비뇨기과 수술 관련 감염의 예방: 위생 및 교육
Prevention of Infections Associated with Urological Surgery: Hygiene and Education
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The safety of the patient depends upon a clean environment in the wards and operating theatre. Good hospital hygiene is an integral and important component of a strategy for preventing hospital acquired infections. The hospital environment must be visibly clean, free from dust and spoilage, acceptable to the patients, their family and visitors and to the staff. Each hospital should have rules and recommendations for maintaining a clean environment with scheduled routines. All staff must maintain good personal hygiene. Appropriate hospital clothing is recommended in conjunction with all patient contact in the wards, the out-patient departments and operating area. Careful hand washing and disinfection and appropriate clothing are key measures to limit cross-contamination and each hospital must have written policies and procedures for these matters. Regular teaching and training of staff in infection control is required to reach the aims of reducing health acquired infections.
Abstract
The safety of the patient depends upon a clean environment in the wards and operating theatre. Good hospital hygiene is an integral and important component of a strategy for preventing hospital acquired infections. The hospital environment must be visibly clean, free from dust and spoilage, acceptable to the patients, their family and visitors and to the staff. Each hospital should have rules and recommendations for maintaining a clean environment with scheduled routines. All staff must maintain good personal hygiene. Appropriate hospital clothing is recommended in conjunction with all patient contact in the wards, the out-patient departments and operating area. Careful hand washing and disinfection and appropriate clothing are key measures to limit cross-contamination and each hospital must have written policies and procedures for these matters. Regular teaching and training of staff in infection control is required to reach the aims of reducing health acquired infections.
참고문헌 (43)
- Mangram AJ, "Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee", Am J Infect Control, 27, pp.97~134 (1999)
- Cruse PJ, "The epidemiology of wound infection. A 10-year prospective study of 62,939 wounds", Surg Clin North Am, 60, pp.27~40 (1980)
- Pittet D, "Infectious risk factors related to operating rooms", Infect Control Hosp Epidemiol, 15, pp.456~462 (1994)
- Garibaldi RA, "R, The impact of preoperative skin disinfection on preventing intraoperative wound contamination", Infect Control Hosp Epidemiol, 9, pp.109~113 (1988)
- "U.S. Department of Health and Human Services Public Health Service Agency for Health Care Policy and Research", 115~127 (1992)
- Abrams P, "Evidence - based medicine overview of the main steps for developing and grading guideline recommendations", Prog Urol, 17, pp.681~684 (2007)
- Dancer SJ, "Mopping up hospital infection", J Hosp Infect, 43, pp.85~100 (1999)
- Pratt RJ, "The epic project: developing national evidence-based guidelines for preventing healthcare associated infections. Phase I: Guidelines for preventing hospital-acquired infections. Department of Health (England)", J Hosp Infect, 47(Suppl), pp.3~82 (2001)
- Ducel G, "Prevention of hospital-acquired infections: a practical guide. 2nd ed", pp.64~ (2002), World Health Organization
- Lidwell OM, "Clean air at operation and subsequent sepsis in the joint", Clin Orthop Relat Res, 211, pp.91~102 (1986)
- AIA Academy of Architecture for Health., United States, "Dept. of Health and Human Services. Guidelines for design and construction of hospital and health care facilities. 1996-97. ed", pp.143~ (1996), American Institute of Architects Press
- Nichols RL, "The operating room, in Hospital infections", pp.461~473 (1992), Brown: Boston
- Laufman H, "The operating room, in Hospital infections", pp.315~323 (1986), Little, Brown: Boston
- Sessler DI, "Thermoregulatory vasoconstriction during isoflurane anesthesia minimally decreases cutaneous heat loss", Anesthesiology, 76, pp.670~675 (1992)
