Risk stratification-based surveillance of bacterial contamination in metropolitan ambulances.

Abstract:

:We aimed to know the risk-stratification-based prevalence of bacterial contamination of ambulance vehicle surfaces, equipment, and materials. This study was performed in a metropolitan area with fire-based single-tiered Basic Life Support ambulances. Total 13 out of 117 ambulances (11.1%) were sampled and 33 sites per each ambulance were sampled using a soft rayon swab and aseptic containers. These samples were then plated onto a screening media of blood agar and MacConkey agar. Specific identification with antibiotic susceptibility was performed. We categorized sampling sites into risk stratification-based groups (Critical, Semi-critical, and Non-critical equipment) related to the likelihood of direct contact with patients' mucosa. Total 214 of 429 samples showed positive results (49.9%) for any bacteria. Four of these were pathogenic (0.9%) (MRSA, MRCoNS, and K. pneumoniae), and 210 of these were environmental flora (49.0%). However, the prevalence (positive/number of sample) of bacterial contamination in critical, semi-critical airway, semi-critical breathing apparatus group was as high as 15.4% (4/26), 30.7% (16/52), and 46.2% (48/104), respectively. Despite current formal guidelines, critical and semi-critical equipments were contaminated with pathogens and normal flora. This study suggests the need for strict infection control and prevention for ambulance services.

journal_name

J Korean Med Sci

authors

Noh H,Shin SD,Kim NJ,Ro YS,Oh HS,Joo SI,Kim JI,Ong ME

doi

10.3346/jkms.2011.26.1.124

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

124-30

issue

1

eissn

1011-8934

issn

1598-6357

journal_volume

26

pub_type

杂志文章
  • A case of fetal congenital mesoblastic nephroma with oligohydramnios.

    abstract::Although congenital renal tumors are rare, congenital mesoblastic nephroma (CMN) is the most common renal tumor in early infancy. It is non-metastatic, well differentiated, amenable to surgical removal, and carries a good prognosis. Polyhydramnios has been detected in most of the published cases of CMN. However, we ex...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2007.22.2.357

    authors: Kim CH,Kim YH,Cho MK,Kim KM,Ha JA,Joo EH,Kim SM,Song TB

    更新日期:2007-04-01 00:00:00

  • Eosinophilic fasciitis preceding relapse of peripheral T-cell lymphoma.

    abstract::Although eosinophilic fasciitis (EF) may precede hematologic malignancy or Hodgkin's disease, association with peripheral T-cell lymphoma (PTCL) is extremely rare. Only four cases of EF preceding or concomitant PTCL have been reported in the world literature. We experienced the first Korean case of EF complicated by t...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2000.15.3.346

    authors: Kim H,Kim MO,Ahn MJ,Lee YY,Jung TJ,Choi IY,Kim IS,Park CK

    更新日期:2000-06-01 00:00:00

  • The mechanism of c-erbB-2 gene product increase in stomach cancer cell lines.

    abstract::c-erbB-2 oncogene encodes a growth factor receptor whose amino acid sequence has extensive homology with human epidermal growth factor receptor. It is frequently overexpressed in human breast, ovary, lung, and stomach cancers, where its overexpression is related significantly to the prognosis. Tl investigate the possi...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1993.8.2.153

    authors: Bae CD,Park SE,Seong YS,Kimm SW,Park JB,Park JB

    更新日期:1993-04-01 00:00:00

  • Relaxin Receptor RXFP1 and RXFP2 Expression in Ligament, Tendon, and Shoulder Joint Capsule of Rats.

    abstract::Numerous musculoskeletal disorders are caused by thickened ligament, tendon stiffness, or fibrosis of joint capsule. Relaxin, a peptide hormone, can exert collagenolytic effect on ligamentous and fibrotic tissues. We hypothesized that local injection of relaxin could be used to treat entrapment neuropathy and adhesive...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2016.31.6.983

    authors: Kim JH,Lee SK,Lee SK,Kim JH,Fredericson M

    更新日期:2016-06-01 00:00:00

  • Endodermal sinus tumor: immunophenotypic expression of a carcinoma.

