• Title/Summary/Keyword: Prevent infection

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Analysis of Traditional Medical Disputes: Data from the Korean Acupuncture and Moxibustion Medicine Society (2013-2017)

  • Kim, Hyo Bin;Kim, Jae Ik;Lee, Ye Ji;Jeon, Ju Hyun;Kim, Eunseok;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.36 no.3
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    • pp.154-160
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    • 2019
  • Background: The purpose of this study was to analyze the medical dispute cases in Acupuncture and Moxibustion treatment, and present the guidelines of treatment to prevent medical disputes. Methods: Korean Acupuncture and Moxibustion Medicine Society medical dispute cases from January 2013 to September 2018 were collected and analyzed. Results: There were 80 cases, which included acupuncture treatment (54 cases), cupping treatment (7 cases), local infection / inflammation (17 cases), and neurological symptoms (13 cases). Analysis of the correlation between types of medical accidents and the treatment methods, showed that local infection and inflammation (12 cases) were the most reported in acupuncture treatment. Conclusion: This study was performed to analyze the current status of medical disputes in the field of acupuncture and moxibustion, and provide basic data for guidelines to prevent them. Further study preparing for clinical guidelines to prevent medical disputes in specific departments are warranted in the future.

Diagnosis of Graft Infection Using FDG PET-CT

  • Shim, Hun-Bo;Sung, Ki-Ick;Kim, Wook-Sung;Lee, Young-Tak;Park, Pyo-Won;Jeong, Dong-Seop
    • Journal of Chest Surgery
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    • v.45 no.3
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    • pp.189-191
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    • 2012
  • Graft infections after aortic replacement are a rare, but severe complication. Because surgical removal of the infection source is essential, an accurate diagnosis is required to prevent unnecessary treatment. Both of the patients described herein were diagnosed with graft infections using dual-modality positron emission tomography-computed tomography; one patient was a false-positive, and the other was confirmed with an infection.

Architectural Improvement plans in a quarantine system for Senior facilities (노인요양시설 방역을 위한 시설 개선 방안)

  • Kang, Jeeeun;Kwon, Soonjung;Lee, Hyunjin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.3
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    • pp.61-69
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    • 2021
  • Purpose: Senior long-term care facilities are vulnerable to a cluster infection because of frequent physical contact, large group dining, communal living, and room sharing. This study aims to provide architectural improvement plans for a quarantine system in the facilities. Methods: Actual quarantine action data, guidelines from governments and institutes, in-depth interviews with facility staff are analyzed. Results: To prevent a cluster infection in the senior facilities, it is necessary to provide an architectural plan focusing on increasing the number of single rooms and isolation rooms, providing isolation rooms for staff, separation of a soiled room from a clean room, planing an entry vestibule and a visitor's room. Implications: It is important to analyze the existing condition of facilities that had been going through cohort isolation and provide the architectural solution to strengthen infection control.

Compression Osteosynthesis로 하악골골절을 치료한 경우 골절선상의 치아가 감염에 미치는 영향

  • Choi, Byung-Ho;Yoo, Jae-Ha;Yoon, Jung-Ho
    • The Journal of the Korean dental association
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    • v.32 no.1 s.296
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    • pp.69-74
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    • 1994
  • Fifty-one patients with fracture of mandible were treated by rigid internal fixation using AO Eccentric Dynamic Compression Plate. All teeth in the fracture line were left in all patients. None of patients were placed into maxillomancibular fixation. Two patients postoperatively developed infection (3.9%). The use of the AO EDCP for the fracture of mandible was found to be useful to prevent the infection, even permitting maintenance of the teeth in the line of fracture.

