요양병원 대상 의료관련감염 감시체계 시범운영

Abstract

Background: In Korea, the older population is increasing rapidly, and the number of longterm care facilities (LTCFs) are also increasing to meet the need . LTCFs are institutions that provide medical practice to patients who need long-term hospitalization. In LTCFS, a high risk of infection or spread of infection is present in terms of the clinical characteristics of inpatients and the structural aspects of the institutions. This study is a pilot investigation of the hand hygiene and prevention surveillance system for urinary tract infections (UTIs) in LTCFs.

Methods: A total of 20 LTCFs participated in the study. The status of hand hygiene and UTIs’ prevention intervention in the LTCFs was checked, and the collected data were analyzed to determine indicators such as hand hygiene compliance rate, indwelling urinary catheter usage ratio, UTIs’ rate, and UTIs’ prevention compliance rate.

Results: From October 2020 to March 2021, the total hand hygiene compliance rate of participating institutions was 86.7%. The UTIs’ rate was 0.22 cases per 1,000 days, and the indwelling urinary catheter-associated UTIs’ rate was 0.78 cases per 1,000 catheter-days. The compliance rate of indwelling urinary catheter maintenance was 88.3-99.8%, where the compliance rate of fixing the indwelling urinary catheter was marked the lowest and that of keeping the urine bag below the bladder, marked the highest.

Conclusion: This study provides the basic data for determining the continuous operation of the surveillance system. Additionally, the standardized indicators, which were calculated from the operation of the surveillance system, will help plan future healthcare-associated infection prevention projects for LTCFs.