대한임상검사과학회지 (Korean Journal of Clinical Laboratory Science)

  • 제50권3호
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  • Pages.359-369
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  • 2018
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  • 1738-3544(pISSN)
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  • 2288-1662(eISSN)
대한임상검사과학회 (Korean Society for Clinical Laboratory Science)
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감염관리 분야에서 감시배양검사의 표준화 연구

Study on the Standardization of a Surveillance Culture Laboratory in Infection Control Fields

  • 박창은 (남서울대학교 임상병리학과, 분자진단연구소) ;
  • 정나연 (삼성서울병원 감염관리실) ;
  • 양민지 (서울대학교병원 진단검사의학과) ;
  • 김한울 (부산대학교병원 감염관리실) ;
  • 주세익 (대전대학교 임상병리학과) ;
  • 김건한 (강남세브란스병원 진단검사의학과) ;
  • 성희경 (동의과학대학교 임상병리과) ;
  • 황유연 (삼성서울병원 진단검사의학과) ;
  • 임현미 (순천향대학교서울병원 진단검사의학과) ;
  • 손재철 (충북대학교병원 호흡기내과) ;
  • 윤선한 (서울의과학연구소) ;
  • 윤남섭 (서울아산병원 진단검사의학과) ;
  • 장인호 (상지대학교 임상병리학과)
  • Park, Chang-Eun (Department of Biomedical Laboratory Science, Molecular Diagnostics Research Institute, Namseoul University) ;
  • Jeong, Na-Yeon (Infection Control Office, Samsung Medical Center) ;
  • Yang, Min-Ji (Department of Laboratory Medicine, Seoul National University Hospital) ;
  • Kim, Han-Wool (Infection Control Office, Pusan National University Hospital) ;
  • Joo, Sei-Ick (Department of Biomedical Laboratory Science, Daejeon University) ;
  • Kim, Keon-Han (Department of Laboratory Medicine, Gangnam Severance Hospital) ;
  • Seong, Hee-Kyung (Department of Biomedical Laboratory Science, Dong-Eui Institute of Technology) ;
  • Hwang, Yu-Yean (Department of Laboratory Medicine, Samsung Medical Center) ;
  • Lim, Hyun-Mi (Department of Laboratory Medicine, Soonchunhyang University Hospital) ;
  • Son, Jae-Cheol (Department of Pulmonology, Chungbuk National University Hospital) ;
  • Yoon, Sun-Han (Seoul Clinical Laboratories) ;
  • Yoon, Nam-Seob (Department of Laboratory Medicine, Asan Medical Center) ;
  • Jang, In-Ho (Department of Biomedical Laboratory Science, SangJi University)
  • 투고 : 2018.06.02
  • 심사 : 2018.06.14
  • 발행 : 2018.09.30
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초록

의료 관련 감염을 예방하기 위한 필수적 방법은 일관성이 있는 감염감시 시스템을 구축하고 효율적인 감시 통제를 수행하기 위해 신뢰할 수 있는 상황에 대해 진단을 향상시켜나가는 것이다. 또한 의료 종사자의 손과 의복 및 장비는 환자 관리 및 환경과 접촉하여 병원체가 오염되는 요인이다. 병원체를 가진 시설 표면(예: 침대 레일, 침대 옆 탁자), 음용수, 냉각탑용수, 내시경기구, 급식위생, 공기매개, 멸균검사, 내독소검사, 및 의료 장비를 포함한 의료 환경의 오염은 일반적으로 발생한다. 또한 이러한 감염원을 활동 감시를 통해 MLST, PFGE의 기법으로 역학분석을 수행한다. 따라서 HAI 예방을 위한 환경 감시배양 검사는 환자의 안전과 감염원의 차단을 향상시킬 뿐만 아니라 국가의 감염관리 시스템을 통제하여 최적의 효율적인 감염관리 예방을 가능케 하고 국가의 감염관리 시스템의 안전을 향상시킨다. 결론적으로 감시배양 검사의 표준화를 통해 실효성 있는 감염관리체계에 이바지하고 감염관리 전문인력으로서의 전문성을 확보하고자 한다. 이를 통해 표준화 마련의 일차적인 목표는 의료관련 감염을 줄이고 국가적 의료관리 체계를 향상시키는데 있다.

An essential measure to prevent healthcare-associated infections (HAI) is to develop a consistent system of surveillance, thereby promoting a reliable situation diagnosis to perform efficient control for the problem. Patient-to-patient transmission of pathogens within the hospital plays a substantial role in the epidemiology of HAIs. Contamination of healthcare environments commonly occurs, including facilities surfaces (e.g., bed rails, bedside tables), drinking water, cooling tower water, endoscopic instruments, food, airborne, endotoxin test, sterile test and medical equipment, with pathogenic organisms. In addition, epidemiological analysis is performed by multi locus sequence tying, pulsed-field gel electrophoresis for active surveillance. Therefore, an environmental surveillance culture test for prevention improves patient safety and blocks infection agents. Effective infection control and increased safety are possible by controlling the national infection control system. In conclusion, this study contributes to an effective infection control system through the standardization of active surveillance culture laboratory and secure expertise as infection control specialist. The primary objective of the standardization is to improve the safety of the nation's healthcare system by reducing the rates of HAIs.

키워드

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