Trends in device utilization ratios in intensive care units over 10-year period in South Korea: device utilization ratio as a new aspect of surveillance

被引：3

作者：

Kim, E. J. ^{[1
]}

Kwak, Y. G. ^{[2
]}

Park, S. H. ^{[3
]}

Kim, S. R. ^{[4
]}

Shin, M. J. ^{[5
]}

Yoo, H. M. ^{[6
]}

Han, S. H. ^{[7
]}

Kim, D. W. ^{[8
]}

Choi, Y. H. ^{[1
]}

Yoo, J. H. ^{[3
]}

机构：

[1] Ajou Univ, Dept Infect Dis, Sch Med, Suwon, South Korea

[2] Inje Univ, Dept Internal Med, Ilsan Paik Hosp, Goyang, South Korea

[3] Catholic Univ Korea, Coll Med, Dept Internal Med, Seoul, South Korea

[4] Korea Univ, Infect Control Off, Guro Hosp, Seoul, South Korea

[5] Seoul Natl Univ, Bundang Hosp, Infect Control Off, Seongnam, South Korea

[6] Inje Univ, Infect Control Off, Sanggye Paik Hosp, Seoul, South Korea

[7] Soonchunhyang Univ, Dept Nursing, Coll Med, Cheonan, South Korea

[8] Ilsan Hosp, Dept Policy Res Affairs, Natl Hlth Insurance Serv, Goyang, South Korea

来源：

JOURNAL OF HOSPITAL INFECTION | 2018年 / 100卷 / 03期

关键词：

Device utilization ratios; Surveillance; Year-wise trend; URINARY-TRACT-INFECTIONS; NOSOCOMIAL INFECTIONS; SAFETY NETWORK; SYSTEM; MODULE; MORTALITY; COSTS;

D O I：

10.1016/j.jhin.2017.10.007

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Device-associated infection (DAI) is an important issue related to patient safety. It is important to reduce unnecessary device utilization in order to decrease DAI rates. Aim: To investigate the time trend of device utilization ratios (DURs) of voluntarily participating hospitals, collected over a 10-year period through the Korean National Healthcare-associated Infections Surveillance System (KONIS). Methods: DURs from 2006 to 2015 in 190 intensive care units (ICUs) participating in KONIS were included in this study. DURs were calculated as the ratio of device-days to patientdays. The pooled incidences of DAIS and DURs were calculated for each year of participation, and the year-wise trends were analysed. Findings: Year-wise ventilator utilization ratio (V-DUR) increased significantly from 0.40 to 0.41 (F = 6.27, P < 0.01), urinary catheter utilization ratio (U-DUR) increased nonsignificantly from 0.83 to 0.84 (F = 1.66, P = 0.10), and C-line utilization ratio (CL-DUR) decreased non-significantly from 0.55 to 0.51 (F = 1.62, P = 0.11). In the subgroup analysis, 'medical ICU' (F = 2.79, P < 0.01) and 'hospital with >900 beds' (F = 3.07, P < 0.01) were associated with the significant increase in V-DUR. Conclusion: In Korea, V-DUR showed a significant, year-wise increasing trend. The trends for U-DUR and CL-DUR showed no significant decrease. Efforts are required to ensure the reduction of DURs. (C) 2017 Published by Elsevier Ltd on behalf of The Healthcare Infection Society.

引用

页码：E169 / E177

页数：9

共 2 条

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CLINICAL MICROBIOLOGY AND INFECTION, 2011, 17 (01) : 57 - 62
[2] Decreased trend of device-associated infection rates in intensive care units during 10 years in South Korea: findings of the Korean National Healthcare-associated Infections Surveillance System
Kim, E. J.
Kim, H. Y.
Kwak, Y. G.
Kim, T. H.
Kim, H. B.
Park, S. H.
Lee, M. S.
Lee, S. -O.
Choi, J. Y.
Choe, P. G.
Lim, S. -K.
Kim, S. R.
Shin, M. J.
Yoo, S. -Y.
Yoo, H.
Choi, J. Y.
Han, S. H.
Yoo, J. -H.
Choi, Y. H.
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2017, 50 : S114 - S114

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