Korean J healthc assoc Infect Control Prev.  2020 Jun;25(1):21-28. 10.14192/kjicp.2020.25.1.21.

A Study on the Linterature Search of Operating Systems of National Healthcare-Associated Infection Surveilance for the Improvement of Korean National Healthcare-Assoicated Infections Surveillance

  • 1Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
  • 2Department of Pediatrics, Nowon Eulji University Hospital, Korea
  • 3Department of Laboratory Medicine, Seoul Medical Center, Seoul, Korea
  • 4Division of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea
  • 5Infection Control Unit, Korea University Guro Hospital, Seoul, Korea
  • 6Department of Nursing, SoonChunHyang University, Cheonan, Korea
  • 7Division of Infectious Diseases, Department of Internal Medicine, Ajou University Hospital, Suwon, Korea
  • 8Division of Infectious Diseases, Gachon Univeristy Gil Hospital, Incheon, Korea
  • 9Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Korea


In many countries, surveillance systems are being operated to reduce healthcare- associated infections. In Korea, the Korean National Healthcare-Associated Infections Surveillance System (KONIS) has been established and operated by the Korean Society for Healthcare-Associated Infection and Prevention as a national research project. However, the current operating system has limitations and needs reform.
Upon reviewing the literature, we investigated the current status of the operating systems of healthcare-associated infection surveillance in other countries. After sharing this literature review, which was gathered using Google and PubMed, the Delphi survey was conducted on the authors, who are experts on infection control and prevention.
The governments of the United States, Japan, Taiwan, United Kingdom, France, and Germany fund and operate surveillance systems. The Canadian government provides a private organization with funding to operate the surveillance system. One surveillance network is operated by a private consortium in which private medical institutions from various continents, such as Latin America and Africa, participate. In a Delphi survey, the authors responded that continuity∙sustainability, and the reliability and confidentiality of data are key factors in operating surveillance systems. Additionally, eight of nine authors thought that the government should operate the KONIS.
In most countries, healthcare-associated infection surveillance systems are directly operated by the government. For the continuous and stable operation of the KONIS, the government should consider transitioning to a government-operated system.


Healthcare-associated infection; Surveillance; System
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