J Korean Acad Fundam Nurs.
2014 Nov;21(4):392-402. 10.7739/jkafn.2014.21.4.392.
Actual Disinfection and Sterilization Control in Korean Healthcare Facilities
- Affiliations
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- 1Konyang University, Department of Nursing, Korea.
- 2Kunkuk University Medical Center, Department of Infection Control, Korea.
- 3CHA Bundang Medical Center, CHA university, Infection Control Team, Korea.
- 4Inha University Hospital, Department of Infection Control, Korea.
- 5Ewha Womans University Mokdong Hospital, Department of Infection Control, Korea.
- 6Gangnam Severance Hospital Yonsei University Healthcare System, Infection Control Department, Korea.
- 7Chung-Ang University Healthcare System, Infection Control Unit, Korea.
- 8Severance Hospital, Infection Control Department, Korea.
- 9Woosuk University, Wanju, Department of Nursing, Korea.
- 10The Catholic University of Korea, Seoul St. Mary's Hospital, Dept. of Infection Control, Korea.
- 11Keimyung University Dongsan Medical Center, Infection Control Team, Korea.
- 12Kunkuk University Medical Center, Operating Room, Korea.
- 13Sangji University, Department of Nursing Science, Korea. oskim-icp@hanmail.net
- KMID: 2295618
- DOI: http://doi.org/10.7739/jkafn.2014.21.4.392
Abstract
- PURPOSE
This study was done to investigate the status of disinfection and sterilization in healthcare facilities. METHOD: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, chi2 test, Fisher's exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0.
RESULTS
Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10.
CONCLUSION
Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.
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