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KMID : 0648620080130010042
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Korean Journal of Nosocomial Infection Control
2008 Volume.13 No. 1 p.42 ~ p.50
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Multicenter Surgical Site Infection Surveilance Study about Prosthetic Joint Replacement Surgery in 2006
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Choe Hee-Jung
Choi Tae-Yeal
Kim Hong-Bin
Park Yoon-Soo
Kang Ja-Hyun
Cho Yong-Kyun
Park Shin-Young
Jung Sun-Young
Kang Ji-Hea
Park Ji-Young
Sohn Jang-Wook
Lee Sung-Eun
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Abstract
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Background: Surgical site infection (SSI) is generally considered second or third most important infection type in nosocomial infections. However, there are only a few national surveillances about surgical site infection and prophylactic antibiotics use. We performed the surveillance of surgical site infections and antibiotic use in joint replacement operation, which is difficult and costly to treat.
Methods: The surveillance study of the hip joint (HRA) and knee joint replacement surgery (KRA) was performed in four university hospitals from July 2006 to December 2006. The Clinical variables, operative risk factors for SSI, and information of prophylactic antibiotics uses were evaluated. SSI surveillance was done in 2 weeks, 1 month, 3 month, 6 month, and 1 year after surgery.
Results: A total of 436 cases (HRA, 227; KRA, 209) were enrolled for SSI surveillance. The SSI rates of HRA and KRA were 1.32 (3/227), and 1.44 (3/209) per 100 operations, respectively. The most of operation site was clean wound (97.9%). Staphylococcus aureus was observed in 19.8% before operation and among S. aureus infections about 20% was methicillin-resistant strain. The 1st generation cephalosporins were most frequently used for prophyaxis occupying 65.1%. The median duration of antibiotic use was 12 days (1-79 days). Any other specific risk factors were not correlated with SSI development.
Conclusion: The multicenter surveillance study of SSI was first performed in Korea. The SSI rate was comparable with SSI reported in other country. We need to analyze the risk factors of SSI after collecting the data through further studies.
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KEYWORD
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Surgical site infection, Prosthetic joint, Surveillance
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