    abstract::A series of five endodermal sinus tumors was studied for their cytoskeletal and other phenotypic markers. They included 2 ovarian, 2 testicular, and 1 inguinal tumors. The cytoskeletal expression was also studied by gel electrophoresis and immunoblotting. Every tumor was diffusely and strongly immunostained for cytoke...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1994.9.2.93

    authors: Chung J,Gong G,Cho J,Choe G,Yu E,Lee I

    更新日期:1994-04-01 00:00:00

  • Activated protein C protects myocardium via activation of anti-apoptotic pathways of survival in ischemia-reperfused rat heart.

    abstract::Activated protein C (APC) is known to be beneficial on ischemia reperfusion injury in myocardium. However, the protection mechanism of APC is not fully understood. The purpose of this study was to investigate the effects and possible mechanisms of APC on myocardial ischemic damage. Artificially ventilated anaesthetize...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.11.1609

    authors: Ding JW,Tong XH,Yang J,Liu ZQ,Zhang Y,Yang J,Li S,Li L

    更新日期:2010-11-01 00:00:00

  • Comparison of the Mortality and In-Hospital Outcomes of Preterm Infants Treated with Ibuprofen for Patent Ductus Arteriosus with or without Clinical Symptoms Attributable to the Patent Ductus Arteriosus at the Time of Ibuprofen Treatment.

    abstract::The aim of this study was to assess the differences in the mortality and in-hospital outcomes of preterm infants with < 28 weeks of gestation who received ibuprofen treatment according to the presence of clinical symptoms (any of oliguria, hypotension, or moderate to severe respiratory difficulty) attributable to hemo...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2017.32.1.115

    authors: Yoo H,Lee JA,Oh S,Jung YH,Sohn JA,Shin SH,Choi CW,Kim EK,Kim HS,Kim BI

    更新日期:2017-01-01 00:00:00

  • Marked suppression of ghrelin concentration by insulin in Prader-willi syndrome.

    abstract::The plasma ghrelin has been reported to be elevated in Prader-Willi syndrome (PWS) and modulated by insulin. It was hypothesized that insulin might have a more pronounced effect on reducing plasma ghrelin in PWS patients, which would influence appetite. This study investigated the degree of ghrelin suppression using a...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2007.22.2.177

    authors: Paik KH,Lee MK,Jin DK,Kang HW,Lee KH,Kim AH,Kim C,Lee JE,Oh YJ,Kim S,Han SJ,Kwon EK,Choe YH

    更新日期:2007-04-01 00:00:00

  • Regulation of inhibitors of differentiation family proteins by thyroid-stimulating hormone in FRTL-5 thyroid cells.

    abstract::Members of the inhibitors of differentiation (Id) family of helix-loop-helix (HLH) proteins are known to play important roles in the proliferation and differentiation of many cell types. Thyroid-stimulating hormone (TSH) regulates proliferation and differentiation by activating TSH receptor (TSHR) in thyrocytes. In th...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2008.23.2.262

    authors: Jo YS,Hwang ES,Lee JH,Lee Y,Kim SY,Choi YS,Bai YS,Hong JH,Kim YJ,Lee IS,Rha SY,Ro HK,Shong M

    更新日期:2008-04-01 00:00:00

  • Effect of Institutional Case Volume on In-Hospital and Long-Term Mortality in Critically Ill Patients Requiring Mechanical Ventilation for 48 Hours or More.

    abstract:BACKGROUND:The purpose of this study was to evaluate whether institutional case volume affects clinical outcomes in patients receiving mechanical ventilation for 48 hours or more. METHODS:We conducted a nationwide retrospective cohort study using the database of Korean National Healthcare Insurance Service. Between Ja...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2019.34.e212

    authors: Lee H,Choi S,Jang EJ,Lee J,Kim D,Yoo S,Oh SY,Ryu HG

    更新日期:2019-09-02 00:00:00

  • Review of the Registration in the Clinical Research Information Service.

