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Korean J healthc assoc Infect Control Prev 2010; 15(1): 1-13

Published online June 30, 2010 https://doi.org/10.14192/kjicp.2010.15.1.1

Copyright © Korean Society for Healthcare-associated infection Control and Prevention

The Korean Surgical Site Infection Surveillance System Report, 2009

Young Keun Kim1, Hyo Youl Kim1, Eu Suk Kim2, Hong Bin Kim3, Young Uh4, Sun-Young Jung5, Hye Young Jin6, Yong Kyun Cho7, Eui-Chong Kim8, Yeong-Seon Lee9, and Hee-Bok Oh9

Division of Infectious Diseases, Yonsei University Wonju College of Medicine1, Wonju, Division of Infectious Disease, Dongguk University, College of Medicine2, Goyang, Seoul National University3, Department of Laboratory Medicine, Yonsei University Wonju College of Medicine4, Infection Control Office, Ewha Womans University Mokdong Hospital5, Seoul, Infection Control Office, Ajou University Hospital6, Suwon, Division of Infectious Diseases, Gachon University of Medicine and Science7, Incheon, Department of Laboratory Medicine, Seoul National University8, The Korea Centers for Disease Control and Prevention9, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: A nationwide prospective multicenter study was performed in Korea to determine the incidence and risk factors for surgical site infections (SSI) after craniotomies (CRAN), ventricular shunt operations (VS), gastric operations (GAST), colon operations (COLO), rectal operations (RECT), hip joint replacements (HJR), and knee joint replacements (KJR).
Methods: We collected data regarding demographics, clinical and operative risk factors for SSI, and antibiotics administered to the patients who underwent CRAN in 18 hospitals, VS in 19 hospitals, GAST in 19 hospitals, COLO in 19 hospitals, RECT in 19 hospitals, HJR in 24 hospitals, and KJR in 23 hospitals between January and December 2009. All the data were collected using a real-time web-based reporting system.
Results: The SSI rate of CRAN, VS, GAST, COLO, RECT, HJR, and KJR was 3.68 (22/1,169), 5.96 (14/235), 4.25 (75/1,763), 3.37 (22/653), 5.83 (27/463), 1.93 (23/1,190), and 2.63 (30/1,139), respectively, per 100 operations. The only significant risk factor for SSI after CRAN was postoperative cerebrospinal fluid leakage. The independent risk factors for SSI after GAST were multiple procedure, reoperation, infection of other sites, and transfusion. In HJR, the duration of preoperative hospital stay and operation time were longer, and the need for general anesthesia, transfusion, and steroid use and the incidence of contaminated/dirty wound, obesity, and infection of other sites were significantly increased in the infected group. In KJR, the duration of preoperative hospital stay was longer and the need for reoperation was significantly higher in the infected group, and in addition, the incidence of SSI was higher among males.
Conclusion: The maintenance of surveillance on SSI is very important because surveillance provides valuable information to the surgeon and infection control personnel, which in turn helps decrease the incidence of SSI.

Keywords: Surgical site infection, Surveillance, Risk factors

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