• Title/Summary/Keyword: hospital infection

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Knowledge and Performance Level of Infection Control with MRSA of Medium and Small Hospital Nurses (중소병원 간호사의 메치실린 내성 황색포도알균 감염관리의 지식과 수행정도)

  • Kim, Tae-Kyung;Min, Hye-Sook;Jung, Ha-Yun
    • The Korean Journal of Health Service Management
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    • v.6 no.3
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    • pp.157-169
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    • 2012
  • This survey was undertaken to identify knowledge and performance level of MRSA infection control among medium and small hospital nurses. The subjects of the study were 261 medium and small hospital nurses. The collected data were analyzed by using SPSS WIN 18.0. The total mean values of the knowledge and performance on the MRSA infection control were $9.51{\pm}1.67$ and $2.26{\pm}.47$ respectively. the Knowledge about the general characteristics according to work department, MRSA infection control department presence, MRSA infection control guidelines presence, MRSA infection control education experience, MRSA infection control education method according to the statistically significant differences were observed. The performance about general characteristics according to age, work experience, work department, MRSA infection control department presence, MRSA infection control guidelines presence, MRSA infection control education experience and MRSA infection control education methods according to the statistically significant differences were observed. It is having sufficient various facilities, to enhance nurses knowledge about management of MRSA infection. If the continuous education of professional infection control is offered, it contributes to protect MRSA infection in the medium and small hospitals.

Influencing Factors on the Performance of Healthcare-associated Infection Control and Microbiological Hand Contamination among Caregivers at a Tertiary Hospital (일개 상급종합병원에 근무하는 간병인의 의료관련감염 관리 수행도 및 손의 미생물 오염도에 영향을 미치는 요인)

  • Lee, Hee Jin;Park, Eun Ju;Bak, Mi Hui;Ju, Hye Young;Seo, Joo We;Jeon, Mi Yang
    • Journal of muscle and joint health
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    • v.26 no.3
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    • pp.241-250
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    • 2019
  • Purpose: This study was conducted to identify influencing factors on the performance of healthcare-associated infection control and microbiological hand contamination among caregivers at a tertiary hospital. Methods: The participants of this study were 59 caregivers woring at a tertiary hospital. Data were collected from July 1 to 30, 2018. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients and stepwise multiple regression by SPSS 23.0 Win program. Results: Multiple regression analysis revealed that factors influencing performance of healthcare-associated infection control were awareness (β=.63, p<.001) and the experience of infection-related education (β=-3.40, p=.042). Regression equations describing the performance of healthcare-related infection control were found to be appropriate (F=27.29, p<.001) and accounted for 68% of variance. Factors affecting the degree of microbiological hand contamination were work experience (β=-0.28, p=.026) and healthcare-related infection performance (β=-0.28, p=.029). A regression equation describing the microbiological hand contamination was appropriate (F=6.10, p=.004) and accounted for 42% of variance. Conclusion: The findings of this study suggest that it is necessary to increase performance of healthcare-associated infection control by caregivers. Also, educations for preventing healthcare-associated infection and guidelines for increasing compliance with healthcare-associated infection control are recommended to improve performance of healthcare-associated infection control.

A Study of Hospital Infection in the Postoperative Patients (수술후 병원 감염 발생과 입원일수 및 수술 소요 시간과의 관계)

  • 박정호;윤혜상
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.70-76
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    • 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).

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Knowledge and Practice on Infection Prevention of Caregivers of Hospitalized Children (입원 아동 보호자의 병원감염예방 지식과 실천)