    abstract::Clinical research registration is required in many countries to improve transparency of clinical research and to ensure subject safety. Developed in February 2010, the Clinical Research Information Service (CRIS) is an online registration system for clinical studies in Korea and one of the primary registries of the Wo...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,评审

    doi:10.3346/jkms.2016.31.1.1

    authors: Choi EK,Kim MJ,Lim NK,Park HY

    更新日期:2016-01-01 00:00:00

  • Complete Recovery of Oxysterol 7α-Hydroxylase Deficiency by Living Donor Transplantation in a 4-Month-Old Infant: the First Korean Case Report and Literature Review.

    abstract::Oxysterol 7α-hydroxylase deficiency is a very rare liver disease categorized as inborn errors of bile acid synthesis, caused by CYP7B1 mutations. As it may cause rapid progression to end-stage liver disease even in early infancy, a high index of suspicion is required to prevent fatal outcomes. We describe the case of ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2018.33.e324

    authors: Hong J,Oh SH,Yoo HW,Nittono H,Kimura A,Kim KM

    更新日期:2018-11-22 00:00:00

  • A case of human cyclosporiasis causing traveler's diarrhea after visiting Indonesia.

    abstract::This is the first case of human cyclosporiasis reported in Korea. We detected the oocyst of Cyclospora cayetanensis from a 14-yr old girl who complained of persistent diarrhea after traveling to Indonesia. Round oocysts sized about 8 to 9 m with wrinkle on the wall were found in modified acid fast stained stool specim...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2003.18.5.738

    authors: Yu JR,Sohn WM

    更新日期:2003-10-01 00:00:00

  • Relationship between maternal serum C-reactive protein, funisitis and early-onset neonatal sepsis.

    abstract::The aim of this study was to determine whether maternal serum C-reactive protein (CRP) is of value in predicting funisitis and early-onset neonatal sepsis (EONS) in women with preterm labor or preterm premature rupture of membranes (PROM). This retrospective cohort study included 306 consecutive women with preterm lab...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2012.27.6.674

    authors: Lee SY,Park KH,Jeong EH,Oh KJ,Ryu A,Park KU

    更新日期:2012-06-01 00:00:00

  • Donor specific response of estrogen and progesterone on cultured human melanocytes.

    abstract::The mechanisms of estrogen and progesterone in human cutaneous pigmentation are largely unknown. The molecular identification of estrogen receptor (ER) and progesterone receptor (PR) in the human melanocytes is of great importance to understand the mechanisms. We performed immunocytochemistry analysis and demonstrated...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2002.17.1.58

    authors: Im S,Lee ES,Kim W,On W,Kim J,Lee M,Kang WH

    更新日期:2002-02-01 00:00:00

  • Results of a Government-supported Newborn Hearing Screening Pilot Project in the 17 Cities and Provinces from 2014 to 2018 in Korea.

    abstract:BACKGROUND:The aim of this study was to present and analyze, for the first time, the results of a government-supported nationwide newborn hearing screening (NHS) pilot project in the 17 major cities and provinces of Korea. METHODS:We analyzed a nationwide NHS database of 344,955 newborns in the pilot project from 2014...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2020.35.e251

    authors: Chung YS,Oh SH,Park SK

    更新日期:2020-08-10 00:00:00

  • Factors Affecting Collaborations between a Tertiary-level Emergency Department and Community-based Mental Healthcare Centers for Managing Suicide Attempts.

    abstract:BACKGROUND:Community-based active contact and follow-up are known to be effective in reducing the risk of repeat suicide attempts among patients admitted to emergency departments after attempting suicide. However, the characteristics that define successful collaborations between emergency departments and community-base...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2020.35.e334

    authors: Kim D,Lee WJ,Woo SH,Kim SH,Seo AR,Yoon HJ,Choi SP

    更新日期:2020-09-28 00:00:00

  • Three-year outcomes of the innovative replacement of incontinence surgery procedure for treatment of female stress urinary incontinence: comparison with tension-free vaginal tape procedure.

