Korean J Nosocomial Infect Control.  2012 Jun;17(1):1-12.

Korean Surgical Site Infection Surveillance System Report: Data Summary from July 2010 through June 2011

Affiliations
  • 1Division of Infectious Diseases, Yonsei University Wonju College of Medicine, Wonju, Korea. hyksos@yonsei.ac.kr
  • 2Division of Infectious Diseases, Seoul National University, Seoul, Korea.
  • 3Infection Control Office, Ajou University Hospital, Suwon, Korea.
  • 4Infection Control Office, Seoul St. Mary Hospital, Seoul, Korea.
  • 5Seoul National University Graduate School of Public Health, Seoul, Korea.
  • 6Department of Laboratory Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 7Division of Infectious Diseases, Gacheon University of Medicine and Science, Incheon, Korea.
  • 8Centers for Infectious Disease, Korean National Institute of Health, Osong, Korea.
  • 9Department of Laboratory Medicine, Seoul National University, Seoul, Korea.
  • 10Division of Infectious Diseases, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
A web-based surveillance of surgical-site infections (SSIs) in Korean Nosocomial Infections Surveillance System (KONIS) was performed to determine the incidence of SSIs after 15 operative procedures.
METHODS
Forty-three hospitals participated in the surveillance system for 15 operative procedures. A year-round observation was carried out, and the duration of participation was shortened for 3 months unit. All data were collected using a real-time web-based reporting system.
RESULTS
From July 2010 through June 2011, SSI surveillance data of 18,644 cases were collected from 43 hospitals. SSIs were found to occur in 2.10% of the total cases. The SSI rates after various surgeries were as follows: 4.49%, rectal surgery; 4.41%, colon surgery; 3.50%, gastric surgery; 3.12%, craniotomy; 1.25%, abdominal hysterectomy; 0.93%, laminectomy; 0.63%, cesarean section; 0.62%, gallbladder surgery; and 0.54%, vaginal hysterectomy. The interim results of implant-related surgery are given below as SSI rates: 3.78%, ventricular shunt operation; 3.23%, coronary artery bypass graft; 2.20%, cardiac surgery; 1.31%, spinal fusion; 0.96%, knee prosthesis; and 0.88%, hip prosthesis.
CONCLUSION
The SSI rate was found to be 2.10% by the KONIS 2010. The maintenance of a surveillance system for SSI is very important, as it will help in decreasing SSIs via feedback to the involved surgeons and infection-control personnel.

Keyword

Surgical site infection; Surveillance; Korean Nosocomial Infections Surveillance

MeSH Terms

Colon
Coronary Artery Bypass
Cross Infection
Female
Gallbladder
Hip
Hysterectomy, Vaginal
Incidence
Knee
Surgical Procedures, Operative
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