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Knowledge and Compliance Level of the Multi-drug resistant Organisms of ICU nurses

중환자실 간호사의 다제내성균 감염관리 지식과 이행도

  • Shon, Joung-A (Department of Infection control office, Presbyterian Medical Center) ;
  • Park, Jin Hee (Department of Nursing, Woosuk Univesity)
  • Received : 2016.04.15
  • Accepted : 2016.07.07
  • Published : 2016.07.31

Abstract

This descriptive survey assessed knowledge of intensive care unit (ICU) nurses regarding compliance with infection control for six kinds of multi-drug resistant organisms to assist in development of effective intervention strategies. Participants included 210 nurses working in the ICUs of general hospitals who completed a structured questionnaire. The results showed that the nurses' knowledge level and infection control compliance was 10.54 and 3.39 for MRSA; 11.25 and 3.69 for VRE; and 9.60 and 3.49 for CRGNB, respectively[ED highlight - consider providing additional information to describe what these values indicate.]. Knowledge regarding MRSA infection control differed significantly based on age, clinical experience, and experience as a trainee, while compliance with MRSA infection control differed based on age. Knowledge regarding VRE infection control was significantly different based on academic qualification level, experience as a trainee, and whether guidelines existed, while compliance with VRE infection control differed based on academic qualification level and the presence of an isolation environment. Knowledge regarding CRGNB infection control differed significantly based on academic qualification level and experience as a trainee, while compliance with CRGNB infection control differed based on the presence of an isolation environment. Thus, intervention strategies should include education programs for enhancing ICU nurse' knowledge regarding strategies for creating isolation environments.