    abstract::Innovative replacement of incontinence surgery (IRIS) is a polypropylene tape that is placed beneath the midurethra to restore urinary continence. We evaluated the long-term efficacy and safety of the IRIS procedure and compared it with tension-free vaginal tape (TVT) for the treatment of female stress urinary inconti...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2007.22.3.497

    authors: Yoon CJ,Jung HC

    更新日期:2007-06-01 00:00:00

  • Prevalence and seroprevalence of low-risk human papillomavirus in Korean women.

    abstract::Little is known about the prevalence and seroprevalence of low-risk human papillomavirus (HPV) and the risk factors for HPV infection in Korean women. We determined the prevalence of low-risk HPV among 902 women aged 20-59 yr and the seroprevalence of low-risk HPV subtypes 6 and 11 among 1,094 women aged 9-59 yr in th...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2012.27.8.922

    authors: Kim MA,Oh JK,Kim BW,Chay D,Park DC,Kim SM,Kang ES,Kim JH,Cho CH,Shin HR,Seo K

    更新日期:2012-08-01 00:00:00

  • Regional and Chronological Variation of Chemosensory Dysfunction in COVID-19: a Meta-Analysis.

    abstract:BACKGROUND:Olfactory and gustatory dysfunction are frequently reported in patients with coronavirus disease 2019 (COVID-19). However, the reported prevalence of olfactory and/or gustatory dysfunction varies widely, and the reason for the inter-study differences is unclear. Hence, in this meta-analysis, we performed sub...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2021.36.e40

    authors: Kim JW,Han SC,Jo HD,Cho SW,Kim JY

    更新日期:2021-01-25 00:00:00

  • Kind and estimated stocking amount of antidotes for initial treatment for acute poisoning at emergency medical centers in Korea.

    abstract::Antidotes for toxicological emergencies can be life-saving. However, there is no nationwide estimation of the antidotes stocking amount in Korea. This study tried to estimate the quantities of stocking antidotes at emergency department (ED). An expert panel of clinical toxicologists made a list of 18 emergency antidot...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2014.29.11.1562

    authors: Sohn CH,Ryoo SM,Lim KS,Kim W,Lim H,Oh BJ

    更新日期:2014-11-01 00:00:00

  • Response-Guided Therapy for Hepatitis C Virus Recurrence Based on Early Protocol Biopsy after Liver Transplantation.

    abstract::Hepatitis C virus (HCV) recurrence after liver transplantation (LT) is universal and progressive. Here, we report recent results of response-guided therapy for HCV recurrence based on early protocol biopsy after LT. We reviewed patients who underwent LT for HCV related liver disease between 2010 and 2012. Protocol bio...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2015.30.11.1577

    authors: Kim H,Lee KW,Yi NJ,Lee HW,Choi Y,Suh SW,Jeong J,Suh KS

    更新日期:2015-11-01 00:00:00

  • Prevention of venous thromboembolism, 2nd edition: Korean Society of Thrombosis and Hemostasis Evidence-based Clinical Practice Guidelines.

    abstract::In 2010, we proposed the first Korean Guidelines for the Prevention of Venous Thromboembolism (VTE). It was applicable to Korean patients, by modifying the contents of the second edition of the Japanese guidelines for the prevention of VTE and the 8th edition of the American College of Chest Physicians (ACCP) evidence...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,实务指引

    doi:10.3346/jkms.2014.29.2.164

    authors: Bang SM,Jang MJ,Kim KH,Yhim HY,Kim YK,Nam SH,Hwang HG,Bae SH,Kim SH,Mun YC,Kim YK,Kim I,Choi WI,Jung CW,Park NH,Choi NK,Park BJ,Oh D,Korean Society of Thrombosis and Hemostasis.

