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수용개작방법을 활용한 의료기관의 격리주의지침 개발

Adaptation of Isolation Guidelines for Health Care Settings

  • 류재금 (서울대학교 간호대학) ;
  • 정재심 (울산대학교 산업대학원 임상전문간호학) ;
  • 정인숙 (부산대학교 간호대학) ;
  • 김정혜 (울산대학교 산업대학원 임상전문간호학) ;
  • 홍은영 (서울성모병원) ;
  • 김향숙 (세브란스병원 간호파트) ;
  • 정영선 (서울아산병원 간호팀) ;
  • 권정순 (서울아산병원 간호팀) ;
  • 이지영 (서울성모병원 감염관리팀) ;
  • 최지연 (중앙대학교병원 감염관리팀) ;
  • 김경숙 (삼성서울병원 간호팀) ;
  • 김은현 (세브란스병원 간호파트) ;
  • 차경숙 (선문대학교 간호학과) ;
  • 김은진 (서울대학교병원 감염관리팀) ;
  • 박경희 (수원대학교 간호학과) ;
  • 서현주 (조선대학교 간호학과)
  • Ryu, Jae Geum (College of Nursing, Seoul National University) ;
  • Jeong, Jae Sim (Department of Clinical Nursing, University of Ulsan Graduate School of Industry) ;
  • Jeong, Ihn Sook (College of Nursing, Pusan National University) ;
  • Kim, Jeong Hye (Department of Clinical Nursing, University of Ulsan Graduate School of Industry) ;
  • Hong, Eun-Young (Department of Nursing, The Catholic University of Korea Seoul St. Mary's Hospital) ;
  • Kim, Hyang Sook (Division of Nursing, Yonsei University Health System) ;
  • Jung, Young Sun (Nursing Department, Asan Medical Center) ;
  • Kwon, Jeong Soon (Nursing Department, Asan Medical Center) ;
  • Lee, Ji Young (Infection Control Team, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Choi, Ji Youn (Infection Control Team, Chung-Ang University Hospital) ;
  • Kim, Kyung Sug (Division of Nursing, Samsung Medical Center) ;
  • Kim, Eun Hyun (Division of Nursing, Yonsei University Health System) ;
  • Cha, Gyeong Suk (Department of Nursing, Sun Moon University) ;
  • Kim, Eun Jin (Infection Control Team, Seoul National University Hospital) ;
  • Park, Kyung Hee (Department of Nursing Science, The Suwon University) ;
  • Seo, Hyun Ju (Department of Nursing, Chosun University)
  • 투고 : 2018.05.31
  • 심사 : 2018.06.18
  • 발행 : 2018.08.31

초록

Purpose: This purpose of this study was to develop evidence-based practice guideline for isolation in health care settings to prevent transmission of infectious diseases utilizing guideline adaption process. Methods: The process of guideline adaptation was performed according to the Korean hospital nurses association's guideline adaptation manual which consisted of three main phases, 9 modules, and 24 steps. Results: The adapted isolation guideline consisted of introduction, overview of isolation guideline, summary of recommendations, recommendations, references, and appendices. The guideline includes 224 recommendations in 4 sections which are organizational administration, standard precautions, transmission-based precautions, and education/counselling. Conclusion: The adapted isolation guideline is recommended to be disseminated and utilized by nurses and clinicians nationwide to improve the isolation practices for infected or colonized patients with communicable diseases and to decrease the transmission of infections in the healthcare settings.

