• The Korean Journal of Pain
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• 제2권1호
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• pp.97-99
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• 1989

Epidural block is used extensively in each of the fields of surgical anesthesia, obstetric anesthesia, and diagnosis and management of acute and chronic pain. New developments in the understanding of pain conduction have extended the use of continuous epidural blockade to the administration of drugs that selectively block pain conduction while leaving sensation and motor power essentially unchanged. The safety and the reliability of spinal epidural catheter techniques have permitted relief of acute and chronic pain. However, one of the important aspects of the management of the epidural catheter is the possibility of epidural infection. We have experienced a case of epidural infection during control of post-herpetic neuralgia and discuss management of the epidural catheter in this article.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권2호
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• pp.29-37
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• 2004

Recently the hospital infection with misappropriation of the antibiotic and absence of knowledge is aincreaseing trend. For this, medical treatment is confronting infection management guide. But so far there is no accurate standard or countermeasures. Since early 1990 Nosocomial Infection has not been looked over, although there is serious problem. After 90's understanding seriousness of Nosocomial Infection, many investigations have been done, but the relations of medical facilities were hardly investigated. This thesis shows the relation between facilities and Nosocomial Infection by documental references and the direction for intensive care unit through survey the recent general hospitals.

• 한국콘텐츠학회논문지
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• 제14권12호
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• pp.808-817
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• 2014

목적: 본 연구는 노인요양병원 요양보호사의 피부감염 인식과 감염관리 수행 정도를 파악하기 위한 서술적 조사연구이다. 방법: 본 연구는 G시와 J도에 소재한 7개 노인요양병원에서 근무하고 있는 요양보호사 209명을 대상으로 실시하였다. 수집된 자료는 SPSS 18.0 program을 이용하여 ${\chi}^2$-test, t-test와 ANOVA로 통계 분석하였다. 결과: 노인요양병원 근무 시 새로 생긴 피부감염은 76.6%가 '예'라고 응답하였으며, 피부감염의 진단은 접촉 피부염 42.5%, 옴 26.9% 그리고 습진 25.0% 였다. 피부감염 인식은 평균 3.81점이었고 감염관리 수행 정도는 412점 이었다. 대상자의 일반적 특성에 따른 감염관리 수행에서는 병상수(F=4.63, p=.011)와 하루 동안 돌보는 환자 수(F=2.67, p=.049)에서 통계적으로 유의한 차이가 나타났다. 결론: 본 연구결과는 요양보호사를 위한 보수교육 및 의료감염관리 표준지침 개발을 위한 기초자료로 활용할 수 있을 것이다.

• 한국치위생학회지
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• 제14권6호
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• pp.831-838
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• 2014

Objectives: The purpose of the study was to investigate the perception and practice of the infection control by empowerment in the dental hygienists. Methods: A self-reported questionnaire was filled out by 200 dental hygienists in Gyeongbuk from January 3 to February 20, 2013. Data were analyzed by SPSS 12.0 program. The instrument of impowerment was adapted from Spreitzer and consisted of 12 questions including meaning(4 questions), competency(4 questions), self-decision(4 questions), and impact(4 questions). Impowerment was score by Likert 5 scale and higher score means higher impowerment. The instrument for hand washing recognition and practice was adapted from Kim and consisted of hand washing(5 questions), personal protective clothing management(5 questions), contaminated appliance management(3 questions), sterilization(3 questions), and infection control environment(8 questions). The empowerment instrument was score by Likert 5 scale and the mean was 3.83 points. Based on 3.83, infection control recognition and practice were divided into upper group and lower group. Cronbach alpha was 0.951 in empowerment, 0.931 in recognition, and 0.924 in practice in the study. Results: Based on the average points of 3.83, the groups were divided into two groups including upper group and lower group. The upper group showed higher score in hand washing than the lower group. In the protective clothing management, the upper group changed the mask at one-hour interval(p<0.001). Conclusions: In the viewpoint of empowerment, it had a significant influence on the perception and practice of the dental infection control in the dental hygienists.

