KMID : 1141420180230020025
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Korean Journal of Healthcare-associated Infection Control Prevention 2018 Volume.23 No. 2 p.25 ~ p.38
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Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2016 through June 2017
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Kwak Yi-Kyung
Choi Young-Hwa Choi Jun-Yong Yoo Hyun-Mi Lee Sang-Oh Kim Hong-Bin Han Su-Ha Lee Mi-Suk Kim Hyo-Youl Kim Sung-Ran Kim Tae-Hyong Park Sun-Hee Yoo So-Yeon Choe Pyeong-Gyun Eun Byung-Wook Shin Myoung-Jin Choi Ji-Youn Koo Hyun-Sook Uh Young Yoo Jin-Hong
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Abstract
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Background: In this report, we present the annual data of the intensive care unit (ICU) module of the Korean National Healthcare-associated Infections Surveillance System (KONIS) from July 2016 through June 2017.
Methods: We performed a prospective surveillance of healthcare-associated urinary tract infection (UTI), bloodstream infection (BSI), and pneumonia (PNEU) at 285 ICUs in 193 hospitals using KONIS surveillance system. Healthcare-associated infection (HAI) and device-associated infection rates were calculated as the numbers of infections per 1,000 patient-days (PD) and device-days (DD), respectively. Device utilization was calculated as a ratio of device days to patient days.
Results: A total of 3,989 HAIs were found during the study period; 1,241 UTIs (1,189 cases were urinary catheter-associated), 1,757 BSIs (1,481 were central line-associated), and 991 PNEUs (480 were ventilator-associated). The rate of urinary catheter-associated UTIs (CAUTI) was 1.01 cases per 1,000 DD (95% confidence interval [CI], 0.95?1.07) and urinary catheter utilization ratio was 0.85 (95% CI, 0.849?0.851). These were higher than the data of the previous year, 0.88/1,000 DD (95% CI, 0.82-0.95) and 0.84 (95% CI 0.839-0.841), respectively. The rate of central line-associated BSIs was 2.23/1,000 DD (95% CI, 2.12?2.35) while the central line utilization ratio was 0.48 (95% CI, 0.479?0.481). The rate of ventilator-associated PNEUs was 1.00/1,000 DD (95% CI, 0.91?1.09) while the ventilator utilization ratio was 0.35 (95% CI, 0.349?0.351).
Conclusion: The overall HAI rate was similar to that of the previous year but the rate of CAUTI increased.
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KEYWORD
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Healthcare-associated Infection, Intensive care unit, Korean National Healthcare-associated Infections Surveillance System (KONIS)
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