• 한국컴퓨터정보학회논문지
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• 제28권2호
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• pp.171-179
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• 2023

이 연구는 코로나19 팬데믹 상황이후 치과감염관리실태를 알아보고자 시행하였다. 치과위생사들을 대상으로 코로나19에 관한 지식과 감염관리인식, 감염관리실행정도를 파악하고, 이들 사이의 연관성을 측정하였다. 일반적 질문 9개, 코로나19 지식 10개, 감염관리에 대한 인식과 실행에 관한 36개 문항으로 이루어진 설문지를 이용하여, 2021년 5월 1일부터 31일까지 조사된 120부를 분석하였다. 분석을 위하여 T검정, 분산분석, 피어슨의 상관관계를 이용하였다. 연구결과, 코로나19 지식은 10점 중 6.59점, 감염관리 인식은 4점 중 3.57점, 감염관리 실행은 4점중 3.55점이었다. 코로나19 지식과 감염관리 실행은 0.485 양의 상관관계, 감염관리 인식과 감염관리 실행은 0.614 양의 상관관계로 코로나19 지식보다 상관관계가 유의미하게 높았다. 코로나19와 같은 감염병을 차단하기 위해서는, 치과에서 치과위생사들에게 감염관리에 대한 교육을 의무화하고, 치과감염관리 매뉴얼에 따라 감염관리 실행을 의무화해야 할 것이다.

• 한국콘텐츠학회논문지
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• 제19권5호
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• pp.511-519
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• 2019

본 연구에서는 치과 의료기관에서의 감염관리 실태와 치과위생사의 감염관리 실천도를 조사하여 효율적인 감염관리 실천 및 방안을 마련하고자 조사하였다. 경기, 인천지역의 치과병원19곳과 치과의원 28곳의 치과위생사 193명을 조사한 결과, 기공물 소독관리는 인상체와 교합체를 병원급에서만 52.6%, 치과 보철물을 소독하는 경우에는 의원급에서만 46.4%가 소독하는 것으로 나타났다. 수관에서 환자 진료 후나 아침에 진료를 시작하기 전에 병원급 26.3%, 의원급 25%가 물을 빼지 않는 것으로 나타났다. 각 병원과 의원의 유니트 체어의 어깨 등받이의 경우 병원급은 $5.02^*10\^3CFU/mL$, 의원급은 $1^*10\^4CFU/mL$의 세균이 검출 되었다. 라이트 손잡이는 병원급은 $8.32^*10\^3CFU/mL$, 의원급은 $4.26^*10\^4CFU/mL$의 세균이 검출되었다. 다양한 박테리아와 바이러스에 노출되기 쉬운 치과 의료기관에서 스스로를 감염원으로부터 지킬 수 있는 방법은 개인방호용품의 올바른 선택과 사용, 무엇보다도 정기적이고 적극적인 교육이 필요하며 통일된 감염방지실천이 필요하다.

• 치위생과학회지
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• 제21권4호
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• pp.233-242
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• 2021

Background: The importance of infection with COVID-19 is being emphasized in dentistry with high risks such as aerosols. The purpose of this study is to investigate the knowledge and practice of infection control, stress and coping, and turnover of dental hygienists. Methods: Questionnaire was conducted knowledge and practice of infection control, occupational stress and coping, turnover. Survey data was investigated about 149 dental hygienists from February to March 2021 Data were analyzed t-test, ANOVA, Pearson's correlation using statistical programs of PASW Statistics ver. 21.0. Results: Regarding occupational stress, relationship conflict was higher in the group with less than 2 years of experience (p<0.05). Job anxiety, organizational system, inadequate compensation, and workplace culture were highly surveyed in the 3 to 5 year of experience. The group with more than 6 years of experience had the highest perception of lack of job autonomy (p<0.05). The group with higher knowledge of infection control had lower mean inappropriate rewards and stress (p<0.05). The group with high infection control performance had a lower average in items such as job instability, organizational system, inadequate compensation, workplace culture, and stress. And problem-focused coping ability was found to be high (p<0.05). Infection control knowledge and performance were positively correlated (r=0.251, p<0.01), infection control practice and stress were negatively correlated (r=-0.264, p<0.01), and stress and emotional coping were positively correlated (r=0.367, p<0.01). Stress was positively correlated with turnover rate (r=0.549, p<0.01). Conclusion: Infection control training was required to reduce occupational stress. Occupational stress was highly correlated with turnover, a holistic and systemic organizational operation and improvement of the quality of medical care were required to reduce stress.

