신경외과중환자실 내에서 MRSA 감염관리 효과

서지정보

ㆍ발행기관 : 기초간호학회 ㆍ수록지정보 : 기초간호자연과학회지 / 11권 / 2호
ㆍ저자명 : 김윤경, 이지민, 홍해숙

목차

서 론
연구 방법
연구 결과
논 의
결론 및 제언

한국어 초록

메티실린 내성 황색포도알균(Methicillin resistant Staphylococcus
aureus, MRSA)은 1961년 영국의 Jevons에 의
해 처음으로 보고된(Jawetz et al., 1991; Jevons, 1961; Woo
et al., 2000) 이후 전 세계적으로 병원감염의 원인으로 심각
한 문제가 되고 있다. 우리나라에서도 1970년대 후반부터 분
리되기 시작하면서 그 빈도가 급속히 증가하여 종합병원에서
는 보통 60-90% 이상의 분리주가 메티실린에 내성을 나타내
고 있다(Jin, Kwak, & Lee, 1999).

영어 초록

The effectiveness of an infection control program is important to hospital quality improvement and decreases
of mortality rate and prevalence. Methicillin resistant Staphylococcus aureus (MRSA) is the most common pathogen causing
nosocomial infection. The aim of the study was to identify the most important risk factors for acquiring an MRSA, to
evaluate the MRSA incidence rates after the nursing intervention in Neurosurgery intensive care unit (ICU). Methods:
Clinical data were collected prospectively from December 2008 until July 2009 in Neurosurgery ICU. The patients were
divided into preintervention and postintervention groups. An infection was defined as an MRSA if it occurred 48 hr after
admission to the Unit. Infection control program including hand washing, education of health care workers about MRSA,
standard precaution and contact isolation of patients were applied for three month. Results: A total of 85 patients were
included in the study. Forty-five patients of S. aurerus were detected. Among 45 of S. aurerus, MRSA were isolated from
38 patients. The incidence MRSA rate of postintervention group was 26.9% while incidence MRSA rate of preintervention
group was 66.7%. In total, The incidence MRSA rate was 44.7%. The incidence of MRSA have decreased in the
postintervention as compared with the preintervention group. Conclusion: The infection control program for MRSA was
effective to decrease the MRSA isolation rate. The health care workers regular hand washing, education of nosocomial
infection control is important enough to be emphasized.

참고 자료

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