• 디지털융복합연구
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• 제18권3호
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• pp.227-234
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• 2020

이 연구는 종합병원 간호사를 대상으로 다제내성균 감염관리 수행도에 영향을 미치는 요인을 확인하여 감염관리 교육프로그램 개발의 기초자료를 제공하고자 시도되었다. 202명의 간호사를 대상으로 구조화된 설문지를 이용해 자료를 수집하였다. 연구결과 간호사의 다제내성균 감염관리 지식은 평균 17.68점이었으며 간호사의 지각된민감성, 지각된 심각성, 지각된 유익성과 수행도는 양의 상관관계가 있었다. 또한 일반적 특성에서 결혼, 임상경력, 직위, 근무부서에 따라 수행도의 차이가 있었다. 다제내성균 감염관리 수행도에 영향을 미치는 요인으로는 지각된 유익성과 근무부서로 설명력은 35%였다. 간호사의 다제내성균 감염관리 교육프로그램 개발시 다제내성균 감염관리 지침 수행에 따른 장점, 효과 등을 포함하여 유익성을 강조하는 것이 필요하다. 또한 간호사를 대상으로 다제내성균 감염관리 교육이 필수적으로 시행되어야 한다.

• 가정∙방문간호학회지
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• 제27권3호
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• pp.294-305
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• 2020

Purpose: The aim of this study was to examine the preliminary effects of applying a developed web-based video education program in patients with cancer receiving chemotherapy. Methods: A one-group pre-post test design was used. The web-based video education program to prevent infection consisted of 5 subjects. The program was confirmed to be valid by an expert group of doctors and nurses. Convenience sampling of 23 subjects was performed to evaluate the effectiveness of the web-based video education program. Data were analyzed based on nonparametric statistics using SPSS 25.0 software. Results: Per the results of the study, knowledge and self-management behavior of infection prevention significantly improved after application of the program; however, there was no significant difference in self-efficacy. Conclusion: It was confirmed that the web-based video education program is effective to improve the knowledge and self-management behavior of infection prevention. However, as a preliminary study, this study did not have external validity. Therefore, it is necessary to verify the effectiveness of the program through randomized controlled trials and confirm the true infection prevention effect that was not considered in this research design.

• 한국임상수의학회지
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• 제32권1호
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• pp.78-84
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• 2015

Although researches have highlighted the important role of enhanced farm biosecurity to reduce the severity and prevalence of diseases in livestock, to date there has been little study in Korea on farmers' adoption of biosecurity measures to control porcine reproductive and respiratory syndrome virus (PRRSV) infection. To mitigate the risk of PRRSV infection in pigs, the risk factors by which PRRSV is introduced in pig farms must be determined. The primary aim of this study was to investigate pig producers' perceptions about on-farm biosecurity practices. We also analyzed data obtained from a cross-sectional study on 196 farrow-to-finish farms conducted between March 2013 and February 2014 to identify risk factors for PRRSV infection at farm level. Standardized questionnaires with information about basic demographical data and management practices were collected in each farm by on-site visit of trained veterinarians. Farms were classified as negative or positive through the use of infection profiles that combined data on PCR positive pigs and serological testing including antibody titer, sero-conversion pattern at each age category, and vaccination status. Data on biosecurity practices, farm management and environmental characteristics were analyzed using multivariate ordinal logistic regression. Generally, the biosecurity level in the pig farms included in this study were insufficient to reduce/prevent the risk of PRRSV infection given the high pig density areas and the considerable extent of vehicle movement. Factors associated with PRRSV infection were those where owners used on-farm vaccination programs had a lower risk of infection (OR = 0.19, 95% CI 0.06-0.61). The results from the analysis may guide to tailor biosecurity measures in the reduction or prevention of PRRS to the specific circumstances of pig farms in different localities of the world. To the best knowledge of the authors, this is the first study to report information on the biosecurity practices currently implemented on Korean pig farms.