• 대한치과의사협회지
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• 제54권1호
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• pp.67-83
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• 2016

Ebola virus disease is a lethal viral hemorrhagic fever that has been boiling in sub-Saharan Africa since 1970s. Last year, The Ebola virus epidemic that has spread not only mainly in West Africa, but also in locals such as USA, Europe and the Antipodes via infected travelers, was brought up. Human-to-human transmission of Ebola virus disease is known only through direct contact with the blood, secretions, tissues or other bodily fluids, including saliva. Although there has not been reported infection cases in the dental healthcare settings, the fact that the infection of the Ebola virus may be made from human secretions such as saliva suggests that there is a high risk of infection for the Ebola virus of dental healthcare workers. Therefore, it is important dental healthcare workers to identify infection-suspected patients through the oral findings for infection prevention. This article will review the oral signs and symptoms of Ebola virus disease and discuss the pathogenesis, treatment and prevention. Furthermore, Infection control guidelines for oral healthcare workers are also proposed.

• 한국치위생학회지
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• 제11권1호
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• pp.29-38
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• 2011

Objectives : The purpose of this study was to survey the awareness of methicillin -resistant Staphylococcus aureus(MRSA) among dental hygiene students in Yeungnam South Korea. Also the knowledge of infection control and infection diseases was surveyed. Methods : The subjects in this study were 213 dental hygiene students in three different colleges in Yeungnam. This study was conducted by using the self-reported questionnaire. Results : In the first, most of the students(86.9%) did not know about MRSA and 85.7% of them got the information in the college. Secondly, the awareness of infectious disease according to infection control education didn't have statistically significant difference(p>0.05). In the third, the infection control attitude level that the gowns should be changed after the treatment of infectious patients was scored lower than the others questions. on the other hand, the level of 'The use of high vacuum suction', 'The change of wet mask', 'The history taking of infectious disease' was scored higher. Finally, the attitude level according to grade and clinical training had statistically significant difference(p<0.05). But the infection control education had not affected significantly(p>0.05). Conclusions : Despite the infection control education and clinical training, the awareness was found insufficient in infectious diseases and MRSA. Therefore, it should be strengthen that the dental hygiene students were more educated about infection control at college course before clinical training, and especially the danger of MRSA was more.

• 대한치위생과학회지
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• 제6권1호
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• pp.27-36
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• 2023

연구배경 및 목적: 본 연구의 목적은 미국질병관리센터(CDC) 치과감염관리 표준예방지침에 기준하여 감염관리 인식과 예방에 관한 인식을 알아보고자 하였다. 연구방법: CDC 치과감염관리 목록을 기준으로 'CDC 감염관리기준에 관한 표준 및 교육', 'CDC 감염관리 예방에 관한 사항', '연구대상자의 특성 및 감염관리 특성'에 관한 설문을 구성하였다. 총 222개의 설문을 빈도분석과 교차분석을 실시하여 분석에 활용하였다. 결과: 연구대상자의 특성은 대부분 대학병원이나 종합병원에 근무하고 있었으며 최근 1년이내 감염 예방 교육을 93.7%가 받은 것으로 나타났다. CDC 치과 감염관리 표준 및 교육 인식은 평균 77.2%로 이전 연구 결과와 비교해 더 높았다. 예방에 관한 인식은 평균 71.5%로 나타났으며 인증평가를 받은 그룹에서 통계적으로 유의한 차이로 예방에 관한 인식이 높았다(p<0.001). 결론: 본 연구 대상자는 감염관리 표준 및 교육 인식과 예방에 관한 인식이 이전연구 보다 높게 나타났다. 그러나 CDC 치과감염관리 표준예방지침에 비교하여 미흡한 수준이었다. 따라서 정부 부처와 관련 기관은 체계적인 감염관리 시스템을 구축하기 위한 노력이 필요하다.

