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KMID : 1147420160010010020
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Journal of Surgical Infection
2016 Volume.1 No. 1 p.20 ~ p.23
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A Brief Report about the Survey of Operating Room Environment to Prevent Surgical Site Infection in Korea
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Lee Seok-Hwan
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Abstract
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Surgical site infection (SSI) became a major nosocomial infection in United States. However, the exact statistics of SSI in Korea is not well defined. Based on the small cohort studies from Korea, the SSI rate raged from 2%-9.7%. The socioeconomic burden caused by the affection of SSI assumed 5-20 days of additional admission and more than 2,000 US dollars of additional medical cost. Prevention of SSI is utmost important, so many developed countries such as United States, Canada and European countries developed guidelines to prevent it. These guidelines included not only the surgical attire but also the basic operation room environment. Unfortunately, the Korean guideline to prevent SSI has not developed yet, moreover, the basic environmental statistics concerning the operating room is not present. From November 2014 to July 2015, national wide survey concerning the basic operating room environment was performed with questionnaires. The survey was confined to the hospitals operating more than 500 cases per year (165 hospitals). Most of the hospitals are running positive-pressure operating rooms, however, 15.8% of the hospitals did not have those. The operating room size is also very variable among hospitals. There are no specific guidelines about the use of disposable and re-usable instrument and disinfection and sterilization of the instruments in most of the hospitals. Most of the hospitals (71.3%) did not have the uni-directional flow system of contaminated and sterile instruments. Only 4.8% (8 hospitals) of the hospitals have SSI surveillance nurses. This survey did not include the actual SSI rates of the each hospital, so, we did not conclude the relationship between operating room environments and SSI rate. More studies are needed to clarify the operating room environments and SSI. This survey would be the basic information for the further studies.
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KEYWORD
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Surgical wound infection, Operating rooms, Environment, Epidemiology
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