• 제목/요약/키워드: cross infection

검색결과 462건 처리시간 0.036초

의료기관의 결핵감염관리 현황 (Status of Tuberculosis Infection Control in Hospitals)

  • 이나영;김경희;강희선
    • 기본간호학회지
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    • 제20권4호
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    • pp.359-371
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    • 2013
  • Purpose: The purpose of this study was to determine the status of tuberculosis (TB) infection control in hospitals. Method: This study was a cross-sectional descriptive study in which self-administered questionnaires were used to survey 77 hospitals. Data were collected from August 12 to September 15, 2012. Results: Only 27 institutions (35.1%) were monitoring patients infected with or suspected of having TB. Most hospitals were conducting TB prevention education for patients' family and employees, and TB screening for employees along with follow-up examinations. However, private negative pressure rooms were more often available in wards and intensive care units than in outpatient departments, and in institutions with over 700 beds located in Seoul or GyeongGi Province. Most hospitals ensured that masks were placed on infected patients while transporting them. In addition, efforts to control TB infection such as placing respiratory etiquette posters in outpatient departments and airborne infection signs on the doors in the wards were also well established in most institutions. Conclusion: More efforts are needed to improve the status of TB infection control to ensure quality care, especially in terms of monitoring patients with TB infections and making private negative pressure rooms available in outpatient departments.

A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea

  • Lee, Eun-Bin;Song, Jung-Hoon;Park, Nam-Seon;Kang, Byung-Kook;Lee, Hyung-Suk;Han, Yoon-Ju;Kim, Hyo-Jin;Shin, Eun-Hee;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
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    • 제45권3호
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    • pp.219-223
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    • 2007
  • A case of Diphyllobothrium latum infection in a 49-year old man is described, and diphyllobothriasis latum in the Republic of Korea is briefly reviewed. An incomplete strobila of a tapeworm, 95 cm in length, without scolex and neck, was spontaneously discharged in the feces of a patient. On the basis of morphologic characteristics of the worm and eggs, the worm was identified as D. latum. The patient was successfully treated with a single dose (15 mg/kg) of praziquantel. The most probable source of infection was salmon flesh according to the past history of the patient. The first case of D. latum infection was documented in 1971, and this is the 43rd recorded case in the Republic of Korea. The 43 cases were briefly reviewed. The patients' main complaints were gastrointestinal troubles, such as mild abdominal pain, indigestion, and diarrhea, and discharge of tapeworm segments in the feces. The suspected infection sources included raw or improperly cooked flesh of fresh or brackish water fish, including the perch, mullet, salmon, and trout.

Immunotoxicity Study of Combined Vaccine (KGCC-95Vl) against Japanese Encephalitis and Hantaan Virus Infection in Guinea Pigs

  • Shin, Kwang-Soon;Kim, Chul-Joong;Yun, Hyo-In;Shin, Hyeong-Soon;Park, Jong-Il;Cha, Shin-Woo;Oh, Kyu-Ho;Song, Dong-Ho;Ahn, Chang-Nam
    • Biomolecules & Therapeutics
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    • 제5권2호
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    • pp.174-178
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    • 1997
  • The immnunogenicity of the possible non-essential component of the combined vaccine (KGCC-957) for the prophylaxis against Japanese encephalitis and Hantaan virus infection recently developed by Korea Green Cross Corporation was investigated using the Hartley guinea pigs. The KGCC-95Vl was administered to the guinea pigs subcutaneously to sensitize the animals. The guinea pigs did not induce any anaphylactic immune responses which could be detectable by the active systemic anaphylaxis (ASA), the passive systemic anaphylaxis (PSA), and the passive cutaneous anaphylaxis (PCA) tests. The KGCC-95Vl is considered not to induce any anaphylactic immune responses except the prophylatic immune effects of the vaccine.

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Protection Against Salmonella Typhimurium, Salmonella Gallinarum, and Salmonella Enteritidis Infection in Layer Chickens Conferred by a Live Attenuated Salmonella Typhimurium Strain

  • Lee, John Hwa
    • IMMUNE NETWORK
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    • 제15권1호
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    • pp.27-36
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    • 2015
  • In the present study, we investigated the protection conferred by a live attenuated Salmonella enterica serovar Typhimurium (ST) strain against Salmonella Typhimurium, Salmonella Gallinarum (SG), and Salmonella Enteritidis (SE) infection in layer chickens. Birds were orally primed with the attenuated ST strain at 7 days of age and then boosted at 4 weeks post prime immunization (PPI). Sequential monitoring of plasma IgG and mucosal secretory IgA (sIgA) levels revealed that inoculation with ST induced a significant antibody response to antigens against ST, SE, and SG. Moreover, significant lymphoproliferative responses to the 3 Salmonella serovars were observed in the immunized group. We also investigated protection against virulent ST, SE, and SG strain challenge. Upon virulent SG challenge, the immunized group showed significantly reduced mortality compared to the non-immunized group. The reduced persistence of the virulent ST and SE challenge strains in the liver, spleen, and cecal tissues of the immunized group suggests that immunization with the attenuated ST strain may not only protect against ST infection but can also confer cross protection against SE and SG infection.

