A nationwide survey on the implementation of infection prevention and control components in 1442 hospitals in the Republic of Korea: comparison to the WHO Infection Prevention and Control Assessment Framework (IPCAF).

BACKGROUND: The current SARS-CoV-2 pandemic continues to underscore the inadequacy of infection prevention and control (IPC) and the importance of its sound establishment in healthcare facilities. The Infection Prevention and Control Assessment Framework (IPCAF) by the World Health Organization allows systematic assessment of IPC capacity in healthcare facilities and has been applied in many national-level surveys. This study aims to assess the IPC capacity of Korean hospitals as well as their strengths and pitfalls by analyzing the results of the first government-led nationwide IPC survey in comparison to the IPCAF frame. METHODS: The Korean National Infection Prevention and Control Survey (KNIPCS) was conducted from February to March 2018. The survey questionnaire for KNIPCS was developed through a series of expert consultations and a round of pre-testing in two randomly selected hospitals. The survey questionnaire was distributed to a total of 2108 hospitals. Although the survey preceded the release of IPCAF, its contents complied with IPCAF to a large extent, allowing exploration of its results with regards to IPCAF. RESULTS: All tertiary hospitals and 96.5% of general hospitals had implemented IPC teams, whereas the percentage was lower for long-term care hospitals (6.3%). A similar trend was observed for IPC surveillance and monitoring activities across hospital types. The percentage of interactive IPC training was lower than 30% in all hospital groups. Disinfection was frequently monitored in all hospital types (e.g. 97.3% in general hospitals and 85.3% in long-term care hospitals). However, activities regarding antimicrobial resistance, such as multi-drug resistant pathogen screening, were weak in hospitals (25%) and long-term care hospitals (25%), compared to tertiary hospitals (83.3%) and general hospitals (57.7%). CONCLUSIONS: In general, essential IPC structures, such as IPC teams and programs, were well in place in most tertiary and general hospitals in Korea. These hospital groups also actively conducted various IPC activities. As most previous legislative and multimodal policy measures have targeted these hospital groups, we speculate that future policy efforts should encompass long-term care hospitals and smaller-sized hospitals to strengthen the IPC capacity of these hospital groups. Efforts should also be put forth to promote IPC training and antimicrobial activities.

Controlling Graphene Wrinkles through the Phase Transition of a Polymer with a Low Critical Solution Temperature.

A novel method for controlling reduced graphene oxide (rGO) wrinkles through a phase transition in a solution using a low critical solution temperature (LCST) polymer dispersant has been developed. The polymer dispersant is designed by control of architecture and composition using reversible addition-fragmentation chain transfer polymerization. Synthesized poly(2-(dimethylaminoethyl) methacrylate-block-styrene) (PDbS) can be successfully functionalized on the rGO surface via noncovalent functionalization. PDbS-functionalized rGO (PDbS-rGO) exhibits good dispersibility in an aqueous phase at room temperature and forms wrinkles on the PDbS-rGO surface because of phase transition at the LCST of the polymer dispersant. The formation of PDbS-rGO wrinkles is controlled by varying the aggregation number of the polymer dispersant on the PDbS-rGO surface that strongly depends on temperature. This is confirmed by transmission electron microscopy, scanning electron microscopy, and Raman spectroscopy (ID' /IG ratios are 0.560, 0.579, and 0.684, which correspond to 45, 70, and 95 °C, respectively). In addition, the mechanism of wrinkle control is proved by gold nanoparticles that are grown in polymer dispersant on the PDbS-rGO surface.