References

  1. S. I. Jung, K. H. Park, K. T. Kwon, K. S. KO, W. S. Oh, D. R. Chung, K. R. Peck, J. S. Yeom, H. H. Chang, S. W. Kim, J. S. Son, J. H. Song, "Relationship between ${\beta}$-Lactam Antimicrobial Use and Antimicrobial resistance in klebsiella pneumoniae Clinical Isolates at 5 Tertiary Hospitals in korea", Infection and Chemotherapy, 39(4), pp.189-195, 2007.
  2. S. H. Jeong, "Development of laboratory surveillance system for multi-drug resistant clinical pathogens", Korea Center for Disease Control and Prevention: Academic research report final results, pp. 1-38, 2013. http://bit.ly/1WSuEHt
  3. M. H. Jeon, W. B. Park, S. R. Kim, H. K. Chun, S. H. Han, J. H. Bang, E. S. Park, S. Y. Jeong, J. S. Eom, Y. K. Kim, H. B. Kim, K. Y. Lee, H. J. Choi, H. Y. Kim, K. M. Kim, J. H. Sung, Y. Uh, H. S. Chung, J. W. Kwon, J. H. Woo, "Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2010 through June 2011", Korean J Nosocomial Infect Control, 17(1), pp. 28-39, 2012. http://bit.ly/21crLns
  4. W. C. Huskins, C. M. Huckabee, N. P. O'Grady, P. Murray, H. Kopetskie, L. Zimme, M. E. Walker, C. RL. Sinkowitz, J. A. Jernigan, M. Samore, D. Wallace, D. A. Goldmann, "Intervention to reduce transmission of resistant bacteria in intensive care", The New England Journal of Medicine, 364(15), pp.1407-1418, 2011. DOI: http://dx.doi.org/10.1056/NEJMoa1000373 https://doi.org/10.1056/NEJMoa1000373
  5. Medical Infection Control Association, "Infection control in hospitals", pp. 445-456, Seoul, Hanmi Medicine, 2011.
  6. Korea Center for Disease Control and Prevention, Disease web statistics system. http://bit.ly/1MT2Gvi
  7. Korea Center for Disease Control and Prevention, "Infection Control Guidelines for Multidrug Resistant Microorganisms in Healthcare Facilities", p. 1-27, 2012. http://bit.ly/1VUjQex
  8. Korea Center for Disease Control and Prevention, "Guidelines for control of patients with Carbapenemase producing Carbapenem-Resistant Enterobacteriaceae", p. 1-15, 2012. http://bit.ly/1T0WWvF
  9. D. J. Morgan, E. Rogawski, K. A. Thom, J. K. Johnson, E. N. Perencevich, M. Shardell, S. Leekha, A. D. Harris, "Transfer of multidrug-resistant bacteria to healthcare workers' gloves and gowns after patient contact increases with environmental contamination", Critical Care Medicine, 40(4), pp. 1045-1051, 2012. DOI: http://dx.doi.org/10.1097/CCM.0b013e31823bc7c8 https://doi.org/10.1097/CCM.0b013e31823bc7c8
  10. J. D. Siegel, E. Rhinehart, M. Jackson, L. Chiarello, "2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings", Healthcare Infection Control Practices Advisory Committee, 2007. http://1.usa.gov/1rkV7LP
  11. J. Y. Kang, J. W. Cho, Y. J. Kim, D. H. Kim, J. Y. Lee, H. K. Park, S. H. Jung, E. N. Lee, "Hospital Nurses' Knowledge and Compliance on Multidrug-resistant Organism Infection Control Guideline", Journal of Korean Academic Nursing, 39(2), pp. 186-197, 2009. DOI: http://dx.doi.org/10.4040/jkan.2009.39.2.186 https://doi.org/10.4040/jkan.2009.39.2.186
  12. T. K. Kim, H. S. Min, H. Y. Jung, "Knowledge and performance level of infection control with MRSA of medium and small hospital nurses", Korean Journal of Health Service Management, 6(3), pp. 157-169, 2012. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.3.157 https://doi.org/10.12811/kshsm.2012.6.3.157
  13. K. M. Kim, O. S. Kim, M. Y. Jeon, "Knowledge and Compliance Level of the Multidrug-resistant Organisms of Nursing Students", Journal of Korean Biological Nursing Science, 14(1), pp. 8-15, 2012. DOI: http://dx.doi.org/10.7586/jkbns.2012.14.1.8 https://doi.org/10.7586/jkbns.2012.14.1.8
  14. H. Y. Jung, Y. K. Jung, "Recognition and Performance Level of Hospital Infection Control in Nurses of Long-term Care Hospital", The Korean Journal of Health Service Management, 7(4), pp. 131-141, 2013. DOI: http://dx.doi.org/10.12811/kshsm.2013.7.4.131 https://doi.org/10.12811/kshsm.2013.7.4.131
  15. J. H. Kim, K. H. Lim, "The Factors Influencing Compliance of Multidrug-resistant Organism Infection Control in Intensive Care Units Nurses", Korean Journal of Adult Nursing, 27(3), pp. 325-336, 2015. DOI: http://dx.doi.org/10.7475/kjan.2015.27.3.325 https://doi.org/10.7475/kjan.2015.27.3.325
  16. H. S. Oh, "Current Status of Infection Control of Multidrug Resistant Organisms in Hospitals with more than 200 beds in the Republic of Korea", Korean Journal of Health Service Management, 8(4), pp. 163-173, 2014. DOI: http://dx.doi.org/10.12811/kshsm.2014.8.4.163 https://doi.org/10.12811/kshsm.2014.8.4.163
  17. Centers for Disease Control and Prevention, "Management of Multidrug-Resistant Organisms In Healthcare Settings", 2006. http://www.cdc.gov/
  18. Centers for Disease Control and Prevention, "Guidance for Control of Infections with Carbapenem-Resistant or Carbapenemase-Producing Enterobacteriaceae in Acute Care Facilities", 2009. http://www.cdc.gov/
  19. Y. M. Park, H. S. Park, K. Y. Park, "Factors Influencing Level of Awareness and Compliance with Vancomycin-Resistant Enterococcus Infection Control among Nurses in Intensive Care Units", Journal of Korean Academy of Fundamentals of Nursing, 15(4), pp. 531-538, 2008. http://bit.ly/22T9Cw5
  20. D. Yong, M. A. Toleman, C. G. Giske, H. S. Cho, K. Sundman, K. Lee, T. R. Walsh, "Characterization of a new metallo-beta-lactamase gene, bla (NDM-1), and a novel erythromycin esterase gene carried on a unique genetic structure in Klebsiella pneumoniae sequence type 14 from India", Antimicrobial Agents Chemotherapy, 53(12), pp. 5046-5054, 2009. DOI: 10.1128/AAC.00774-09 DOI: http://dx.doi.org/10.1128/AAC.00774-09 https://doi.org/10.1128/AAC.00774-09
  21. C. I. Kang, "Therapeutic strategy for the management of multidrug-resistant gram-negative bacterial infections", Journal of the Korean Medical Association, 53(3), pp. 325-331, 2011. DOI: http://dx.doi.org/10.5124/jkma.2011.54.3.325 https://doi.org/10.5124/jkma.2011.54.3.325
  22. H. S. Oh, "Analysis of hand hygiene practices of health care personnels", Journal of the Korea Academia-Industrial cooperation Society, 16(9), pp. 6160-6168, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.9.6160 https://doi.org/10.5762/KAIS.2015.16.9.6160
  23. M. S. Yoo, Y. J. Son, H. M. Ham, M. M. Park, A. H. Um, "A comparative study of nurses' recognition and practice level of general nosocomial infection, MRSA and VRE infection control", Journal of Korean Academy of Fundamentals of Nursing, 11(1), pp. 31-40, 2004. http://bit.ly/1XXvjHI
  24. J. D. Siegel, E. Rhinehart, M. Jackson, L. Chiarello, "Healthcare Infection Control Practices Advisory Committee(2007), Management of Multidrug-resistant Organisms in health Care Settings", American Journal of Infection Control, 35(10), pp. 165-193, 2006. DOI: http://dx.doi.org/10.1016/j.ajic.2007.10.006 https://doi.org/10.1016/j.ajic.2007.10.006
  25. S. L. Barnes, D. J. Morgan, A. D. Harris, P. C. Carling, K. A. Thom, "Preventing the transmission of multidrug-resistant organisms: modeling the relative importance of hand hygiene and environmental cleaning interventions", Infection Control Hospital Epidemiology, 35(9), pp. 1156-62, 2014. DOI: http://dx.doi.org/10.1086/677632 https://doi.org/10.1086/677632
  26. H. S. Oh, "National survey on nurses' knowledge of infection control in general hospitals and analysis of variables to impact on their knowledge", Korean Journal of Nosocomial Infection Control, 10(2), pp. 78-86, 2005. http://bit.ly/1RvZfXz