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논문 기본 정보

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학술저널
저자정보
Na Sun Hee (Division of Infectious Disease, Department of Internal Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.) Eom Joong Sik (Division of Infectious Diseases, Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.) Seo Yu Bin (Division of Infectious Disease, Department of Internal Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.) Park Sun Hee (Division of Infectious Diseases, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.) Kim Young Keun (Division of Infectious Diseases, Department of Internal Medicine, Yonsei University Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.) Song Wonkeun (Department of Laboratory Medicine, Hallym University Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.) Lee Eunjung (Division of Infectious Diseases, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea.) Kim Sung Ran (Infection Control Office, Korea University Guro Hospital, Seoul, Korea.) Yoo Hyeon Mi (Infection Control Office, Inje University Sanggye Paik Hospital, Seoul, Korea.) Chun Heekyung (Korean Association of Infection Control Nurses, Seoul, Korea.) Shin Myoung Jin (Infection Control Office, Seoul National University Bundang Hospital, Seongnam, Korea.) Kim Su Hyun (Infection Control Office, Korea University Ansan Hospital, Ansan, Korea.) Choi Ji Youn (Infection Control Office, Chung-Ang University Healthcare System, Seoul, Korea.) Cho Nan hyoung (Infection Control Office, Gangnam Severance Hospital, Yonsei University, Seoul, Korea.) Kim Jin Hwa (Infection Control Office, Soonchunhyang University Seoul Hospital, Seoul, Korea.) Son Hee-jung (Infection Control Office, Ewha Womans University Mokdong Hospital, Seoul, Korea.) Han Su ha (School of Nursing, College of Medicine, Soonchunhyang University, Cheonan, Korea.) Lee Jacob (Division of Infectious Disease, Department of Internal Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.39 No.18
발행연도
2024.5
수록면
1 - 9 (9page)
DOI
10.3346/jkms.2024.39.e151

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Background: Catheter-associated urinary tract infections (CAUTIs) account for a large proportion of healthcare-associated infections and have a significant impact on morbidity, length of hospital stay, and mortality. Adherence to the recommended infection prevention practices can effectively reduce the incidence of CAUTIs. This study aimed to assess the characteristics of CAUTIs and the efficacy of prevention programs across hospitals of various sizes. Methods: Intervention programs, including training, surveillance, and monitoring, were implemented. Data on the microorganisms responsible for CAUTIs, urinary catheter utilization ratio, rate of CAUTIs per 1,000 device days, and factors associated with the use of indwelling catheters were collected from 2017 to 2019. The incidence of CAUTIs and associated data were compared between university hospitals and small- and medium-sized hospitals. Results: Thirty-two hospitals participated in the study, including 21 university hospitals and 11 small- and medium-sized hospitals. The microorganisms responsible for CAUTIs and their resistance rates did not differ between the two groups. In the first quarter of 2018, the incidence rate was 2.05 infections/1,000 device-days in university hospitals and 1.44 infections/1,000 device-days in small- and medium-sized hospitals. After implementing interventions, the rate gradually decreased in the first quarter of 2019, with 1.18 infections/1,000 device-days in university hospitals and 0.79 infections/1,000 device-days in small- and medium-sized hospitals. However, by the end of the study, the infection rate increased to 1.74 infections/1,000 device-days in university hospitals and 1.80 infections/1,000 device-days in small- and medium-sized hospitals. Conclusion: We implemented interventions to prevent CAUTIs and evaluated their outcomes. The incidence of these infections decreased in the initial phases of the intervention when adequate support and personnel were present. The rate of these infections may be reduced by implementing active interventions such as consistent monitoring and adherence to guidelines for preventing infections.
#Indwelling Catheters #Catheter-Associated Urinary Tract Infection #Intervention

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