- Hambraeus A, "Aerobiology in the operating room - a review", J Hosp Infect, 11(A), pp.68~76 (1988)
- Babb JR, "Risk of airborne transmission in an operating theatre containing four ultraclean air units", J Hosp Infect, 31, pp.159~168 (1995)
- Rudnick JR, "Gram-negative bacteremia in open-heart-surgery patients traced to probable tap-water contamination of pressure-monitoring equipment", Infect Control Hosp Epidemiol, 17, pp.281~285 (1996)
- Ayliffe GA, "Role of the environment of the operating suite in surgical wound infection", Rev Infect Dis, 13(10), pp.800~804 (1991)
- Pittet D, "Compliance with handwashing in a teaching hospital. Infection Control Program", Ann Intern Med, 130, pp.126~130 (1999)
- Boyce JM, "Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC", SHEA, IDSA Hand Hygiene Task Force. Society for Healthcare Epidemiology of America, pp.Association for Professionals in Infection Control, Infectious Diseases Society of America[DOI]
- Larson EL, "APIC guideline for handwashing and hand antisepsis in health care settings", Am J Infect Control, 23, pp.251~269 (1995)
- Garner JS, "CDC Guideline for Handwashing and Hospital Environmental Control, 1985", Infect Control, 7, pp.231~243 (1986)
- Teare EL, "UK handwashing initiative", J Hosp Infect, 43, pp.1~3 (1999)
- Ward V, "Public Health Laboratory Service. Preventing hospital-acquired infection: clinical guidelines", pp.42~ (1997), Public Health Laboratory Service
- Dineen P, "The role of impervious drapes and gowns preventing surgical infection", Clin Orthop Relat Res, 96, pp.210~212 (1973)
- Ha’eri GB, "The efficacy of standard surgical face masks: an investigation using “tracer particles”", Clin Orthop Relat Res, 148, pp.160~162 (1980)
- Moylan JA, "Reducing wound infections. Improved gown and drape barrier performance", Arch Surg, 122, pp.152~157 (1987)
- Dineen P, "Epidemics of postoperative wound infections associated with hair carriers", Lancet, 2, pp.1157~1159 (1973)
- Mastro TD, "An outbreak of surgical- wound infections due to group A streptococcus carried on the scalp", N Engl J Med, 323, pp.968~972 (1990)
- Garner JS, "Guideline for isolation precautions in hospitals, in The Hospital Infection Control Practices Advisory Committee", Infect Control Hosp Epidemiol, 17, pp.53~80 (1996)
- Orr NW, "Is a mask necessary in the operating theatre?", Ann R Coll Surg Engl, 63, pp.390~392 (1981)
- Great Britain, "Expert Advisory Group on AIDS. Guidance for clinical health care workers: protection against infection with HIV and hepatitis viruses: recommendations of the Expert Advisory Group on AIDS", pp.52~ (1990), HMSO
- Humphreys H, "Theatre over-shoes do not reduce operating theatre floor bacterial counts", J Hosp Infect, 17, pp.117~123 (1991)
- Weightman NC, "Protective overshoes are unnecessary in a day surgery unit", J Hosp Infect, 28, pp.1~3 (1994)
- Dodds RD, "Surgical glove perforation", Br J Surg, 75, pp.966~968 (1988)
- Caillot JL, "Electronic evaluation of the value of double gloving", Br J Surg, 86, pp.1387~1390 (1999)
- Whyte W, "relative importance of routes and sources of wound contamination during general surgery. I. Non-airborne", J Hosp Infect, 18, pp.93~107 (1991)
- Korniewicz DM, "Integrity of vinyl and latex procedure gloves", Nurs Res, 38, pp.144~146 (1989)
- Medical Devices Agency, "Latex medical gloves (surgeons and examination) powdered latex medical gloves (surgeons and examination)" (1998), HMSO
- Henry K, "Needlestick", sharps injuriesand HIV exposure among health care workers. National estimates based on a survey of U.S. hospitals, 1995, pp.78, 41~44
- Jagger J, "Rates of needlestick injury caused by various devices in a university hospital", N Engl J Med, 319, pp.284~288 (1988)
- McCormick RD, "Epidemiology of hospital sharps injuries: a 14-year prospective study in the pre-AIDS and AIDS eras", Am J Med, 91, pp.301~307 (1991)
- van Kasteren ME, "Quality improvement of surgical prophylaxis in Dutch hospitals: evaluation of a multi-site intervention by time series analysis", J Antimicrob Chemother, 56, pp.1094~1102 (2005)