|
KMID : 0386819940040010009
|
|
Journal of the Institute of Health Environmental Sciences
1994 Volume.4 No. 1 p.9 ~ p.20
|
|
|
An Epidemiologic Study of Post-Operative Wound Infection and It's Impacts on the Hospital Stay and the Cost of Hospitalization.
|
|
|
|
|
Abstract
|
|
|
Post-operative wound infections are still major problems to the mortality and morbidity of the patients inspite of the improvement of medical technologies. Because of post-operative wound infections, the hospital stay became longer along with
increased
hospital cost. In order to study the epidemiologic characteristics of post-operative wound infection and it's health and economic impacts, the data were collected in an university hospital from July 20 to October 16, 1922.
@ES The results obtained are as follows:
@EN 1. The incidence rate of POW (Post-operative wound) infection by sex was 11.1% in man and 9.0% in woman (p = .097). The incidence rate of POW infection was varied by age: it was 16.4% among forties, 12.5% in teenages and 12.5% twenties (p =
.070).
2. The incidence rate of POW infection was 9.1% in the Clean Wound, 7.4% in the Clean-contaminated Wound, 33.3% in the Contaminated Wound and 83.3% in the Dirty Wound (p = .000).
3. The incidence rate of POW infection was 8.1% in the group medicated with 1st generation antibiotics, 14.3% in the group treated with 2nd generation antibiotics whereas it was 9.5% in the group that antibiotics was not used(p = .177).
4. The incidence rate of POW infection was 9.5% in the 1st operation, Whereas it was 25.0% and 100. 0% in 2nd and 3rd operation repeatedly ( = .000).
5. The incidence rate of POW infection was 6.7% in the group that operation time was 1-3 hours, 13.0% in the group that it was 4-6 hours, 16.7% in the group that it was 7-9 hours and 37.5% in the group that it was over 10 hours.
6. In the distribution of microbes isolated from infected wound. Psedomonas areuginosa was 14.0%, E. coli 10.5% and MSSA 8.7%.
7. Because of POW infection, patients's total length of hospital stay was prolonged to 25.5 days longer (p = .0223) with additionally increased cost 1 931,450 won.
8. Because of the Pow infection, an estimated additional annual cost was to be more than about 3,000,000 won, being loss of annual income of the Hospital to be more than 500,000,000 won.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|