    更新日期:2014-02-01 00:00:00

  • Vaccination policy in Korean armed forces: current status and future challenge.

    abstract::Infectious diseases have historically resulted in suspended or cancelled military operations. Vaccination for disease prevention is a critical component of the military's force readiness doctrine. Until recently, Korea had not recognized the importance of vaccinating military personnel. However, a 2011 meningococcal d...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,评审

    doi:10.3346/jkms.2015.30.4.353

    authors: Heo JY,Choe KW,Yoon CG,Jeong HW,Kim WJ,Cheong HJ

    更新日期:2015-04-01 00:00:00

  • A reconstructed cohort study on the hepatitis B virus infection as a risk factor of liver cancer in Korea.

    abstract::A stable cohort (n = 369,725) was reconstructed to test the association of hepatitis B virus (HBV) infection with subsequent occurrence of liver cancer in a healthy Korean population. The cohort consisted of male beneficiaries of the Korea Medical Insurance Corporation over 30 years of age, living nationwide. The HBV ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1991.6.4.319

    authors: Yoo KY,Heon-Kim,Lee MS,Park BJ,Ahn YO,Lee HS,Kim CY,Park TS

    更新日期:1991-12-01 00:00:00

  • Significance of serum antibody test for toxocariasis in healthy healthcare examinees with eosinophilia in Seoul and Gyeongsangnam-do, Korea.

    abstract::There have been numerous reports on the relationship between eosinophilia and toxocariasis. The present study investigated seropositive rates of toxocariasis among healthy people with or without eosinophilia in urban and rural areas, and assessed risk factors for positive antibody test. A total of 610 healthy people, ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,多中心研究

    doi:10.3346/jkms.2014.29.12.1618

    authors: Kim HS,Jin Y,Choi MH,Kim JH,Lee YH,Yoon CH,Hwang EH,Kang H,Ahn SY,Kim GJ,Hong ST

    更新日期:2014-12-01 00:00:00

  • Acute diffuse phlegmonous esophagogastritis: a case report.

    abstract::Acute phlegmonous infection of the gastrointestinal tract is characterized by purulent inflammation of the submucosa and muscular layer with sparing of the mucosa. The authors report a rare case of acute diffuse phlegmonous esophagogastritis, which was well diagnosed based on the typical chest computed tomographic (CT...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.10.1532

    authors: Kim HS,Hwang JH,Hong SS,Chang WH,Kim HJ,Chang YW,Kwon KH,Choi DL

    更新日期:2010-10-01 00:00:00

  • Surgical treatment of primary malignant melanoma of the esophagus: a case report.

    abstract::Primary malignant melanoma of the esophagus (PMME) is an extremely rare tumor with only scattered cases reported. Although surgical resection has been considered as the best possible option, the prognosis has been nonetheless poor. We report a case of PMME which was treated by surgical resection and additionally follo...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2007.22.1.149

    authors: Lee SA,Hwang JJ,Choi YH

    更新日期:2007-02-01 00:00:00

  • Prognostic factors of the long-term survival after transjugular intrahepatic portosystemic shunt in the treatment of gastric and esophageal variceal bleeding.

    abstract::Transjugular intrahepatic portosystemic shunt (TIPSS) is a promising method of treatment for gastric or esophageal variceal bleeding. This study was performed to determine the prognostic factors contributing to the survival of patients after TIPSS for gastric or esophageal variceal bleeding. One hundred and fifty-five...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2002.17.6.772

    authors: Kim YT,Jung MK,Cho CM,Tak WY,Kweon YO,Kim SK,Choi YH,Chung JM

    更新日期:2002-12-01 00:00:00

  • Differential expression of matrix metalloproteinases and tissue inhibitors of metalloproteinases in thioacetamide-induced chronic liver injury.

    abstract::Hepatic fibrogenesis, a complex process that involves a marked accumulation of extracellular matrix components, activation of cells capable of producing matrix materials, cytokine release, and tissue remodeling, is regulated by matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs). The M...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.4.570

    authors: Park SY,Shin HW,Lee KB,Lee MJ,Jang JJ

    更新日期:2010-04-01 00:00:00