  • Kwon, In-Soo;Seo, Yeong-Mi
    • Korean Parent-Child Health Journal
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    • v.13 no.2
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    • pp.102-109
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    • 2010
  • Purpose: The purpose of this study was to identify the knowledge and practice on hospital infection prevention of caregivers of hospitalized children. The results will be the basic data of future policy and education program for hospital infection prevention. Methods: A descriptive survey design was utilized, The subjects included 151 caregivers from a university hospital in Gyeongnam Province, Korea. The data was collected using a self-reported questionnaire which included 17 items for knowledge, 18 items for practice, developed by researchers from March 2005 to January 2006. The collected data was analyzed with descriptive statistics, t-test, and ANOVA using SPSS program. Results: The mean score of knowledge on infection prevention was .87 of 1 (especially low in method of hand washing item), and practice, 2.60 of 3 (especially low in protection from other people items). There were differences in practice by admission frequency (F=2.83, p = .04), but there were no differences in knowledge by any general characteristics. Conclusion: The degree of knowledge and practice on caregiver's infection prevention was not enough to prevent hospital infection of hospitalized children. Therefore, effective strategies should be developed to prevent hospital infection of hospitalized children.

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A Case of Pulmonary and Endobronchial Mycobacterium avium Infection Presenting as an Acute Pneumonia in an Immunocompetent Patient (면역 적격자에서 급성 폐렴으로 발현된 폐실질 및 기관지를 침범한 Mycobacterium avim 감염 1예)

  • Lee, Yu-Jin;Kim, Dong-Hyun;Yoon, Kyung-Hwa;Kim, Mi-Young;Jung, Seung-Wook;Lee, Byung-Ki;Kim, Yeon-Jae
    • Tuberculosis and Respiratory Diseases
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    • v.69 no.4
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    • pp.279-283
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    • 2010
  • The global number of Mycobacterium avium complex (MAC) pulmonary infection is increasing. Patients with preexisting lung disease or who are immunodeficient are at the greatest risk for developing MAC infection. Endobronchial lesions with MAC infection are rare in the immunocompetent host. However, there have been an increasing number of reports of an immunocompetent host being afflicted with various manifestations of MAC infection. We report a case of pulmonary and endobronchial MAC infection presenting as an acute pneumonia in a 59-year-old female without preexisting lung disease or immunodeficiency.

The Study of Opportunistic Infection in the Medical Radiation Environment

  • Kim, Hyun-Soo;Dong, Kyung-Rae;Park, Ho-Sung
    • Korean Journal of Digital Imaging in Medicine
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    • v.13 no.3
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    • pp.105-109
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    • 2011
  • With the development of medical technologies and the growth of household incomes, most of the people have become to be interested in health as it leads to significant early detection and cure of diseases. However the pattern of disease becomes diverse and it makes the imaging diagnosis department crowded with many patients. Therefore the opportunistic infection could be serious there. The hospital becomes the place which provides high risks of infection danger but it is true that the opportunistic infection of the hospital employees is not still recognized well. The imaging diagnosis department has developed a lot but it becomes the medium of secondary infection of patients and employees. So this study analyzesthe status of bacteria infection of the examination table, the handle of diagnostic equipment and the hands of radiation staffs in imaging diagnosis department of the general hospitals and individual ones. And the result shows that some bacteria were found even though it's little. We are trying to make the hospitals to be free of secondary infection securing safety measure to prevent the secondaryinfection from occurring to patients and hospital employees.

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Long-Term Incidence and Predicting Factors of Cranioplasty Infection after Decompressive Craniectomy

  • Im, Sang-Hyuk;Jang, Dong-Kyu;Han, Young-Min;Kim, Jong-Tae;Chung, Dong Sup;Park, Young Sup
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.396-403
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    • 2012
  • Objective : The predictors of cranioplasty infection after decompressive craniectomy have not yet been fully characterized. The objective of the current study was to compare the long-term incidences of surgical site infection according to the graft material and cranioplasty timing after craniectomy, and to determine the associated factors of cranioplasty infection. Methods : A retrospective cohort study was conducted to assess graft infection in patients who underwent cranioplasty after decompressive craniectomy between 2001 and 2011 at a single-center. From a total of 197 eligible patients, 131 patients undergoing 134 cranioplasties were assessed for event-free survival according to graft material and cranioplasty timing after craniectomy. Kaplan-Meier survival analysis and Cox regression methods were employed, with cranioplasty infection identified as the primary outcome. Secondary outcomes were also evaluated, including autogenous bone resorption, epidural hematoma, subdural hematoma and brain contusion. Results : The median follow-up duration was 454 days (range 10 to 3900 days), during which 14 (10.7%) patients suffered cranioplasty infection. There was no significant difference between the two groups for event-free survival rate for cranioplasty infection with either a cryopreserved or artificial bone graft (p=0.074). Intergroup differences according to cranioplasty time after craniectomy were also not observed (p=0.083). Poor neurologic outcome at cranioplasty significantly affected the development of cranioplasty infection (hazard ratio 5.203, 95% CI 1.075 to 25.193, p=0.04). Conclusion : Neurologic status may influence cranioplasty infection after decompressive craniectomy. A further prospective study about predictors of cranioplasty infection including graft material and cranioplasty timing is necessary.

