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KMID : 0648620100150020078
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Korean Journal of Nosocomial Infection Control
2010 Volume.15 No. 2 p.78 ~ p.86
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Infection Control Preparedness for Influenza A Pandemic (H1N1) 2009 in Healthcare Settings
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Lim Do-Yeon
Jeong Jae-Sim
Park Jin-Hee
Woo Jun-Hee
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Abstract
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Background: This study aimed to assess the status of infection control during influenza A pandemic (H1N1) 2009.
Methods: A questionnaire survey was conducted in November 2009 at the 100 hospitals designated by the Korea Centers for Disease Control and Prevention (KCDC) as influenza A pandemic (H1N1) 2009-treatment institutions.
Results: In 32.3% of the hospitals, the ventilation system of the influenza A pandemic (H1N1) 2009 isolation ward was separated from the hospital’s ventilation system. With regard to wearing personal protective equipment while caring for patients with H1N1 infection, during usual patient contact, masks were always worn by all medical staff at all the hospitals; however, medical staff at 38.7% and 51.6% of the hospitals did not wear gloves and gowns, respectively. During aerosol-generating procedures, some medical staff wore surgical masks, whereas medical staff at 10% and 23.3% of the hospitals did not wear gowns and protective goggles, respectively. In all, 64.5% of the hospitals responded that the contents of the guidelines established by the KCDC were insufficient for reference purposes in actual practice.
Conclusion: Some of influenza A pandemic (H1N1) 2009-treatment institutions are believed to be inadequate in facilities, infection control during patient treatment, and administrative measures among their efforts to prevent transmission in hospital. In preparation against the outbreak of similar diseases in the future, the government needs to establish guidelines highly applicable by medical staff, to secure exclusive spaces and personnel for treating infectious disease patients, and to develop personal protective gear support and management systems.
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KEYWORD
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Influenza A pandemic (H1N1) 2009, Personal protective equipments, Infection control, Isolation
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