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A study on Antibacterial Finishing Materials and Application Areas in the Hospital - Focused on Antibiotic-resistant Bacteria

항균마감재료와 병원 내 적용 부위 고찰 - 항생제 내성균을 중심으로

  • Kwon, Soonjung ;
  • Park, Yonghyun
  • 권순정 (건축학과, 아주대학교) ;
  • 박용현 (건축학과, 아주대학교)
  • Received : 2024.04.17
  • Accepted : 2024.05.03
  • Published : 2024.06.15

Abstract

Purpose: In general, cross-infection caused by bacteria occurs more in hospitals than in local communities. In most cases, infectious diseases spread through contact transmission (direct contact, indirect contact). This study tries to examine which places are most likely to detect infections bacteria and what materials should be used to effectively suppress the spread of infectious bacteria. Methods: Domestic and international literature have been reviewed to determine which bacteria are common and spread in which places. At the same time, antibacterial experiments for several finishing materials are performed to determine the survival period of bacteria for each material. The experiment is conducted mainly on antibiotic-resistant bacteria (MRSA, CRE, etc.) that have a high mortality rate and are very contagious. Results: MRSA has a high incidence in many hospital departments with surgery or immunocompromised patients, such as the elderly, organ transplant patients, and hemodialysis patients. There are experimental results that MRSA dies early in ceramics or silk wallpaper. CRE has a high incidence in hospital departments where there are many patients who are prone to bacteria entering the body directly, such as ventilator patients or critically ill patients with surgical wounds. There are experimental results that CRE dies early in silk wallpaper. In addition, bacteria die on the surface for a variety of reasons. Most MRSA and CRE develop in patients with impaired immunity or surgery, and rapidly die in copper or materials with antibacterial properties. Implications: If finishing materials surface with the ability to kill specific bacteria is used in the place where a large number of specific bacteria are detected, the spread of infectious diseases can be effectively controlled.

Keywords

References

  1. 김창남, 2010, "An Overview of Antimicrobial Testing for Textile Applications - 섬유제품을 위한 항균테스트 검토" 
  2. 대한민국 감염병의 예방 및 관리에 관한 법률, 2024, "감염병예방법" 
  3. 박철민, 한승전, 2022, "동합금의 항균 및 항바이러스 특성 및 연구 동향" 
  4. 서울대병원, 2024, "N의학정보 메티실린 내성 황색포도알균 감염", http://www.snuh.org/health/nMedInfo/nView.do?category=DIS&medid=AA000492, 2024.05.20. 
  5. 서울대병원, 2024, "N의학정보 카바페넴 내성 장내세균", http://www.snuh.org/health/nMedInfo/nView.do?category=DIS&medid=AA001120, 2024.05.20 
  6. 이상은, 이승재, 박현정, 이연경, 2021, "2013~2018년 표본감시 지속참여기관의 의료관련감염병(다제내성균6종) 신고 현황과 분리율 분석" 
  7. 질병관리본부, 2012, "다제내성균 감염관리 지침"
  8. 질병관리청, 2021, "국가 항균제 내성균 조사 연보 NATIONAL ANTIMICROBIAL RESISTANCE SURVEILLANCE IN KOREA 2020 ANNUAL REPORT" 
  9. 질병관리청, 2023, "감염병 누리집 사이트", https://tids.goability.co.kr, 2024.04.11 
  10. Abhimanyu, Tharayil; R, Rajakumari; Miran, Mozetic; Gregor, Primc; Sabu, Thomas, 2021, "Contact transmission of SARS-CoV-2 on fomite surfaces: surface survival and risk reduction", INTERFACE FOCUS 
  11. Dancer, Stephanie J., 2019, "How Much Impact Do Antimicrobial Surfaces Really Have on Healthcare-acquired Infection?" 
  12. Del Olmo, Jon Andrade; Rubio, Leire Ruiz; Alvarez, Leyre Perez; Martinez, Virginia Saez; Vilela, Jose Luis Vilas, 2020, "Antibacterial Coatings for Improving the Performance of Biomaterials" 
  13. Gastmeier, Petra; Balderjahn, Sabine Stamm; Hansen, Sonja; Zuschneid, Irina; Sohr, Dorit; Behnke, Michael; Vonberg, Ralf-Peter; Ruden, Henning, 2006, "Where should one search when confronted with outbreaks of nosocomial infection?" 
  14. Harris, Debra, 2000, "Environmental quality and healing environments: A study of flooring materials in a healthcare telemetry unit" 
  15. Hu, Yongpei; Zhang, Qin; You, Renchuan; Wang, Lingshuang; Li, Mingzhong, 2012, "The Relationship between Secondary Structure and Biodegradation Behavior of Silk Fibroin Scaffolds" 
  16. Institute for Hygiene and Environmental Medicine, 2018, "Outbreak DatabaseWorldwide Database for Nosocomial Outbreaks", https://www.outbreak-database.com/Protected/Default.aspx, 2024.05.20. 
  17. Kaur, Rajbir; Liu, Song, 2016, "Antibacterial surface design - Contact kill" 
  18. Kramer, Axel; Schwebke, Ingeborg; Kampf, Gunter, 2006, "How long do nosocomial pathogens persist on inanimate surfaces? A systematic review" 
  19. KRINKO, 2022, "Anforderungen an die Hygiene bei der Reinigung und Desinfektion von Flachen Empfehlung der Kommission fur Krankenhaushygiene und Infektionspravention (KRINKO) beim Robert Koch-Institut" 
  20. Ojeil; Jermann; Holah; Denyer; Maillard, 2013, "Evaluation of new in vitro efficacy test for antimicrobial surface activity reflecting UK hospital conditions" 
  21. Roger, anderson; Donald, Mackel; Barry, Stoler; George, Mallion, 1982, "Carpeting in Hospitals: an Epidemiological Evaluation" 
  22. Seo, Hyun-Bo; Choi, Young-Seon; Quan, Xiaobo; Joseph, Anjali, 2008, A Review of the Research Literature on Evidence-Based Healthcare Design, Healthcare, white paper series Leadership 5 of 5 
  23. Ulrich, Roger S.; Zimring, Craig; Zhu, Xuemei; DuBose, Jennifer; 
  24. U.S. Department of Health and Human Services Centers for Disease Control and Prevention (CDC), 2003, "Guidelines for Environmental Infection Control in Health-Care Facilities"