• Title/Summary/Keyword: Infection prevention and control

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Risk Factors of Clonorchis sinensis Human Infections in Endemic Areas, Haman-Gun, Republic of Korea: A Case-Control Study

  • Lee, Sang-Eun;Shin, Hee-Eun;Lee, Myoung-Ro;Kim, Yang-Hee;Cho, Shin-Hyeong;Ju, Jung-Won
    • Parasites, Hosts and Diseases
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    • v.58 no.6
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    • pp.647-652
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    • 2020
  • Clonorchis sinensis is the most common fish-borne intestinal parasite in Korea. The aim of the present investigation was to survey the status of C. sinensis infection and analyze associated risk factors in residents of Haman-gun, Gyeongsangnam-do. A total of 5,114 residents from 10 administrative towns/villages voluntarily agreed to participate in the study, which comprised fecal examination, a questionnaire survey for risk factors, ultrasonography, and enzyme-linked immunosorbent assay for cancer biomarker detection in the blood. We detected C. sinensis eggs in 5.3% of the subjects. By region, Gunbuk-myeon had the highest number of residents with C. sinensis eggs. The infection rate and intensity were higher in male than in female residents. Based on the risk factor questionnaire, infection was highly associated with drinking, a history of C. sinensis infection, and the practice of eating of raw freshwater fish. Extension of the bile duct, infection intensity, and cancer biomarker detection significantly correlated with the presence of eggs in the study population. In conclusion, the development of feasible, long-term control policies and strategies for the elimination of C. sinensis in Korea is still required.

A Study on the Perception of Infection Control in Ultrasound Diagnostic Room (초음파검사실 감염관리 인식에 대한 연구)

  • An, Hyun
    • Journal of radiological science and technology
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    • v.43 no.5
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    • pp.367-374
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    • 2020
  • The purpose of this study is to understand the infection prevention system and infection management perception of Ultrasound diagnostic room in medical institutions by sonographer's in general practitioner, semi and general hospitals. As a research method, a statistical analysis was conducted by surveying a total of 20 items in four category to determine the infection perception of sonographer's according to gender, age, working institution, and working period. As a result of infection awareness, males were in the ultrasound gel management category, women were in the transducer management category, all age groups were in the transducer management system category, and the General Practitioner, semi and general hospitals. were in the transducer management system category, and general hospitals showed a high degree of infection awareness in the category of disinfection and sterilization, and in the category of transducer management in the entire working period. In the results of the analysis of the correlation between the sub-factors of the perception of infection control in the Ultrasound diagnostic room the degree of correlation between each category showed a middle degree correlation(r>0.5) and a significant difference by category(p<.01). In conclusion, the prevention of infection in the ultrasound diagnostic room, which sonographer's firms think, was found to be the most efficient ultrasound diagnostic room infection control to implement transducer and gel management in accordance with the principles of disinfection and sterilization.

Influencing Factors of the Performance of Infection Preventive Behaviors among Nursing Students in the Early Pandemic Period of COVID-19 (코로나19 초기 유행 시 간호대학생의 감염예방행동 수행 영향요인)

  • Ahn, Junhee;Lee, Grace Changkeum
    • Journal of East-West Nursing Research
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    • v.28 no.1
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    • pp.21-30
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    • 2022
  • Purpose: This research aimed to assess nursing students' knowledge, attitudes and infection prevention behaviors toward the coronavirus disease-19 (COVID-19). Methods: A cross-sectional survey was conducted from September 11 through October 1, 2020, involving a total of 235 third and fourth year of nursing students enrolled in two universities in U and K city. Self-report questionnaires consisting of demographic characteristics, knowledge, attitudes and infection prevention behaviors toward the COVID-19 were administered to the participants. Results: Influencing factors for infection prevention behaviors were gender (β=0.21, p<.001), attitudes toward infection control (β=0.38, p<.001), education experience regarding COVID-19 (β=0.21, p=.004), and a visit to the hospitals or the areas where the COVID-19 case has occurred or been admitted (β=-0.18, p=.003) which explained 23.6% of the total variance. Conclusion: The results of this study provides basic information regarding nursing students' knowledge about COVID-19, attitudes toward infection control, and infection prevention behaviors during the initial outbreak of COVID-19.

