제주특별자치도 종합병원의 감염관리 현황
Status of Infection Control in Jeju-area General Hospitals
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
제주지역 종합병원 감염관리 현황을 조사하여, 병원감염관리 실태와 문제점을 파악하고자 하였으며 감염관리의 중요성을 인식시키고 감염관리 실무자로서 임상병리사의 역할 방안을 모색하기 위하여 제주특별자치도 제주시와 서귀포시에 위치한 종합병원 7개기관을 대상으로 감염관리 현황을 설문지를 통하여 조사하였다. 제주지역 의료기관의 감염관리는 모든 기관이 감염관리실을 운영하고 전담인력을 구성하고 병원감염관리지침을 보유하고 수행하는 우수한 점을 보였지만, 대부분의 기관이 간호사 1인 구성의 감염관리실을 운영하여 전담인력 확보 및 미생물 관련 배양 판독, 다제내성균의 출현빈도, 감염통계 등 미생물 검사에 대한 내용을 보고 받는데 많은 부분 어려움을 호소하였다. 이에 감염관리의 실질적인업무를 담당할 수 있는 임상병리사가 의료법 시행규칙에 있는 감염관리에 경험과 지식이 있는 사람으로 충분한 자질과 경험이 있다고생각되며 감염관리실을 운영함에 있어 감염관리간호사와 미생물에 전문적인 지식을 갖춘 임상병리사(감염관리임상병리사)가 전담자로서 업무를 수행한다면 지금보다 더욱 발전된 감염관리실 운영이 될 것으로 보이며, 향후 감염관리를 제대로 하기 위해서는 전국적으로 종합병원을 비롯한 취약한 중소병원의 감염관리에 대한 전폭적 지원과 감염관리 전문 의료시스템 도입이 중요한 과제라 사료된다.
Abstract
The aim of this study was to examine and analyze the infection management status of Jeju-area general hospitals, and in order to convey the importance of infection management, and to determine role plans of medical technologists as infection management staff, the infection management status was examined through surveys targeting 7 general hospitals located in Jeju Special Self-Governing Province. The infection management of Jeju-area medical institutions showed excellence in that all institutions operated an infection management room, there was dedicated manpower, and hospital infection management guidelines were established and executed. However most institutions were operating their infection management room with only 1 nurse, reporting many difficulties in securing dedicated manpower, microbe-related culture deciphering, frequency of multiple-resistance bacteria, infection statistics, and details on microbe testing. Accordingly, it is believed that the medical technologist who can perform the practical tasks of infection management has sufficient qualification and experience in infection management as per the medical law enforcement regulations, and in operation of an infection management room. If medical technologists (infection control microbiological technologist) with expert knowledge on microbes and infection control nurses can execute the tasks as dedicated personnel, the operation of the infection management room will be more advanced. In addition, for proper infection management in the future, the introduction of a medical system specialized in infection management and full support for infection management of vulnerable small/medium hospitals in addition to general hospitals across the country is considered important.
참고문헌 (19)
- "CDC/NHSN Surveillance definitions for specific types of infections" (2014)[URL]
- "Antibiotic resistance threats in the United States, 2013" (2014)[URL]
- 윤경옥, "치과진료실 내 표면 세균 오염에 관한 연구", 대한임상검사과학회지, 47(4), pp.279~285 (2015), 대한임상검사과학회
- 이덕자, "노인요양병원 간호사의 병원감염관리에 대한 인지도 및 실천도: 융복합적 접근 방안 모색", 디지털융복합연구, 13(11), pp.461~470 (2015), 한국디지털정책학회[DOI]
- Kim Y, "Hospital infection control system improvement-Hospital and health care utilization culture for infection control", Research Institute for Healthcare Policy Korean Medical Association, 13, pp.159~161 (2015)
- Oh HS, "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", Am J Infect Control, 34, pp.223~233 (2006)
- Jeong JS, "The present situation of infection control professionals, organization, and activities in Korean acute care general hospitals", Korean Journal of Nosocomial Infection Control, 11, pp.58~69 (2006)
- 김영아, "병원균의 병원환경오염과 감염관리", 의료관련감염관리, 20(1), pp.001~006 (2015), 대한의료관련감염관리학회
- Hanmi medical publishing company, , 2011
- "Korean Nosocomial Infections Surveillance System (KONIS) report: data summary from July 2013 through June 2014" (2014)[URL]
- Barsanti MC, "Infection prevention in the intensive care unit", Infectious Disease Clinics of North America, 23, pp.703~725 (2009)
- Cosgrove SE, "The relationship between antimicrobial resistance and patient outcomes : mortality, length of hospital stay, and health care costs", Clinical Infectious Diseases, 42(2), pp.82~89 (2006)
- 김경미, "한방병원의 감염관리 실태조사", 병원감염관리, 16(2), pp.63~69 (2011), 대한의료관련감염관리학회
- Choi JS, "Analysis of the effectiveness in the hospital management of methicillin-resistant Staphylococcus aureus by different isolation policies", Korean J Nosocomial Infect Control, 10, pp.73~77 (2005)
- Siegel JD, "The Healthcare Infection Control Practices Advisory Committee. Management of multidrug-resistant organisms in healthcare settings", Am J Infect Control, 35(Suppl), pp.S165~S193 (2007)
- Park YJ, "Survey on the infection control of multidrug-resistant microorganisms in general hospitals in Korea", Korean J Nosocomial Infect Control, 12, pp.112~121 (2007)
- 양병선, "SYBR Green Real-time PCR에 의한 반코마이신 내성 장구균의 신속검사", 대한임상검사과학회지, 46(2), pp.64~67 (2014), 대한임상검사과학회[DOI]
- 정선영, "국내 의료기관의 의료관련감염 관리 실태", 디지털융복합연구, 12(5), pp.353~366 (2014), 한국디지털정책학회[DOI]
- National survey and development of standardized practice on the infection control in Korea, "Kang MW", of Health and welfare, 101~118 (2004)