• 한국치위생학회지
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• 제19권1호
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• pp.141-149
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• 2019

Objectives: To investigate the real-world re-use of disposable dental supplies (DDS) in dental offices and assess the relationship between general characteristics of dental hygienists and reuse of DDS, with respect to infection control characteristics. Methods: A questionnaire was administered to 277 dental hygienists to assess their general characteristics, awareness of infection control/DDS management, and re-use of DDS. Nine DDS were categorized into the following categories based on their purpose: Critical, Semicritical, Noncritical, and Personal protective equipment (PPE). The association between general characteristics of dental hygienists and re-use of DDS, with respect to infection control characteristics, was assessed using the chi-squared test. Results: All 9 DDS were re-used to different extents. The highest reuse rate of supplies were for masks (64.6%), prophylaxis cups (61.0%) and plastic saliva ejectors (30.0%). Overall, 89.5% of the participants re-used DDS; subgroup analysis showed the following proportions of specific DDS re-use: PPE 66.4%; Semicritical DDS 63.9%; Noncritical DDS 19.5%; and Critical DDS 1.8%. Based on the type of clinic, the rate of re-use was higher in dental clinics than dental hospitals. Thus, the re-use of DDS may be caused by inappropriate or nonexistent guidelines or habitual practice, rather than the awareness or attitude of dental hygienists. Conclusions: In order to ensure a safe environment within the dental clinic, DDS classifications must be clearly outlined in the dental infection control guidelines; moreover, additional studies are needed regarding the regulations for DDS re-use and disposal.

• 구강회복응용과학지
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• 제29권2호
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• pp.183-193
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• 2013

치과 진료의 특성 상 치과 진료 인력의 손이 환자의 입안에 직접 접촉하는 상황이 빈번하게 발생한다. 또한 고속 절삭 도구와 날카로운 기구, 주사바늘을 일상적으로 사용하기 때문에 출혈이 동반되는 경우가 대부분이므로 교차 감염의 가능성은 매우 높다. 진료실에서의 병원체는 오염된 인상체, 보철물을 통해 치과 진료실 뿐만 아니라 치과 기공실에도 전파될 수 있다. 치과 진료 인력(치과의사, 치과위생사, 치과기공사)은 모든 환자가 교차 감염의 위험성이 있음을 인식하고 적절한 감염 관리를 통해 감염이 전파되는 것을 방지할 수 있도록 노력해야 한다. 본 논문에서는 문헌 고찰을 통하여 치과용 인상체의 소독 방법과 화학적 소독제에 대하여 고찰해 보고, 임상에서 효율적으로 적용할 수 있는 인상체의 감염 관리 방법에 대하여 알아보고자 하였다.

• 한국치위생학회지
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• 제7권3호
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• pp.213-230
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• 2007

The purpose of this study was to examine the state of infection control provided to members of Korean Dental Hygienists Association. The subjects in this study were dental hygienists who attended a symposium on July 1. 2006. after a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. Possession of disinfection room was being(72.7%), and person of infection control was zero(52.9%). Number of sterilizer was one(62.2%). 2. As a repetition choice, type of sterilizer was autoclave(97.9%), UV sterilizer(67.4%) and EO gas sterilizer(21.4%). As a repetition choice, infection materials was ethanol(84.1%). 3. Water tube of unit and chair was using of sterilized water(42.9%). Sterilizing of compressed air was no(69.0%). 4. Re-using of disposal was not using(62.5%), re-using disposal was suction tip(28.2%)(repetition choice) 5. In sterilization of instruments, hand-piece was every using time(28.4%), and reamer-file, bur, mirror, pincette, explorer, hand scaler and ultrasonic scaler were high in every using time. 6. Individual protection was high of using, cleaning of hands before treatment was every treatment(87.0%). Type of soap was liquid type in dental clinic(48.2%), infection soap in dental hospital(41.2%) and solid soap in public health center(50.6%). Answered that they need regular oral health education, and 82.9% respondents answered that they need oral health technicians in school. And 87.8% respondents needed individual oral health education for the benefit of better oral health.

• 한국학교ㆍ지역보건교육학회지
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• 제13권1호
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• pp.45-53
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• 2012

Purpose: The purpose of this study was to identify relationship between knowledge and infection control behavior about Hepatitis B patient in health care-related majors. Methods: Data was collected from health care related majors-nursing, emergency rescue and dental hygiene with questionaire. Total respondents were 306 and we use all of them. We analysed students' knowledge and infection control behavior about Hepatitis B patient and their relationship. Uni-variate analysis, t-test, ANOVA and correlation analysis test were conducted using SAS version 9.2. Results: Students who go the Hepatitis B lecture were significantly high Knowledge level about Hepatitis B(p<.05). Students who go to clinical education about Hepatitis B were significantly better behavior about infection control in clinical practice(p<.05). The relationship between knowledge about Hepatitis B and infection control in clinical practice was significantly negative(p<.05). Conclusions: It needs to be educated both infection control lectures and clinical practice to health care-related majors to prevent cross-infection between patients and health care providers.