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A Review of Renal Dialysis Unit Environment for Infection Prevention - Focused on Evidence Based Design (감염 예방을 위한 인공신장실 의료 환경에 대한 고찰 - 근거 기반의 디자인 중심으로)

  • Han, Su Ha;Yoon, Hyungjin
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.3
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    • pp.49-57
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    • 2018
  • Purpose: The increase in patients requiring hemodialysis has resulted in an increase dialysis-associated infections risk. but there are no Renal Dialysis unit design standard meet specified safety and quality standards. Therefore, appropriate Establish standards and legal regulation is important for the provision of initial certification and maintenance of facility, equipment, and human resource quality. Methods: Literature survey on the design guideline and standards of Renal Dialysis unit design in Korea, U.S, Germany, Singapore, Hongkong, Dubai. Results: There are no established standards for facilities in dialysis units in Korea. To prevent infections in dialysis patients, necessary establish standards. Considering the domestic and overseas Health-care facilities standards, the major factors to be considered in the medical environment for Renal Dialysis Unit are as follows. First, planning to separate Clean areas(treatment area) from contaminated areas(medical waste storage area). Second, ensure sufficient space and minimum separation distance. Although there may be differences depending on the circumstances of individual institutions, renal dialysis unit consider the space to prevent droplet transmission. Third, secure infrastructure of infection prevention such as sufficient amount of hand hygiene sinks. Hand washing facilities for staff within the Unit should be readily available. Hand hygiene sinks should be located to prevent water from splashing into the treatment area. Fourth, Heating, ventilation and air conditioning (HVAC) system for Renal Dialysis Unit is all about providing a safer environment for patients and staff. Implications: The results of this paper can be the basic data for the design of the Renal Dialysis Units and relevant regulations.

Knowledge and Compliance Level of the Multidrug-resistant Organisms of Nursing Students (간호대학생의 다제내성균에 대한 지식 정도와 감염관리 이행도)

  • Kim, Kyung-Mi;Kim, Og-Son;Jeon, Mi-Yang
    • Journal of Korean Biological Nursing Science
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    • v.14 no.1
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    • pp.8-15
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    • 2012
  • Purpose: This study was undertaken to identify the knowledge and compliance level of nursing students. It was based on self-administered questionnaires about multidrug-resistant organisms (MDROs). Methods: The test group was 184 nursing students who had contact with MDROs during clinical practice. The study was conducted from May 1 to September 16, 2011. Results: The average knowledge level of MDROs was 16.20 (correct answer rate: 67.5%). The nurses' compliance level of MDROs infection control was on average 40.50 (range: 13-52). "Hand hygiene" ranked highest in the compliance level of MDROs infection control. The lowest level of MDRO infection control was the wearing of disposable aprons or gowns. Conclusion: This study demonstrated the nursing students' knowledge and the compliance level of infection control. We suggest that nursing students receive mandated systematic education of MDROs in the nursing curriculum. And clinical practice experience of MDROs infection control is required in hospitals. These steps will help prevent transmission of MDROs in nursing settings.

Infection and Innate Immunityi (감염과 선천면역)

  • Oh, Moo-Young
    • Clinical and Experimental Pediatrics
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    • v.48 no.11
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    • pp.1153-1161
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    • 2005
  • As known by other name(natural immunity), the innate immune system comprises all those mechanisms for dealing with infection that are constitutive or built in, changing little with age or with experience of infection. Though in some ways less sophisticated than adaptive immunity, innate immunity should not belittled, since it has evidently protected thousands of species of invertebrates sufficiently to survive for up to 2 billion years. In the innate immune system, molecules of both cellular and humoral types are involved, corresponding to the need to recognize and dispose of different types of pathogen, to promote inflammatory responses and to interact to the adaptive immune system. A major features of innate immunity are the presence of the normal gut flora, complements, macrophages, dendritic cells, natural killer cells and many cytokines that can block the establishment of infection. Both phagocytic cells and complement system have tremendous potential for damaging host cells, but fortunately they are normally only triggered by foreign materials, and usually most of their destructive effects are focussed on the surface of these or in the safe environment of the phagolysosome. This article addreses the comprehensive mechanisms of the major components of the innate immune system to prevent the infection.

