• 한국치위생학회지
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• 제11권4호
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• pp.557-569
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• 2011

Objectives : Based on the system and control activity for the monitoring system made of components for infection control at dental hospitals and infection rate reporting, and the role of trained infection control staff, this study tried to understand approaches to the effective infection control program by surveying infection control at dental hospitals in Korea. Methods : The survey was conducted from December 14,2010 to January 31,2011 for 121 dental hospitals in Korea. For statistical analysis, PASW Statistic 18 was used. Results : And following conclusions were reached. 1. As for the infection control system at dental hospitals, 54.7% has an infection control committee, 58.7% infection control staff, 78.5% infection control rules, and 39.7% annual infection control plan and record. 2. As for surveillance indexes to report infection rates, 50.4% has the reporting system for staff's exposure to infectious disease and needle pricking. The average number of exposures to infectious disease was $0.28{\pm}2.23$ and that of needle pricking was $1.83{\pm}5.39$. 3. As for infection control indexes, it was reviewed whether infection control rules were implemented according to operation agents, general hospitals were more active in staff infection control, and hospitals annexed to a dental university or special legal entity were more active in microorganism control. As for use of personal protection gear, there was no significant difference among operation agents. More than 71% of operators and their assistants said they did not replace their masks between patients. 4. As for personnel indexes for effective infection control staff, most hospitals designated dental hygienists, which was followed by dental doctors (or doctors). Where their workload was reviewed, the ratio of other work such as treatment was relatively higher than that of infection control (n=71). Conclusions : These results show dental hospitals in Korea have a certain level of infection control system. As infection indexes are managed mainly for staff members, patient monitoring is needed, and trained and effective infection control staff should be designated. This study reviewed surveillance, infection control and personnel indexes. And further studies are needed in the future.

• 한국치위생학회지
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• 제19권5호
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• pp.677-688
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• 2019

Objectives: The purpose of this study was to examine the perception of dental hospital accreditation and the awareness and practice of infection control in dental hygienists. Methods: A self-reported questionnaire was completed by 238 dental hygienists working at dental hospitals in Gwangju Jeonnam and analyzed from October 24, 2016 to September 22, 2017. Data were analyzed with the independent t-test, one-way analysis of variance, Pearson's correlation analysis, and multiple regression analysis using the Statistical Package for the Social Sciences software, version 21.0. Results: Compared to non-accredited dental hospitals, all three variables were high for accredited dental hospitals. In accredited dental hospitals, healthcare accreditation expectancy effects correlated to awareness (r=0.407) and practice (r=0.533) of infection control, and awareness of infection control correlated to its practice (r=0.725). In non-accredited dental hospitals, healthcare accreditation expectancy effects correlated to awareness of infection control (r=0.239), and awareness of infection control correlated to its practice (r=0.481). Accredited dental hospitals showed healthcare accreditation expectancy effects (${\beta}=0.258$) and awareness of infection control (${\beta}=0.556$), and non-accredited dental hospitals were influenced by the number of employees (${\beta}=0.567$) and awareness of infection control (${\beta}=0.376$). Conclusions: It is necessary to develop efficient and systematic infection control programs to improve the awareness and practice of infection control in dental hygienists and patient's safety in the clinical field.

• 한국치위생학회지
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• 제11권6호
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• pp.993-1003
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• 2011

Objectives : This study is designed to identify the need for an efficient infection control plan in the curriculum of Dept. of Dental Hygiene and encourage dental hygienists to be more attentive to infection control by analyzing their personal protective measures, hand-washing frequency and other factors relating to infection control. Methods : A survey was conducted of 471 dental hygienists in general hospitals, dental clinics and dental hospitals in City of Busan and Gyeongsangnam-do from December 20, 2009 to February 21, 2010. Results : 1. Among those who worked for more than 11 years, personal protection (3.79) and hand-washing frequency (3.90) factors were rated high (p<0.05). 2. When surveyed by workplace, personal protection was high in general hospitals (3.75) while hand-washing frequency was high in dental clinics (3.74). 3. Among those who received infection control education more than three times, personal protection (4.07) and hand-washing frequency (3.80) were high (p<0.05). 4. Personal protection-related factors were general hospital workers, necessity of infection control education and awareness on infectious disease (p<0.05), while factors associated with hand-washing frequency were number of patients per day, whether or not infection control-related class is given at school, necessity of infection control education and awareness on infectious disease (p<0.05). Conclusions : To enhance awareness of infection control, it may be necessary to addan infection control-related class to the school curriculum and provide the necessity of conducting continuous and systematic infection control education through newly entering staff training and education of dental practitioners.

