Korean J healthc assoc Infect Control Prev.  2020 Dec;25(2):128-136. 10.14192/kjicp.2020.25.2.128.

The Korean Surgical Site Infection Surveillance System Report, 2018

Affiliations
  • 1Department of Laboratory Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea
  • 2Infection Control Office, Wonju Severance Christian Hospital, Wonju, Korea
  • 3Infection Control Office, Korea University Ansan Hospital, Ansan, Korea
  • 4Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea
  • 5Infection Control Office, Hanyang University Hospital, Seoul, Korea
  • 6Infection Control Office, Ewha Womans University Mokdong Hospital, Seoul, Korea
  • 7Department of Nursing, Soon Chun Hyang University, Cheonan, Korea
  • 8Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 9Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea
  • 10Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 11Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

Background
The incidence of surgical site infection (SSI) after 20 operative procedures was accessed via a web-based surveillance of the Korean National Healthcare-associated Infections Surveillance (KONIS) system.
Methods
A total of 213 hospitals participated in the surveillance system. All operative procedures were prospectively monitored to determine whether SSI could occur in each hospital. All data was collected using a real-time web-based reporting system.
Results
From April 2018 through March 2019, SSI surveillance data for 130,345 operative procedures were collected from 213 institutions. SSI occurred in 1.06% of cases. With regard to surgical procedures, SSI rates were 3.16% in colon surgery, 2.26% in rectal surgery, 2.38% in neck surgery, 2.17% in gastric surgery, 1.64% in appendectomy, 0.40% in vaginal hysterectomy, 0.39% in cesarean section, 0.37% in laminectomy, 0.34% in abdominal hysterectomy, 0.33% in cholecystectomy, 0.31% in thoracic surgery, and 0.0% in prostate surgery. Implantrelated SSI rates were 2.67% in ventricular shunt operation, 2.00% in coronary artery bypass graft with both incisions, 1.47% in craniotomy, 1.36% in spinal fusion, 1.12% in cardiac surgery, 1.11% in coronary artery bypass graft with chest only incision, 0.55% in hip prosthesis and 0.29% in knee prosthesis.
Conclusion
Between 2014 and 2018, there was an overall decrease in SSI from 1.56% to 1.06%, according to KONIS. Maintaining surveillance of SSI is essential, as it can decrease SSI numbers through feedback to the surgeon and infection control person.

Keyword

Surgical site infection; Public health surveillance; Healthcare-associated infections, Korea

