韩国急症医院感染预防与控制的全国调查

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Sun Hee Na, Yubin Seo, Hye Jin Shi, In Sun Hwang, Kyong A Shin, Kwang Yul Son, Sung Ran Kim, Myoungjin Shin, Hee-Jung Son, Ji Youn Choi, Heekyung Chun, Sook-Kyung Park, Jeongsuk Song, Namyi Kim, Jacob Lee, Joong Sik Eom
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引用次数: 0

摘要

背景:卫生保健相关感染对抗生素使用、卫生保健支出和发病率造成了重大负担。因此,修改政策以尽量减少这种损失至关重要。这项全国性调查旨在评估卫生保健设施中的感染预防和控制(IPC)部分,并鼓励改善感染预防设施不足的急症护理医院。本研究旨在提高医疗机构的感染控制能力。方法:从2021年12月27日至2022年5月13日,对韩国1767家急症护理医院进行调查。对1767家急症医院的感染控制要素进行了调查。感染控制人员对系统编制的调查问卷提供了直接答复。随后,随机抽取10%的回答者进行现场调查。结果:总共有1197家(67.7%)医院回应了在线调查。在125家医院进行了现场调查。根据《医疗服务法》第3条,建议床位≥150张的医院设立IPC小组;而在床位≥100张的医院中,仅有87.0%(598/687)的医院有1名护士。相反,床位< 100张的医院中有22.7%(116/510)设有IPC小组。84.2%、80.1%、77.4%、76.2%、75.8%和63.5%的医院分别有手卫生、废物管理、医护人员保护和安全、环境清洁、标准预防措施和预防耐多药病原体传播的规定。床位不足100张的医院,各类标准手术程序的可得性较低。结论:本研究是韩国首次对急症护理医院进行全国性调查。本研究中提供的数据将提高对IPC状况的了解,并将有助于建立调查系统。我们的调查为改善医疗机构中IPC相关政策提供了依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Nationwide Survey on Infection Prevention and Control in Acute Care Hospitals of Korea.

Background: Healthcare-associated infections impose a significant burden on antibiotic usage, healthcare expenditures, and morbidity. Therefore, it is crucial to revise policies to minimize such losses. This nationwide survey aimed to evaluate infection prevention and control (IPC) components in healthcare facilities and encourage improvements in acute care hospitals with inadequate infection prevention settings. This study aims to enhance the infection control capabilities of healthcare facilities.

Methods: From December 27, 2021, to May 13, 2022, we conducted a survey of 1,767 acute care hospitals in the Republic of Korea. A survey was conducted to evaluate the infection control components in 1,767 acute care hospitals. Infection control officers provided direct responses to a systematically developed questionnaire. Subsequently, 10% of the respondents were randomly selected for the site investigation.

Results: Overall, 1,197 (67.7%) hospitals responded to the online survey. On-site investigations were conducted at 125 hospitals. Hospitals with ≥ 150 beds are advised to have an IPC team under Article 3 of the Medical Service Act; however, only 87.0% (598/687) of hospitals with ≥ 100 beds had one. Conversely, 22.7% (116/510) of hospitals with < 100 beds had an IPC team. Regulations for hand hygiene, waste management, healthcare worker protection and safety, environmental cleaning, standard precautions, and prevention of the transmission of multidrug-resistant pathogens were present in 84.2%, 80.1%, 77.4%, 76.2%, 75.8%, and 63.5% of the hospitals, respectively. Hospitals with < 100 beds had low availability of all categories of standard operating procedures.

Conclusion: This study is the first national survey of acute care hospitals in the Republic of Korea. The data presented in the current study will improve the understanding of IPC status and will help establish a survey system. Our survey provides a basis for improving policies related to IPC in healthcare facilities.

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来源期刊
Journal of Korean Medical Science
Journal of Korean Medical Science 医学-医学:内科
CiteScore
7.80
自引率
8.90%
发文量
320
审稿时长
3-6 weeks
期刊介绍: The Journal of Korean Medical Science (JKMS) is an international, peer-reviewed Open Access journal of medicine published weekly in English. The Journal’s publisher is the Korean Academy of Medical Sciences (KAMS), Korean Medical Association (KMA). JKMS aims to publish evidence-based, scientific research articles from various disciplines of the medical sciences. The Journal welcomes articles of general interest to medical researchers especially when they contain original information. Articles on the clinical evaluation of drugs and other therapies, epidemiologic studies of the general population, studies on pathogenic organisms and toxic materials, and the toxicities and adverse effects of therapeutics are welcome.
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