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김은화(Eunhwa Kim),이미자(Mija Lee),조혜림(Hyerim Cho),이진영(Jinyeong Lee),양재숙(Jaesook Yang),송정은(Jeongeun Song),신은혜(Eunhye Shin),문영애(Yeongae Moon),정진아(Jina Jung),이은숙(Eunsook Lee),황정화(Jeonghwa Hwang),김명숙(Myungsoo 한국근거기반간호학회 2014 근거와 간호 Vol.2 No.1
Purpose: To evaluate the effects of blood culture’s clinical practice guideline on nurse’s knowledge, cognition, practice and false positive rates. Methods: Research instrument was developed to assess knowledge, cognition, practice of nurses regarding blood culture by investigators. It consists of 26 questions and verified validity. One hundred-two nurses participated in this study. A descriptive analysis was conducted to determine the subject’s characteristics and t-test, and Pearson’s correlation were conducted to evaluate the effects of guideline using SPSS 21.0. Results: After educating this guideline, nurse’s knowledge, cognition and practice of nurse significantly improved before education. The relations of correlation among knowledge and cognition, practice and knowledge, practice and cognition were statistically significant. In addition, although it was not statistically significant, false positive rate was decreased (pre-education 1.5%, post education 1%). Conclusion: The clinical practice guideline of blood culture may improve the nurse’s knowledge and nursing practice to decrease false positive rate in this study. The result of this research would provide the evidence-base practice in nursing as well as decline medical cost.
조대선,최은화 대한의사협회 2009 대한의사협회지 Vol.52 No.3
Immunization is the most cost-effective method of preventing many infectious diseases. Recommendations for immunization practices are based on scientific knowledge of vaccine characteristics, the principles of immunization, the epidemiology of specific diseases, host characteristics, and expert opinion of public health officials and specialists in clinical and preventive medicine on vaccine benefit and safety issues. Therefore, recommendations for vaccination practices balance scientific evidence of benefits and risks of immunization programs. Many of the standards for child and adolescent vaccination programs that have been previously published are universal and are applicable to many countries where different public health concerns may exist. However, several updated changes are added to these standards to maximize the benefits from the vaccination services. This report will provide the most recent technical guidance about common vaccination concerns for clinicians who administer vaccines to infants, children, and adolescents.
Recommendation for use of the newly introduced pneumococcal protein conjugate vaccines in Korea
최은화,김경효,김예진,김종현,박수은,이환종,은병욱,조대선,최경민,홍영진 대한소아청소년과학회 2011 Clinical and Experimental Pediatrics (CEP) Vol.54 No.4
Streptococcus pneumoniae remains a leading cause of invasive infections including bacteremia and meningitis, as well as mucosal infections such as otitis media and pneumonia among children and adults. The 7-valent pneumococcal conjugate vaccine (PCV7)was licensed for use among infants and young children in many countries including Korea. The routine use of PCV7 has resulted in a decreased incidence of invasive pneumococcal disease (IPD) by the vaccine serotypes among the vaccinees and substantial declines in IPD among unvaccinated populations such as older children and adults as well. In addition, there are increasing evidences to suggest that routine immunization with PCV7 is changing the epidemiology of pneumococcal diseases such as serotype distribution of IPD,nasopharyngeal colonization, and antibiotic resistance patterns. In contrast, there is an increase in the number of IPDs caused by nonvaccine serotypes, though it is much smaller than overall declines of vaccine serotype diseases. Several vaccines containing additional serotypes have been developed and tested clinically in order to expand the range of serotypes of Streptococcus pneumoniae. Recently two new pneumococcal protein conjugate vaccines,10-valent pneumococcal conjugate vaccine (PCV10) and 13-valent pneumococcal conjugate vaccine (PCV13), have been approved for use in several countries including Korea. This report summarizes the recommendations approved by the Committee on Infectious Diseases,the Korean Pediatric Society.
Recommended immunization schedule for children and adolescents: the Korean Pediatric Society, 2013
조대선,김종현,최은화,박수은,김예진,김윤경,이진아,은병욱,이수영,이현주,김기환,김경효 대한소아청소년과학회 2013 Clinical and Experimental Pediatrics (CEP) Vol.56 No.6
This article contains the recommended immunization schedule by the Committee on Infectious Diseases of the Korean Pediatric Society, updated in March 2013, when Haemophilus influenzae type b vaccine is now included in the National Immunization Program in Korea. It also includes catchup immunization schedule for children and adolescents who are behind the recommended schedule. These schedules are a minor revision of the corresponding parts of Immunization Guideline, 7th edition,of the Korean Pediatric Society, released in 2012. Pediatricians should be aware of these schedules to provide adequate immunization to Korean children and adolescents.
