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Korean Journal of Epidemiology 1986;8(1): 147-173.
서울 시내 일개 대학병원에서의 Nosocomial Infection에 대한 역학적 조사
이성은, 김정순
An epidemiology study on nosocomial infection of an university hospital in Seoul
Sung Eun Lee, Joung Soon Kim
Abstract
Nosocomial infection has become a problem of public health in medical cost and health problem. We have no incidence rate data in Korean. So this study tries to survey epidemiological feature of nosocomial infection in a university hospital. From November 1985 to January 1986, this study was done. The result was as follows; 1) The incidence rate of nosocomial infection was 576.7 persons per 10,000 discharges. The incidence rate of nosocomial infection by type of infection was that urinary tract infection was 143.4 cases and respiratory infection was 117.2 cases and post operative wound infection was 84.8 cases per 10,000 discharges. In internal medicine, respiratory infection was 25.7% of total nosocomial infection. In general surgery, post operative wound infection was 24.1% of total nosocomial infection. The causal micro-organisms of nosocomial infection were Pseudomonas(16.1%), E. coli(13.7%), Staphylococcus(14.7%), Serratia(7.1%) and etc. The total resistance of micro-organism which caused nosocomial infection, was 62.4% for 13 types of antibiotics. 2) The risk factor of nosocomial infection was tested by comparison of two groups, with hospital infection and without hospital infection. The duration of hospitalization was appeared very significant risk factor of nosocomial infection (X2 = 211.6**). The medical diagnosis was also appeared a significant risk factor(X2=45.7**) and medical speciality leaded the same result(X2 = 95.3**). 3) The total time of surveillance for nosocomial infection was 4.75 hours per day in hospital of 1,200 beds. It was only time for chart review and microbiological finding. For manpower study, it is requested that time for patient visiting and miscellaneous time.


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