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KMID : 1147420160010010008
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Journal of Surgical Infection
2016 Volume.1 No. 1 p.8 ~ p.13
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Nationwide Surgical Site Infection Surveillance System
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Lee Kil-Yeon
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Abstract
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Surgical site infection (SSI) is the most frequent healthcare associated infection. SSI surveillance is one of the most important strategies to prevent SSI. Korean Nosocomial Infection Surveillance (KONIS) system was started a decade ago, and it has been improved in many ways. KONIS-SSI had some weak points. Firstly, there was no feedback to surgeons and surgeons’ participation was very limited. Secondly, small hospital sized under 400 beds could not joint the KONIS-SSI system. Lastly, continuous surveillance was not performed. From 2015, KONIS-SSI started to revise it to achieve the ideal goals of SSI surveillance system. Surgeons should be designate to the director of the SSI surveillance at each hospital and surgeons who performed the operation should fill up the SSI surveillance document. Small and medium-sized general hospitals and specialty hospitals were jointed into this system. Next step is the ongoing surveillance and implant the standardized infection ratio (SIR) system. Continuous surveillance is related to the workload of surveillance team; therefore, each hospital should deploy more personnel in SSI surveillance. Regarding SIR, SIR using National Nosocomial Infection Surveillance score is the achievable target for KONIS-SSI system. Nationwide SSI surveillance system-KONIS-SSI-is well-designed system to understand the current situation of SSI and it can be used to make preventive measures to decrease SSI in Korea.
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KEYWORD
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Surgical site infection, Surveillance
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