키워드

참고문헌

  1. Siegel JD, Rhinehart E, Jackson M, Chiarell L. Health Care Infection Control Practices Advisory Committee. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings. American Journal of Infection Control. 2007;35(10 Suppl 2):S65-S164. https://doi.org/10.1016/j.ajic.2007.10.007
  2. Garner JS. Guideline for isolation precautions in hospitals. Infection Control and Hospital Epidemiology. 1996;71(1):53-80. https://doi.org/10.2307/30142367
  3. Centers for Disease Control. Update: Universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health-care settings. Morbidity and Motality Weekly Report. 1988;37(24):377-382, 387-388.
  4. Lynch P, Cummings MJ, Roberts PL, Herriott MJ, Yates B, Stamm WE. Implementing and evaluating a system of generic infection precautions: body substance isolation. American Journal of Infection Control. 1990;18(1):1-12. https://doi.org/10.1016/0196-6553(90)90204-6
  5. Siegel JD, Rhinehart E, Jackson M, Chiarello L; The Healthcare Infection Control Practices Advisory Committee. Management of multidrug-resistant organisms in healthcare settings, 2006. Atlanta: Centers for Disease Control and Prevention; 2006.
  6. Dubberke ER, Carling P, Carrico R, Donskey CJ, Loo VG, McDonald LC, et al. Strategies to prevent Clostridium difficile infections in acute care hospitals: 2014 update. Infection Control and Hospital Epidemiology. 2014;35(6):628-645. https://doi.org/10.1086/676023
  7. Centers for Disease Control and Prevention. Guidance for control of infections with carbapenem-resistant or carbapenemase- producing Enterobacteriaceae in acute care facilities. Morbidity and Mortality Weekly Report. 2009;58(10):256-260. https://doi.org/19300408
  8. Srinivasan A, McDonald LC, Jernigan D, Helfand R, Ginsheimer K, Jernigan J, et al. Foundations of the severe acute respiratory syndrome preparedness and response plan for healthcare facilities. Infection Control and Hospital Epidemiology. 2004;25(12):1020-1025. https://doi.org/10.1086/502338
  9. Kim SJ, Song RY. Knowledge and practice of middle east respiratory syndrome isolation precaution among hospital nurses. Journal of Korean Academy of Fundamentals of Nurisng. 2018;25(1):46-57. https://doi.org/10.7739/jkafn.2018.25.1.46
  10. Song JY, Jeong IS. An experience in successful infection control against extended spectrum beta lactamase (ESBL) - producing Klebsiella pneumoniae outbreak in a neonatal intensive care unit. Global Health & Nursing. 2013;3(1):1-6.
  11. Lee JS, Kim ES, Chung MH, Baek JJ, Jung SH, Ahn JH, et al. National questionnaire survey on managing patients with severe acute respiratory syndrome,2003. Infection and Chemotherapy. 2004;36(3):132-138.
  12. Kim SY, Kim NS, Shin SS, Ji SM, Lee SJ, Kim SH, et al. Manual for guideline adaptation (ver 2.0). Seoul: National Evidencebased Healthcare Collaborating Agency; 2011.
  13. Korean Hospital Nurses Association. (2012). Adaptation of evidence- based clinical practice guideline and standardization of adaptation process in nursing clinical practice guideline-based on the intravenous infusion therapy. Research report. Seoul: Hospital Nurses Asscoiation; 2012.
  14. Jeong IS, Jeong JS, Seo HJ, Lim EY, Hong EY, Park KY, et al. Development of Indwelling Urinary Catheterization Guideline by Adaptation Process. Journal of Korean Clinical Nursing Research. 2015;21(1):31-42. https://doi.org/10.22650/JKCNR.2015.21.1.31
  15. The AGREE Next Steps Consortium. Korean appraisal of guidelines for research & evaluation II. Steering Committee for Clinical Practice Guideline, translator. Seoul: Ministry of Health & Welfare, Korean Academy of Medical Science; 2010.
  16. Kim NS, Kim SY, Park HA, Shin SS, Lee HY, JI. SM, et al. Tool for assessment of adapted guidelines (TADD), Basic research. Seoul: National Strategic Coordinating Center for Clinical Research; 2012.Report No.: 2012-01.
  17. Choi BR. RAM (RAND/UCLA Appropriateness Method) applied to decision making method. HIRA Policy Trends. 2010;4(1):58-62.
  18. Fitch K, Bernstein S, Aguilar MD, Burnand B, LaCalle JR, Lazaro P, et al. RAND/UCLA Appriateness Method User's Mannual. Santa Monica, CA: RAND Coporation; 2011.
  19. Cohen SH, Gerding DN, Johnson S, Kelly CP, Loo VG, McDonald LC, et al. Clinical practice guidelines for Clostridium difficile infection in adults: 2010 update by the society for healthcare epidemiology of America (SHEA) and the infectious diseases society of America (IDSA). Infection control and hospital epidemiology. 2010;31(5):431-455. https://doi.org/10.1086/651706
  20. Spruce L, Conner R, Retzlaff KJ. Guideline for prevention of transmissible infections. In: Conner R, Burlingame B, Blocker J, editors. Guidelines for perioperative practice. Denver, CO: AORN; 2012.
  21. National Health and Medical Research Council. Australian guidelines for the prevention and control of infection in healthcare. Canberra: National Health and Medical Research Council; 2010.
  22. Public Health Agency of Canada. Routine pratices and additional precautions for preventing the transmission in healthcare settings. Ottawa: Public Health Agency of Canada; 2012.
  23. National Clinical Guideline Centre (UK). Infection: prevention and control of healthcare-associated infections in primary and community care. London: Royal College of Physicians (UK); 2012.
  24. Loveday HP, Wilson JA, Pratt RJ, Golsorkhi M, Tingle A, Bak A, et al. Epic3: national evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in england. The Journal of Hospital Infection. 2014;86 (Suppl 1): S1-S70. https://doi.org/10.1016/S0195-6701(13)60012-2