김종현,최은화,박수은,김예진,조대선,김윤경,은병욱,이진아,이수영,이현주,김기환,김경효 대한소아청소년과학회 2016 Clinical and Experimental Pediatrics (CEP) Vol.59 No.12
This report includes the recommended immunization schedule table for children and adolescents based on the 8th (2015) and revised 7th (2012) Immunization Guidelines released by the Committee on Infectious Diseases of the Korean Pediatric Society (KPS). Notable revised recommendations include: reorganization of the immunization table with a list of vaccines on the vertical axis and the corresponding age on the horizontal axis; reflecting the inclusion of Haemophilus influenzae type b vaccine, pneumococcal conjugate vaccine, and hepatitis A vaccine into the National Immunization Program since 2012; addition of general recommendations for 2 new Japanese encephalitis (JE) vaccines and their interchangeability with existing JE vaccines; addition of general recommendations for quadrivalent meningococcal conjugate vaccines and scope of the recommended targets for vaccination; and emphasizing catch-up immunization of Tdap vaccine. Detailed recommendations for each vaccine may be obtained from the full KPS 8th Immunization Guidelines.
이용규,조은화,김선아,김주겸,김현미,김혜은,송현정 병원간호사회 2003 임상간호연구 Vol.8 No.2
The study looks over incidents of restraint use in ICU, the characteristic of patients and their conscious behavior, and the relation between nurses' attitude over restrain apply and restrain apply to find causes for deciding restraint apply and removal. Based upon the study, we would like to provide basic data that can prevent the misuses of restraints and organizing programs on the alternative ways of restraint apply. This study is performed in a descriptive way. The research was continued from March 9th 2002 to April 30th through 41 patients who the restraint was applied in ICU of integrated internal medicine and external medicine, and 30 nurses who applied or removed their restraints, involving 62 observation of restraint apply and removal. The number of applied patients and restraints over ICU was checked, and the kinds of restraints were divided. And then, the mean number of restrained period per was recorded. when the nurses applied or removed restraints, they records on the restraint with a use record of restraint and a characteristics of application restraint record of patients. 9 questions of Kim Ki Suk were used to see nurses' attitudes toward restraint use(chronbach's α=0.81). The collected data were analyzed by descriptive statistics, paired t-test, GLM procedure, the stepwise selection of STEPDISC procedure. The Results were as follows: 1. The incidents of restraint use The restraint was applied to 43% of patients who were admitted to ICU. Bilateral wrist restraints was the most common application, and the mean number of restraint apply per incident was 102.27 hours. the decision of restraint use was placed on nurses. 2. The characteristic of restraints' apply and removal when a restraint is applied and removed, the existence of endo-tube(p=0.0228) is significant among medical device applied to patients. 3. The characteristic of consciousness and behavior related to restraint apply and removal there was significant different in degree of restless behavior when they removed physical restraints than applied(p=0.0001). 4. Nurses' attitudes toward restraint apply and removal the score of nurses' attitudes toward restraint apply and removal significantly doesn't influence on restraint apply and removal(p=0.1835). 5. The cause to decide restraint apply and removal. The most significant discriminations on restraint use was the restless behavior degree the presence of endo tube was next. 6. It was mostly nurses who made the decision to use restraints. To maintain treatment devices(62.7%) was the most common reason for restraint use. The next reasons is consciousness and behavior. The common reasons for restraint removal were those related to the patient's clear mental status(45.3%) and patient's expire or transfer to ward(23.4%). In conclusion, the most discriminating factor on the decision of restraint application was patient's restless behavior. This study didn't treat about patient and patient's family reaction on restraint. So it is suggested to study about that.
조은영,최은화,강진한,김경효,김동수,김예진,안영민,은병욱,오성희,차성호,조혜경,홍영진,김광남,김남희,김윤경,김종현,이현주,이택진,김황민,이건송,김천수,박수은,김영미,오지은,마상혁,조대선,최영륜,이진아,배근량,박옥,박영준,김은성,이환종 대한의학회 2016 Journal of Korean medical science Vol.31 No.7
This study was performed to measure early changes in the serotype distribution of pneumococci isolated from children with invasive disease during the 3-year period following the introduction of 10- and 13-valent pneumococcal conjugate vaccines (PCVs) in Korea. From January 2011 to December 2013 at 25 hospitals located throughout Korea, pneumococci were isolated among children who had invasive pneumococcal disease (IPD). Serotypes were determined using the Quellung reaction, and the change in serotype distribution was analyzed. Seventy-five cases of IPD were included. Eighty percent of patients were aged 3-59 months, and 32% had a comorbidity that increased the risk of pneumococcal infection. The most common serotypes were 19A (32.0%), 10A (8.0%), and 15C (6.7%). The PCV7 serotypes (4, 6B, 9V, 14, 18C, 19F, 23F, and 6A) accounted for 14.7% of the total isolates and the PCV13 minus PCV7 types (1, 3, 5, 7F, and 19A) accounted for 32.0% of the total isolates. Serotype 19A was the only serotype in the PCV13 minus PCV7 group. The proportion of serotype 19A showed decreasing tendency from 37.5% in 2011 to 22.2% in 2013 (P = 0.309), while the proportion of non-PCV13 types showed increasing tendency from 45.8% in 2011 to 72.2% in 2013 (P = 0.108). Shortly after the introduction of extended-valent PCVs in Korea, serotype 19A continued to be the most common serotype causing IPD in children. Subsequently, the proportion of 19A decreased, and non-vaccine serotypes emerged as an important cause of IPD. The impact of extended-valent vaccines must be continuously monitored.