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정선영 ( Jeong Sun-Young ) - 건양대학교 간호학과
최정화 ( Choi Jeong-Hwa ) - 건국대학교병원 감염관리실
김은경 ( Kim Eun-Kyoung ) - 차의과학대학교 분당차병원 감염관리팀
김수미 ( Kim Su-Mi ) - 인하대학교병원 감염관리실
손희정 ( Son Hee-Jung ) - 이대목동병원 감염관리실
조난형 ( Cho Nan-Hyoung ) - 강남세브란스병원 감염관리실
최지연 ( Choi Ji-Youn ) - 중앙대학교병원 감염관리실
박은숙 ( Park Eun-Suk ) - 세브란스병원 감염관리실
박진희 ( Park Jin-Hee ) - 우석대학교 간호학과
이지영 ( Lee Ji-Young ) - 세브란스병원 감염관리실
최순임 ( Choi Soon-Im ) - 계명대학교 동산의료원 감염관리실
우진하 ( Woo Jin-Ha ) - 건국대학교병원 수술실
김옥선 ( Kim Og-Son ) - 상지대학교 간호학과
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Abstract
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Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities.
Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, χ2 test, Fisher’s exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0.
Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10.
Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.
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KeyWords
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소독, 멸균, 소독제
Disinfection, Sterilization, Disinfectants
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원문 및 링크아웃 정보
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등재저널 정보
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