Pub Date : 2020-06-30DOI: 10.14192/kjicp.2020.25.1.54
Seul Ki Ji, S. Jang, Min Hee Park, J. E. Lee, Hye-Sook Jeong, Joonhong Park, S. Han, Yunmi Yi, S. Park
Background: In 2019, there was an outbreak of hepatitis A virus (HAV) infections in Korea. This study was performed to determine the seroprevalence of HAV among healthcare workers (HCWs) in a university-affiliated hospital and to establish an appropriate vaccination strategy against HAV for HCWs. Methods: Total antibody titers to HAV were measured using an electrochemiluminescence immunoassay kit in 1,466 HCWs. The seroprevalence of HAV and HAV vaccination rates in HCWs who were negative for anti-HAV were determined and compared among age and occupational groups. Results: In the whole study population, the seroprevalence of HAV was 49.9%. The seroprevalence was 56.3% in HCWs aged 20-24 years, decreased to 20.9% in those aged 35-39 years, and increased to 100% in those aged 60 years or more. Among HCWs who were seronegative for HAV, 70.6% received HAV vaccination. Among the occupational groups, the vaccination rate was the highest in the nurse group (80.6%) and the lowest in the doctor group (40.2%) ( P <0.001). Conclusion: HCWs in their thirties and forties, who demonstrated the lowest seroprevalence of HAV among the age groups, should be prioritized for HAV vaccination. In addition to sero-logic tests for HAV, interventions to increase vaccination rates should be applied for HCWs, particularly doctors.
{"title":"A Study on Seroprevalence of Hepatitis A Virus among Healthcare Workers at a University-Affiliated Hospital in Deajeon, Korea","authors":"Seul Ki Ji, S. Jang, Min Hee Park, J. E. Lee, Hye-Sook Jeong, Joonhong Park, S. Han, Yunmi Yi, S. Park","doi":"10.14192/kjicp.2020.25.1.54","DOIUrl":"https://doi.org/10.14192/kjicp.2020.25.1.54","url":null,"abstract":"Background: In 2019, there was an outbreak of hepatitis A virus (HAV) infections in Korea. This study was performed to determine the seroprevalence of HAV among healthcare workers (HCWs) in a university-affiliated hospital and to establish an appropriate vaccination strategy against HAV for HCWs. Methods: Total antibody titers to HAV were measured using an electrochemiluminescence immunoassay kit in 1,466 HCWs. The seroprevalence of HAV and HAV vaccination rates in HCWs who were negative for anti-HAV were determined and compared among age and occupational groups. Results: In the whole study population, the seroprevalence of HAV was 49.9%. The seroprevalence was 56.3% in HCWs aged 20-24 years, decreased to 20.9% in those aged 35-39 years, and increased to 100% in those aged 60 years or more. Among HCWs who were seronegative for HAV, 70.6% received HAV vaccination. Among the occupational groups, the vaccination rate was the highest in the nurse group (80.6%) and the lowest in the doctor group (40.2%) ( P <0.001). Conclusion: HCWs in their thirties and forties, who demonstrated the lowest seroprevalence of HAV among the age groups, should be prioritized for HAV vaccination. In addition to sero-logic tests for HAV, interventions to increase vaccination rates should be applied for HCWs, particularly doctors.","PeriodicalId":107151,"journal":{"name":"The Korean Journal of Healthcare-Associated Infection Control and Prevention","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125724612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-30DOI: 10.14192/kjicp.2020.25.1.1
Tae Hyong Kim
우리나라 의학 문헌의 서론에는 유달리 “선진국(developed 또는 advanced country)”과 비교하는 문구나 “OECD 국가 중 몇 번째이며..”등의 문구가 많이 등장한 다. 이는 대한민국이 한국전쟁 이후 오랫동안 경제적으로 저개발국가(underdeveloped country), 즉 “후진국”이었 던 역사의 잔상이 너무 큰 나머지 국가의 경제적 위상으로 사회의 모든 것을 해석해온 습관 때문이 아닐까? 국민소득 의 많고 적음은 보건의료에도 당연히 구체적인 영향을 주 겠지만 의료체계, 역대 정부의 정책, 국민들의 의료를 이용 하는 습관, 문화 등 여러가지 요소에 대한 역사적인 이해 없이 우리의 의료를 경제적인 개발 수준으로만 논할 수는 없다. 우리나라의 의료는 독특하게도 보험급여를 지급하는 보험자(insurer)는 국민건강보험공단이라는 단일 국가 보 험회사이고 급여를 받아 진료를 하는 기관은 대부분 경쟁 적인 민간의료기관이다. 이는 과거 권위주의적인 정부의 보건정책으로 인위적인 국가 보험체계가 성립될 수 있었던 것이 대부분의 시장경제체제의 서방세계에 속한 다른 나라 와 다른 점이다. 우리나라가 그동안 애타게 짝사랑하고 모 델로 삼고 싶어했던 이른바 “선진국 의료”라는 유럽이나 북아메리카의 의료를 한국에 이식하는 것도 불가능하지만, 반대로 그들이 다른 나라가 한국의 의료를 동경하여 따라 하려고 한들 그것도 가능하지 않을 것이라고 생각한다. 즉 의료는 선진국과 후진국 의료로 나뉘어 있는 것이 더 이상 아니다.