Effectiveness of Bacterial Filter in Continuous Epidural Block (지속적 경막외차단시 세균여과기의 효과에 관한 연구)

  • Yoon, Jun-Rho;Han, Seok-Ho;Chung, Eun-Yong;Kim, Ae-Ra;Han, In-Su;Lee, Chul-Woo
    • The Korean Journal of Pain
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    • v.11 no.2
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    • pp.230-234
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    • 1998
  • Background: Continuous epidural block is widely used for surgical operation and postoperative pain management. The potential infection due to the epidural catheter is a definite harzard of continous epidural block. We investigated the effectiveness of bacterial filter in prevention of infection due to the epidural catheter. Methods: Patients scheduled for transabdominal hysterectomy were assigned to two groups by simple randomization (50 patients per group). All catheters were placed in the 2nd and 3rd lumbar epidural space, using careful sterile technique. Group 1 received injections by the epidural catheter with a bacterial filter and group 2 received injections by the epidural catheter without a bacterial filter. The infection rate in the tips of epidural catheter left for 3 days were compared between the two groups. Results: There was no significant difference in the infection rate between two groups. Conclusions: A bacterial filter of the epidural catheter for surgical anesthesia and postoperative analgesia dose not prevent all kinds of infection in continuous epidural block.

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A Study on Levels of Awareness of Nosocomial Infection and Management Practices by Operating Room Nurses (수술실 간호사의 병원감염관리에 대한 인지도와 실천정도에 관한 연구)

  • Kim Kyoung-Hee;Choi Mi-Hye;Kang Mi-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.3
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    • pp.327-334
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    • 2004
  • Purpose: This study was done to examine the awareness and management practice of operating room nurses, to prevent nosocomial infection, to identify problems and to propose solutions. Method: The research tools used were the hospital infection control guideline and a modified version of the measurment tools used in the study of Cho (1998). The questionnaire consisted of questions on hand washing, personal hygiene and clothes control, cleaning and environment control, sterilizing supplies and disposal of contaminated materials. The collected data were analysed with the SPSS program. Results: The mean score for domain-specific awareness of nosocomial infection control was 4.81 out of a possible 5 points. The highest score was for sterilizing supplies and disposal of contaminated materials. The mean score for domain-specific practices of nosocomial infection control was 4.40, out of a possible 5 points. Sterilizing supplies and disposal of contaminated materials had the highest scores. The mean score for awareness in all domains was higher than mean score for practice. Among the general characteristics of the nurses, high awareness was found only in the provision of infection control guidelines and it had shown statistically significant difference. Examination of relation of general characteristics to practice showed that for age, career, the provision of infection control guidelines, and experience in infection control education there were statistically significant differences in the scores. For the relation between awareness of nosocomial infection control and practice, positive correlation was found in all domains, thus high awareness leads to high practice. Conclusion: Considering the result of this research, plans are needed that promote virtual practice of hospital infection control.

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A study on the correlation between knowledge of COVID-19, risk of exposure to subjective infectious diseases, and infection control practice for dental personnels (치과 종사자의 코로나-19의 지식도와 주관적 감염성 질환에 대한 노출위험도, 감염 관리 실천도의 관련성 연구)

  • Ryu, Da-Young;Song, Kwui-Sook;Lee, Su-Jung
    • Journal of Korean Dental Hygiene Science
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    • v.3 no.2
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    • pp.27-37
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    • 2020
  • This study investigated the relationship between knowledge of COVID-19, the risk of exposure to subjective infectious diseases, and the degree of infection control practices for dental personnel. For dental personnel currently working in dentistry, a survey consisting of 10 questions about COVID-19 knowledge and 63 questions about infection control practices was conducted. This study analyzed 126 survey data collected by distributing questionnaires form May 30 to June 20, 2020. Data was analyzed using t-test, ANOVA, and Pearson correlation. The average level of knowledge of COVID-19 was 5.44 out of 10, the average risk of exposure to infectious diseases was 3.86 out of 5, and the average level of infection control practices was 4.05 out of 5. The risk of exposure to infectious diseases was positively correlated with dental waste (r=.184). It was found that there was a significant positive correlation between infection control practices and sub-factors of infection control practices (p<0.001). To prevent the spread of COVID-19 and infectious diseases and to reduce the risk of exposure to infectious diseases for dental personnel, the practice of infection control should be improved. It is necessary to cultivate infection control experts and have mandatory infection control education and social regulations.