Multicenter Surgical Site Infections Surveillance System Report, 2007: In Total Hip and Total Knee Arthroplasties and Gastrectomies.
- Author:
Eu Suk KIM
;
Yun Jung CHANG
;
Yoon Soo PARK
;
Ji Hea KANG
;
Shin Young PARK
;
Jeong Yeon KIM
;
Sung Eun LEE
;
Sung Han KIM
;
Seon Heui KWON
;
Young Hwa CHOI
;
Hye Young JIN
;
Hyo Youl KIM
;
Young UH
;
Bong Hee KIM
;
Hee Jung SON
;
Hee Jung CHOI
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Surgical site infections;
Surveillance;
Risk factors;
Prophylactic antibiotics
- MeSH:
Anti-Bacterial Agents;
Arthroplasty;
Arthroplasty, Replacement;
Cephalosporins;
Chronology as Topic;
Diabetes Mellitus;
Gastrectomy;
Hip;
Hospitalization;
Humans;
Knee;
Korea;
Prospective Studies;
Reoperation;
Risk Factors;
Skin
- From:Korean Journal of Nosocomial Infection Control
2008;13(1):32-41
- CountryRepublic of Korea
- Language:Korean
-
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.
