본문 바로가기
KERD
논문KCI 등재

국내 200병상이상 의료기관의 다약제 내성균 감염관리 실태조사

Current Status of Infection Control of Multidrug Resistant Organisms in Hospitals with more than 200beds in the Republic of Korea

2

조회

0

다운로드

9

인용

0

참고문헌

키워드

초록

This study was performed to investigate the current status of isolation precautions of multidrug resistant organisms(MDROs) in general hospitals with more than 200bed. The questionnaires were mailed from 3rd, April 2013 to 30th, April 2013. Methicillin resistant Staphylococcus aureus:(MRSA), vancomycin resistant Staphylococcus aureus:(VRSA), vancomycin resistant Enterococcus(VRE), multidrug-resistant Acinetobacter baumannii, carbapenem-resistant Enterobacteriaceae multidrug-resistant Pseudomonas aeruginosa were enrolled. MRSA(100.0%) and VRE(98.7%) were isolated respectively. VRE(97.3%) and MRSA(64.0%) were regulated strictly respectively. VRE(91.5%) and VRSA(50.7%) were isolated in a single room respectively. Hospital being located in Seoul(p<0.001), and beds(≥600)(p=0.008) were different significantly. The isolation space limitation(71.1%) was the highest difficulty. The development of refunding the costs of the extra supplies and other hygienic materials for infection control was discovered as the most urgent strategy.

Abstract

This study was performed to investigate the current status of isolation precautions of multidrug resistant organisms(MDROs) in general hospitals with more than 200bed. The questionnaires were mailed from 3rd, April 2013 to 30th, April 2013. Methicillin resistant Staphylococcus aureus:(MRSA), vancomycin resistant Staphylococcus aureus:(VRSA), vancomycin resistant Enterococcus(VRE), multidrug-resistant Acinetobacter baumannii, carbapenem-resistant Enterobacteriaceae multidrug-resistant Pseudomonas aeruginosa were enrolled. MRSA(100.0%) and VRE(98.7%) were isolated respectively. VRE(97.3%) and MRSA(64.0%) were regulated strictly respectively. VRE(91.5%) and VRSA(50.7%) were isolated in a single room respectively. Hospital being located in Seoul(p<0.001), and beds(≥600)(p=0.008) were different significantly. The isolation space limitation(71.1%) was the highest difficulty. The development of refunding the costs of the extra supplies and other hygienic materials for infection control was discovered as the most urgent strategy.

참고문헌 (17)

  1. J. D. Siegel., "Management of Multidrug-resistant Organisms in Health Care Settings, 2006", American Journal of Infection Control, 35(10 Suppl 2), pp.S165~S193 (2007)
  2. L. J. Strausbaugh., "Preventing Transmission of Multidrug-resistant Bacteria in Health Care Settings : A Tale of 2 Guidelines", Clinical Infectious Diseases, 15(42), pp.828~835 (2006)
  3. C. A. DiazGranados., "Comparison of Mortality Associated with Vancomycin-resistant and Vancomycin-susceptible Enterococcal Bloodstream Infections : A Meta-Analysis", Clinical Infectious Diseases, 41(3), pp.327~333 (2005)
  4. C. D. Salgado., "Outcomes Associated with Vancomycin-Resistant Enterococci : A Meta-Analysis", Infection Control and Hospital Epidemiology, 24(9), pp.690~698 (2003)
  5. M. J. Neidell., "Costs of Healthcare-and Community-associated Infections with Antimicrobial-resistant versus Antimicrobial-susceptible Organisms", Clinical Infectious Diseases, 55(6), pp.807~815 (2012)
  6. C. E. Herr., "Additional Costs for Preventing the Spread of Methicillin-resistant Staphylococcus aureus and a Strategy for Reducing these Costs on a Surgical Ward", Infection Control and Hospital Epidemiology, 24(9), pp.673~678 (2003)
  7. I. M. Gould., "Costs of Healthcare-associated Methicillin-resistant Staphylococcus aureus and It‘s Control", Clinical Microbiololy and Infectious Diseases, 16(12), pp.1721~1728 (2010)
  8. M. F. Kluytmans-Vandenbergh., "Dutch Guideline for Preventing Nosocomial Transmission of highly resistant Microorganisms(HRMO)", Infection, 33(5-6), pp.309~313 (2005)
  9. H. S. Oh., "Activation of Infection Prevention and Control Program in Hospital via Healthcare Accreditation System. Final report", Korea Association of Infection Control Nurses, 1, pp.1~72 (2011)
  10. 전민혁, "전국병원감염감시체계 중환자실 부문 결과: 2010년 7월부터 2011년 6월", 병원감염관리, 17(1), pp.28~39 (2012), 대한의료관련감염관리학회[DOI]
  11. Y. J. Park., "Survey on the Infection Control of Multidrug-Resistant Microorganisms in General Hospitals in Korea", Korean Journal of Nosocomial Infection Control, 12(2), pp.112~121 (2007)
  12. 오향순, "National survey of the status of infection surveillance and control programs in acute care hospitals with more than 300 beds in the Republic of Korea", American Journal of Infection Control, 34(4), pp.223~233 (2006), Mosby Inc.
  13. 김태경, "중소병원 간호사의 메치실린 내성 황색포도알균 감염관리의 지식과 수행정도", 보건의료산업학회지, 6(3), pp.157~169 (2012), 보건의료산업학회
  14. 정하윤, "요양병원 간호사의 병원감염관리에 대한 인지도와 수행도", 보건의료산업학회지, 7(4), pp.131~141 (2013), 보건의료산업학회
  15. C. O'Boyle., "Staffing Requirements for Infection Control Programs in US Health Care Facilities : Delphi project", American Journal of Infection Control, 30(6), pp.321~333 (2002)

관련 논문AI추천

의료기관 인증제 도입에 따른 감염관리 실태 분석오향순, 정선영, 천희경보건의료산업학회 · 보건의료산업학회지2015 · 제9권 제4호Increase of Ceftazidime- and Fluoroquinolone-Resistant Klebsiella pneumoniae and Imipenem-Resistant Acinetobacter spp. in Korea: Analysis of KONSAR Study Data from 2005 and 2007고은미, 김선주, 김진주, 노경호, 용동은, 이경원, 이미애, 이종욱, 이채훈, 정윤섭연세대학교의과대학 · Yonsei Medical Journal2010 · 제51권 제6호감염관리를 위한 신속 검출법을 이용한 다제내성 세균의 적극적 감염감시김영아, 이경원대한임상미생물학회 · Annals of Clinical Microbiology2015 · 제18권 제4호Further Increases in Carbapenem-, Amikacin-, and Fluoroquinolone-Resistant Isolates of Acinetobacter spp. and P. aeruginosa in Korea: KONSAR Study 2009강정옥, 김미나, 김재석, 박연준, 신종희, 용동은, 이경원, 장숙진, 정석훈, 홍혜림, The KONSAR Group, Yunsop Chong연세대학교의과대학 · Yonsei Medical Journal2011 · 제52권 제5호Comparison of Antibiotic Resistance Rate of Medically Important Microorganisms between Japan and Korea김선주, 이혁민, 케이고 시바야마대한임상미생물학회 · Annals of Clinical Microbiology2015 · 제18권 제4호Increase in the Prevalence of Carbapenem-Resistant Acinetobacter Isolates and Ampicillin-Resistant Non- Typhoidal Salmonella Species김용근, 신희봉, 용동은, 이경원, 이위교, 정석훈, 정윤섭, 조지현, 최태열, 하경임대한감염학회 · Infection and Chemotherapy2014 · 제46권 제2호

이 간행물의 다른 논문 (22건)