닫기

대한의료관련감염관리학회

View

Original Article

Korean J healthc assoc Infect Control Prev 2022; 27(2): 153-161

Published online December 31, 2022 https://doi.org/10.14192/kjicp.2022.27.2.153

Copyright © Korean Society for Healthcare-associated infection Control and Prevention

Chechk for updates

Pilot Study of Healthcare-associated Infections Surveillance System in Long-term Care Facilities

Sung-Ran Kim1, Kyung-Sook Cha2 , Jae Yeun Kim3, Bo Ram Oh4, Hyeon Mi Yoo5, Nan-Hyoung Cho6, Jong-Rim Choi7, Ji-Youn Choi8, Si-Hyeon Han9, Hyuk Ga10, Mi Suk Lee11

Infection Control Office, Korea University Guro Hospital1, Seoul, Department of Nursing Science, Sun Moon University2, Asan, Department of Infection Control, Konyang University Hospital3, Daejeon, Nationally-Designated Inpatient Treatment Unit, Seoul National University Hospital4, Infection Control Office, Inje University Sanggye Paik Hospital5, Office of Infection Control, Gangnam Severance Hospital6, Seoul, College of Nursing, Keimyung University7, Daegu, Infection Control Team, Chung-Ang University Hospital8, Seoul, Infection Control Department, Dankook University Hospital9, Cheonan, Institute of Geriatric Medicine, Incheon Eun-Hye Convalescent Hospital10, Incheon, Department of Internal Medicine, Kyung Hee University School of Medicine11, Seoul, Korea

Correspondence to: Kyung-Sook Cha
E-mail: chamelda@sunmoon.ac.kr
ORCID: https://orcid.org/0000-0002-7307-898X

Received: November 7, 2022; Revised: November 18, 2022; Accepted: November 25, 2022

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0).

Abstract

Background: In Korea, the older population is increasing rapidly, and the number of longterm care facilities (LTCFs) are also increasing to meet the need . LTCFs are institutions that provide medical practice to patients who need long-term hospitalization. In LTCFS, a high risk of infection or spread of infection is present in terms of the clinical characteristics of inpatients and the structural aspects of the institutions. This study is a pilot investigation of the hand hygiene and prevention surveillance system for urinary tract infections (UTIs) in LTCFs.
Methods: A total of 20 LTCFs participated in the study. The status of hand hygiene and UTIs’ prevention intervention in the LTCFs was checked, and the collected data were analyzed to determine indicators such as hand hygiene compliance rate, indwelling urinary catheter usage ratio, UTIs’ rate, and UTIs’ prevention compliance rate.
Results: From October 2020 to March 2021, the total hand hygiene compliance rate of participating institutions was 86.7%. The UTIs’ rate was 0.22 cases per 1,000 days, and the indwelling urinary catheter-associated UTIs’ rate was 0.78 cases per 1,000 catheter-days. The compliance rate of indwelling urinary catheter maintenance was 88.3-99.8%, where the compliance rate of fixing the indwelling urinary catheter was marked the lowest and that of keeping the urine bag below the bladder, marked the highest.
Conclusion: This study provides the basic data for determining the continuous operation of the surveillance system. Additionally, the standardized indicators, which were calculated from the operation of the surveillance system, will help plan future healthcare-associated infection prevention projects for LTCFs.

Keywords: Hand hygiene, Healthcare-associated infections, Infection control, Long-term care, Urinary tract infections

Share this article on :

Related articles in KJICP

더보기

Korean National Healthcare-associated Infections Surveillance System for Hand Hygiene Report: Data Summary from July 2019 to December 2022

Song Yi An, Woong Jung, Chang Min Lee, Sung Hyuk Park, Hyun Kyung Park, Myung Chun...

2024; 29(1): 40-47 https://doi.org/10.14192/kjicp.2024.29.1.40

Educational Needs of Infection Control Nurses in Long-term Care Hospitals in Korea

Song Yi An, Woong Jung, Chang Min Lee, Sung Hyuk Park, Hyun Kyung Park, Myung Chun...

2020; 25(2): 137-145 https://doi.org/10.14192/kjicp.2020.25.2.137

Influencing Factors on Nursing Practices for Healthcare-associated Infections Control in Intensive Care Unit

Song Yi An, Woong Jung, Chang Min Lee, Sung Hyuk Park, Hyun Kyung Park, Myung Chun...

2018; 23(2): 39-52 https://doi.org/10.14192/kjicp.2018.23.2.39

Most KeyWord