• 대한간호학회지
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• 제23권3호
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• pp.325-338
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• 1993

This study was conducted to evaluate the methods used in nursing procedures for infection control. Skilled nursing procedures are related to prevention of hospital infection. The sample consisted of 301 nurses’ response to the questionnaire. Data were collected from Feb. to March, 1993 from 35 hospitals located in five major cities. The findings of the study are as follows : 1) Rotatively unsafe nursing procedures were reported for preperation of IV therapy, change of IV site and aseptic dressing on IV site, hand wash-ing and use of paper towels, use of sterile urine bottle with indwelling urinary catheter, management of dressing cart, disinfection of transfer forcep, ambu respirator, laryngoscope, humidifier and handling of incubator. 2) Relatively safe nursing procedures were reported for management of suction tube, marking for contaminated materials and waste collection. The rate of participation in education programs for infection control by the nurses was higher than in other research results. 3) Further study on procedures for IV site in-fusion and care of dressing cart are recommended.

• Journal of Korean Biological Nursing Science
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• 제25권4호
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• pp.285-294
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• 2023

Purpose: This study aimed to identify the colonization rate of carbapenem-resistant Enterobacteriaceae (CRE), the characteristics of CRE isolates, and risk factors for CRE colonization in patients transferred to the general wards of a small/medium-sized hospital. Methods: This retrospective study was conducted on patients who underwent CRE culture tests within 24 hours of admission among patients transferred to a small/medium-sized hospital. Forty-seven patients confirmed as positive for CRE were classified as belonging to the patient group. For the control group, 235 patients (five times the number of the patient group) were matched by sex, age, and diagnosis, and then selected at random. Data were analyzed using descriptive analysis and multiple logistic regression analysis. Results: The CRE colonization rate was 5% (47 out of 933 patients), and Klebsiella pneumoniae (68.0%) was the most common isolate of CRE. The positivity rate of carbapenemase-producing Enterobacteriaceae was 61.7%. The risk factors for CRE colonization included renal disease (odds ratio [OR]=4.93; 95% confidence interval [CI], 1.49-16.31), heart disease (OR=3.86; 95% CI, 1.35-11.01), indwelling urinary catheters (OR=4.43; 95% CI, 1.59-12.36), and cephalosporin antibiotic use (OR=8.57; 95% CI, 1.23-59.60). Conclusion: Having a comorbid renal or cardiac disease, an indwelling urinary catheter, or a history of exposure to cephalosporin antibiotics could be classified as risk factors for CRE colonization in patients transferred to small and medium-size hospitals. It is necessary to perform active infection control through proactive CRE culture testing of patients with risk factors.

• 한국가축번식학회지
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• 제17권2호
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• pp.165-171
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• 1993

Ornithine decarboxylase(ODC)가 polyamine 생합성에 주요 효소로 역할을 하지만 difluoromethylornithine(DFMO)은 polyamine 합성에 억제자로 작용하고 있다. Cycling crossbed gilt들을 무작위로 두 그룹으로 분배하였다(6/group). Indwelling silicone catheter를 모든 동물의 경정맥에 수술을 통해 이식하였다. DFMO는 생리식염수(20mg/ml)에 용해하여 매일 80mg/kg을 i.m.으로 주사하였으며 대조구에게는 같은 양의 생지식염수만을 주사하였다. DFMO는 estrous cycle day 16일부터 21일 혹은 발정때까지 하루 3번(08:00, 16:00, 24:00h) 주사하였다. Day 14일 부터 마지막 DFMO주사 이틀 후까지 하루 한번씩 10ml의 혈액을 채취하였다. Day 16일부터 21일까지 매일 다른 gilt로부터 8시간 동안(08:00∼16:00h) 15분 간격의 주기로 window 혈액을 채취하였다. Serum으로부터 progesteron(P4), Estradiol(E2), LH 및 FSH를 측정하였다. P4와 E2는 DFMO처리에 관계없이 follicular phase동안에 전형적인 profile을 보였다. DFMO처리는 발정직전의 LH농도를 저하시켰지만 (p<0.01), FSH에는 아무런 영향을 미치지 않았다. 결론적으로 gilt에 있어서 DFMO는 LH분비에 억제적인 영향을 미치는 한편, P4, E2 및 FSH에는 별로 영향을 미치지 않음이 나타났다.

