• Eu Suk Kim, Kyoung-Ho Song, Baek-Nam Kim, Yee Gyung Kwak, Chang-Seop Lee, Sang Won Park, Chisook Moon, Kyung Hwa Park, Hee-Chang Jang, Joon-Sup Yeom, Won Sup Oh, Chung-Jong Kim, Hong Bin Kim, and Hyun-Sul Lim.
• Department of Internal Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 463-707, Korea. hbkimmd@snu.ac.kr.
• Yonsei Med. J. 2014 Mar 1; 55 (2): 435-41.

PurposeThis study was performed to evaluate the compliance with, and adequacy of, the Korean national guidelines which had been recommended until 2011 for isolation of patients with group 1 nationally notifiable infectious diseases (NNIDs), namely cholera, typhoid fever, paratyphoid fever, shigellosis, and enterohemorrhagic Escherichia coli (EHEC) infection.Materials And MethodsWe evaluated the clinical and microbiological characteristics of confirmed cases of group 1 NNIDs and compliance with the guidelines in 20 Korean hospitals nationwide in 2000-2010. We also compared the Korean guidelines with international guidelines.ResultsAmong 528 confirmed cases (8 cases of cholera, 232 of typhoid fever, 81 of paratyphoid fever, 175 of shigellosis, and 32 EHEC infections), strict compliance with the Korean guideline was achieved in only 2.6% to 50.0%, depending on the disease. While the Korean guidelines recommend isolation of all patients with group 1 NNIDs, international guidelines recommend selective patient isolation and screening for fecal shedding, depending on the type of disease and patient status.ConclusionCompliance with the previous national guidelines for group 1 NNIDs in Korea was generally very low. Further studies are needed to evaluate whether compliance was improved after implementation of the new guideline in 2012.

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