Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2012 through June 2013
- Affiliations
-
- 1Division of Infectious Diseases Soonchunhyang University College of Medicine, Seoul, Korea. geuncom@schmc.ac.kr
- 2Infection Control Office, Korea University Guro Hospital, Seoul, Korea.
- 3Kyung Hee University School of Medicine, Kyung Hee Hospital, Seoul, Korea.
- 4Division of Infectious Diseases, Seoul Metropolitan Boramae Hospital, Seoul, Korea.
- 5Department of Infection Control, Severance Hospital, Seoul, Korea.
- 6Department of Nursing, Konyang University College of Nursing, Daejeon, Korea.
- 7Division of Infectious Diseases, Hallym University College of Medicine Kangdong Sacred Heart Hospital, Seoul, Korea.
- 8Division of Infectious Diseases, Yonsei University Wonju College of Medicine, Wonju Sevrans Christian Hospital, Wonju, Korea.
- 9Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
- 10The Catholic University of Korea College of Nursing, Seoul, Korea.
- 11Seoul National University School of Public Health and Institution of Health and Environment, Seoul, Korea.
- 12Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju Sevrans Christian Hospital, Wonju, Korea.
- 13Division of Infectious Diseases, Seoul National University College of Medicine, Bundang Hospital, Seongnam, Korea.
- 14Korea Centers for Disease Control and Prevention, Cheongju, Korea.
- 15Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- KMID: 2256379
- DOI: http://doi.org/10.14192/kjnic.2015.20.2.37
Abstract
- BACKGROUND
The Korean Society for Nosocomial Infection Control (KOSNIC) ran a surveillance system, called as Korean Nosocomial Infections Surveillance (KONIS), since July 2006. Here, we report the annual data of the intensive care unit (ICU) module of the system from July 2012 through June 2013.
METHODS
This is a prospective surveillance of nosocomial urinary tract infections (UTI), bloodstream infections (BSI), and pneumonia (PNEU) at 161 ICUs in 91 hospitals using the KONIS system. The nosocomial infection (NI) rate was calculated as the number of infections per 1,000 patient days or device days.
RESULTS
A total of 3,042 NIs were reported during the study period: 877 UTIs (854 cases were urinary catheter-associated), 1,272 BSIs (1,096 were central line-associated), and 893 PNEUs (526 cases were ventilator-associated). The rate of urinary catheter-associated UTIs (CAUTIs) was 1.26 cases per 1,000 device days (95% confidence interval; 1.18-1.34) and urinary catheter utilization ratio was 0.78 (0.779-0.781). The rate of central line-associated BSIs was 2.57 (2.42-2.72) and the utilization ratio was 0.49 (0.489-0.491). The rate of ventilator-associated PNEUs was 1.64 (1.50-1.78) and the utilization ratio was 0.37 (0.369-0.371). The urinary catheter utilization ratio was lower in the ICUs of hospitals with 400-699 beds than in those of hospitals with more than 900 beds; nevertheless, CAUTIs were more common in the hospitals with 400-699 beds. The central line-associated BSI (CLABSI) rate was lower in the study period than in the previous period of July 2011-June 2012 [2.57 (2.42-2.72) vs. 3.01 (2.84-3.19)].
CONCLUSION
The CLABSI rates were lower in the study period than those in the previous years. CAUTIs were more common in the ICUs of hospitals with 400-699 beds than in those of larger hospitals.
Keyword
MeSH Terms
Cited by 5 articles
-
Two-Year Hospital-Wide Surveillance of Central Line-Associated Bloodstream Infections in a Korean Hospital
Hye Kyung Seo, Joo-Hee Hwang, Myoung Jin Shin, Su young Kim, Kyoung-Ho Song, Eu Suk Kim, Hong Bin Kim
J Korean Med Sci. 2018;33(45):. doi: 10.3346/jkms.2018.33.e280.Prevention and treatment of healthcare-associated infections
Mee Soo Chang, Jun Hee Woo
J Korean Med Assoc. 2016;59(8):622-628. doi: 10.5124/jkma.2016.59.8.622.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 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.
Reference
-
References
1. http://news.kmib.co.kr/article/view.asp?arcid=0922834625&code=141300002. 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.
Article3. Korean Society for Nosocomial Infection Control.Korean Nosocomial Infections Surveillance Manual 2012. 5th ed. Seoul; Gold. 2012; 1–192.4. Korean Society for Nosocomial Infection Control.Korean Nosocomial Infections Surveillance Manual 2010. 4th ed. Seoul; Gold. 2010; 1–106.5. 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; 17:28–39.6. 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; 16:1–12.7. Kwak YG, Cho YK, Kim JY, Lee SO, Kim HY, Kim YK, et al. Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module report: data summary from July 2008 through June 2009 and analysis of 3-Year results. Korean J Nosocomial Infect Control. 2010; 15:14–25.8. Williamson JM, Satten GA, Hanson JA, Weinstock H, Datta S. Analysis of dynamic cohort data. Am J Epidemiol. 2001; 154:366–72.
Article9. Klompas M, Yokoe DS. Automated surveillance of health care-associated infections. Clin Infect Dis. 2009; 48:1268–75.
Article10. Haustein T, Gastmeier P, Holmes A, Lucet JC, Shannon RP, Pittet D, et al. Use of benchmarking and public reporting for infection control in four high-income countries. Lancet Infect Dis. 2011; 11:471–81.
Article
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A Validation Study of Surveillance Data: Focus on the Korean National Healthcare-associated Infections Surveillance System (KONIS), Intensive Care Unit Module
- Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Summary of Data from July 2013 through June 2014
- Korean Nosocomial Infections Surveillance System, Intensive Care Unit Module Report: Data Summary from July 2007 through June 2008
- Prospective nationwide healthcare-associated infection surveillance system in South Korea
- Comparison of Two Surveillance Methods for Detecting Nosocomial Infections in a Neonatal Intensive Care Unit
