Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Comparison of Oral Care and Ventilator Circuit on the Reduction of Multi-drug Resistant Infections among Intensive Care Unit Patients

구강간호방법과 인공호흡기회로 종류에 따른 다제내성균 발생률 비교

  • Shin, Eun Suk (Medical Intensive Care Unit, Chonnam National University Hospital) ;
  • Lee, Gyung Jin (Medical Intensive Care Unit, Chonnam National University Hospital) ;
  • Choi, Eun Jung (Medical Intensive Care Unit, Chonnam National University Hospital) ;
  • Lim, Sung Chul (Pulmonary Medicine, Chonnam National University Hospital) ;
  • Lee, Eun Sook (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
  • 신은숙 (전남대학교병원 내과계중환자실 간호팀) ;
  • 이경진 (전남대학교병원 내과계중환자실) ;
  • 최은정 (전남대학교병원 내과계중환자실) ;
  • 임성철 (전남대학교병원 호흡기내과) ;
  • 이은숙 (전남대학교 간호대학)
  • Received : 2011.05.31
  • Accepted : 2011.07.01
  • Published : 2011.08.31
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Abstract

Purpose: Multi-drug resistant (MR) infections among intensive care unit (ICU) patients with oral intubation and a ventilator are serious nosocomial infections. This study was done to compare the effects of oral care and ventilator circuit on reduction of MR infections. Methods: A total of 92 participants were recruited from an ICU at C University Hospital in G-city, Korea, assigned to one of 4 groups and evaluated: group I received oral care with sponge and reusable circuit; group II received oral care with tooth brush and reusable circuit; group III received oral care with sponge and disposable circuit; group IV received oral care with tooth brush and disposable circuit. Results: Prevalence rate of MR infections was highest in group I (47.8%), followed by group II (30.4%), group IV (19.0%), and group III (13.6%). Of the four groups, group III showed a significantly decreased MR infections (p=.035) and higher possibility of survival rate as time passes according to survival analysis (p=.019). Conclusion: Results of this study indicate that using disposable ventilator circuit significantly decreases MR infections and raises the possibility of a higher survival rate as time passes. According to this study, the use of disposable ventilator circuit is useful in prevention of MR infections.

Keywords

References

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