National survey of the status of infection surveillance and control programs in acute care hospitals with more than 300 beds in the Republic of Korea
National survey of the status of infection surveillance and control programs in acute care hospitals with more than 300 beds in the Republic of Korea
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DOI：
10.1016/j.ajic.2006.01.003
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发表时间：
2006-05-01
影响因子：
4.9
通讯作者：
Cho, Sung Il
中科院分区：
文献类型：
--
作者：
Oh, Hyang Soon;Chung, Hai Won;Cho, Sung Il
背景：本研究旨在评估感染监测和控制计划（ISCP）的现状，并分析自1991年韩国建立第一个ISCP计划以来与ISCP实施相关的趋势。方法：2003年6 - 10月，对全国300余张床位的急症医院164家进行4次邮寄调查问卷。85家医院参与（52%）。结果：有应答医院的平均床位数（649张）明显大于无应答医院。在参与调查的医院中，有教育功能的医院占92%，有手卫生资源的医院占40% ~ 90%，有感染控制委员会的医院占100%；有感染控制医生的医院占86%，有感染控制护士的医院占98%，只有1名感染控制护士的医院占89%，有1名感染控制护士的医院占59%；开展监测的占68%，每年开展2.7次疫情调查，每年开展8.4个教学项目；58%进行常规空气培养；64%的人放弃了无效的iscp。iscp的年度趋势分析表明，认证和立法对韩国iscp的影响很大。结论：本研究中iscp的数据表明，自20世纪90年代以来，iscp得到了改善。立法和认证对iscp有很大的影响。应充分考虑韩国ISCPs的弱点：监测、手卫生资源不足和ICNs短缺。
Background: This study was conducted to assess the status of infection surveillance and control programs (ISCPs) and to analyze the trends associated with ISCP implementation since the first program was established in Korea in 1991.Methods: A questionnaire modified from the Study on the Efficacy of Nosocomial Infection Control was mailed 4 times nationwide to acute care hospitals (n = 164) with more than 300 beds between June and October 2003. Eighty-five hospitals participated (52%).Results: The mean number of beds (649) in the responding hospitals was significantly greater than in nonresponding hospitals. Of the participating hospitals, 92% had educational functions, 40% to 90% used hand hygiene resources, and 100% had infection control committees: 86% had infection control doctors, 98% had infection control nurses (ICNs), 89% employed only 1 ICN, and 59% employed an ICN only part-time; 68% performed surveillance, undertaking 2.7 epidemic investigations per year and 8.4 teaching programs per yearn 88% undertook needlestick prevention programs; 58% performed regular air culture; and 64% discarded ineffective ISCPs. Annual trends analysis of ISCPs indicated that accreditation and legislation impact strongly on Korean IsCPs.Conclusion: The figures for ISCPs in this study indicate that improvements have been made since the 1990s. Legislation and accreditation have strongly influenced ISCPs. Much consideration should be given to the weaknesses in Korean ISCPs: surveillance, insufficient hand hygiene resources, and shortage of ICNs.