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논문 기본 정보

자료유형
학술저널
저자정보
홍혜경 (클린 & 세이프 운동본부) 이꽃실 (클린 & 세이프 운동본부) 박성춘 (클린 & 세이프 운동본부) 정은경 (클린 & 세이프 운동본부) 박미라 (클린 & 세이프 운동본부) 김세철 (클린 & 세이프 운동본부)
저널정보
한국의료질향상학회 한국의료질향상학회지 한국의료질향상학회지 제19권 제1호
발행연도
2013.1
수록면
30 - 42 (13page)

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Objectives: This study was intended to check if the "Creating Clean Wards" project, which is an innovative reinforced campaign activity targeting infection control strategies and active surveillance cultures for VRE (vancomycin resistant enterococci) high-risk patients to be admitted in the NS (neuro-surgery) wards, would be reduced the incidence rates of VRE acquisition, transmission rates. Methods: 75 subjects of the VRE high-risk patients were surveyed by carrying out active surveillance cultures of VRE colonization 11 times from January to March, 2012. And the retrospective study was conducted dividing them into two groups. Results: The incidence rates of VRE acquisition was reduced to 3.67 cases per 1,000 patients day in the control group and to 2.88 cases in experimental group, which was not statistically significant (p = .753). VRE transmission rates of 0.0015 per day before the project tended to increase to 0.0019, although not statistically significant (p = .650). As a result of multivariate analysis with regard to using glycopeptide antibiotics in order to find out risk factors of VRE colonization, the patients who had been treated with glycopeptide until VRE colonization showed 274.41 times higher rate. Conclusion : For effective VRE infection control in NS wards, We should carry out active surveillance culture regularly, especially patient of using glycopeptide. And block the spread of VRE by strengthening infection control through the strict isolation and the changed mind-set of members motivated by the "Creating Clean Wards" campaign.

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