Korean J Nosocomial Infect Control.  2008 Jun;13(1):42-50.

Multicenter Surgical Site Infection Surveillance Study about Prosthetic Joint Replacement Surgery in 2006

Affiliations
  • 1Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • 2Infection Control Office, Ewha Womans University School of Medicine, Seoul, Korea.
  • 3Department of Infectious Diseases, Gachon University Gil Medical Center, Incheon, Korea.
  • 4Infection Control Office, Gachon University Gil Medical Center, Incheon, Korea.
  • 5Division of Infectious Diseases, Korea University Anam Hospital, Seoul, Korea.
  • 6Infection Control Unit, Korea University Anam Hospital, Seoul, Korea.
  • 7Division of Infectious Diseases, Seoul National Universtiy Bundang Hospital, Seongnam, Korea.
  • 8Infection Control Service, Seoul National Universtiy Bundang Hospital, Seongnam, Korea.
  • 9Department of Laboratory Medicine, Hanyang University, College of Medicine, Seoul, Korea. tychoi@hanyang.ac.kr

Abstract

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.

Keyword

Surgical site infection; Prosthetic joint; Surveillance

MeSH Terms

Anti-Bacterial Agents
Cephalosporins
Cross Infection
Hip Joint
Hospitals, University
Joints
Knee Joint
Korea
Methicillin Resistance
Risk Factors
Sprains and Strains
Staphylococcus aureus
Anti-Bacterial Agents
Cephalosporins
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