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Journal of Korean Academy of Fundamentals of Nursing 2006;13(3): 359
중환자실 간호사들의 손 소독제에 따른 소독효과 및 MRSA 분리
박선남1, 류경화2, 정정임3, 박옥순4
1서울여자간호대학
2가톨릭대학교 성바오로병원
3가톨릭대학교 성바오로병원 외과중환자실
4서울여자간호대학
The Effect of Disinfection and the MRSA Isolation from Hand Disinfectant in ICU Nurses
Sun-Nam Park1, Kyung-Hwa Rhyu2, Jeong-Im Jeong3, Ok-Soon Park4
1Seoul Women's College of Nursing
2St. Paul Hospital, The Catholic University of Korea
3SICU Head Nurse, St. Paul Hospital, The Catholic University of Korea
4Seoul Women's College of Nursing
Abstract
Purpose: This study was a within subject repeated pretest-posttest design done to compare the effect of disinfection and the degree of MRSA(Methicillin- resistant staphylococcus aureus) isolation from hand disinfectant in ICU nurses.
Method: Out of the total internal medicine/surgery ICU nurses at a university hospital in Seoul, 29 female nurses who were participating in direct patient care were participants in this study. After collection of samples, Staphylococcus aureus and MRSA were isolated from the palms, nails and nasal cavities of the nurses according to disinfectants (soap and beta-scrub).
Results: The effect of disinfection was greater in the beta-scrub group than in the soap group, and the effect of disinfection on palms was higher in the beta-scrub group than in the soap group. As for the degree of MRSA isolation, there was more isolation in palms in the soap group than in the beta-scrub group but there was no difference in the degree of MRSA isolation from the hand disinfectant in nails and nasal cavities.
Conclusion: Beta-scrub showed a superior prolonged effect against transient bacteria compared with soap. Further, to reduce MRSA infection, we recommend interventions focused on these aspects.
Key words: Disinfectant | Disinfection | Staphylococcus aureus
주요어: 손소독제 | 소독효과 | 포도상구균