• 한국치위생학회지
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• 제22권4호
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• pp.273-280
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• 2022

Objectives: This study aimed to investigate the perception of dental infection-control coordinator (DICC) among dental hygienist and determine whether there is a difference in perception depending on the type of work. Methods: Dental hygienists working at the dentistry were conveniently extracted and distributed to 351 patients, and the data of 320 patients were finally analyzed. The chi-square test was conducted to determine the difference in perception of the DICC according to the type of work, and the one-way ANOVA was performed to determine the difference in the perception of DICC tasks. A p-value of <0.05 was statistically significant. Results: General hospitals and university hospitals (100%), dental hospitals (95.8%), and dental clinics (86.6%) showed the highest awareness of the need for DICC. The dental clinics had the lowest level of awareness regarding the duties of the DICC, and dental hospitals and clinics were in different areas with different levels of awareness regarding infection control-related administrative support areas (3.98-4.21 and 3.79-4.12 of 5). Conclusions: Because of a difference in perception regarding the work of DICC according to the type of work, dental organizations should establish the tasks of DICC and develop an education program for a person in charge based on this.

• 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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• 제9권1호
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• pp.129-136
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• 2009

본 연구는 2008년 4월 27일 지역 보수교육에 참석한 치과위생사 235명을 대상으로 치과위생사의 병원감염방지에 대한 태도를 파악하고 연구대상자의 일반적 특성과 연관성을 분석하기 위하여 자기기입식 설문지법을 실시하였으며, 조사항목으로는 일반적 특성 11문항과 치과감염에 대한 태도를 묻는 문항 35문항으로 구성하여 다음같은 결론을 얻었다. 1. 치과위생사의 손 씻기에 대한 태도는 3점 만점 중 2.96으로 높은 것으로 나타났으며, 환자의 혈액에 노출된 경험이 없는 치과위생사가 높았다(p < .05). 개인보호 장비에 대한 태도는 2.01로 나타났으며, 연령이 26~30세인 치과위생사(p < .01)와 감염방지 교육경험이 있는 치과위생사가 높았다(p < .01). 2. 표면소독제에 대한 태도는 1.95로 나타났으며, 연령(p < .001)과 근무경력이 적을수록(p < .01), 진료업무 담당치위생사(p < .001), 종합병원에 근무하는 치과위생사(p < .001), 그리고 감염방지 교육경험이 있는 치과위생사가 높았다(p < .05). 표면소독 방법에 대한 태도는 1.83으로 나타났으며, 감염방지 교육경험이 있는 치과위생사가 높았다(p < .01). 3. 기구관리에 대한 태도는 2.43으로 나타났으며, 치과병원에 근무하는 치과위생사(p < .01)와 감염방지 교육경험이 있는 치과위생사가 높았다(p < .001). 폐기물 관리에 대한 태도는 2.92로 높은 것으로 나타났으며 모든 영역에서 유의한 차이를 보이지 않았다. 4. 치과위생사들의 치과 감염방지에 대한 태도는 전체평균이 2.08로 나타났으며, 치과병원에 근무하는 치과위생사(p < .05)와 감염방지 교육경험이 있는 치과위생사가 치과 감염에 대한 태도가 높았다(p < .001).

