pp.70-76
• /
• 1986

This study was aimed to observe the incidences and types of hospital infections and to compare the length of hospitalization and of the operation between the infected Patients and those of non-infected after the operations. The subject of study were 465 patients who had been operated surgically in a University Hospital from March 1 to April 30, 1985. The data were collected by reviewing medical charts of subjects. The criteria to diagnose hospital infection for this study had been revised the one utilized at University of Virginia Hospital in the U.S. Summary of the results were as follows: 1. The incidence rate of hospital infection was 6 %. The type of infection with higher incidence rate in order were wound infection(28.5%）urinary infection(28.5%), fever of unknown origin (25%) and septicemia (18%). 2. There was a statistically significant difference in the duration of hospitalization between the patient group without it (t=265.2, p<0.005). 3. There was a statistically significant difference in the duration of operation between the patient group with it (t=75.0, p<0.005).

• The Journal of the Korean Society for Microbiology
• /
• v.21 no.2
• /
• pp.261-270
• /
• 1986

A total of 339 urethral, vaginal swab and eye discharge materials from the out-patients in the hospitals of Seoul area was microbiologically collected for the detection of Chlamydia trachomatis infection during May through August, 1985. McCoy cell culture system (MCC) and enzyme-likned immunosorbent assay (EIA) methods were employed in this study as the tools for the detection of C. trachomatis, and the detectabilities of two methods were compared. The results obtained in this study are summarized as follows: 1. The positive rate of C. trachomatis in 339 swab specimens was 18.6%, and the rate in females (20.1%) was much higher than that in males (7.1%). 2. The positive rate of C. trachomatis infection the prostitutes was the highest (24.2%), and the rate in the eye discharge specimens obtained from the new barns was 12.8%. 3. The positive rates of C. trachmoatis infection detected in the specimens from the patients with vaginitis and leucorrhea, with infertility, with cystitis and with nongonococcal urethritis were 17.2%, 21.9%. 18.0% and 7.1%, respectively. 4. The positive rate of C. trachomatis infection in 20-25 age group was 30.5%. This rate was the highest among the other age groups. 5. The positive rate of C. trachomatis infection in the randomly screened 89 swab specimens by EIA (30.3%) was much higher than the rate detected by MCC (18.6%). 6. The positive rate of C. trachomatis infection in females detected by EIA was also much higher than in males, and the 20-25 age group showed the highest positive rate as compared to the other age groups. 7. Sensitivity and specificity of EIA for the detection on C. trachomatis were 100% and 88.6%, respectively, in case that MCC was regarded as perfect method. In summarizing the above results, it is known that considerable cases with genital diseases and with eye discharges were associated with C. trachomatis, and that EIA method is recommendable for the detection of C. trachomatis especially in the specimens swabed from the genital tracts.

• Korean Journal of Veterinary Service
• /
• v.21 no.1
• /
• pp.79-85
• /
• 1998

This study was carried out to identify the infection rate of common internal parasites according to the age and the incidence of single or mixed parasitic infections from outside rearing dog in Kyungbuk province. Fifty-one dogs in 4 dog rearing farms were examined, and fece samples of dog's were freshly collected from farm ground and rectum swabs. The results obtained from this study were summarized as follows ; 1. Out of 51 dogs examined, 9 dogs were infected with some helminths, and mean infection rate was 17.6%. 2. The frequently encountered helminths were Ancylostoma caninum and Trichuris vulpis (32.3%), Toxascaris leonina(16.7%), Dipylidium caninum(8.3%) and Isospora sp(8.3%), in order. Specially the prevalence of Toxascaris leonina was relatively high in this study than other reports, and its significance was discussed. 3. The infection rate in younger dogs was higher than that of older dogs, especially that of the dogs under 6 months old was 31.3%, 6 months to 1 year old dogs was 0.8%, and over 1 year old dogs was 18.2%, respectively. 4. Single infection rates with Ancylostoma cantnum, Trichuris vulpis, Toxascaris leonina, Dipylidium caninum and Isospora sp were 11.8%. But double infection rates with the Ancylostoma caninun plus Trichuris vulpis and Toxascars leonina was 5.8%.