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Pilot Point-Prevalence Survey for Healthcare-Associated Infections in Long-Term Care Hospitals, South Korea, 2018

Published online by Cambridge University Press:  02 November 2020

Jongrim Choi
Samsung Medical Center
Ji Young Lee
Seoul St. Mary’ hospital
Jae Sim Jeong
University of Ulsan
Sung Eun Lee
Infection Control Unit, Korea university Anam Hospital
Jong Hwa Choi
Infection control team, KonKuk University Medical Center
Sin Jeong Kim
Korean Society for Healthcare-Associated Infection Control and Prevention
Mi-Na Kim
Department of Laboratory Medicine University of Ulsan College of Medicine and Asan Medical Center
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Background: Recently, healthcare-associated infections (HAIs) in long-term care hospitals (LTCHs) have markedly increased, but no infection control policy has been established in South Korea. We investigated the current HAI surveillance system and executed a point-prevalence pilot study in LTCHs. Methods: HAIs were defined by newly established surveillance manual based on McGeer criteria revised in 2012. Three LTCHs in Seoul and Gyeonggi province were voluntarily recruited, and data were collected from up to 50 patients who were hospitalized on August 1. The medical records from September to November 2018 were retrospectively reviewed by a charge nurse for infection control per each hospitals after 1 day of training specific for LTCH surveillance. All data were reviewed by a senior researcher visiting onsite. Results: The participating hospitals had 272.33 ± 111.01 beds. Only 1 hospital had an onsite microbiological laboratory. In total, 156 patients were enrolled and 5 HAIs were detected, for a prevalence rate of 3.2%. The average patient age was 79.04 ± 9.92 years. The HAIs included 2 urinary tract infections, skin and soft-tissue infection, low respiratory infection, and conjunctivitis. Conclusions: This is the first survey of HAI in LTCHs in South Korea. The 3.2% prevalence rate is lower than those from previous reports from the European Union or the United States. This study supports the development of a national HAI surveillance and infection control system in LTCHs, although implementation may be limited due to the lack of laboratory support and infection control infrastructure in Korea.

Funding: None

Disclosures: None

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