Infection Control at Hematopoietic Cell Transplantation Centers in Korea

Sun Mae Park; Jae Sim Jeong; Mi Na Kim; Sang Ho Choi

doi:10.14192/kjhaicp.2018.23.2.53

Journal List > Korean J Healthc Assoc Infect Control Prev > v.23(2) > 1110780

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Park, Jeong, Kim, and Choi: Infection Control at Hematopoietic Cell Transplantation Centers in Korea

Original Article

Korean Journal of Healthcare-Associated Infection Control and Prevention 2018; 23(2): 53-62.

Published online: 27 December 2018

DOI: https://doi.org/10.14192/kjhaicp.2018.23.2.53

Infection Control at Hematopoietic Cell Transplantation Centers in Korea

Sun Mae Park^1,², Jae Sim Jeong¹, Mi Na Kim³, Sang Ho Choi⁴

¹Department of Clinical Nursing, Graduate School of Industry, University of Ulsan, Seoul, Korea.

²Department of Nursing, Asan Medical Center, Seoul, Korea.

³Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

⁴Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Correspondence to: Jae Sim Jeong, Department of Clinical Nursing, Graduate School of Industry, University of Ulsan, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. Tel: 02-3010-5311, Fax: 02-3010-5332, jsjeong@amc.seoul.kr

Received 19 May 2018 Revised 1 July 2018 Accepted 4 July 2018

Korean Society for Healthcare-Associated Infection Control and Prevention

Abstract

Background

The purpose of this study is to identify the current state of infection control practice at Hematopoietic Cell Transplantation (HCT) centers in Korea and to prepare effective standardized infection control guidelines.

Methods

From September to October 2011, 32 HCT centers received questionnaires after consenting to participate in the study. The questionnaire consisted of 17 questions; six about general characteristics of HCT centers and 11 about infection control practices.

Results

The response rate was 93.8% (30/32) while the HEPA filter performance in isolation room was 100 class (100%). Visitors were limited to one or two people in most centers. Protective clothing for healthcare personnel comprised sterile gowns, gloves and masks at around 50%. Daily bathing was the most common skin care practice (53.6%) in allogeneic HCT and 46.7% in autologous HCT in. Most of the oral gargling solutions (including normal saline, sodium bicarbonate solution, and chlorhexidine), supported tooth brushing. Peripheral and central venous catheter insertion and dressing replacement cycle were shorter than those of general patients. The disinfectant used for venous catheter insertion and dressing exchange used more betadine. Most of the patients' diets were sterile.

Conclusion

Infection control of the HCT centers in Korea varied from each center. Generally, there is no difference between allogeneic and autologous HCT in infection control practices, except in some detailed categories.

Keywords: Guideline, Hematopoietic Cell Transplantation, Infection Control, Infection

Figures and Tables

Table 1

Characteristics of hematopoietic cell transplantation centers (N=30)

Abbreviations: ANC, absolute neutrophil count; HCT, hematopoietic cell transplantation.

Table 2

Isolation facility according to the type of hematopoietic cell transplantation

Abbreviations: HCT, hematopoietic cell transplantation; HEPA, high-efficiency particulate air; LAF, laminar air flow.

Table 3

Use of cover garments in hematopoietic cell transplantation centers

Table 4

Visitor precautions in hematopoietic cell transplantation centers (N=30)

Table 5

Skin and mouth care in hematopoietic cell transplantation patients

Abbreviation: ANC, absolute neutrophil count.

Table 6

Comparison of intravascular catheter care between hematopoietic cell transplantation patients and other patients

Abbreviations: PVC, peripheral venous catheter; CVC, central venous catheter.

Table 7

Diet managementfor hematopoietic cell transplantation patients

Abbreviation: ANC, absolute neutrophil count.

Table 8

Suggestions for further development of infection control practices in hematopoietic cell transplantation centers (asked to select three items) (N=30)

References

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