집중적 감염관리 프로그램이 유치도뇨관을 가진 중환자의 요로감염 정도에 미치는 효과 = The Effects of Intensive Nosocomial Infection Control Program on Urinary Tract Infection for Critically Ill Patients

다국어 초록 (Multilingual Abstract)

Purpose: To investigate the effects of Intensive Nosocomial Infection Control Program(INICP) on Urinary Tract Infection(UTI) for critically ill patients. Method: This study was designed with nonequivalent control group with time series. The subjects were consisted of 60 ICU patients with indwelling urinary catheter who didn't have UTI on entering to the ICU. Data collection was done from May 20 to July 20, 2002 for control group and from August 5 to September 30, 2002 for experimental group. The Contents of INICP were education, hand culture and frequent monitoring the control activities including hand washing to improve the attitude and the performance of infection control. Data were analyzed by chi-square test, t-test using SPSS/+10.0 for windows program. Result: There was significantly decreased the incidence rates of nosocomial UTI in the experimental group than the control group(p=.041). There was also significantly decreased incidence rates of overall ICU nosocomial infection in the experimental group than the control group(p=.041). The duration of indwelling urinary catheter without UTI was significantly prolonged in the experimental group than the control group(p=.044). The length of stay in ICU without UTI was significantly prolonged in the experimental group than control group(p=.028). WBC trends of urine analysis on last day of surveillance wasn't significantly decreased between experimental group and control group(p=.101). Conclusion: The effects of INICD to decrease the in ICU patients with indwelling urinary catheter was supported. And the continuous emphasis on the study for identifying the effects of INICP will be recommended to control the risk factors of UTI.

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