National Surgical Site Infection Surveillance System Results Report: July 2021 through June 2022
10.14192/kjicp.2024.29.1.48
- Author:
Jung Wan PARK
1
;
Young Keun KIM
;
Yoon-soo PARK
;
Hong Bin KIM
;
Jun Yong CHOI
;
Hee Jung CHOI
;
Chung Jong KIM
;
Jeong Su PARK
;
Shinwon LEE
;
Yong Chan KIM
;
Seong Jin CHOI
;
Jongtak JUNG
;
Sunggyun PARK
;
Su Ha HAN
;
Su Young KIM
;
Su Hyun KIM
;
Hee Jung SON
;
Min Hee CHO
;
Bock-Hui YOUN
;
Jeong Hwa YEON
;
Kyoung-Ho SONG
Author Information
1. Department of Internal Medicine, Soonchunhyang University, Asan, Korea
- Publication Type:Original Article
- From:
Korean Journal of healthcare-associated Infection Control and Prevention
2024;29(1):48-58
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:This report presents annual data from the surgical site infection (SSI) module of the Korean National Healthcare-associated Infections Surveillance System (KONIS) from July 2021 to June 2022.
Methods:Surveillance of 20 surgeries (e.g., stomach, colon, rectal, gallbladder surgery, knee replacement, hip replacement, craniotomy, ventricular shunts, spinal fusion, laminectomy, cardiac artery bypass grafting - incision in the chest site only and incisions both the chest and donor site, cardiac, prostatectomy, abdominal hysterectomy, vaginal hysterectomy, appendectomy, thoracic, cesarean section, and head and neck surgeries) associated with SSI was performed between July 1, 2021, and June 30, 2022, according to the KONIS Manual 2020.
Results:A total of 133,281 surgical cases were collected and 1,100 SSIs were identified, resulting in a SSI rate of 0.83%. The SSI rates for 30-day surveillance surgeries were 1.9% for stomach, 2.82% for colon, 1.88% for rectal, 0.29% for gallbladder, 0.25% for lumbar laminectomy, 0.33% for cesarean section, 0.67% for abdominal hysterectomy, 0.74% for vaginal hysterectomy, 0.23% for prostatectomy, 1.39% for appendectomy, and 0.06% for thoracic surgeries. Neck surgery could not be analyzed due to no reported cases. The SSI rates for the 90-day surveillance surgeries were 0.16% for knee replacement, 0.54% for hip replacement, 0.89% for spinal fusion, 0.70% for craniotomy, 0.92% for ventricular shunt, 1.13% for cardiac, 1.80% for cardiac artery bypass grafting (chest only incision), and 1.64% for cardiac artery bypass grafting (chest and leg incision) surgeries. In total, 608 strains were isolated and cultured from 1,286 infections.
Conclusion:Compared with the incidence of SSI (1.06%) in 2018, the overall incidence decreased, and most site-specific infection rates decreased or remained the same.
