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

被引：34

作者：

Choi, H. J. ^{[1
]}

Adiyani, L. ^{[2
,3
]}

Sung, J. ^{[2
,3
]}

Choi, J. Y. ^{[4
,5
]}

Kim, H. B. ^{[6
]}

Kim, Y. K. ^{[7
]}

Kwak, Y. G. ^{[8
]}

Yoo, H. ^{[9
]}

Lee, Sang-Oh ^{[10
]}

Han, S. H. ^{[11
]}

Kim, S. R. ^{[12
]}

Kim, T. H. ^{[13
]}

Lee, H. M. ^{[14
]}

Chun, H. K. ^{[15
]}

Kim, J. -S. ^{[16
]}

Yoo, J. D. ^{[17
]}

Koo, H. -S. ^{[18
]}

Cho, E. H. ^{[18
]}

Lee, K. W. ^{[19
,20
]}

机构：

[1] Ewha Womans Univ, Sch Med, Dept Internal Med, Seoul, South Korea

[2] Seoul Natl Univ, Dept Epidemiol, Seoul, South Korea

[3] Seoul Natl Univ, Inst Environm & Hlth, Seoul, South Korea

[4] Yonsei Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[5] Yonsei Univ, Coll Med, AIDS Res Inst, Seoul, South Korea

[6] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[7] Yonsei Univ, Wonju Coll Med, Dept Internal Med, Wonju, South Korea

[8] Inje Univ, Ilsan Paik Hosp, Dept Internal Med, Seoul, South Korea

[9] Inje Univ, Sanggye Paik Hosp, Infect Control Off, Seoul, South Korea

[10] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Infect Dis, Seoul, South Korea

[11] Soonchunhyang Univ, Bucheon Hosp, Dept Infect Prevent & Control, Bucheon, South Korea

[12] Korea Univ, Guro Hosp, Infect Control Off, Seoul, South Korea

[13] Soonchunhyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[14] Kwandong Univ, Coll Med, Dept Lab Med, Kangnung, South Korea

[15] Kyunghee Univ Hosp, Dept Infect Control, Seoul, South Korea

[16] Hallym Univ, Coll Med, Dept Lab Med, Seoul, South Korea

[17] Ewha Womans Univ, Sch Med, Dept Orthoped Surg, Seoul, South Korea

[18] Korean Ctr Dis Control & Prevent, Div Infect Dis Control, Osong, South Korea

[19] Yonsei Univ, Coll Med, Dept Lab Med, Wonju, South Korea

[20] Yonsei Univ, Coll Med, Res Inst Bacterial Resistance, Wonju, South Korea

来源：

JOURNAL OF HOSPITAL INFECTION | 2016年 / 93卷 / 04期

关键词：

Healthcare-associated infection; Surgical site infection; Surveillance; DEFINITIONS; TRENDS; RATES;

D O I：

10.1016/j.jhin.2015.12.021

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Surveillance of healthcare-associated infection has been associated with a reduction in surgical site infection (SSI). Aim: To evaluate the Korean Nosocomial Infection Surveillance System (KONIS) in order to assess its effects on SSI since it was introduced. Methods: SSI data after gastrectomy, total hip arthroplasty (THA), and total knee arthroplasty (TKA) between 2008 and 2012 were analysed. The pooled incidence of SSI was calculated for each year; the same analyses were also conducted from hospitals that had participated in KONIS for at least three consecutive years. Standardized SSI rates for each year were calculated by adjusting for SSI risk factors. SSI trends were analysed using the Cochran-Armitage test. Findings: The SSI rate following gastrectomy was 3.12% (522/16,918). There was a significant trend of decreased crude SSI rates over five years. This trend was also evident in analysis of hospitals that had participated for more than three years. The SSI rate for THA was 2.05% (157/7656), which decreased significantly from 2008 to 2012. The risk factors for SSI after THA included the National Nosocomial Infections Surveillance risk index, trauma, reoperation, and age (60-69 years). The SSI rate for TKA was 1.90% (152/7648), which also decreased significantly during a period of five years. However, the risk-adjusted analysis of SSI did not show a significant decrease for all surgical procedures. Conclusion: The SSI incidence of gastrectomy and prosthetic joint replacement declined over five years as a result of active surveillance by KONIS. (C) 2016 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：339 / 346

页数：8

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