• Title/Summary/Keyword: Prevention of nosocomial infection

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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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    • v.10 no.1
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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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Awareness and Performance of Physical Therapists on Nosocomial Infection (물리치료사의 병원감염에 대한 인식과 실천)

  • Kim, Jong-Soon
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.189-202
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    • 2008
  • The aim of this study was conducted to investigate the level of awareness and performance of the physical therapists on nosocomial infection and evaluate potential factors as associated with awareness and performance in order to provide fundamental data for the development of program and policy on the prevention of it. The data were collected from 405 physical therapists. The research instrument was self-administered standardized questionnaire including general characteristics, education status, necessity of the education on nosocomial infection, and awareness and performance for prevention of nosocomial infection. Responses were determined as 5-Likert scales and data were summarized as percentage, mean and standard deviation. Data were analysed using independent t-test, ANOVA and Pearson's correlation coefficient(${\alpha}=0.05$). The results of this study show that most physical therapists have not received education on nosocomial infection. For this reason, they have a low level of the awareness and performance on nosocomial infection, but they strongly recognize the necessity of the program and education for the prevention of nosocomial infection. Thus, these program and education are needed in each college as an academic curriculum, as well as in hospitals.

A Study on the Prevention of Nosocomial Respiratory Infection in Critical Care Nurses (중환자실 간호사의 호흡기병원감염 예방에 관한 연구)

  • Choi Ji-Youn;Park Kyung-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.6 no.3
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    • pp.397-413
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    • 1999
  • The purpose of study is to prevent Nosocomial Respiratory Infection after understand the Correlation about Recognition and Performance of Critical Nurses. Data were collected from Critical Nurses 300 persons who has worked in 14 Subsidary Hospitals of University in Seoul and the collection periode is from Nov. 1st, 1997 to Jul. 14th. 1998. There are 40 questions and constructed by 6 Domains which Hand Washing, Suction Management, Airway Management, Respiratory Instrument. Ventilation and Respiratory Intervention. Also, the Data were analized with SPSS program. The obtained results are as follows : (1) The Mean of Recognition for Prevention of Nosocomial Respiratory Infection is 4.649 and by Domains, Respiratory Intervention(4.758), Suction Management (4.669), Airway Management(4.660), Hand Washing(4.651), Ventilation(4.605) and Respiratory Instrument(4.561) according to the Mean. (2) The Mean of Performance for Prevention of Nosocomial Respiratory Infection is 3.991 and by Domains, Respiratory Intervention(4.498), Airway Management (4.107), Hand Washing(4.084), Suction Management(3.898), Respiratory Instrument(3.860) and Ventilation(3.690) according to the Mean. (3) In the Correlation of Recognition and Performance for the Prevention of Nosocomial Respiratory Infection, Hand Washing(r=0.755, p=0.000), Airway Management(r=0.724, p=0.000), Respiratory Intervention(r=0.693, p=0.000) are mentioned significant correlation level. The Performance is good whenever the Recognition is high for Respiratory Instrument(r=0.143, p=0.054) but it's not significant level and Suction Management and Ventilation has no Correlation. (4) In Normal Properties, The Recognition is good(p<.05) when Nurses has plenty Clinical Career, Attendance of the Education and Exclusive Nurse for the Respiratory Infection is in Hospital. The Age is not significant correlation level statistically but represent a little correlation. The Performance is good(p<.05) when Elder Age, Attendance of the Education and the plenty Clinical Career is not significant correlation level statistically but represent a little correlation. Another properties has no menas. According to the results, Suggestion is as follows ; (1) Required Education to advance Recognition and Performance about Prevention of Nosocomial Respiratory Infection for a little clinical career of Nursing and younger Nurses. (2) It needs to analyze Performance about Prevention of Nosocomial Respiratory Infection by observation of research worker.