Factors Influencing Performance of MultiDrug-Resistant Organisms Infection Control in Nurses of General Hospital (종합병원 간호사의 다제내성균 감염관리 수행도에 영향을 미치는 요인)

  • Ryu, Jeonglim;Ko, Yu Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.2
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    • pp.149-160
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    • 2016
  • Purpose: The purpose of this study was to identify factors influencing performance of MultiDrug-Resistant Organisms (MDROs) infection control by nurses in general hospitals. Methods: The research design was a descriptive survey design using convenience sampling. Data were collected from 130 nurses working in 6 general hospitals. Collected data were analyzed using SPSS/WIN 21.0 program for descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression analysis. Results: General hospital nurses' MDROs infection control performance was influenced by their awareness of environmental safety, recognition of MDROs infection control, number of beds in the hospital, whether nurses had nursing experience with infection control and guidelines for MDROs infection control. The most important predictors of MDROs infection control performance were awareness of environmental safety and recognition of MDROs infection control. Conclusion: Findings indicate that it is necessary to include content related to awareness of environmental safety and recognition of infection control in developing MDROs infection control education programs for general hospital nurses.

Factors Affecting the Performance of Healthcare-Associated Infections (HAIs) control- Focus on Empowerment and Awareness of General Hospital Nurses

  • Kim, Jeoung-Mi;Han, Young-In
    • International Journal of Advanced Culture Technology
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    • v.7 no.3
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    • pp.35-45
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    • 2019
  • The aims of the study to investigate the relationship between awareness, empowerment and performance of healthcare associated infections (HAIs) control and to identify factors influencing performance of HAIs among general hospital nurses. Data were collected from 230 nurses in two general hospitals in B city, with the questionnaire of an empowerment, awareness and performance of infection control tool. The data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regressions. The performance of infection control was significantly correlated with empowerment and awareness of infection control. The empowerment had a positive correlation with an awareness of infection control (r= .233, p <.001) respectively. The infection control performance was influenced by infection control awareness, empowerment and number of annual job training, which explained 42.2% of the performance of infection control. Infection management performance of general hospitals nurses is affected not only by infection awareness but also by empowerment and job education. Therefore, it suggests that HAIs management program could develop for the nurses and provide empowerment with job training to improve the management and performance of HAIs, also to reinforce via constant support by the hospital.

Literature Study on the Infection Control of Dochim(刀鍼) (도침요법(刀鍼療法)의 감염관리에 관한 고찰)

  • Cho, Kyong Ha;Ki, Woong;Yuk, Dong Il;Sung, In Su;Kim, Min Jung;Hong, Kwon Eui
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.181-187
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    • 2013
  • Objectives : Dochim have been recorded in Korean medical classics as a diversified instrument for acupuncture to treat patients with various symptoms. Recently, there is a lot of Korean Medicine Doctors are increasingly using Dochim. However a study on using Dochim is a lack of infection control. Methods : We investigated about the existing infection about Dochim. Based on investigated information we presented methods for infection control during Dochim therapy. Results & Conclusions : Prevent infection during Dochim therapy performed at a primary consideration, and the prevention of infection shoould be treated.