효과적인 치과병원 감염관리의 구성요소에 대한 고찰
Study on elements for effective infection control at dental hospitals
1
조회
0
다운로드
26
인용
0
참고문헌
키워드
초록
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±2.23 and that of needle pricking was 1.83±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.
Abstract
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±2.23 and that of needle pricking was 1.83±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.
참고문헌 (28)
- Scheckler WE, "Requirements for infrastructure and essential activities of infection control and epidemiology in hospitals: Aconsensus penel report", Am J Infect Control, 26(1), pp.47~60 (1998)
- Haley RW, "The efficacy of an infection surveillance and control programs in preventing nosocomial infections in US hospitals", Am J Epidemiol, 121, pp.182~205 (1985)
- Haley RW, "Preliminary cost-benefit analysis of hospital infection control programs(the SENIC Project) in Proven and unproven methods in hospital infection control", pp.93~96 (1978), Gustav Fischer Verlag
- Haley RW, "The SENIC project. Study on the efficacy of nosocomial infection control: SENIC Project). Summary of study design", Am J Epidemiol, 111(5), pp.472~485
- Haley(a) RW, "Effect of an infection surveillance and control program on the accuracy of retrospective chart review", Am J Epidemiol, 111(5), pp.543~555 (1980)
- Haley RW, "The hospital epidemiologist in U.S. hospital, 1976-1977:adescription of the head of the infection surveillance and control program", infect control, 1(1), pp.21~32 (1980)
- Haley(a) RW, "Update form the SENIC project. Hospital infection control: recent progress and opportunities under prospective payment", Am J Epidemiol, 13(3), pp.97~108 (1985)
- Haley RW, "The efficacy of an infection surveillance and control programs in preventing nosocomial infections in US hospitals", Am J Epidemiol, 121, pp.182~205 (1985)
- Hughes JM, "Nosocomial Infection Surveillance in the United States: historical perspective", Infect Control, 8(11), pp.450~453 (1987)
- Centers for Disease Control, "Outline for surveillance and control of nosocomial infections. Altlanta GA:CDC;1972(Reprinted September 1973, May 1974, November 1976)", ~
- CDC, "public health service guidelines for the management of occupational exposure to HBV, HCV, HIV and recommendations for postexposur prophylaxis. MMWR Recomm Rep", ~
- 국내 병원 감염관리의 실태 파악과 관리 표준화 방안 개발, "강문원", 보건복지부, 5~17 (2004)
- 감염방지 를 위한 치과진료기자재 적정관리방안, "천재식", 단국대학교 치과대학건강증진 사업지원단·건강증긴기금 연구 사업, 13~93 (2007)
- 이미옥, "일부 치위생과 학생들의 치과 감염에 대한 인식 및 태도 조사 연구", 진주간호보건대학논문집, 21(1), pp.147~167 (1998)
- 윤미숙, "수도권 치과의료종사자들의 B형 간염에 대한 기초 방호 실태 및 수행에 관한 연구", 치위생과학회지, 1(1), pp.51~57 (2001)
- 남영신, "치과위생사의감염예방실태조사", 치위생과학회지, 7(1), pp.1~7 (2007), 한국치위생과학회
- 김형규, "치과에서의 감염방지를 위한 멸균, 소독 시행여부 및 방법에 관한 실태조사", 대한치과 의사협회지, 33(4), pp.291~307 (1955)
- 은정화, "일부 대구지역 치과임상에서의 감염방지 실태와 인식에 대한 조사", 대한치과위생학회지, 7(1), pp.85~97 (2005)
- 권호근, "치과의료기관 평가 시스템 개발", pp.15~39 (2007), 한국구강보건의료연구원
- 강은주, "치과위생사의 감염방지실태 및 노출에 관한 연구", 원광보건대학 보건의학연구논문집, 1, pp.143~155 (1998)
- 이영애, "치과진료실에서의직종별감염방지실천정도에관한조사연구", 치위생과학회지, 7(4), pp.263~269 (2007), 한국치위생과학회
- 임현경, "치과의료진의 개인보호장구 착용에 관한 환자의 인식", 대한구강보건학회지, 33(3), pp.441~450 (2009), 대한구강보건학회
- 오세광, "치과계를 위하여 추천하는 감염관리 실무", 대한치과의사협회지, 32, pp.409~416 (1994)
- 안권숙, "치과종사자들의 감염방지를 위한 표준적 주 의지침의 이행실태", 석사, pp.2005
- 최미경, "치과진료실 종사자의 감염방지를 위한 일반 적인 주의지침의 이행 실태 조사", 석사, pp.2006
- Jarvis WR, "Benchmarking for prevention: the Centers for Disease Control and Prevention’s National Nosocomial Infection Surveillance( NNIS) system experience", Infection 31 Suppl, 2, pp.44~48 (2003)
- Brewer JH, "The affinity between continuous quality improvement and epidemic surveillance", infect Control Hosp Epidemiol, 14(2), pp.95~98 (1993)
- Daschner F, "Patient-oriented prevention and control of hospital-acquired infections(author’ s transl)", Klin Wochenschr, 57(22), pp.1203~1208 (1979)