Korean J Nosocomial Infect Control.  2015 Dec;20(2):49-60. 10.14192/kjnic.2015.20.2.49.

Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2013 through June 2014

Affiliations
  • 1Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
  • 2Department of Internal Medicine and AIDS Research Institute, Yonsei University College of Medicine, Seoul, Korea. seran@yuhs.ac
  • 3Infection Control Office, Inje University Sanggye Paik Hospital, Seoul, Korea.
  • 4Department of Infectious Diseases, Asan Medical Center, University of Ulsan college of Medicine, Seoul, Korea.
  • 5Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 6Department of Infection Prevention and Control, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
  • 7Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 9Infection Control Office, Korea University Guro Hospital, Seoul, Korea.
  • 10Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 11Department of Laboratory Medicine, Catholic Kwandong University College of Medicine, Incheon, Korea.
  • 12Department of Infection Control, Kyunghee University Hospital, Seoul, Korea.
  • 13Department of Laboratory Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea.
  • 14Department of Pediatrics, Eulji University School of Medicine, Eulji General Hospital, Seoul, Korea.
  • 15Division of Infectious Disease Control, Korea Centers for Disease Control and Prevention, Osong, Korea.
  • 16Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 17Department of Laboratory Medicine and Research Institute of Bacterial Resistance, Yonsei University College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
In this report, we present the annual data of the intensive care unit (ICU) module of the Korean Nosocomial Infections Surveillance System (KONIS) from July 2013 through June 2014.
METHODS
We performed a prospective surveillance of nosocomial urinary tract infections (UTIs), bloodstream infections (BSIs), and pneumonia (PNEU) in 166 ICUs of 94 hospitals using the KONIS. Nosocomial infection (NI) rate was defined as the number of infections per 1,000 patient-days or device-days.
RESULTS
A total of 2,843 NIs were found during the study period: 861 UTIs (846 were urinary catheter-associated), 1,173 BSIs (1,021 were central line-associated), and 809 PNEUs (498 were ventilator-associated). The rate of urinary catheter-associated UTIs was 1.21 per 1,000 device-days (95% confidence interval [CI]=1.13-1.29), and the urinary catheter utilization ratio was 0.84 (95% CI=0.839-0.841). The rate of central line-associated BSIs was 2.33 per 1,000 device-days (95% CI=2.20-2.48), and the utilization ratio was 0.53 (95% CI=0.529-0.531). The rate of ventilatorassociated PNEUs (VAPs) was 1.46 per 1,000 device-days (95% CI=1.34-1.60), and the utilization ratio was 0.41 (95% CI=0.409-0.411). In hospitals with more than 900 beds, although the ventilator utilization ratio was highest, the rate of VAPs was lower than in hospitals with 300-699 or 700-899 beds.
CONCLUSION
BSIs were the most commonly reported nosocomial infections. Although device utilization ratios had increased, nosocomial infection rates did not differ significantly from those during the previous period (July 2012 through June 2013).

Keyword

Intensive care unit; KONIS; Korean Nosocomial Infections Surveillance System; Nosocomial infection

MeSH Terms

Cross Infection*
Intensive Care Units*
Critical Care*
Pneumonia
Prospective Studies
Urinary Catheters
Urinary Tract Infections
Ventilators, Mechanical

Cited by  5 articles

Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2015 through June 2016
Yee Gyung Kwak, Young Hwa Choi, Jun Yong Choi, Hyeon Mi Yoo, Sang-Oh Lee, Hong Bin Kim, Su Ha Han, Mi Suk Lee, Hyo Youl Kim, Sung Ran Kim, Tae Hyong Kim, Sun Hee Park, So-Yeon Yoo, Pyoeng Gyun Choe, Byung Wook Eun, Myoung Jin Shin, Ji-youn Choi, Hyun-Sook Koo, Young Uh, Jin-Hong Yoo
Korean J Healthc Assoc Infect Control Prev. 2017;22(1):9-20.    doi: 10.14192/kjhaicp.2017.22.1.9.

Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2016 through June 2017
Yee Gyung Kwak, Young Hwa Choi, Jun Yong Choi, Hyeon Mi Yoo, Sang-Oh Lee, Hong Bin Kim, Su Ha Han, Mi Suk Lee, Hyo Youl Kim, Sung Ran Kim, Tae Hyong Kim, Sun Hee Park, So-Yeon Yoo, Pyoeng Gyun Choe, Byung Wook Eun, Myoung Jin Shin, Ji-youn Choi, Hyun-Sook Koo, Young Uh, Jin-Hong Yoo
Korean J Healthc Assoc Infect Control Prev. 2018;23(2):25-38.    doi: 10.14192/kjhaicp.2018.23.2.25.

Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2017 through June 2018
Eun Jin Kim, Yee Gyung Kwak, Tae Hyong Kim, Mi Suk Lee, Sang-Oh Lee, Sung Ran Kim, Sun Hee Park, Jin Young Ahn, Na Ra Yun, Seong Yeol Ryu, Eu Suk Kim, Ji-youn Choi, Hyeon Mi Yoo, Myoung Jin Shin, So-Yeon Yoo, Ki Ho Hong, Hee-Won Moon, Nan-hyoung Cho, Hee Jung Son, Su Hyun Kim, Young Hwa Choi, Mi-Na Kim
Korean J Healthc Assoc Infect Control Prev. 2019;24(2):69-80.    doi: 10.14192/kjicp.2019.24.2.69.

Korean National Healthcare-associated Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2014 through June 2015
Yee Gyung Kwak, Jun Yong Choi, Hyeonmi Yoo, Sang-Oh Lee, Hong Bin Kim, Su Ha Han, Hee Jung Choi, Hyo Youl Kim, Sung Ran Kim, Tae Hyong Kim, Hyukmin Lee, Hee Kyung Chun, Jae-Seok Kim, Byung Wook Eun, Hyun-Sook Koo, En-Hi Cho, Young Uh, Kyungwon Lee
Korean J Healthc Assoc Infect Control Prev. 2016;21(2):37-49.    doi: 10.14192/kjhaicp.2016.21.2.37.

Steady Inflow of Vancomycin-Resistant Enterococci from Outside a Hospital
Hye-sun An, Sang-Won Park, Su-hui Ko, Ji Hwan Bang
Korean J Healthc Assoc Infect Control Prev. 2017;22(2):63-70.    doi: 10.14192/kjhaicp.2017.22.2.63.


Reference

References

1. Burke JP. Infection control - a problem for patient safety. N Engl J Med. 2003; 348:651–6.
Article
2. Gastmeier P, Geffers C, Brandt C, Zuschneid I, Sohr D, Schwab F, et al. Effectiveness of a nationwide nosocomial infection surveillance system for reducing nosocomial infections. J Hosp Infect. 2006; 64:16–22.
Article
3. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, et al. The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 1985; 121:182–205.
Article
4. Schwab F, Geffers C, Bärwolff S, Rüden H, Gastmeier P. Reducing neonatal nosocomial bloodstream infections through participation in a national surveillance system. J Hosp Infect. 2007; 65:319–25.
Article
5. Kwak YG, Lee SO, Kim HY, Kim YK, Park ES, Jin HY; Korean Nosocomial Infections Surveillance System (KONIS). . Risk factors for device-associated infection related to organisational characteristics of intensive care units: findings from the Korean Nosocomial Infections Surveillance System. J Hosp Infect. 2010; 75:195–9.
Article
6. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008; 36:309–32.
Article
7. Korean Society for Nosocomial Infection Control.Korean Nosocomial Infections Surveillance Manual 2008. 2nd ed. Seoul; Gold. 2008.
8. Korean Society for Nosocomial Infection Control.Korean Nosocomial Infections Surveillance Manual 2012. 4th ed. Seoul; Gold. 2012.
9. Jeon MH, Park WB, Kim SR, Chun HK, Han SH, Bang JH. . Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2010 through June 2011. Korean J Nosocomial Infect Control. 2012; 17:28–39.
10. Jeon MH, Kim TH, Kim SR, Chun HK, Han SH, Bang JH. . Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2011 through June 2012. Korean J Nosocomial Infect Control. 2014; 19:52–63.
Article
11. Kwak YG, Cho YK, Kim JY, Lee MS, Kim HY, Kim YK. . Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2009 through June 2010. Korean J Nosocomial Infect Control. 2011; 16:1–12.
12. KONIS. KONIS ICU report.http://konis.cdc.go.kr/konis/sub/reports_icu.htm. (Updated on 27 March. 2015.
13. Lee SO, Kim ES, Kim HY, Park ES, Jin HY, Ki HK. . Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2007 through June 2008. Korean J Nosocomial Infect Control. 2008; 13:69–82.
Full Text Links
  • KJNIC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr