Dataset Information

Nationwide survey of infection prevention protocols in solid organ transplantation in South Korea.

ABSTRACT:

Background

Infections are a major cause of morbidity, graft failure, and mortality in solid organ transplant recipients. Preventive measures have greatly reduced the burden of posttransplant infections. However, little is known about the practice patterns of infection prevention in South Korea.

Methods

A questionnaire-based cross-sectional survey was conducted. The questionnaire was developed by a multidisciplinary discussion. From the Korean Network for Organ Sharing data, a list of hospitals that performed kidney, liver, heart, and lung transplantations in 2019 was selected. We invited participants to respond to the questionnaire via email from January to March 2022.

Results

The response rates for each organ were as follows; 41% (31/76 hospitals) for kidney, 49% (25/51) for liver, 40% (8/20) for heart, and 89% (8/9) for lung transplantations. The median duration of antibacterial prophylaxis after transplant ranged from 5 to 7 days. Prophylaxis was commonly applied in cytomegalovirus (CMV) D+/R- recipients. For non-lung CMV R+ recipients, a preemptive strategy was the most common method. The duration of viral load monitoring for preemptive or hybrid strategies varied. All lung transplant programs used mold-active antifungal agents for a median of 6 months. An interferon-gamma release assay was most commonly used to screen for latent tuberculosis infections.

Conclusions

The infection prevention protocols in most transplant programs in Korea were generally in accordance with the guidelines. However, some variability was observed regarding antibacterial prophylaxis and CMV prevention. Our results provide useful insights into practice patterns and will assist in the development of national guidelines.

SUBMITTER: Huh K

PROVIDER: S-EPMC9574433 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Publications

Nationwide survey of infection prevention protocols in solid organ transplantation in South Korea.

Huh Kyungmin K Jeong Su Jin SJ Kim Youn Jeong YJ Kang Ji-Man JM Kim Jong Man JM Park Wan Beom WB Ahn Hyung Joon HJ Yang Jaeseok J Kim Sang Il SI Kwon Oh Jung OJ Kim Myoung Soo MS Lee Sang-Oh SO

Korean journal of transplantation 20220908 3

<h4>Background</h4>Infections are a major cause of morbidity, graft failure, and mortality in solid organ transplant recipients. Preventive measures have greatly reduced the burden of posttransplant infections. However, little is known about the practice patterns of infection prevention in South Korea.<h4>Methods</h4>A questionnaire-based cross-sectional survey was conducted. The questionnaire was developed by a multidisciplinary discussion. From the Korean Network for Organ Sharing data, a list ...[more]

PMID: 36275990

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Project description:BackgroundHealthcare-associated infections impose a significant burden on antibiotic usage, healthcare expenditures, and morbidity. Therefore, it is crucial to revise policies to minimize such losses. This nationwide survey aimed to evaluate infection prevention and control (IPC) components in healthcare facilities and encourage improvements in acute care hospitals with inadequate infection prevention settings. This study aims to enhance the infection control capabilities of healthcare facilities.MethodsFrom December 27, 2021, to May 13, 2022, we conducted a survey of 1,767 acute care hospitals in the Republic of Korea. A survey was conducted to evaluate the infection control components in 1,767 acute care hospitals. Infection control officers provided direct responses to a systematically developed questionnaire. Subsequently, 10% of the respondents were randomly selected for the site investigation.ResultsOverall, 1,197 (67.7%) hospitals responded to the online survey. On-site investigations were conducted at 125 hospitals. Hospitals with ≥ 150 beds are advised to have an IPC team under Article 3 of the Medical Service Act; however, only 87.0% (598/687) of hospitals with ≥ 100 beds had one. Conversely, 22.7% (116/510) of hospitals with < 100 beds had an IPC team. Regulations for hand hygiene, waste management, healthcare worker protection and safety, environmental cleaning, standard precautions, and prevention of the transmission of multidrug-resistant pathogens were present in 84.2%, 80.1%, 77.4%, 76.2%, 75.8%, and 63.5% of the hospitals, respectively. Hospitals with < 100 beds had low availability of all categories of standard operating procedures.ConclusionThis study is the first national survey of acute care hospitals in the Republic of Korea. The data presented in the current study will improve the understanding of IPC status and will help establish a survey system. Our survey provides a basis for improving policies related to IPC in healthcare facilities.

Project description:In this study, we analysed the regional distribution status, species composition differences, seasonal occurrence and habitat types of invasive alien insects that are distirbuted in natural ecosystems nationwide, targeting 3,802 locations in eight regions between 2019 and 2021. A total of 95,017 invasive alien insects belonging to nine orders, 48 families and 77 species were identified. Amongst the taxonomic groups, Hemiptera (35.1%) was dominant, followed by Coleoptera (18.2%) and Lepidoptera (14.3%). Gyeongsangnam-do had the highest percentage of invasive alien insects, with 55 species, while Gyeonggi-do had the highest number of invasive alien insects at 890 sites. We used Non-metric multidimensional scaling (NMDS) to analyse differences in invasive alien insect species composition by region, occurrence by season and habitat type. To compare the differences in invasive alien insect species composition by region, we divided them into four groups (Group 1: Jeollanam-do, Jeollabuk-do; Group 2: Chungcheongnam-do, Chungcheongbuk-do; Group 3: Gyeongsangnam-do, Gyeongsangbuk-do; and Group 4: Gyeonggi-do, Gangwon-do). We found an extensive overlap in invasive alien insects composition by region. Additionally, species composition exhibited seasonal differences, with the highest number of invasive alien insects occurring between July and September. Species occurring in spring (April to May) included Dryocosmuskuriphilus, Hyperapostica and Brachyperazoilus, whereas those occurring in autumn (September to October) included Vespavelutinanigrithorax, Thecodiplosisjaponensis and Hermetiaillucens. Habitat type analysis showed that invasive alien insects lived along roadsides (31.9%), farmlands (27.9%) and parks (19.4%), exhibiting high densities in anthropogenic and disturbed sites, such as parks, residences and farmlands. Ecological statistical analysis showed that the dominance index was 0.6 in Chungcheongbuk-do, the diversity index was 2.7 in Gyeongsangbuk-do, the abundance index was 5.4 in Gyeongsnagnam-do and the equality index was 0.6-0.7 in all regions. Therefore, we aimed to identify the habitat status of introduced and settled invasive insects to provide a basis for selecting primary management target species.

Dataset Information

Nationwide survey of infection prevention protocols in solid organ transplantation in South Korea.

Background

Methods

Results

Conclusions

Publications

Nationwide survey of infection prevention protocols in solid organ transplantation in South Korea.

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