Korean J Nosocomial Infect Control.
2006 Dec;11(2):113-128.
Korean Nosocomial Infections Surveillance System (KONIS) Report: Data Summary from July through September 2006
- Affiliations
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- 1Center for Infection Control, Kyung Hee University East-West Neo Medical Center, Seoul, Korea.
- 2Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea.
- 3Department of Clinical Nursing, University of Ulsan, Seoul, Korea.
- 4Infection Control Unit, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 5Division of Infectious Diseases, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 6Department of Laboratory Medicine, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
- 7Department of Infectious Diseases, Dongguk University International Hospital, Gayang, Korea.
- 8Infection Control Office, Dongguk University International Hospital, Gayang, Korea.
- 9Infection Control Service, Soonchunhyang University Hostpital, Seoul, Korea.
- 10Division of infectious Diseases, Soonchunhyang University Hostpital, Seoul, Korea.
- 11Division of infectious Diseases, Dankook University Hospital, Cheonan, Korea.
- 12Infection Control Team, Dankook University Hospital, Cheonan, Korea.
- 13Division of infectious Diseases, Hanyang University Hospital, Seoul, Korea.
- 14Infection Control Office, Hanyang University Hospital, Seoul, Korea.
- 15Department of Laboratory Medicine, Hanyang University Hospital, Seoul, Korea. tychoi@hanyang.ac.kr
- 16Department of Laboratory Medicine, Hanyang University Guri Hospital, Guri, Korea.
- 17Department of Laboratory Medicine, University of Ulsan and Asan Medical Center, Seoul, Korea.
- 18Division of infectious Diseases, Korea University Anam Hospital, Seoul, Korea.
- 19Infection Control Office, Severance Hospital, Seoul, Korea.
- 20Infection Control Service, Seoul National University Hospital, Seoul, Korea.
- 21Korea Center for Disease Control and Prevention, Seoul, Korea.
Abstract
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BACKGROUND: THe Korean Society for Nosocomial Infection Control (KOSNIC) orfanized the Korean Nosocomial Infections Surveillance System (KONIS) to establish a nationwide database of Nosocomial infection (NI) rate in the intensive care units (ICUs) of Korean hospitals. This report is a summary of the data from July through September 2006.
METHODS
The KONIS performed a prospective sruveillance for nosocomial urinary tract infections (UTI), bloodstream infections (BSI), and pneumonia (PNEU) at 76 ICUs in 44 hospitals. NI rates were calculated as the numbers of infections per 1,000 patient-days or device-days.
RESULTS
A total of 846 nosocomial infections were fOlllld during the study period: 407 UTIs (397 cases were urinary catheter-associated), 204 BSIs (182 were central line-associated), and 235 PNEUs (161 were ventilator-associated). The rate of urinary catheter-associated UTIs was 4.61 cases per 1,000 device-days and urinary catheter utilization ratio was 0.83. The rate of central line-associated BSIs was 3.16 and the utilization ratio was 0.55. The rate of ventilator-associated PNEUs was 3.80 and the utilization ratio was 0.41. Although the ventilator utilization ratio was lower in the hospitals with 400-699 beds than in the hospitals with more than 900 beds, the rate of ventilator-associated pneumonia was higher in the smaller hospitals than in the larger ones. The rates of all three device-associated infections were the highest in the neurosurgical ICUs and the rates were the lowest in the surgical ICUs.
CONCLUSION
This study may contribute to the development of effective strategies for NI control according to the size of hospital and the type of ICUs.
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