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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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    • v.10 no.2
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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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Use of an Artificial Neural Network to Predict Risk Factors of Nosocomial Infection in Lung Cancer Patients

  • Chen, Jie;Pan, Qin-Shi;Hong, Wan-Dong;Pan, Jingye;Zhang, Wen-Hui;Xu, Gang;Wang, Yu-Min
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5349-5353
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    • 2014
  • Statistical methods to analyze and predict the related risk factors of nosocomial infection in lung cancer patients are various, but the results are inconsistent. A total of 609 patients with lung cancer were enrolled to allow factor comparison using Student's t-test or the Mann-Whitney test or the Chi-square test. Variables that were significantly related to the presence of nosocomial infection were selected as candidates for input into the final ANN model. The area under the receiver operating characteristic (ROC) curve (AUC) was used to evaluate the performance of the artificial neural network (ANN) model and logistic regression (LR) model. The prevalence of nosocomial infection from lung cancer in this entire study population was 20.1% (165/609), nosocomial infections occurring in sputum specimens (85.5%), followed by blood (6.73%), urine (6.0%) and pleural effusions (1.82%). It was shown that long term hospitalization (${\geq}22days$, P= 0.000), poor clinical stage (IIIb and IV stage, P=0.002), older age (${\geq}61days$ old, P=0.023), and use the hormones were linked to nosocomial infection and the ANN model consisted of these four factors. The artificial neural network model with variables consisting of age, clinical stage, time of hospitalization, and use of hormones should be useful for predicting nosocomial infection in lung cancer cases.

Factors Affecting on the Level of Practice on Nosocomial Infection Management among Operating Room Nurses (수술실 간호사의 병원감염관리 실천정도에 영향을 미치는 요인)

  • Her, Sun;Kim, In-Sook;Kim, Kye-Ha
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.375-385
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    • 2008
  • Purpose: This study is to identify factors affecting on the level of practice on nosocomial infection management of operating room nurses. Methods: The subjects of this study were 155 nurses who worked in operating rooms of six medical centers in located Gwangju and Chonanam area. Data were collected during October, 2006 by the questionnaire including a total of 124 questions. Data collected were analysed with use of SPSS 12.0 program. Results: There was a significant difference of the level of practice by marital status(t=3.957, p=.048), education level(F=3.691, p=.027), position(F=6.588, p=.002), type of hospital(t=4.857, p=.029), number of nurse(F=4.243, p=.007), education about nosocomial infection management(F=3.069, p=.030), management council(t=6.397, p=.012) and management manual(t=6.961, p=.009). There were significant correlations between knowledge and practice (r=.389, p=.000), and between awareness and practice(r=.389, p=.000). Knowledge on nosocomial infection management, awareness of hands washing and positions were affecting factors on the level of practice. Conclusion: This study suggests that knowledge and awareness on nosocomial infection prevention and management of operating room nurses should be improved through consistent education. and support of administrator's of hospitals is needed.

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The Relationship between the Awareness, Performance and Empowerment about Nosocomial Infection Control in Radiological Technologists (방사선사의 병원감염관리에 대한 인지도, 수행도 및 임파워먼트와의 관련성)

  • Kim, Mi-Jeong;Moon, Il-Bong;Sohn, Seok-Joon
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.328-336
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    • 2013
  • The aim of this study was to investigate the peculiarity of awareness, performance and empowerment of RTs and to find out the relationship between the levels of awareness, performance and empowerment and nosocomial infection control. A total of 84 RTs, which were working at C University Hospital in Gwangju city, were participated in this survey study. A final questionnaire consisted of total 80 items including the general characteristics(10), nosocomial infection(10), awareness level(24), performance level of the prevention of nosocomial infection(24) and empowerment scale(12). The levels of awareness and performance for prevention of nosocomial infection was significantly higher in senior RTs (p<0.05). The response about the content of 'no performance of infection control were excessive work(42.9%), lack of knowledge(17.8%) and insufficiency of time(16.7%), respectively. The association among awareness level, performance level and empowerment score for the prevention of nosocomial infection, it showed positive correlations as follows: awareness vs. performance level (Pearson's coefficient ${\gamma}=0.476$), awareness vs. empowerment (${\gamma}=0.276$) and performance vs. empowerment (${\gamma}=0.459$) (p<0.05). The factor that effected on performance was empowerment (p<0.05).

