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전국병원감염감시체계 중환자실 부문 결과 보고: 2013년 7월부터 2014년 6월

Other Titles
 Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2013 through June 2014 
Authors
 곽이경  ;  최준용  ;  유현미  ;  이상오  ;  김홍빈  ;  한수하  ;  최희정  ;  김영근  ;  김성란  ;  김태형  ;  이혁민  ;  천희경  ;  김재석  ;  은병욱  ;  구현숙  ;  조은희  ;  어영  ;  이경원 
Citation
 Korean Journal of Nosocomial Infection Control (병원감염관리), Vol.20(2) : 49-60, 2015 
Journal Title
Korean Journal of Nosocomial Infection Control(병원감염관리)
ISSN
 1226-2382 
Issue Date
2015
Keywords
Intensive care unit ; KONIS ; Korean Nosocomial Infections Surveillance System ; Nosocomial infection
Abstract
Background : In this report, we present the annual data of the intensive care unit (ICU) module of the Korean Nosocomial Infections Surveillance System (KONIS) from July 2013 through June 2014.

Methods : We performed a prospective surveillance of nosocomial urinary tract infections (UTIs), bloodstream infections (BSIs), and pneumonia (PNEU) in 166 ICUs of 94 hospitals using the KONIS. Nosocomial infection (NI) rate was defined as the number of infections per 1,000 patient-days or device-days.

Results : A total of 2,843 NIs were found during the study period: 861 UTIs (846 were urinary catheter-associated), 1,173 BSIs (1,021 were central line-associated), and 809 PNEUs (498 were ventilator-associated). The rate of urinary catheter-associated UTIs was 1.21 per 1,000 device-days (95% confidence interval [CI]=1.13-1.29), and the urinary catheter utilization ratio was 0.84 (95% CI=0.839-0.841). The rate of central line-associated BSIs was 2.33 per 1,000 device-days (95% CI=2.20-2.48), and the utilization ratio was 0.53 (95% CI=0.529-0.531). The rate of ventilatorassociated PNEUs (VAPs) was 1.46 per 1,000 device-days (95% CI=1.34-1.60), and the utilization ratio was 0.41 (95% CI=0.409-0.411). In hospitals with more than 900 beds, although the ventilator utilization ratio was highest, the rate of VAPs was lower than in hospitals with 300-699 or 700-899 beds.

Conclusion : BSIs were the most commonly reported nosocomial infections. Although device utilization ratios had increased, nosocomial infection rates did not differ significantly from those during the previous period (July 2012 through June 2013).
Files in This Item:
T201505471.pdf Download
DOI
10.14192/kjnic.2015.20.2.49
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Kyungwon(이경원) ORCID logo https://orcid.org/0000-0003-3788-2134
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157105
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