Prospective nationwide surveillance of surgical site infections after gastric surgery and risk factor analysis in the Korean Nosocomial Infections Surveillance System (KONIS)

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Eu Suk KimKorean Nosocomial Infections Surveillance System (KONIS)

Abstract

To evaluate the risk factors for surgical site infection (SSI) after gastric surgery in patients in Korea. A nationwide prospective multicenter study. Twenty university-affiliated hospitals in Korea. The Korean Nosocomial Infections Surveillance System (KONIS), a Web-based system, was developed. Patients in 20 Korean hospitals from 2007 to 2009 were prospectively monitored for SSI for up to 30 days after gastric surgery. Demographic data, hospital characteristics, and potential perioperative risk factors were collected and analyzed, using multivariate logistic regression models. Of the 4,238 case patients monitored, 64.9% (2,752) were male, and mean age (± SD) was 58.8 (± 12.3) years. The SSI rates were 2.92, 6.45, and 10.87 per 100 operations for the National Nosocomial Infections Surveillance system risk index categories of 0, 1, and 2 or 3, respectively. The majority (69.4%) of the SSIs observed were organ or space SSIs. The most frequently isolated microorganisms were Staphylococcus aureus and Klebsiella pneumoniae. Male sex (odds ratio [OR], 1.67 [95% confidence interval (CI), 1.09-2.58]), increased operation time (1.20 [1.07-1.34] per 1-hour increase), reoperation (7.27 [3.68-14.38]), combined multiple procedures (1.79 [1...Continue Reading

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Citations

May 27, 2014·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Shu-Hui TsengFeng-Yee Chang
Nov 5, 2014·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Satoshi OgiharaSakae Tanaka
Aug 27, 2014·Journal of Neurointerventional Surgery·William R StetlerAditya S Pandey
Oct 9, 2012·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Kyoung-Ho SongHong Bin Kim
Apr 30, 2013·Vaccine·Kathrin U JansenAnnaliesa S Anderson
Jul 20, 2016·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Keita MorikaneSatowa Suzuki
Dec 9, 2014·Annals of Surgical Treatment and Research·Kuk Hyun JungSung Kim
Jan 28, 2016·Annals of Coloproctology·Byung Wook Min
Jun 9, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Tie-Ying HouYu Zhang

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