Disinfection Efficacy of an Ultraviolet Light on Film Cassettes for Preventive of the Nosocomial Infection (병원감염 예방을 위한 Film Cassette의 자외선 소독 효과)

  • Kweon, Dae-Cheol;Jeon, Yong-Woong;Cho, Am
    • Journal of radiological science and technology
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    • v.24 no.1
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    • pp.27-32
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    • 2001
  • The bacteria infection on film cassette contact surface was examined at the diagnostic radiology department of the S. hospital. The objective of this study was to assess the contamination level on film cassette contact surface as a predictor of patient prevention from nosocomial infection and for improvement of the hospital environment. The laboratory result was identified non-pathologic bacterial in the five different cassette size of the contact surface. Film cassettes were exposed to ultraviolet light for 1, 2 and 3 minutes. Ultraviolet light disinfection is proven suitable for bacteria. The study concludes that presence of a bacterial infection will prevent a using antiseptic technique on film cassette contact surface. In addition education of nosocomial infection for radiographers will be required. In conclusion, ultraviolet is considered effective to irradate bacteria. Additionally, two minutes are required to sterilize film cassettes.

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Emergency Medical Technology Students' Awareness and Performance of Standard Precautions in Hospital Infection Control (응급구조과 학생의 병원감염 표준주의에 대한 인지도와 수행도)

  • Choi, Sung-Soo;Yun, Seong-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.5
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    • pp.2262-2270
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    • 2013
  • This study was to provide the basic data to raise the efficient practices that can reduce the Infection Prevention and Exposure by understanding the awareness, Performance degree of the Administrative Standard Guideline of Nosocomial Infection Control for Emergency Medical Technician students who are exposed to hospital infections while conducting clinical practice. After the study, the performance degree was lower than the awareness of the Performance degree of the Administrative Standard Guideline of Nosocomial Infection Control. And awareness and performance degree are have significant positive correlation, significant differences statistically(r=0.325, p=0.000). In the future, to improve the Performance degree of Nosocomial Infection Control for Emergency Medical Technician students, the continuing education programs and the curriculums should be performed in the practice agencies.

Nosocomial Infection in Neonatal Intensive Care Unit (신생아 중환자실의 원내 감염 추이)

  • Kwon, Hye Jung;Kim, So Youn;Cho, Chang Yee;Choi, Young Youn;Shin, Jong Hee;Suh, Soon Pal
    • Clinical and Experimental Pediatrics
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    • v.45 no.6
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    • pp.719-726
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    • 2002
  • Purpose : Neonates in neonatal intensive care units(NICU) have a high risk of acquiring nosocomial infection because of their impaired host defence mechanism and invasive procedures. Nosocomial infection result in considerable morbidity and mortality among neonates. This study was carried out to survey both the epidemiology of nosocomial infection in our NICU and the annual trends of pathogens. Methods : We retrospectively reviewed culture proven nosocomial infection which occurred in our NICU from January 1995 to December 1999. The data included clinical characteristics, site of infection, pathogens, and mortality. Results : Nosocomial infection rates was 9.0 per 100 NICU admissions during the five-year period. Major sites of infection were bloodstream(32.3%), skin(18.4%), endotracheal tube(17.2%), and catheter(10.6%). The most common pathogen was S. aureus(29.9%). and the others were coagulase- negative staphylococci(CONS)(14.8%), Enterobacter(12.4%), and Candida(9.0%). During the five-year period, nosocomial infection rates increased from 9.5 to 11.6 per 100 admissions with the increase of CONS, Candida, Klebsiella, and Acinetobacter baumannii. The infection rate of S. aureus decreased. Multiple episodes of nosocomial infection occurred in 26.1% of all nosocomial infections. Overall bloodstream infection rates were 3.6 per 100 NICU admissions during five years. CONS(29.1%) and S. aureus(27.1%) were the two most common pathogens. Increasing rates of bloodstream infection by CONS, Candida, Klebsiella, and Acinetobacter baumannii were observed. Bloodstream infection related mortality was 11.9%. Conclusion : The predominant pathogens of nosocomial infection in NICU were S. aureus and CONS. Bloodstream infection, the most frequent nosocomial infection, should be a major focus of surveillance and prevention efforts in NICU.