• 제목/요약/키워드: infection control programs

검색결과 141건 처리시간 0.029초

종합병원 의료종사자의 감염관리 표준주의 수행도 영향요인 (Influencing Factors on Performance for Standard Precaution of Healthcare Workers of General Hospital for Infection Control)

  • 오지은;박주영
    • 디지털융복합연구
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    • 제16권4호
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    • pp.231-249
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    • 2018
  • 본 연구 목적은 종합병원 의료종사자 감염관리 표준주의에 대한 지식, 태도, 안전환경 및 인지도가 표준주의 수행도에 미치는 영향요인 분석으로 연구방법은 서술적 조사연구이며 대상은 종합병원 의료종사자 262명으로 표준주의에 대한 지식, 태도, 안전환경, 인지도 및 수행도를 측정하는 설문지를 이용하였다. 자료분석은 SPSS 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficient, Multiple regression으로 분석하였다. 연구결과 표준주의에 대한 수행도는 태도(r=.18, p=.003), 안전환경(r=.42, p<.001), 인지도(r=.63, p<.001)와 양의 상관관계로 나타났으며 다중회귀분석 결과, 표준주의 수행도에 영향을 미치는 요인은 인지도(${\beta}=0.57$)와 안전환경(${\beta}=0.31$)이었다. 따라서 표준주의 수행 향상을 위해 인지도와 안전환경을 향상시키고 직종별 특성을 고려한 차별화된 감염관리 교육프로그램과 모니터링이 요구된다.

경북지역 집합유와 젖소에서 큐열 항체 보유율 조사 (Seroprevalence of Coxiella burnetii in bulk-tank milk and dairy cattle in Gyeongbuk province, Korea)

  • 우인옥;서민구;도재철;김인경;조민희;곽동미
    • 한국동물위생학회지
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    • 제36권4호
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    • pp.243-248
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    • 2013
  • Q fever is a rickettsial infection caused by Coxiella burnetii that is transmitted from animals to humans. Modes of transmission to humans include inhalation, tick bites and ingestion of unpasteurized milk or dairy products. This survey was aimed at monitoring the seroprevalence of C. burnetii in bulk-tank milk (BTM) in Gyeongbuk province. In addition, the seroprevalence of C. burnetii was investigated at the herd level of dairy cattle in eastern Gyeongbuk province in which many dairy cattle are reared. Among 324 BTM samples collected from 20 country areas, 175 (54%) BTM samples from 15 (75%) country areas were positive for C. burnetii by ELISA. By regions, the seroprevalence of BTM samples in eastern, central, western and northern areas of Gyeongbuk province were 62.7%, 48.4%, 45.1%, and 41.4%, respectively. When analyzed in the dairy cattle reared in the eastern area where high seroprevalence occurred in BTM samples, 119 (24.2%) out of 492 dairy cattle were positive for C. burnetii. Seroprevalence of C. burnetii in dairy cattle was increased with daily milk yield of farm (P<0.05) and age (P<0.001). Since seroprevalence of C. burnetii is relatively high in both BTM samples and dairy cattle reared in Gyeongbuk province, further studies on the high risk farms and herds are needed to evaluate infection status and appropriate control programs in this region.

사업장의 감염성재난 대응체계: 2015년 메르스 유행을 중심으로 (Workplace Response System Against Infectious Disasters based on the MERS Outbreak in Korea)

  • 정인숙;유정옥;하미정
    • 한국직업건강간호학회지
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    • 제26권4호
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    • pp.207-217
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    • 2017
  • Purpose: This study aimed to evaluate the workplace response system (WRS) against infectious disasters (IDs) based on the response attitudes and capacity of occupational health nurses (OHNs) who worked during the 2015 Middle East Respiratory Syndrome (MERS) outbreak in South Korea. Methods: Fifty-one participants who had worked as OHNs at the time of the 2015 MERS outbreak were surveyed from November 20 to December 10, 2016. Data were collected using a self-report questionnaire and analyzed using descriptive statistics and McNemaer's test. Results: According to the survey results, the following were lacking in the WRS: a dedicated ID-response team, manuals, related education programs for OHNs, and health education programs for workers. Results also confirmed that workers were vulnerable to new infectious diseases because of the lack of health checkups and support for workers before and after business trips abroad. Among the respondents, 98.0% answered affirmatively that an ID was important for health management in the workplace, but 64.7% answered that it was difficult to manage an ID. The perceived capacity items to respond to IDs ranged from 3.0 points to 3.3 points. This scores were generally high. Conclusion: As the WRS is currently insufficient, it is necessary to develop an adequate WRS to IDs by addressing the identified problems.

