|
KMID : 0648620080130010032
|
|
Korean Journal of Nosocomial Infection Control
2008 Volume.13 No. 1 p.32 ~ p.41
|
|
|
Multicenter Surgical Site Infections Surveillance System Report, 2007: In Total Hip and Total Knee Arthroplasties and Gastrectomies
|
|
Kim Eu-Suk
Choi Young-Hwa
Uh Young
Kim Sung-Han
Choe Hee-Jung
Kim Jeong-Yeon
Lee Seung-Eun
Park Shin-Young
Jin Hye-Young
Kim Bong-Hee
Chang Yun-Jung
Park Yoon-Soo
Kang Ji-Hea
Kwon Seon-Heui
Kim Hyo-Youl
Son Hee-Jung
|
|
|
Abstract
|
|
|
Background: A prospective multicenter study was performed to make a surgical site infections (SSI) surveillance system for hip (HRA) and knee (KRA) replacement arthroplasties and gastrectomies (GAST) in Korea. The rates, risk factors, and clinical characteristics of SSI were evaluated.
Methods: Demographic data, clinical and operative risk factors for SSI, and information of prophylactic antibiotic uses for the patients who took HRA/KRA and GAST in 7 and 5 hospitals, respectively were collected during July through December of 2007. SSI surveillance for HRA/KRA and GAST was done for 1 year and 1 month after operations, respectively.
Results: A total of 1,294 cases (HRA, 342; KRA, 453; GAST, 499) were monitored for SSI. The SSI rates of HRA, KRA, and GAST were 1.75 (6/342), 1.10 (5/453), and 4.41 (22/499) per 100 operations, respectively. Diabetes mellitus (DM) was more frequently accompanied and the dates of hospitalization before operations were longer in the infected group than the non-infected group of HRA. DM was more frequently found in the infected groups of KRA and GAST. Reoperation, emergent operation, and transfusion were more frequent in the infected group of GAST. Prophylactic antibiotics were used in 1,279 operations (99%) and started within 60 minutes before skin incision in 93% (1,190/1,279). The most frequently used antibiotics were 1st generation cephalosporins. Prophylactic antibiotics were used in combination in 33 operations (3%) and the median duration of antibiotic use was 4 days (0-89).
Conclusion: The SSI rates of HRA, KRA, and GAST in this SSI surveillance system were 1.75, 1.10, and 4.41 per 100 operations, respectively.
|
|
|
KEYWORD
|
|
|
Surgical site infections, Surveillance, Risk factors, Prophylactic antibiotics
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|