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Original Article

Korean J healthc assoc Infect Control Prev 2012; 17(1): 1-12

Published online June 30, 2012 https://doi.org/10.14192/kjicp.2012.17.1.1

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

Korean Surgical Site Infection Surveillance System Report: Data Summary from July 2010 through June 2011

Young Keun Kim1, Hyo Youl Kim1, Eu Suk Kim2, Hong Bin Kim2, Hye Young Jin3, Ji Young Lee4, Joohon Sung5, Young Uh6, Young Kyun Cho7, Yeong-Seon Lee8, Eui-Chong Kim9, Jun Hee Woo10

Division of Infectious Diseases, Yonsei University Wonju College of Medicine1, Wonju; Division of Infectious Diseases, Seoul National University2, Seoul; Infection Control Office, Ajou University Hospital3, Suwon; Infection Control Office, Seoul St. Mary Hospital4, Seoul; Seoul National University Graduate School of Public Health5, Seoul; Department of Laboratory Medicine, Yonsei University Wonju College of Medicine6, Wonju; Division of Infectious Diseases, Gacheon University of Medicine and Science7, Incheon; Centers for Infectious Disease, Korean National Institute of Health8, Osong; Department of Laboratory Medicine, Seoul National University9, Seoul; Division of Infectious Diseases, University of Ulsan College of Medicine10, 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 web-based surveillance of surgical-site infections (SSIs) in Korean Nosocomial Infections Surveillance System (KONIS) was performed to determine the incidence of SSIs after 15 operative procedures.
Methods: Forty-three hospitals participated in the surveillance system for 15 operative procedures. A year-round observation was carried out, and the duration of participation was shortened for 3 months unit. All data were collected using a real-time web-based reporting system.
Results: From July 2010 through June 2011, SSI surveillance data of 18,644 cases were collected from 43 hospitals. SSIs were found to occur in 2.10% of the total cases. The SSI rates after various surgeries were as follows: 4.49%, rectal surgery; 4.41%, colon surgery; 3.50%, gastric surgery; 3.12%, craniotomy; 1.25%, abdominal hysterectomy; 0.93%, laminectomy; 0.63%, cesarean section; 0.62%, gallbladder surgery; and 0.54%, vaginal hysterectomy. The interim results of implant-related surgery are given below as SSI rates: 3.78%, ventricular shunt operation; 3.23%, coronary artery bypass graft; 2.20%, cardiac surgery; 1.31%, spinal fusion; 0.96%, knee prosthesis; and 0.88%, hip prosthesis.
Conclusion: The SSI rate was found to be 2.10% by the KONIS 2010. The maintenance of a surveillance system for SSI is very important, as it will help in decreasing SSIs via feedback to the involved surgeons and infection-control personnel.

Keywords: Surgical site infection, Surveillance, Korean Nosocomial Infections Surveillance

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