Abstract
Background: Surgical site infection (SSI) is a potentially morbid and costly complication of surgery. While gastrointestinal surgery is relatively common in Korea, few studies have evaluated SSI in the context of gastric surgery. Thus, we performed a prospective cohort study 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 hospitals with more than 500 beds (nine tertiary hospitals and one secondary hospital). Patients were recruited from an SSI surveillance program between June 1, 2010, and August 31, 2011 and followed up for 1 month after the operation. The criteria used to define SSI and a patient's risk index category were established according to the Centers for Disease Control and Prevention and the National Nosocomial Infection Surveillance System. We collected demographic data and potential perioperative risk factors including type and 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 analyses indicated that prolonged operation time (P = 0.002), use of a razor for preoperative hair removal (P = 0.010), and absence of laminar flow 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 associated with significant increased SSI risk after gastric surgery.
| Original language | English |
|---|---|
| Pages (from-to) | 422-430 |
| Number of pages | 9 |
| Journal | Infection and Chemotherapy |
| Volume | 45 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2013 Dec 1 |
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Keywords
- Gastric surgery
- Risk factors
- Surgical site infection
ASJC Scopus subject areas
- Infectious Diseases
- Pharmacology (medical)
Cite this
Incidence and risk factors for surgical site infection after gastric surgery : A multicenter prospective cohort study. / Jeong, Su Jin; Ann, Hea Won; Kim, Jae Kyung; Choi, Heun; Kim, Chang Oh; Han, Sang Hoon; Choi, Jun Yong; Peck, Kyong Ran; Kang, Cheol In; Yeom, Joon Sup; Choi, Young Hwa; Lim, Seung Kwan; Song, Young Goo; Choi, Hee Jung; Yoon, Hee Jung; Kim, Hyo Youl; Kim, Young Keun; Min, Ja Kim; Park, Yoon Seon; Kim, June Myung.
In: Infection and Chemotherapy, Vol. 45, No. 4, 01.12.2013, p. 422-430.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Incidence and risk factors for surgical site infection after gastric surgery
T2 - A multicenter prospective cohort study
AU - Jeong, Su Jin
AU - Ann, Hea Won
AU - Kim, Jae Kyung
AU - Choi, Heun
AU - Kim, Chang Oh
AU - Han, Sang Hoon
AU - Choi, Jun Yong
AU - Peck, Kyong Ran
AU - Kang, Cheol In
AU - Yeom, Joon Sup
AU - Choi, Young Hwa
AU - Lim, Seung Kwan
AU - Song, Young Goo
AU - Choi, Hee Jung
AU - Yoon, Hee Jung
AU - Kim, Hyo Youl
AU - Kim, Young Keun
AU - Min, Ja Kim
AU - Park, Yoon Seon
AU - Kim, June Myung
PY - 2013/12/1
Y1 - 2013/12/1
N2 - Background: Surgical site infection (SSI) is a potentially morbid and costly complication of surgery. While gastrointestinal surgery is relatively common in Korea, few studies have evaluated SSI in the context of gastric surgery. Thus, we performed a prospective cohort study 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 hospitals with more than 500 beds (nine tertiary hospitals and one secondary hospital). Patients were recruited from an SSI surveillance program between June 1, 2010, and August 31, 2011 and followed up for 1 month after the operation. The criteria used to define SSI and a patient's risk index category were established according to the Centers for Disease Control and Prevention and the National Nosocomial Infection Surveillance System. We collected demographic data and potential perioperative risk factors including type and 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 analyses indicated that prolonged operation time (P = 0.002), use of a razor for preoperative hair removal (P = 0.010), and absence of laminar flow 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 associated with significant increased SSI risk after gastric surgery.
AB - Background: Surgical site infection (SSI) is a potentially morbid and costly complication of surgery. While gastrointestinal surgery is relatively common in Korea, few studies have evaluated SSI in the context of gastric surgery. Thus, we performed a prospective cohort study 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 hospitals with more than 500 beds (nine tertiary hospitals and one secondary hospital). Patients were recruited from an SSI surveillance program between June 1, 2010, and August 31, 2011 and followed up for 1 month after the operation. The criteria used to define SSI and a patient's risk index category were established according to the Centers for Disease Control and Prevention and the National Nosocomial Infection Surveillance System. We collected demographic data and potential perioperative risk factors including type and 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 analyses indicated that prolonged operation time (P = 0.002), use of a razor for preoperative hair removal (P = 0.010), and absence of laminar flow 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 associated with significant increased SSI risk after gastric surgery.
KW - Gastric surgery
KW - Risk factors
KW - Surgical site infection
UR - http://www.scopus.com/inward/record.url?scp=84893194880&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84893194880&partnerID=8YFLogxK
U2 - 10.3947/ic.2013.45.4.422
DO - 10.3947/ic.2013.45.4.422
M3 - Article
VL - 45
SP - 422
EP - 430
JO - Infection and Chemotherapy
JF - Infection and Chemotherapy
SN - 2093-2340
IS - 4
ER -