• 가정∙방문간호학회지
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• 제9권1호
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• pp.5-13
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• 2002

This study was conducted to assess need for education on the infection control by examining the knowledge on infection control in home care of the home care trainees who had completed an infection control course. Using 64 items questionnaire. home care trainees of eight home care education institutions who took classes related with infection control. The level of knowledge evaluated subjectively was 4.24point (full mark: 5 point). The correct answer rates for handwashing and gloving. cleaning patients' rooms. preventing sharp injury, preventing exposure to potential infectious agents, home care bag technique were 84.5% 86.4% 70.7% 65.3% 76.2% representatively. For the knowledge on the infection control principles to prevent catheter related infection, indwelling catheter related infection, tracheal tube related pneumonia. L-tube related infection, oxygen therapy related infection. and wound infection were 62.8% 27.8% 39.1% 87.8% 76.5% 80.5% representatively. The correct answer rates varied depending upon the educational institutes (p< = .0001), educational levels (p= .001), workplaces (p<.0001), and the experience of infection control education (p= .001). Considering these results. a standardized curriculum must be developed and implemented after analyzing the existing infection control curricula of the home care education institutes. and guide books for infection control in home care should be developed and distributed. In addition. continuous infection control education be provided to the home care nurses through reeducation so they can acquire new knowledge needed for carrying out infection control activities effectively.

• 폴리머
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• 제30권3호
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• pp.247-252
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• 2006

환자가 요도용 카테타를 장기간 착용할 경우 세균흡착에 의한 감염이 유발되어 심각한 부작용을 경험하게 된다. 본 연구에서는 다양한 양친성 폴리우레탄을 합성하여 요도용 카테타 도포용 소재로서의 응용가능성을 확인하고자 하였다. 양친성 폴리우레탄은 친수성 고분자인 poly(ethylene oxide)(PEO)와 소수성 고분자인 poly (tetramethylene oxide) (PTMO) 또는 poly (dimethyl siloxane) (PDMS)을 연질부로 도입하여 합성하였다. 상용 실리콘 카테타에 양친성 고분자를 도포한 결과 표면의 친수성이 현저히 개선되었다. 특히, PEO의 함량이 많은 폴리우레탄일수록 친수성이 높게 나타났으며, 세균 흡착량이 감소함을 확인할 수 있었다. 결론적으로, 본 연구에서 합성한 양친성 고분자는 요도용 카테타의 도포용 소재로 적합한 것을 알 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제57권6호
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• pp.553-556
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• 2004

Bacillus종은 그람양성 간균으로 포자를 형성하며 주변 환경 어디에나 존재하여 임상 가검물에서 분리되는 경우 대부분 오염균으로 생각된다. B. licheniformis에 의한 감염증인 경우 외상, 면역저하, 주사약물남용과 연관성을 가지며, 적절한 항생제 사용과 카테타 제거나 수술적 국소조직 제거에 의해 잘 치유되는 특징이 있다. 그러나 위험인자가 없는 상태에서도 B. licheniformis 균혈증은 생길 수 있으며 본 증례에서도 58세의 위험인자가 없던 여자에서 기관지경 후에 B. licheniformis 균혈증이 발생하였고 다른 증례들처럼 경험적 항생제 치료 후에 합병증 없이 치유되었다.

