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Prospective Nationwide Surveillance of Surgical Site Infections after Gastric Surgery and Risk Factor Analysis in the Korean Nosocomial Infections Surveillance System (KONIS)

Cited 19 time in Web of Science Cited 20 time in Scopus
Authors
Kim, Eu Suk; Kim, Hong Bin; Song, Kyoung-Ho; Kim, Young Keun; Kim, Hyung-Ho; Jin, Hye Young; Jeong, Sun Young; Sung, Joohon; Cho, Yong Kyun; Lee, Yeong-Seon; Oh, Hee-Bok; Kim, Eui-Chong; Kim, June Myung; Choi, Tae Yeol; Chol, Hee Jung; Kim, Hyo Youl
Issue Date
2012-05
Publisher
UNIV CHICAGO PRESS
Citation
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY Vol.33 No.6, pp. 572-580
Keywords
복합학
Abstract
objective. To evaluate the risk factors for surgical site infection (SSI) after gastric surgery in patients in Korea.design. A nationwide prospective multicenter study.setting. Twenty university-affiliated hospitals in Korea.methods. The Korean Nosocomial Infections Surveillance System (KONIS), a Web-based system, was developed. Patients in 20 Koreanhospitals from 2007 to 2009 were prospectively monitored for SSI for up to 30 days after gastric surgery. Demographic data, hospitalcharacteristics, and potential perioperative risk factors were collected and analyzed, using multivariate logistic regression models.results. Of the 4,238 case patients monitored, 64.9% (2,752) were male, and mean age ( SD) was 58.8 ( 12.3) years. The SSI rateswere 2.92, 6.45, and 10.87 per 100 operations for the National Nosocomial Infections Surveillance system risk index categories of 0, 1, and2 or 3, respectively. The majority (69.4%) of the SSIs observed were organ or space SSIs. The most frequently isolated microorganismswere Staphylococcus aureus and Klebsiella pneumoniae. Male sex (odds ratio [OR], 1.67 [95% confidence interval (CI), 1.09.2.58]), increasedoperation time (1.20 [1.07.1.34] per 1-hour increase), reoperation (7.27 [3.68.14.38]), combined multiple procedures (1.79 [1.13.2.83]),prophylactic administration of the first antibiotic dose after skin incision (3.00 [1.09.8.23]), and prolonged duration (≥7 days) of surgicalantibiotic prophylaxis (SAP; 2.70 [1.26.5.64]) were independently associated with increased risk of SSI.conclusions. Male sex, inappropriate SAP, and operation-related variables are independent risk factors for SSI after gastric surgery.
ISSN
0899-823X
Language
English
URI
http://hdl.handle.net/10371/79883
DOI
https://doi.org/10.1086/665728
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Graduate School of Public Health (보건대학원)Dept. of Public Health (보건학과)Journal Papers (저널논문_보건학과)
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