Reference

1. Haley RW, Culver DH, White JW, Morgan WM, Emori TG, Munn VP, et al. 1985; The efficacy of infection surveillance and control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol. 121:182–205. DOI: 10.1093/oxfordjournals.aje.a113990. PMID: 4014115.
Article
2. Harbarth S, Sax H, Gastmeier P. 2003; The preventable proportion of nosocomial infections: an overview of published reports. J Hosp Infect. 54:258–66. quiz 321. DOI: 10.1016/S0195-6701(03)00150-6.
Article
3. de Lissovoy G, Fraeman K, Hutchins V, Murphy D, Song D, Vaughn BB. 2009; Surgical site infection: incidence and impact on hospital utilization and treatment costs. Am J Infect Control. 37:387–97. DOI: 10.1016/j.ajic.2008.12.010. PMID: 19398246.
Article
4. Kim JM, Park ES, Jeong JS, Kim KM, Kim JM, Oh HS, et al. 1997; 1996 National nosocomial infection surveillance in Korea. Korean J Nosocomial Infect Control. 2:157–76.
5. Martone WJ, Nichols RL. 2001; Recognition, prevention, surveillance, and management of surgical site infections: introduction to the problem and symposium overview. Clin Infect Dis. 33(Suppl 2):S67–8. DOI: 10.1086/321859. PMID: 11486301.
Article
6. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. 1999; Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 20:250–78. quiz 279-80. DOI: 10.1086/501620. PMID: 10219875.
7. Abbas M, de Kraker MEA, Aghayev E, Astagneau P, Aupee M, Behnke M, et al. 2019; Impact of participation in a surgical site infection surveillance network: results from a large international cohort study. J Hosp Infect. 102:267–76. DOI: 10.1016/j.jhin.2018.12.003. PMID: 30529703.
Article
8. Choi HJ, Park JY, Jung SY, Park YS, Cho YK, Park SY, et al. 2008; Multicenter surgical site infection surveillance study about prosthetic joint replacement surgery in 2006. Korean J Nosocomial Infect Control. 13:42–50.
9. Kim ES, Chang YJ, Park YS, Kang JH, Park SY, Kim JY, et al. 2008; Multicenter surgical site infections surveillance system report, 2007: in total hip and total knee arthroplasties and gastrectomies. Korean J Nosocomial Infect Control. 13:32–41.
10. Kim HY, Kim YK, Uh Y, Whang K, Jeong HR, Choi HJ, et al. 2009; Risk factors for neurosurgical site infections after craniotomy: a nationwide prospective multicenter study in 2008. Korean J Nosocomial Infect Control. 14:88–97.
11. Kim YK, Kim HY, Kim ES, Kim HB, Jin HY, Lee JY, et al. 2012; Korean surgical site infection surveillance system report: data summary from July 2010 through June 2011. Korean J Nosocomial Infect Control. 17:1–12.
12. Kim YK. 2019; Perspective of nationwide surveillance system for surgical site infections. Korean J Healthc Assoc Infect Control Prev. 24:46–51. DOI: 10.14192/kjicp.2019.24.2.46.
Article
13. Korean National Healthcare-associated Infections Surveillance System. KONIS manual 2018. KONIS manual 2018. http://konis.cafe24.com/xe/index.php?mid=pds_ssi&category=900&document_srl=658 . Updated on 27 July 2018.
14. Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. 1992; CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol. 13:606–8. DOI: 10.2307/30148464. PMID: 1334988.
Article
15. Altemeier WA. 1984. Manual on control of infection in surgical patients. Lippincott;Philadelphia: p. 19–30.
16. Keats AS. 1978; The ASA classification of physical status--a recapitulation. Anesthesiology. 49:233–6. DOI: 10.1097/00000542-197810000-00001. PMID: 697075.
Article
17. Culver DH, Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG, et al. 1991; Surgical wound infection rates by wound class, operative procedure, and patient risk index. National Nosocomial Infections Surveillance System. Am J Med. 91(3B):152S–7S. DOI: 10.1016/0002-9343(91)90361-Z.
18. Centers for Disease Control and Prevention. 2019 National and state healthcare-associated infections progress report. 2019 National and state healthcare-associated infections progress report. https://www.cdc.gov/hai/data/portal/progress-report.html . Updated on 2 December 2020.
19. World Health Organization. 2016. Global guidelines for the prevention of surgical site infection. World Health Organization;Geneva: p. 27–32.
20. Korea Centers for Disease Control and Prevention. 2015. A study on Korean surgical site infection surveillance system. Korea Centers for Disease Control and Prevention;Cheongju: Report No.: 11-1352159-000248-01.
21. Choi HJ, Adiyani L, Sung J, Choi JY, Kim HB, Kim YK, et al. 2016; Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System. J Hosp Infect. 93:339–46. DOI: 10.1016/j.jhin.2015.12.021. PMID: 26944901.
Article
22. Sievert DM, Ricks P, Edwards JR, Schneider A, Patel J, Srinivasan A, et al. 2013; Antimicrobial-resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009-2010. Infect Control Hosp Epidemiol. 34:1–14. DOI: 10.1086/668770. PMID: 23221186.
Article
23. Centers for Disease Control and Prevention. The NHSN standardized infection ratio (SIR). https://www.cdc.gov/nhsn/pdfs/ps-analysis-resources/nhsn-sir-guide.pdf . Updated on date March 2019.
Full Text Links
  • KJHAICP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr