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한수하(Han Su Ha),박호란(Park Ho Ran) 기본간호학회 2008 기본간호학회지 Vol.15 No.4
Purpose: In this study active surveillance culture for ICU patients, in whom the risk of VRE infection was high were conducted, and through this the VRE colonization rate and the characteristics of the colonization were examined and risk factors involved in VRE colonization and acquisition were analyzed. Method: This research was performed with 635 patients admitted to ICU between July 1 and December 31, 2006. Results: On admission to ICU, the VRE colonization rate was 2.36%, 93% identified from active surveillance culture. The VRE colonization rate was significantly higher in those patients with cancer (OR=9.43; 95% CI=1.38~62.50; P=.022), liver cirrhosis (OR=55.5; 95% CI=7.29~500; P=.005), transferred from other hospitals (OR=200; 95% CI=22.73~1000; P=.000), high APACHE Π score (OR=1.107; 95% CI=1.010~1.213; P=.029), or antibiotics within the last 3 months (OR=15.87; 95% CI=2.27~111.11; P=.005). The VRE acquisition rate was 5.2%. It was significantly higher in those who were using a ventilator (OR=26.31; 95% CI=5.13~142.86; P=.000), three or more kinds of antibiotics during admission (OR=58.82; 95% CI=16.13 ~200; P=.000), or high APACHE Π score (OR=1.16; 95% CI=1.08~1.24; P=.000). Conclusion: The results of this study show that active surveillance culture can detect VRE colonization on admission to ICU and those who have acquired VRE in ICU. The analyzed VRE colonization and risk factors of VRE acquisition are expected to be useful in establishing guidelines for preventing VRE infection in ICU.
감염 예방을 위한 인공신장실 의료 환경에 대한 고찰 - 근거 기반의 디자인 중심으로
한수하 ( Han Su Ha ),윤형진 ( Yoon Hyungjin ) 한국의료복지건축학회(구 한국의료복지시설학회) 2018 의료·복지 건축 Vol.24 No.3
Purpose: The increase in patients requiring hemodialysis has resulted in an increase dialysis-associated infections risk. but there are no Renal Dialysis unit design standard meet specified safety and quality standards. Therefore, appropriate Establish standards and legal regulation is important for the provision of initial certification and maintenance of facility, equipment, and human resource quality. Methods: Literature survey on the design guideline and standards of Renal Dialysis unit design in Korea, U.S, Germany, Singapore, Hongkong, Dubai. Results: There are no established standards for facilities in dialysis units in Korea. To prevent infections in dialysis patients, necessary establish standards. Considering the domestic and overseas Health-care facilities standards, the major factors to be considered in the medical environment for Renal Dialysis Unit are as follows. First, planning to separate Clean areas(treatment area) from contaminated areas(medical waste storage area). Second, ensure sufficient space and minimum separation distance. Although there may be differences depending on the circumstances of individual institutions, renal dialysis unit consider the space to prevent droplet transmission. Third, secure infrastructure of infection prevention such as sufficient amount of hand hygiene sinks. Hand washing facilities for staff within the Unit should be readily available. Hand hygiene sinks should be located to prevent water from splashing into the treatment area. Fourth, Heating, ventilation and air conditioning (HVAC) system for Renal Dialysis Unit is all about providing a safer environment for patients and staff. Implications: The results of this paper can be the basic data for the design of the Renal Dialysis Units and relevant regulations.
유시내,김태형,한수하,김양기 대한의료관련감염관리학회 2023 의료관련감염관리 Vol.28 No.1
The tuberculosis burden in Korea was previously disastrous; however, the efforts of the health authorities have led to significant improvement. In particular, policies have been set to accommodate the current medical system, where private hospitals have become dominant in the private-public mix. Additionally, healthcare workers in medical institutions are currently being screened and treated for latent tuberculosis. Paradoxically, the COVID-19 pandemic response has led to improvements in the problem of insufficient negative pressure isolation facilities. Technological advancements in microbiological and radiological diagnosis have also reduced the time to diagnosis of tuberculosis. In Korea, more aggressive strategies for contact investigation are currently being tested, with the future goal of eliminating tuberculosis.
이미진,김수민,한수하,최영화 대한의료관련감염관리학회 2021 의료관련감염관리 Vol.26 No.2
Infectious diseases provide an opportunity to recognize the need for infection control in medical institutions, leading to the enactment and revision of related laws. We examined laws and public notifications such as the Medical Service Act and Infectious Disease Control and Prevention Act in chronological order and propose the direction for future amendment of laws and public notifications.