Status of national notifiable infectious diseases in Jejudo, Korea: 2011~2018 (제주도 법정감염병 신고 현황: 2001~2018)

  • Kim, Mi Na;Cho, Eun Suk;Kim, Mi Ya;Bae, Jong-Myon
    • Journal of Medicine and Life Science
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    • v.15 no.2
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    • pp.79-83
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    • 2018
  • Jejudo has unique geographical and climatologic characteristics compared with other areas in Korea. The aim was to evaluate differences of the nationwide notifiable infectious diseases (NND) occurred in Jejudo, 2011~2018. The source of data was on the Infectious Disease Statistics System operated by Centers for Diseases Control & Prevention in Korea between 1 January 2001 and 30 September 2018. After calculating the proportion of sum of years showing a higher incidence in Jejudo than nationwide divided by sum of comparing years(PSYH), authors defined the infectious diseases for control in Jejudo (IDCJ) with PSYH over 75%. In addition, the infectious diseases showing increasing trends during recent 2 years(2015~2018) were defined as sudden increase Infectious diseases for control (SIDCJ). IDCJ in 2001~2018 included 3 NNDs such as chicken pox, syphilis, and Streptococcus pneumoniae. The results support main evidences to plan strategies and distribute community resources for control and prevention of NNDs in Jejudo, Korea.

A contact investigation after exposure to a child with disseminated tuberculosis mimicking inflammatory bowel disease

  • Kim, Dongsub;Lee, Sodam;Kang, Sang-Hee;Park, Mi-Sun;Yoo, So-Young;Jeon, Tae Yeon;Choi, JoonSik;Kim, Bora;Choi, Jong Rim;Cho, Sun Young;Chung, Doo Ryeon;Choe, Yon Ho;Kim, Yae-Jean
    • Clinical and Experimental Pediatrics
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    • v.61 no.11
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    • pp.366-370
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    • 2018
  • Purpose: Tuberculosis (TB) is one of the most important diseases that cause significant mortality and morbidity in young children. Data on TB transmission from an infected child are limited. Herein, we report a case of disseminated TB in a child and conducted a contact investigation among exposed individuals. Methods: A 4-year-old child without Bacille Calmette-$Gu{\acute{e}}rin$ vaccination was diagnosed as having culture-proven disseminated TB. The child initially presented with symptoms of inflammatory bowel disease, and nosocomial and kindergarten exposures were reported. The exposed individuals to the index case were divided into 3 groups, namely household, nosocomial, or kindergarten contacts. Evaluation was performed following the Korean guidelines for TB. Kindergarten contacts were further divided into close or casual contacts. Chest radiography and tuberculin skin test or interferon-gamma-releasing assay were performed for the contacts. Results: We examined 327 individuals (3 household, 10 nosocomial, and 314 kindergarten contacts), of whom 18 (5.5%), the brother of the index patient, and 17 kindergarten children were diagnosed as having latent TB infection (LTBI). LTBI diagnosis was more frequent in the children who had close kindergarten contact with the index case (17.1% vs. 4.4%, P=0.007). None of the cases had active TB. Conclusion: This is the first reported case of TB transmission among young children from a pediatric patient with disseminated TB in Korea. TB should be emphasized as a possible cause of chronic diarrhea and failure to thrive in children. A national TB control policy has been actively applied to identify Korean children with LTBI.

Literature Study on the Infection Control of Dochim(刀鍼) (도침요법(刀鍼療法)의 감염관리에 관한 고찰)

  • Cho, Kyong Ha;Ki, Woong;Yuk, Dong Il;Sung, In Su;Kim, Min Jung;Hong, Kwon Eui
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.181-187
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    • 2013
  • Objectives : Dochim have been recorded in Korean medical classics as a diversified instrument for acupuncture to treat patients with various symptoms. Recently, there is a lot of Korean Medicine Doctors are increasingly using Dochim. However a study on using Dochim is a lack of infection control. Methods : We investigated about the existing infection about Dochim. Based on investigated information we presented methods for infection control during Dochim therapy. Results & Conclusions : Prevent infection during Dochim therapy performed at a primary consideration, and the prevention of infection shoould be treated.

Infection control among dental hygienists according to infection control education experiences (치과위생사의 감염관리 교육경험에 따른 감염관리 실태)

  • Kim, Ji-Hyun;Kim, Jin-Kyoung
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.547-556
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    • 2011
  • Objectives : The purpose of this study was to examine the relationship between the infection control education experiences of dental hygienists and the state of their infection control. Methods : The subjects in this study were the dental hygienists who worked in Seoul. The relationship of their infection control education experiences to their gender, marital status, academic credential, workplace, length of service, infection control implementation, experience of being exposed to infection, way of coping with it, hand washing, use of personal protection devices and equipment management was analyzed. Results : It is found that the variable to affect the state of infection control was educational experiences about handpiece water pipe management, ultrasonic scaler water pipe management and three-way syringe water pipe management. Conclusions : Dental hygienists who are one of major dental personnels should receive systematic education on infection control to acquire accurate knowledge to ensure the successful prevention of cross infection.