간호학생의 죽음에 대한 태도 (Attitude toward Death in Nursing Students)

  • 정선영;이은경;김보혜;박진화;한민경;김인경
    • 한국간호교육학회지
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    • 제17권2호
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    • pp.168-177
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    • 2011
  • Purpose: The purpose of this study was to investigate the attitude toward death in Korean nursing students. Method: The sample consisted of 365 baccalaureate nursing students. The questionnaires included questions on sociodemographics and death-related characteristics of the participants, and the Fear of Death and Dying Scale (FODS) to measure the attitude toward death. Result: The mean of the FODS score was 2.63 out of 4, so the participants had a slightly negative attitude toward death. There were statistically significant differences between gender, religion, religion activity, perceived health status, experience of parents' death, experience of friend's death, and overall FODS score. Among the four subscales of overall FODS, the score of the fear of death of self was significantly higher in the participants who experienced clinical practice and who experienced patient's death in the intensive care unit compared to the emergency room. Conclusion: Based on the study results, educational programs to change the attitude toward death are required before clinical practice. Programs need to consider nursing students' gender and religion, and give opportunity to share experiences and feelings about death of family or friend. In addition, using standardized patients and simulators is advised in the need for simulation training.

2023 찾아가는 유아 감염병 예방 교실 사업의 효과 (The Effect of 2023 Home-visiting Infectious Disease Prevention Class Project for Preschoolers)

  • 강정원;정주민;이지혜;장인순
    • 한국학교보건학회지
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    • 제37권1호
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    • pp.12-21
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    • 2024
  • Purpose: This study aimed to provide basic data for future infectious disease prevention educational programs targeting preschoolers by verifying the effects of the 2023 Home-visiting Infectious Disease Prevention Class Project for Preschoolers. Methods: The study is a descriptive survey that analyzed educational satisfaction of kindergarten teachers and the activity reports of visiting teachers. The effectiveness of the education on the children's side was evaluated with a quasi-experimental approach using pre- and post-test design. Data collection was conducted from September 6 to November 10, 2023. The data from 96 kindergarten teachers, 100 activity reports written by visiting teachers, 56 children in the experimental group, and 50 children in the control group were analyzed. Results: As a result of analyzing the satisfaction survey results of the kindergarten teachers and the activity reports submitted by the visiting teachers, all questions received a very positive evaluation with 4 or more out of 5 points. In addition, the children in the experimental group showed statistically significant positive changes both in hand-washing accuracy and their awareness of immunity. Conclusion: The Home-visiting Infectious Disease Prevention Class Project for Preschoolers is of great educational significance and is expected to be a useful educational intervention that can improve infection prevention behaviors and show practical preventive effects in preschoolers so that they can be prepared for various infectious diseases in the future.

Epidemiological Aspects and Trends of the Extensive Eradication Programs for Bovine Brucellosis Outbreaks-Associated Human Brucellosis in Korea, 2002~2013

  • Lee, Won-Chang;Yoon, Hachung;Lee, Myeong-Jin;Kwon, Young Hwan
    • 항공우주의학회지
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    • 제29권2호
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    • pp.72-76
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    • 2019
  • 지난 10년 동안 인체 브루셀라증은 한국에서 주요한 인수공통전염병이 되었다. 본 연구의 목적은 2002년부터 2013년까지 한국의 소 브루셀라증 발생 관련 인체 브루셀라증에 대한 대규모 방역 프로그램의 역학 동향을 관찰하는 것이다. 본 연구에 사용된 자료는 질병관리본부 및 농림축산검역본부의 웹 사이트에 있는 2002년부터 2013년 브루셀라증 발병 자료이다. 소 브루셀라증 발생 관련 인체 브루셀라증 발병 건수는 2003년 이후 증가해 2006년에 최고치를 보였으나 이후 감소했다. 이 기간 동안 국내 가축에 감염된 소 브루셀라증은 총 89,240두로 누적발생률은 100,000두당 611.8이었다. 같은 기간 동안 인체 브루셀라증은 총 703명이 발병하여 누적발생률은 100,000명당 0.12이었다. 또한 소와 인체 사이의 브루셀라증 발생의 상관 계수는 매우 유의했다 (r=+0.985). 소 브루셀라증 1,000건당 인체 브루셀라증 7.88건이 발생하였다. 인체 브루셀라증 감염을 막기 위해 가축에서 브루셀라증에 대한 광범위한 방제 프로그램이 적용되었고, 이는 인체 브루셀라증 발생을 줄이는데 크게 기여했다.

