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Incidence and Risk Factors for Surgical Site Infection after Gastric Surgery: A Multicenter Prospective Cohort Study

최희정|윤희정|최준용|김재경|최영화|안혜원|김영근|박윤선|한상훈|김창오|최현|김준명|김민자|염준섭|김효열|백경란|강철인|송영구|임승관|정수진
대한감염학회 (The Korean Society Of Infectious Diseases)|2013.12|Infection and Chemotherapy|제45권 제4호|pp. 422-430|DOI http://dx.doi.org/10.3947/ic.2013.45.4.422

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참고문헌

키워드

Risk factorsSurgical site infectionGastric surgery
주제분류내과학

초록

Background: Surgical site infection (SSI) is a potentially morbid and costly complication of surgery. While gastrointestinal surgery isrelatively common in Korea, few studies have evaluated SSI in the context of gastric surgery. Thus, we performed a prospective cohortstudy to determine the incidence and risk factors of SSI in Korean patients undergoing gastric surgery. Materials and Methods: A prospective cohort study of 2,091 patients who underwent gastric surgery was performed in 10 hospitalswith more than 500 beds (nine tertiary hospitals and one secondary hospital). Patients were recruited from an SSI surveillance programbetween June 1, 2010, and August 31, 2011 and followed up for 1 month after the operation. The criteria used to define SSIand a patient’s risk index category were established according to the Centers for Disease Control and Prevention and the NationalNosocomial Infection Surveillance System. We collected demographic data and potential perioperative risk factors including typeand duration of the operation and physical status score in patients who developed SSIs based on a previous study protocol. Results: A total of 71 SSIs (3.3%) were identified, with hospital rates varying from 0.0 - 15.7%. The results of multivariate analysesindicated that prolonged operation time (P = 0.002), use of a razor for preoperative hair removal (P = 0.010), and absence of laminarflow in the operating room (P = 0.024) were independent risk factors for SSI after gastric surgery. Conclusions: Longer operation times, razor use, and absence of laminar flow in operating rooms were independently associatedwith significant increased SSI risk after gastric surgery.

Abstract

Background: Surgical site infection (SSI) is a potentially morbid and costly complication of surgery. While gastrointestinal surgery isrelatively common in Korea, few studies have evaluated SSI in the context of gastric surgery. Thus, we performed a prospective cohortstudy to determine the incidence and risk factors of SSI in Korean patients undergoing gastric surgery. Materials and Methods: A prospective cohort study of 2,091 patients who underwent gastric surgery was performed in 10 hospitalswith more than 500 beds (nine tertiary hospitals and one secondary hospital). Patients were recruited from an SSI surveillance programbetween June 1, 2010, and August 31, 2011 and followed up for 1 month after the operation. The criteria used to define SSIand a patient’s risk index category were established according to the Centers for Disease Control and Prevention and the NationalNosocomial Infection Surveillance System. We collected demographic data and potential perioperative risk factors including typeand duration of the operation and physical status score in patients who developed SSIs based on a previous study protocol. Results: A total of 71 SSIs (3.3%) were identified, with hospital rates varying from 0.0 - 15.7%. The results of multivariate analysesindicated that prolonged operation time (P = 0.002), use of a razor for preoperative hair removal (P = 0.010), and absence of laminarflow in the operating room (P = 0.024) were independent risk factors for SSI after gastric surgery. Conclusions: Longer operation times, razor use, and absence of laminar flow in operating rooms were independently associatedwith significant increased SSI risk after gastric surgery.

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관련 논문AI추천

위 수술 후 발생한 수술 부위 감염의 원인균 빈도 및 그람양성균 과 그람음성균 감염의 임상적 특성 비교강철인, 김민자, 김연아, 김영근, 김준명, 김창오, 김혜원, 김효열, 박대원, 박윤수, 백경란, 송영구, 염준섭, 이승순, 임승관, 정수진, 최석훈, 최영화, 최준용, 최희정, 한상훈대한감염학회 · Infection and Chemotherapy2012 · 제44권 제1호요양급여적정성 평가자료를 이용한 예방적 항생제 사용과 수술부위 감염 발생의 관련성 연구김경훈, 김남순, 김선민, 박춘선, 염선아, 이규덕, 이병란, 이진서, 장진희, 최보람대한예방의학회 · 예방의학회지2010 · 제43권 제3호예방적 항생제 사용 양상과 수술부위감염률의 관련성김윤, 고광필, 김용익, 김철환, 이은정, 이진석, 사공필용대한예방의학회 · 예방의학회지2009 · 제42권 제1호Underweight Body Mass Index as a Predictive Factor for Surgical Site Infections after Laparoscopic Appendectomy강정현, 김임경, 손승국, 이강영, 조민아연세대학교의과대학 · Yonsei Medical Journal2014 · 제55권 제6호Prospective Control Study of Clinical Effectiveness of Prophylactic Antibiotics in Laparoscopic Cholecystectomy on Infection Rate양재도, 유희철연세대학교의과대학 · Yonsei Medical Journal2021 · 제62권 제2호Risk factors and etiology of surgical site infection after radical neck dissection in patients with head and neck cancer김미숙, 노영수, 박소연, 엄중식, 이진서대한내과학회 · The Korean Journal of Internal Medicine2016 · 제31권 제1호

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