Status of Helminthic Infections in Residents around River Basins in the Republic of Korea for 10 Years (2011-2020)

  • Lee, Myoung-Ro;Shin, Hee-Eun;Back, Seon-Ok;Lee, Young-Ju;Lee, Hee-Il;Ju, Jung-Won
    • Parasites, Hosts and Diseases
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    • v.60 no.3
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    • pp.187-193
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    • 2022
  • The positive rate of Clonorchis sinensis is the highest among intestinal parasites in the Republic of Korea (Korea). More than 1.2 million people were at risk of C. sinensis infection in Korea in 2012. An intensive control program is being implemented for residents of the 5 major river basins to reduce helminthic infections, including C. sinensis infection. This study evaluated the continuous intensive control program for parasitic diseases including clonorchiasis in areas near the 5 major river basins in Korea over the past 10 years (2011-2020). A total of 335,020 fecal samples (one sample per resident) prepared by the modified sedimentation technic were microscopically examined. Those who expelled helminth eggs were treated with anthelmintics through local health centers and re-examined 3 months later. The overall positive rate of helminths egg was 7.1%. The annual positive rates were dramatically decreased from 14.4% (2011) to 5.9% (2020). The egg positive rate was highest in C. sinensis (5.3%), followed by heterophyid flukes (1.5%) and Trichuris trichiura (0.2%). The prevalence of C. sinensis was significantly higher in males (7.6%) than in females (3.7%), and the highest in the 50-59 years (7.0%) age group. Our results are beneficial to establish prevention and control policies against helminthiases including clonorchiasis in endemic areas in this country.

Analysis of Prevalence and Risk Factors for Latent Tuberculosis Infection among Healthcare Workers (의료기관 종사자의 잠복결핵감염 유병률과 위험요인 분석)

  • Lee, Jae Baek;Choi, Jeong Sil
    • Journal of Korean Biological Nursing Science
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    • v.21 no.4
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    • pp.300-307
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    • 2019
  • Purpose: The purpose of this study was to provide basic data on the infection prevention management program, which is one of the infectious disease control program by identifying the prevalence and risk factors of latent tuberculosis infection (LTBI) in healthcare workers. Methods: We surveyed a total of 3,046 LTBI test results, including those of 2,269 existing staff and 777 new employees. An interferon-gamma release assay (IGRA) for the diagnosis of LTBI was performed using QuantiFERON®-TB Gold In-Tube (QFT-IT). The risk factors of LTBI were analyzed using logistic regression analysis. Results: The overall prevalence of LTBI was 16.0% (487/3,046). The prevalence of LTBI in the existing staff was 17.9% (406/2,269) and the prevalence of LTBI in new employees was 10.4% (81/777). Multivariate logistic regression analysis revealed that the risk factors of latent tuberculosis infection among the existing staff were gender, age and work period wheres, the risk factor amongst the new employees depended on their age. Conclusion: The LTBI was not related to the type of occupation and work unit. Therefore, while establishing an infection control program for the prevention of tuberculosis infection at medical institurions, institutional heads and infection control experts should encompass a policy for all the employees.

Use of In Vivo-Induced Antigen Technology to Identify In Vivo-Expressed Genes of Campylobacter jejuni During Human Infection

  • Hu, Yuanqing;Huang, Jinlin;Li, Qiuchun;Shang, Yuwei;Ren, Fangzhe;Jiao, Yang;Liu, Zhicheng;Pan, Zhiming;Jiao, Xin-An
    • Journal of Microbiology and Biotechnology
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    • v.24 no.3
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    • pp.363-370
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    • 2014
  • Campylobacter jejuni is a prevalent foodborne pathogen worldwide. Human infection by C. jejuni primarily arises from contaminated poultry meats. Genes expressed in vivo may play an important role in the pathogenicity of C. jejuni. We applied an immunoscreening method, in vivo-induced antigen technology (IVIAT), to identify in vivo-induced genes during human infection by C. jejuni. An inducible expression library of genomic proteins was constructed from sequenced C. jejuni NCTC 11168 and was then screened using adsorbed, pooled human sera obtained from clinical patients. We successfully identified 24 unique genes expressed in vivo. These genes were implicated in metabolism, molecular biosynthesis, genetic information processing, transport, and other processes. We selected six genes with different functions to compare their expression levels in vivo and in vitro using real-time RT-PCR. The results showed that the selected six genes were significantly upregulated in vivo but not in vitro. In short, these identified in vivo-induced genes may contribute to human infection of C. jejuni, some of which may be meaningful vaccine candidate antigens or diagnosis serologic markers for campylobacteriosis. IVIAT may present a significant and efficient method for understanding the pathogenicity mechanism of Campylobacter and for finding targets for its prevention and control.