전국의료관련감염감시체계 중환자실 부문 결과 보고: 2018년 7월부터 2019년 6월Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2018 to June 2019
- Authors
- 김은진; 곽이경; 곽선희; 고수희; 김진화; 김의석; 김태형; 류성렬; 문희원; 박선희; 안진영; 유소연; 유현미; 윤나라; 이미숙; 이상오; 조난형; 최지연; 홍기호; 최영화; 김미나
- Issue Date
- 2020
- Publisher
- 대한의료관련감염관리학회
- Keywords
- Korean National Healthcare-associated Infections Surveillance System; KONIS; Intensive care unit; Healthcare-associated infection
- Citation
- 의료관련감염관리, v.25, no.2, pp 115 - 127
- Pages
- 13
- Journal Title
- 의료관련감염관리
- Volume
- 25
- Number
- 2
- Start Page
- 115
- End Page
- 127
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/63526
- DOI
- 10.14192/kjicp.2020.25.2.115
- ISSN
- 2508-5999
- Abstract
- Background: In this report, we present the annual data of the intensive care unit (ICU) module of the Korean National Healthcare-associated Infections Surveillance (KONIS) System from July 2018 to June 2019.
Methods: We performed a prospective surveillance of healthcare-associated urinary tract infections (UTIs), bloodstream infections (BSIs), and pneumonia (PNEU) at 316 ICUs in 227 hospitals using the KONIS system. Healthcare-associated infection (HAI) and device-associated infection rates were calculated as the number of infections per 1,000 patient-days (PDs) and device-days (DDs), respectively. Device utilization was calculated as the ratio of DDs to PDs.
Results: A total of 4,874 HAIs were found during the study period: 1,682 UTIs (1,633 urinary catheter-associated cases), 2,110 BSIs (1,769 central line-associated cases), and 1,082 PNEUs (569 ventilator-associated cases). The rate of urinary catheter-associated UTIs (CAUTIs) was 1.28 cases per 1,000 DDs [95% confidence interval (CI), 1.22-1.34], and the urinary catheter utilization ratio was 0.86 (95% CI, 0.859-0.861). The rate of CAUTIs was higher than that in the previous year [1.16/1,000 DDs (95% CI, 1.10-1.22)]. The rate of central line-associated BSIs was 2.32/1,000 DDs (95% CI, 2.22-2.43), and the central line utilization ratio was 0.51 (95% CI, 0.509-0.511). The rate of ventilator-associated PNEUs was 1.08/1,000 DDs (95% CI, 0.99-1.17), and the ventilator utilization ratio was 0.35 (95% CI, 0.349-0.351).
Conclusion: The overall HAI rate was similar to that in the previous year, but the rate of CAUTIs increased. In addition, the central line utilization ratio increased; thus, intervention is necessary.
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