title: Low compliance with national guidelines for preventing transmission of group 1 nationally notifiable infectious diseases in Korea.
abstract: OBJECTIVE
  This 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.
  
  
  METHODS
  We 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.
  
  
  RESULTS
  Among 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.
  
  
  CONCLUSIONS
  Compliance 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.
authors.affiliation: Department of Internal Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro 173beon-gil, Bundang-gu, Seongnam 463-707, Korea. hbkimmd@snu.ac.kr.
authors.forename: Eu Suk
authors.initials: ES
authors.lastname: Kim
authors.forename: Kyoung-Ho
authors.initials: KH
authors.lastname: Song
authors.forename: Baek-Nam
authors.initials: BN
authors.lastname: Kim
authors.forename: Yee Gyung
authors.initials: YG
authors.lastname: Kwak
authors.forename: Chang-Seop
authors.initials: CS
authors.lastname: Lee
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Park
authors.forename: Chisook
authors.initials: C
authors.lastname: Moon
authors.forename: Kyung Hwa
authors.initials: KH
authors.lastname: Park
authors.forename: Hee-Chang
authors.initials: HC
authors.lastname: Jang
authors.forename: Joon-Sup
authors.initials: JS
authors.lastname: Yeom
authors.forename: Won Sup
authors.initials: WS
authors.lastname: Oh
authors.forename: Chung-Jong
authors.initials: CJ
authors.lastname: Kim
authors.forename: Hong Bin
authors.initials: HB
authors.lastname: Kim
authors.forename: Hyun-Sul
authors.initials: HS
authors.lastname: Lim
mesh_terms: D002771:Cholera / Q000635:transmission*; D004405:Dysentery, Bacillary / Q000635:transmission*; D054324:Enterohemorrhagic Escherichia coli / Q000472:pathogenicity; D004927:Escherichia coli Infections / Q000635:transmission*; D019983:Guideline Adherence; D006761:Hospitals; D006801:Humans; D010284:Paratyphoid Fever / Q000635:transmission*; D056910:Republic of Korea; D014435:Typhoid Fever / Q000635:transmission*
keywords: Communicable disease control; cholera; guideline adherence; patient isolation; shigellosis; typhoid fever