만성중이염 또는 진주종성 중이염의 조기 술 후 창상감염의 연관인자
Associated Factors of Early Postoperative Surgical Site Infection in Chronic Otitis Media or Cholesteatomatous Otitis Media
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Background：Early postoperative surgical site infection after otologic surgeries for chronic otitis media (COM) and cholesteatomatous otitis media (CholeOM) increases the cost of medical care, such as additional antibiotics use and longer hospitalization period. Sometimes, this condition causes additional surgery or operation failure depending on the progression. Authors investigated factors associated with postoperative infection and conducted studies to improve understanding of postoperative infection. Methods：370 patients (mean age : 47.97) who underwent surgery for COM or CholeOM from January 2014 to June 2016 at tertiary referral center were analyzed retrospective chart review. Definition of early postoperative infection was based on surgical site infection within 10 days after surgery. Results：Nineteen patients showed early postoperative surgical site infection (mean age : 50.11 year ; 5.13%), and most common pathogen from infected site was Pseudomonas aeruginosa. Postoperative infection group revealed statistically significant longer admission duration (15.3 day vs. 7.8 day) and higher rate of preoperative antibiotic use (47.4% vs. 25.1%). Patients with smoking history, head and neck radiotherapy history, longer operation duration showed increased risk of postoperative infection, but this was not statistically significant. Conclusions：Early postoperative infections were more prevalent in cases with requiring preoperative antibiotics. This suggests that postoperative infections are associated with preoperative infection or condition of the middle ear, and are not related to the surgical procedure or surgeon factor.
Abstract
Background：Early postoperative surgical site infection after otologic surgeries for chronic otitis media (COM) and cholesteatomatous otitis media (CholeOM) increases the cost of medical care, such as additional antibiotics use and longer hospitalization period. Sometimes, this condition causes additional surgery or operation failure depending on the progression. Authors investigated factors associated with postoperative infection and conducted studies to improve understanding of postoperative infection. Methods：370 patients (mean age : 47.97) who underwent surgery for COM or CholeOM from January 2014 to June 2016 at tertiary referral center were analyzed retrospective chart review. Definition of early postoperative infection was based on surgical site infection within 10 days after surgery. Results：Nineteen patients showed early postoperative surgical site infection (mean age : 50.11 year ; 5.13%), and most common pathogen from infected site was Pseudomonas aeruginosa. Postoperative infection group revealed statistically significant longer admission duration (15.3 day vs. 7.8 day) and higher rate of preoperative antibiotic use (47.4% vs. 25.1%). Patients with smoking history, head and neck radiotherapy history, longer operation duration showed increased risk of postoperative infection, but this was not statistically significant. Conclusions：Early postoperative infections were more prevalent in cases with requiring preoperative antibiotics. This suggests that postoperative infections are associated with preoperative infection or condition of the middle ear, and are not related to the surgical procedure or surgeon factor.
참고문헌 (13)
- Bastier PL, "Early and late surgical site infections in ear surgery", Acta Otorhinolaryngol Ital, 36(2), pp.127~134 (2016)
- "Korean Society of Otorhinolaryngology-Head and Neck Surgery", pp.602~603 (2009), Ilchogak
- Pignataro L, "Myringoplasty in children: anatomical and functional results", J Laryngol Otol, 115(5), pp.369~373 (2001)
- Govaerts PJ, "Use of antibiotic prophylaxis in ear surgery", Laryngoscope, 108(1 Pt 1), pp.107~110 (1998)
- Onal K, "A multivariate analysis of otological, surgical and patientrelated factors in determining success in myringoplasty", Clin Otolaryngol, 30(2), pp.115~120 (2005)
- 김종선, "성인의 제 1 형 고실성형술후 결과", 대한이비인후과학회지 두경부외과학, 45(12), pp.1130~1135 (2002), 대한이비인후과학회
- Mangram AJ, "Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee", Am J Infect Control, 27(2), pp.97~132 (1999)
- Antonelli PJ, "Perioperative use of antibiotics in otologic procedures", Curr Opin Otolaryngol Head Neck Surg, 23(5), pp.330~333 (2015)
- Verschuur HP, "Antibiotic prophylaxis in clean and clean-contaminated ear surgery", Cochrane Database Syst Rev, 3, pp.CD003996~ (2004)
- Kattipattanapong W, "Surgical site infections in ear surgery: hair removal effect;a preliminary, randomized trial study", Otolaryngol Head Neck Surg, 148(3), pp.469~474 (2013)
- Kim YK KG, "A bacteriologic study of chronic otitis media after surgery", Korean J Otolaryngol, 39(5), pp.769~775 (1996)
- 송재훈, "항생제 내성의 국내 현황 및 대책", 대한내과학회지, 77(2), pp.143~151 (2009), 대한내과학회
- Chon KM, "Comparison of postoperative results in the aged and adult patients with chronic otitis media", J Clinical Otolaryngol, 16(2), pp.227~234 (2005)