Production of Hantaan Virus from Human Immortalized Retina Cell and Its Immunogenicity

  • Bae, Cheon-Soon;Choi, Jun-Youl;An, Chang-Nam;Kim, Jong-Su;Hur, Byung-Ki
    • Journal of Microbiology and Biotechnology
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    • 제12권6호
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    • pp.882-889
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    • 2002
  • Hantaan vims production, using human immortalized retina cell (PER. C6), was investigated to develop an inactivated virus vaccine. To infect Hantaan virus into PER. C6, two infection methods (medium-to-cell and cell-to-cell) were tried, and IFA results showed that the cell-to-cell infection method was very useful for producing Hantaan virus-infected PER, C6. Hantaan virus production was significantly affected by the growth rate of PER. C6 and the content of FBS in medium. Higher specific growth rate of infected PER. C6 and lower FBS content induced higher production of Hantaan virus. The inactivated human cell-culture vaccines with various EIA titers were prepared, their antibody responses were compared with those of inactivated suckling mouse brain vaccines ($Hantavax^처리불가$). and the result showed their immunogenicities were slightly higher than those of inactivated suckling mouse vaccines. Therefore, this study shows the possibility of the development of Hantaan virus vaccine from a human cell culture.

치과위생사의 감염관리 교육경험에 따른 감염관리 실태 (Infection control among dental hygienists according to infection control education experiences)

  • 김지현;김진경
    • 한국치위생학회지
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    • 제11권4호
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    • pp.547-556
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    • 2011
  • Objectives : The purpose of this study was to examine the relationship between the infection control education experiences of dental hygienists and the state of their infection control. Methods : The subjects in this study were the dental hygienists who worked in Seoul. The relationship of their infection control education experiences to their gender, marital status, academic credential, workplace, length of service, infection control implementation, experience of being exposed to infection, way of coping with it, hand washing, use of personal protection devices and equipment management was analyzed. Results : It is found that the variable to affect the state of infection control was educational experiences about handpiece water pipe management, ultrasonic scaler water pipe management and three-way syringe water pipe management. Conclusions : Dental hygienists who are one of major dental personnels should receive systematic education on infection control to acquire accurate knowledge to ensure the successful prevention of cross infection.

누에 무름병 및 농핵병 바이러스의 주요 뽕나무 해충에 대한 교차감염 (Cross-Infection of Flacherie and Densonucleosis Virus of the Silkworm, Bombyx mori, to Mulberry Pests.)

  • 강석우;김근영;강석권
    • 한국잠사곤충학회지
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    • 제34권2호
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    • pp.26-31
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    • 1992
  • 수종의 주요 뽕나무 해충-멧누에, 뽕나무 명나방, 환불나방-에 누에 무름병 바이러스(Flacherie virus; FV)와 농핵병 바이러스(Densonucleosis virus: DNV)를 접종하여 감염여부를 2중 면역확산법과 조직관찰로 조사하므로서 이들 누에병의 뽕나무 해충에 의한 전염경로 차단 및 방제법 확립을 위한 기초자료를 얻고자 시험을 수행하였다. 1. 멧누에는 누에 FV 및 DNV-1 각각의 항혈청과 반응하여 침강대를 형성하였고, 뽕나무 명나방은 DNV-1 항혈청과 반응하여 비들의 교차감염을 인정할 수 있었으나, 흰불나방은 FV 및 DNV-1 항혈청과 반응을 일으키지 않아 교차감염을 인정할 수 없었다. 2. FV 접종 멧누에는 중장 배상세포 세포질에 바이러스 특이 공포 형성 및 27nm 크기의 바이러스 입자가 관찰되었다. 3. DNV-1 접종 멧누에는 중장 원통세포 핵이 비대하였으며 군집형과 연쇄상의 2종류의 바이러스 증식 형태가 관찰되었다. 4. DNV-1 접종 뽕나무 명나방은 중장 원통세포의 일부 핵에서 비대 현상이 관찰되었고, feulgen 염색결과 적자색으로 염색되었으며, 비대한 원통세포핵내에 소수의 바이러스들이 여러 곳에서 증식하는 것이 관찰되었다.

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전화추후관리 프로그램이 복막투석환자의 치료지속이행, 투석적절도와 감염발생도에 미치는 효과 (Effects of a Telephone Follow-up Program on Patient Compliance, Urea Kinetic Modeling and Incidence of Infection in Patients with Continuous Ambulatory Peritoneal Dialysis (CAPD))

  • 전시자;신석균;노영숙;이숙정;박애희;박양숙;박영미
    • 가정간호학회지
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    • 제16권2호
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    • pp.98-107
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    • 2009
  • Purpose: The objective of this study was to identify the effects of a telephone follow-up program on patient compliance, urea kinetic modeling and incidence of infection in patients with continuous ambulatory peritoneal dialysis (CAPD). Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of a telephone follow-up program for 12 weeks in a group of 39 CAPD patients. The telephone follow-up group of 17 patients received telephone follow-up 10 min once a week for 1 month and 10 min twice a month for 2 months during 12 weeks compared to control group of 22 who patients received usual care. Results: The telephone follow-up group showed no significant changes in patient compliance and urea kinetic modeling, although patients with CAPD receiving a telephone follow-up showed reduced incidence of exit site infection during the intervention compared with the control group. Conclusion: Telephone follow-up program for CAPD patients may decrease the incidence of exit site infection. Future studies with a larger sample be done utilizing diet and exercise reinforcement program combined with telephone follow-up as a nursing intervention for patients with CAPD.