• Tuberculosis and Respiratory Diseases
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• 제87권4호
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• pp.473-482
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• 2024

Background: Chronic airway diseases, such as asthma and chronic obstructive pulmonary disease (COPD), are increasingly being treated with inhaled corticosteroid (ICS). However, ICSs carry potential infection risks, particularly nontuberculous mycobacteria (NTM). This study investigated the association between ICS use and NTM infection risk using national insurance data, particularly for individuals with chronic airway diseases. Methods: We conducted a nationwide population-based study using data from the National Health Insurance Service-National Sample Cohort in South Korea from 2002 to 2019. The cohort included 57,553 patients diagnosed with COPD or asthma. To assess the risk of NTM infection, we used Cox proportional hazards models and propensity score-based inverse probability of treatment weighting (IPTW) to ensure a balanced analysis of covariates. Results: Of the 57,553 patients (mean age 56.0 years, 43.2% male), 16.5% used ICS and 83.5% did not. We identified 63 NTM infection cases, including nine among ICS users and 54 among non-users. Before and after IPTW, ICS use was associated with a higher risk of NTM infection (adjusted hazard ratio [HR], 4.01; 95% confidence interval [CI], 1.48 to 15.58). Higher risks were significant for patients ≥65 years (adjusted HR, 6.40; 95% CI, 1.28 to 31.94), females (adjusted HR, 10.91; 95% CI, 2.24 to 53.20), never-smokers (adjusted HR, 6.31; 95% CI, 1.49 to 26.64), systemic steroid users (adjusted HR, 50.19; 95% CI, 8.07 to 312.19), and those with higher comorbidity scores (adjusted HR, 6.64; 95% CI, 1.19 to 37.03). Conclusion: ICS use in patients with chronic airway diseases might increase the risk of NTM infection, particularly in older females, never-smokers, and systemic steroid users.

• 치위생과학회지
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• 제17권3호
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• pp.226-232
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• 2017

This study aims to determine the changes in health beliefs and practices of dental hygienists on infection control after having received special training on that subject. The study population consisted of dental hygienists working at the dental institutions located in Seoul and Gyeonggi areas. The intervention group and the control group each had randomly assigned 26 dental hygienists. The intervention group received training courses on infection control once a week for 3 hours, for a total of 4 training sessions. We used a survey tool to find the changes between the two groups regarding their health beliefs and practices on infection control measures. The survey was conducted prior to the training sessions, 3 months and 2 weeks after the training. The study results revealed statistically significant increases in perceived sensitivity, perceived seriousness, and perceived benefits after the training courses in the intervention group (p<0.05). A statistically significant decrease in perceived barriers was also noted in the intervention group (p<0.05). Additionally, there was a statistically significant increase in the practice of infection control in the intervention group as compared to the control group (p<0.05). Therefore, we conclude that infection control training is crucial in bringing about positive changes to the health beliefs of dental hygienists, and a structured system is necessary for continuous infection management along with training in order to improve infection control practices.

• 성인간호학회지
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• 제26권1호
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• pp.11-21
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• 2014

Purpose: This study was conducted to describe core competencies and identify factors affecting core competencies among infection control nurses (ICN). Methods: Infection control nurses from hospital with more than 200 beds comprised the sample. Questionnaires were sent to the sample via e-mail. One hundred and three questionnaires were returned. Data were analyzed with descriptive statistics and stepwise multiple regression via SPSS/WIN 21.0. Results: The core competency level of healthcare workers area was the highest that of the education and research was the lowest. There were significant differences in core competencies related to demographics such as age, clinical carrier, infection control carrier, position, academic degree, infection control specialist license, hospital location, and hospital type. The explained variances for the core competency were 38.3% and the contributing factors to core competencies were infection control carrier and infection control specialist license. Conclusion: It showed various levels of core competencies depending on infection control nurses' demographics and hospital traits, therefore consistent management efforts for the licensing and career path of infection control would be required.