Bordetella 감염증(感染症)의 혈청학적진단(血淸學的診斷): 특히 보균돈검색(保菌豚檢索)을 위한 급속평판응집반응(急速平板凝集反應)의 실용화(實用化) (Serological Diagnosis of Bordetellosis: Application of Rapid Plate Agglutination Technique for the Detection of Carrier in Swine)

  • 강병규
    • 대한수의학회지
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    • 제18권2호
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    • pp.61-67
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    • 1978
  • The detection of Bordetella bronchiseptica which is supposed to be an agent of the infectious atrophic rhinitis of swine, is likely to receive more attention in the future as the pork industry comes to realize that eradication of this infection from breeding herds is a practical possibility. Experiments described here were carried out to establish the rapid plate agglutination test for the detection of the infectious atrophic rhinitis of swine in the field using the criteria of antigen preparation, effects on the antigenecity after storing of the antigen and reaction appearing time. Also, the agglutinabilities between the plate and tube method were compared and the degree of pathological lesions were recorded in relation to tube agglutination titers. Obtained results were as follows: 1. No differences were noted in the agglutinabilities on the plate agglutination test between the treatments in antigen preparation-formolized, merthiolate-killed and living organism. 2. The agglutinability of the antigens did not show any significant changes until 10 weeks of storage at 4 C; however, after 10 weeks of storage, non-specific reaction was observed with the HPCD control sera. 3. The results of the plate and tube agglutination tests were not comparable but the effective use of the plate method in Bordetella bronchiseptica eradication programs in pigs especially in the sow is stressed as a screening test.

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임신기 치주질환과 자간전증 발생간의 연관성 (Association between Periodontitis and Preeclampsia: a Systematic Review)

  • 하정은
    • 대한통합의학회지
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    • 제6권1호
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    • pp.55-62
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    • 2018
  • Purpose : Preeclampsia(PE) is a pregnancy-specific disease which is characterized by hypertension and proteinuria. This disease occurs in about 2-8 % of pregnancies in developing countries and remains among the major causes of maternal and neonatal mortality and morbidity throughout the world. Although the causes of PE are not fully understood, the infection has been considered as the main risk factor for this diseases. Periodontal disease may provide a chronic burden of endotoxin and inflammatory cytokines and the disease has been considered as risk factors of systemic illnesses including cardiovascular disease, atherosclerosis, and cerebrovascular ischemia. So, studies performed over the last 15 years have suggested that periodontal disease may be associated with adverse pregnancy outcomes such as PE. However, this association has not been found in all populations. The aim of this review article was to evaluate whether periodontal status and the presence of specific periodontal pathogens may influence the incidence of PE. Methods : Many research articles searched at the electronic databases(MEDLINE; 2000 to July 2017) including search term as periodontal disease and preeclampsia. Result : There were 10 case-control studies and 5 cohort studies meeting our inclusion criteria. The results showed that maternal periodontitis (adjusted odds ratio: 1.5 to 9.3) was associated with preeclampsia in 15 epidemiological studies. Conclusion : It is clear that maternal periodontitis is a risk factor associated with preeclampsia, emphasizing the importance of periodontal care in prenatal programs.

경북 동부지역 꿀벌에서 주요 병원체의 분자생물학적 검출 (Molecular detection of infectious pathogens in honeybee colonies reared in eastern Gyeongbuk province, Korea)

  • 우인옥;도재철;서민구;정태남;조민희;곽동미
    • 한국동물위생학회지
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    • 제36권1호
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    • pp.37-44
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    • 2013
  • The ecologically and economically important honeybee species are susceptible to infections by various pathogens. This study was investigated to detect infectious pathogens in honeybee colonies reared in eastern Gyeongbuk province by PCR in 2010~2011. A total of 11 infectious pathogens, including 6 viruses, 2 bacteria, 2 fungi, and 1 parasite, were investigated in honeybee colonies suffering from symptoms of sudden collapse, depopulation, or paralysis. The infectious pathogens and infection rates among 24 honeybee colonies detected were as follows: sacbrood virus (66.7%), deformed wing virus (4.2%), black queen cell virus (12.5%), Kashmir bee virus (29.2%), American foulbrood (41.7%), European foulbrood (12.5%), stonebrood (45.8%), chalkbrood (4.2%), and Nosema (33.3%), respectively. Since the coinfection rates of multiple pathogens were detected high in honeybee colonies reared in eastern Gyeongbuk province, large-scale investigation and appropriate control programs need to be established in this region.

수술실 간호사의 간호업무 분석 (An Analysis of Nursing Work of Operating Room Nurses)

  • 권성복;박영숙;김동옥;이여진;이은희;조경숙
    • 간호행정학회지
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    • 제14권1호
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    • pp.72-84
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    • 2008
  • Purpose: The purpose of this study was to identify nurses' duties and tasks for job analysis of the nurses in the operating room. Methods: This study was descriptive investigation research using the 3-point likert scale questionnaires and the level of importance, difficulty and the frequency of each duty and task were analyzed. Data were collected by 422 OR nurses from 57 hospitals. Results: Job of OR nurses included 13 duties and 105 tasks. The 13 duties were 'management of operative patient' 'assistive work for operation' 'supportive work for operation' 'infection control in OR' 'management of equipments and instruments for operation' 'administrating medicine for operation' 'supplies management for operation' 'safety management for operation' 'environmental management for operating room' 'administrative work for operation' 'education for operating room personnel' 'development of operation procedure books' and 'elf development of OR personnel' Conclusion: This study identified duties and tasks performed by OR nurses. Based on these results, the importance, frequency, and difficulty in this study will provide research evidence for developing training programs for OR nurses.

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