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보건소 방문간호요원의 감염관리에 대한 중요성 인지도 및 실천도 (Perception of Importance and Performance in the Infection Control of Visiting Nursing Personnel in Public Health Centers)

  • 김금남;오진주
    • 지역사회간호학회지
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    • 제11권2호
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    • pp.389-398
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    • 2000
  • The work of visiting nursing personnel consists mostly of direct nursing and it is absolutely necessary that training of the nursing personnel for infection control be emphasized because most of patients are composed of elderly people with chronic diseases and malnutrition who are highly susceptible to infection. Accordingly. this study was designed to provide basic data for the development of an infection control program in public health centers as well as the promotion of perception and performance of infection control by analysing the perception of importance and performance in the infection control of visiting nursing personnel who carry out visiting nursing services. The subjects of this study consisted of a number of visiting nursing personnel working for 15 public health centers. 15 health-center branches. and 16 health clinics. The collection of data was grounded on a questionnaire method. The questionnaire breaks down to 8 questions about general characteristics and 108 questions in connection with the perception and performance of infection control. The results of this study are as follows: 1. 82 subjects (78.1%) responded that it is necessary to control infection. 79 subjects(75.3%) responded that education is necessary for infection control. 50 respondents (47.6%) answered in the affirmative in regard to the role of infection carriers. 2. The mean score for the perception of importance in infection control was 4.55 and that performance accounts for 4.03. this turns out to be very high. 3. In terms of the perception of importance per each field of infection control. medication. the management of contamination and sterilization, the control of environments and instruments. washing hands and individual hygiene as well as the prevention of cross-infection and the supervision of infection stand at 4.72. 4.64. 4.60. 4.58. 4.52 and 4.21 respectively. In terms of performance. the supervision of infection. the control of environments and instruments, individual hygiene and the prevention of cross infection. medication. washing hands, and the management of contamination and sterilization was 4.21. 4.12. 4.10. 4.03. 3.91 and 3.81 respectively. 4. In terms of the correlation between the perception of importance and the performance of infection control. the score stands high in all fields: this means the high perception of importance leads to high performance statistically (P< .05). 5. In terms of the perception of importance in general characteristics. there is no significant difference while the form of working places. working career and the career as visiting nursing personnel show a significant difference in terms of performance(P< .05). From the results. it is suggested that the visiting nursing personnel should be constantly educated with the aid of the development of infection control programs and that instructions and instruments for the management of infection should be worked out so as to enhance the performance of infection control on the part of nurses in applicable communities.

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일부 지역 치위생학과 학생들의 감염방지에 관한 인식 조사 (Research on Cognition of Infection Control by Dental Hygienics Student's in some Areas)

  • 문선정;구인영
    • 한국콘텐츠학회논문지
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    • 제12권12호
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    • pp.313-320
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    • 2012
  • 치과진료실은 다양한 종류의 병원성 미생물에 항상 노출되어 있으며, 환자의 분비물과 에어로졸 형태의 여러 경로를 통해 실내가 오염될 경우 교차감염의 매개 장소가 될 수 있다. 교차감염의 위험이 산재되어 있는 치과진료와 치과진료실에서 교차감염 방지의 주체자는 치과위생사이다. 치과위생사는 임상 전문가로 활동하기 전에 감염방지에 대한 올바른 인식을 가지고 있어야 되며, 이러한 감염방지 인식수준은 임상실습에서부터 영향을 받는다. 이에 감염방지의 인식을 조사하고자 일부 4년제 대학교 치위생학과 교육과정 중 3학년 과정에 임상실습이 정규과목으로 정해져있는 학생 314명을 대상으로 자기기입식 설문조사를 실시하였다. 자료 수집은 2011년 12월 9일부터 2012년 2월 22일까지 수행하였고, 수집된 자료 중 응답이 불성실한 11부의 설문지를 제외한 303부를 SPSS WIN 20.0을 사용하여 최종 분석하였고, 다음과 같은 결론을 얻었다. 감염질환에 관한 인식 영역에서 교내 외 실습 경험군은 감염질환 인지의 중요성 문항에서 4.89점, B형간염 예방접종 의무의 문항에서는 4.65점, B형간염 예방접종 필요성 인식의 문항에서는 4.77점, 문진 실시하여 감염방지를 실천할 수 있는지에 대한 문항에서는 4.71점, 감염방지 교육의 도움에 관한 문항에서는 4.76점으로 가장 높았으며, 유의한 차이를 보였다. 치위생학과 학생들을 위한 체계적이고 다양한 감염방지 교육 프로그램 개발과 학년에 따른 차별적인 교육이 필요하다고 사료된다.