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국내 의료기관의 의료관련감염 관리 실태

The status of Healthcare-associated Infection Control among Healthcare Facilities in Korea

  • 정선영 (건양대학교 간호학과) ;
  • 김옥선 (상지대학교 간호학과) ;
  • 이지영 (가톨릭대학교 서울성모병원 감염관리실)
  • Jeong, Sun-Young (Dept. of Nursing, Konyang University) ;
  • Kim, Og Son (Dept. of Nursing Science, Sangji University) ;
  • Lee, Ji-Young (Dept. of Infection Control, The Catholic University of Korea, Seoul St. Mary's hospita)
  • 투고 : 2014.03.15
  • 심사 : 2014.05.20
  • 발행 : 2014.05.28

초록

본 연구는 국내 의료기관의 의료관련감염 관리 현황을 파악하고자 시행된 조사연구이다. 134개 의료기관을 대상으로 강문원 등[8]이 개발한 설문지를 보완하여 사용하였다. 조사대상 의료기관의 평균 병상수는 556.4이었고 300병상 미만 의료기관이 26.9%를 차지하였다. 99.3%의 의료기관이 감염관리위원회를 설치하였고 평균 개최 횟수는 연 3.4회였다. 감염관리실무자가 1명 배치된 곳이 54.5%, 전담근무가 62.7%이었다. 실무자의 95.5%가 간호사로 평균 37.2세, 48.9%가 석사 이상, 평균 병원 경력은 13.5년, 감염관리실무 경력은 3.2년이었으며 30.8%가 1년 미만이었다. 감염감시는 100%, 개선활동은 75.4%의 의료기관에서 수행하였다. 감염관리실 설치 및 인력, 감염관리실무자 근무 형태, 감염감시 결과 비교, 감염유행조사, 음압병실, 감염관리 전산프로그램과 손위생 모니터링 실시는 의료기관의 규모에 따라 유의한 차이가 있었으며, 300병상 미만 중소 의료기관에서 인력, 조직, 시설이 부족하였다. 본 연구의 결과는 300병상 미만 중소 의료기관의 감염관리 조직과 인력, 실무 정착화를 위한 기초 자료로 이용될 수 있을 것이다.

The purpose was to describe the state of healthcare-associated infection(HAI) control. Data were collected from 134 hospitals. The questionnaire developed by Kang[8] were modified. The mean of hospital beds was 556.4, 26.9% of hospitals were less than 300 beds. 99.3% of hospitals had infection control committee(ICC). ICC met 3.4 times a year. 54.5% of hospitals had one infection control practitioner(ICP). 95.5% of ICPs were nurse, 48.7% of ICPs had more than master's degree. Hospital experience of ICPs was 13.5 years. ICP experience was 3.2 years. 30.8% of ICPs worked for less than 1 year. All hospitals investigated HAI, 75.4% performed improvement activities. There are significant differences in existence of ICD, negative pressure room, computer program, numbers of ICPs according to hospital size. Manpower, organization, and facilities lacked in less than 300 beds. This conclusions will give baseline data to establish infection control system, manpower and practice in small-medium hospitals.

키워드

참고문헌

  1. P. S. Brauman, Epidemiology of nosocomial infections. Hospital infections, B. a. Brauman, Atlanta, Georgia, Lippincott-Raven. Fourth Edition. 1998.
  2. Korean Society for Nosocomial Infection Control, Infection control and prevention in healthcare facilities. Seoul, Hanmibook. 2011.
  3. Medical Law [Operation 2014.1.1.] [Law No. 10609, 2011.4.28., Partial revision]. Retrieved March 3, 2014, from http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EC%9D%98%EB%A3%8C%EB%B2%95#liBgcolor8
  4. Medical Law Enforcement Rules [Operation 2014.1.1.] [Ordinance of the Ministry of Health and Welfare No. 228, 2013.12.31.] Retrieved March 3, 2014, from http://www.law.go.kr/lsSc.do?menuId=0&subMenu=1&query=%EC%9D%98%EB%A3%8C%EB%B2%95#liBgcolor10
  5. J. H. Park, & H. S. Yoon, A survey of hospital infection control. The Seoul Journal of Nursing, Vol. 1, No. 1, pp. 13-21, 1986.
  6. S. E. Lee, A study on investigating the national infection control program in Korea, The Seoul Journal of Nursing, Vol. 7, No. 1, pp. 13-33, 1993.
  7. J. H. Woo, M. S. Lee, M. H. Jeong, S. O. Lee, D. R. Jeong, & E. O. Kim, et al. National survey on the current status of nosocomial infection control in Korea. Korean Journal of Nosocomial Infection Control, Vol. 2, No. 2, pp. 177-202, 1997.
  8. M. W. Kang, National survey and development of standardized practice on the infection control in korea. Ministry of Health and welfare, 2004.
  9. H. S. Oh, A study on the nosocomial infection control and development of evaluation indices and medical in Korea. Seoul University Doctoral Dissertation, 2005.
  10. Korean Association of Infection Control Nurses(KAICN), KAICN text of infection control. Seoul, Hyunmoonbook. Second Edition. 2012.
  11. J. M. Hughes, Study on the efficacy of nosocomial infection control(SENIC Project): Results and implications for the future. Chemotherapy, Vol. 34, No. 6, pp. 553-61, 1983.
  12. C. O'Boyle, M. Jackson, & S. J. Henly, Staffing requirement for infection control program in US health care facilities: Delphi project. American Journal of Infection Control, Vol. 30, No. 6, pp. 321-33, 2002. https://doi.org/10.1067/mic.2002.127930
  13. Korea Institute for Healthcare Accrediation (KOIHA), Standards for healthcare facility certification. 2011
  14. Joint Commission International(JCI), Joint commission international accrediation standards for hospitals. Joint Commission International, 2010.
  15. S. Y. Jeong, & O. S. Kim, The structual model of hand hygiene behavior for prevention of healthcare-associated infection in hospital nurses. Korean Journal of Adult Nursing, Vol. 24, No. 2, pp. 99-108, 2012. https://doi.org/10.7475/kjan.2012.24.2.99
  16. J. D. Siegel, E. Rhinehart, M. Jackson, L. Chiarello, & the Healthcare infection control practice advisory committee(HICPAC). Management of multidrugresistant organisms in healthcare settings, 2006. CDC. Retrieved March 5, 2014, from http://www.cdc.gov/hicpac/pdf/MDRO/MDROGuideline2006.pdf
  17. D. Pittet, The lowbury lecture: Behaviour in infection control. Journal of Hospital Infection, Vol. 58, pp.1-13, 2004. https://doi.org/10.1016/j.jhin.2004.06.002

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