• 한국임상수의학회지
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• 제27권3호
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• pp.295-298
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• 2010

5살의 중성화된 수컷 풍산 개가 서혜부에 지속적인 출혈 증상으로 내원하였다. 내원 5일 전에 멧돼지에게 공격을 받은 병력을 가지고 있었으며, 양성 요도 조영술에서 막성 요도의 파열과 요도 피부 누공이 있음을 확인 하였다. 수술 중 요도 카테터를 장착하여서 요도와 요도 피부 누공을 확인 하였고, 오줌의 누출로 인해 발생한 괴사 조직과 손상된 조직을 제거 하였다. 요도 카테터를 장착하여 요도 문합술을 실시하였다. 술 후 한달 째 배뇨장애나 혈뇨 증상이 없이, 정상적인 배뇨를 유지하였으며, 수술 후 2 달째 실시한 역행성 양성 요도 조영술에서 요도 협착 소견을 보이지 않았다.

• 대한영상의학회지
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• 제85권2호
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• pp.463-467
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• 2024

침술은 아시아 문화권에서 빈번하게 시행되고 있으며 비교적 안전한 시술로 알려져 있다. 그러나 침술과 관련된 부작용은 지속적으로 보고되고 있다. 따라서, 의료진은 침술과 관련된 합병증의 가능성을 인식하고, 심각한 경우에는 적극적으로 치료해야 한다. 우리는 침술로 인해 발생한 후복막강과 대퇴부 근육의 큰 농양과 이를 경피적 카테터 배액술 및 수술적 절개와 배농술로 치료한 사례를 보고한다.

• 대한간호학회지
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• 제36권7호
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• pp.1193-1203
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• 2006

Purpose: The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea. Method: A secondary analysis of existing data was used from the national electronic data information(EDI) of 148 home health agencies for 6 months from May to Oct 2005 in total. Result: The 148 agencies had multiple services in cerebral infaction, essential hypertension, sequoia of cerebrovascular disease, type 2 diabetes mellitus, etc.. The highest 10 rankings of 76 categories of home health nursing services were composed of 96.4% of the total services, such as simple treatment, inflammatory treatment, urethra & bladder irrigation, inserting indwelling catheter etc., in that order. The highest 20 rankings of 226 categories of home examination services were composed of 77.0% of the total home examination services. In addition, the average cost of home health care per visit was 46,088 Won (${\fallingdotseq}$ 48 $, 1 $=960 Won). The costs ranged from 74,523 Won (${\fallingdotseq}$78 $, loss of chronic kidney function, N18) to 32,270 Won (${\fallingdotseq}$34 $, other cerebrovascular diseases, 167). Conclusion: Results suggest that client characteristics of hospital based HHNC are not different from community based HHNC or visiting nursing services for elderly. The national results will contribute to baseline data used to establish a policy for the home health nursing care system and education.

• Journal of Trauma and Injury
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• 제27권2호
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• pp.33-37
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• 2014

Central venous catheterization through a subclavian approach is indicated for some special purposes but it may cause many complications such as infection, bleeding, pneumothorax, thrombosis, air embolization, arrhythmia, myocardial perforation, and nerve injury. A case involving a mistaken central venous catheterization into the right vertebral artery through the subclavian artery is presented. A 33-year-old man who had deteriorated mentality after head injury underwent an emergency craniotomy for acute epidural hematomas on the right frontal and temporal convexities. His mentality improved rapidly, but he complained of continuous severe pain in the right posterior neck even though he had no previous symptom or past medical history of such pain. Three-dimensional cervical spine computed tomography (3D-CT) was performed first to rule out unconfirmed cervical injuries and it revealed a linear radiopaque material intrathoracically from the level of the 1st rib up to the level of C6 in the right vertebral foramen. An additional neck CT was performed, and the subclavian catheter was indwelling in the right vertebral artery through right subclavian artery. For the purpose of proper fluid infusion and central venous pressure monitoring, the subclavian vein catheterization had been performed in the operation room after general anesthesia induction before the craniotomy. Sufficient anatomical consideration and prudence is essential because inadvertent arterial cannulation at a non-compressible site is a highly risky iatrogenic complication of central venous line placement.