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신은숙 ( Shin Eun-Suk ) - 전남대학교병원
이경진 ( Lee Kyoung-Jin ) - 전남대학교병원
최은정 ( Choi Eun-Jung ) - 전남대학교병원
임성철 ( Lim Sung-Chul ) - 전남대학교 의과대학 호흡기내과학교실
이은숙 ( Lee Eun-Sook ) - 전남대학교 의과대학 간호학과
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Abstract
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Purpose:Multi-drug resistant (MR) infections among intensive care unit (ICU) patients with oral intubation and a ventilator are serious nosocomial infections. This study was done to compare the effects of oral care and ventilator circuit on reduction of MR infections.
Methods:A total of 92 participants were recruited from an ICU at C University Hospital in G-city, Korea, assigned to one of 4 groups and evaluated: group I received oral care with sponge and reusable circuit; group II received oral care with tooth brush and reusable circuit; group III received oral care with sponge and disposable circuit; group IV received oral care with tooth brush and disposable circuit.
Results:Prevalence rate of MR infections was highest in group I (47.8%), followed by group II (30.4%), group IV (19.0%), and group III (13.6%). Of the four groups, group III showed a significantly decreased MR infections (p=.035) and higher possibility of survival rate as time passes according to survival analysis (p=.019).
Conclusion: Results of this study indicate that using disposable ventilator circuit significantly decreases MR infections and raises the possibility of a higher survival rate as time passes. According to this study, the use of disposable ventilator circuit is useful in prevention of MR infections.
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KeyWords
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구강간호, 인공호흡기, 다제내성
Oral care, Ventilators, Multi-drug resistant
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원문 및 링크아웃 정보
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등재저널 정보
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