• 한국치위생학회지
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• 제19권3호
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• pp.363-373
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• 2019

Objectives: The purpose of this study was to investigate nail hygiene behaviors and to identify the relationship between hand hygiene beliefs and nail hygiene behaviors among dental hygienists, dental's aide and dental coordinator in South Korea. Methods: The subjects were 291 dental workers including dental hygienists, dental assistant and dental coordinator working full-time at dental clinics, dental hospitals, general dental hospitals and dental university hospitals in Seoul, Incheon, and Gyeonggi-do. The questionnaire consisted of a total 35 items, including 4 items on general characteristics, 25 items on hand hygiene, 2 items on "nail art" experience, and 4 items on nail hygiene behaviors. The collected data were analyzed using an independent t-test, one-way ANOVA, chi-square test, correlation analysis, and multiple linear regression analysis, where ${\alpha}<0.05$ was considered statistically significant. Results: The scores of behavioral beliefs, normative beliefs, control beliefs and nail hygiene behaviors were $5.15{\pm}0.58$, $5.26{\pm}0.81$, $3.69{\pm}0.96$ and $5.03{\pm}0.98$, respectively. Statistically significant relationships were detected in terms of participants' clinical experiences with respect to behavioral and normative beliefs (p<0.05 for all three belief categories). Participants working in general dental hospitals and dental university hospitals demonstrated the highest scores for behavioral, normative and control beliefs (p<0.05). Participants working in dental clinics reported the highest "nail art" experience rates in the last two years (45.5%) and at the time of the survey (15.7%; p<0.05). Nail hygiene behaviors were more likely to be observed in individuals with stronger behavioral and stronger normative beliefs (p<0.05). Conclusions: More specific infection control guidelines for "nail art" among dental workers should be established and promoted, so that both patients and dental workers can interact in a safe environment.

• 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.

• 디지털융복합연구
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• 제15권11호
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• pp.307-315
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• 2017

본 연구는 임상실습을 경험한 치위생학과 학생들을 대상으로 임상실습지에서 치과감염관리에 대한 인식과 수행정도를 조사하여 병원내 감염을 최소화 시키고 교육과정개발과 교육프로그램을 마련할 때 감염관리 지침과 행동지침에 필요한 기초자료를 제공하기 위해 시행하였다. 경북에 소재하는 4년제 대학에서 임상실습을 실제 경험한 치위생학과 학생을 대상으로 설문조사하였으며 치과의원, 치과병원, 대학병원이나 종합병원에 실습한 학생을 구분하여 각 실습지에 따른 치과감염관리에 대한 인식과 수행정도를 비교하였다. 연구결과 학생들은 감염방지에 대한 교육 경험자가 많았으나 실습지에 따라 감염방지관리의 수행정도는 대학병원이나 종합병원에서 높았으며 실습지에 따라 차이가 나타났다. 따라서 학생들이 임상실습시 감염관리에 대한 인식과 수행정도를 높이기 위해서는 감염관리 지침서를 제작하여 임상실습기관에 배부하고 담당자를 통해 관리하며 학교 측에서는 임상실습과 연계성 있는 감염관리 교육프로그램을 운영하여 체계적인 제도를 마련해야 할 것으로 생각된다.

• 대한임상검사과학회지
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• 제47권4호
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• pp.279-285
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• 2015

본 연구는 경기도와 인천지역의 치과 병원급 19개 기관, 의원급 28개 기관 진료실의 유닛체어 등받이, 라이트 손잡이, 타구대 표면의 검체를 채취하여 실험하였다. 우선 치과 진료실 내 표면의 세균수는 타구대 $44.82{\times}10^3CFU/mL$, 라이트 손잡이 $5.47{\times}10^3CFU/mL$ 유닛체어 $16.28{\times}10^3CFU/mL$로 타구대가 높게 측정되었으며, 의료기관의 규모로는 병원급이 높게 나타났고, 환자수가 많을수록 타구대에서 세균수가 높게 측정되었다. 표면 세균 동정 결과는 Gram positive 균주는 47.3%, Gram negative 균주는 52.7%였으며, Gram positive 균주 중 Micrococcus luteus 10.9%, Bacillus pumilus, Staphylococcus aureus 균주가 각각 3.6%로 확인되었다. Gram negative 균주로는 Acinetobacter ursingii 5.5%로 가장 많이 검출되었으며, Brevundimonas diminuta, Chryseobacterium (Flavo.) indologenes (CDC IIb), Methylobacterium sp.가 각각 4.5%로 나타났다. 이에 본 연구는 치과 진료실 내 표면 세균 오염도를 측정하고, 세균의 종류를 확인함으로써 진료실 내 감염관리의 중요성을 인식시키고, 감염방지에 대한 구체적인 계획 수립의 기초 자료가 될 것으로 사료된다.