{"title":"Birth Story of KONIS (Korean National Healthcare-associated Infections Surveillance System), How to Improve Tomorrow","authors":"Tae Hyong Kim","doi":"10.14192/kjicp.2020.25.1.1","DOIUrl":"https://doi.org/10.14192/kjicp.2020.25.1.1","url":null,"abstract":"우리나라 의학 문헌의 서론에는 유달리 “선진국(developed 또는 advanced country)”과 비교하는 문구나 “OECD 국가 중 몇 번째이며..”등의 문구가 많이 등장한 다. 이는 대한민국이 한국전쟁 이후 오랫동안 경제적으로 저개발국가(underdeveloped country), 즉 “후진국”이었 던 역사의 잔상이 너무 큰 나머지 국가의 경제적 위상으로 사회의 모든 것을 해석해온 습관 때문이 아닐까? 국민소득 의 많고 적음은 보건의료에도 당연히 구체적인 영향을 주 겠지만 의료체계, 역대 정부의 정책, 국민들의 의료를 이용 하는 습관, 문화 등 여러가지 요소에 대한 역사적인 이해 없이 우리의 의료를 경제적인 개발 수준으로만 논할 수는 없다. 우리나라의 의료는 독특하게도 보험급여를 지급하는 보험자(insurer)는 국민건강보험공단이라는 단일 국가 보 험회사이고 급여를 받아 진료를 하는 기관은 대부분 경쟁 적인 민간의료기관이다. 이는 과거 권위주의적인 정부의 보건정책으로 인위적인 국가 보험체계가 성립될 수 있었던 것이 대부분의 시장경제체제의 서방세계에 속한 다른 나라 와 다른 점이다. 우리나라가 그동안 애타게 짝사랑하고 모 델로 삼고 싶어했던 이른바 “선진국 의료”라는 유럽이나 북아메리카의 의료를 한국에 이식하는 것도 불가능하지만, 반대로 그들이 다른 나라가 한국의 의료를 동경하여 따라 하려고 한들 그것도 가능하지 않을 것이라고 생각한다. 즉 의료는 선진국과 후진국 의료로 나뉘어 있는 것이 더 이상 아니다.","PeriodicalId":107151,"journal":{"name":"The Korean Journal of Healthcare-Associated Infection Control and Prevention","volume":"2014 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132462508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-30DOI: 10.14192/kjicp.2020.25.1.21
Tark Kim, B. Eun, K. Hong, Heeyeol Choi, Sung Ran Kim, S. Han, Y. Choi, J. Eom, M. S. Lee
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 Tark Kim, Byung Wook Eun, Ki Ho Hong, Hee Kyung Choi, Sung Ran Kim, Su Ha Han, Young Hwa Choi, Joong Sik Eom, Mi Suk Lee Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Department of Pediatrics, Nowon Eulji University Hospital, Department of Laboratory Medicine, Seoul Medical Center, Seoul, Division of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Infection Control Unit, Korea University Guro Hospital, Seoul, Department of Nursing, SoonChunHyang University, Cheonan, Division of Infectious Diseases, Department of Internal Medicine, Ajou University Hospital, Suwon, Division of Infectious Diseases, Gachon Univeristy Gil Hospital, Incheon, Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Korea
{"title":"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","authors":"Tark Kim, B. Eun, K. Hong, Heeyeol Choi, Sung Ran Kim, S. Han, Y. Choi, J. Eom, M. S. Lee","doi":"10.14192/kjicp.2020.25.1.21","DOIUrl":"https://doi.org/10.14192/kjicp.2020.25.1.21","url":null,"abstract":"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 Tark Kim, Byung Wook Eun, Ki Ho Hong, Hee Kyung Choi, Sung Ran Kim, Su Ha Han, Young Hwa Choi, Joong Sik Eom, Mi Suk Lee Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Department of Pediatrics, Nowon Eulji University Hospital, Department of Laboratory Medicine, Seoul Medical Center, Seoul, Division of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Infection Control Unit, Korea University Guro Hospital, Seoul, Department of Nursing, SoonChunHyang University, Cheonan, Division of Infectious Diseases, Department of Internal Medicine, Ajou University Hospital, Suwon, Division of Infectious Diseases, Gachon Univeristy Gil Hospital, Incheon, Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Korea","PeriodicalId":107151,"journal":{"name":"The Korean Journal of Healthcare-Associated Infection Control and Prevention","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122719083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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