Incidence and risk factors for surgical site infection after gastric surgery: A multicenter prospective cohort study

Su Jin Jeong; Hea Won Ann; Jae Kyung Kim; Heun Choi; Chang Oh Kim; Sang Hoon Han; Jun Yong Choi; Kyong Ran Peck; Cheol In Kang; Joon Sup Yeom; Young Hwa Choi; Seung Kwan Lim; Young Goo Song; Hee Jung Choi; Hee Jung Yoon; Hyo Youl Kim; Young Keun Kim; Min Ja Kim; Yoon Seon Park; June Myung Kim

doi:10.3947/ic.2013.45.4.422

Incidence and risk factors for surgical site infection after gastric surgery: A multicenter prospective cohort study

Su Jin Jeong, Hea Won Ann, Jae Kyung Kim, Heun Choi, Chang Oh Kim, Sang Hoon Han, Jun Yong Choi, Kyong Ran Peck, Cheol In Kang, Joon Sup Yeom, Young Hwa Choi, Seung Kwan Lim, Young Goo Song, Hee Jung Choi, Hee Jung Yoon, Hyo Youl Kim, Young Keun Kim, Min Ja Kim, Yoon Seon Park, June Myung Kim

Department of Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

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	https://doi.org/10.3947/ic.2013.45.4.422
Publication status	Published - 2013 Dec

Keywords

Gastric surgery
Risk factors
Surgical site infection

ASJC Scopus subject areas

Infectious Diseases
Pharmacology (medical)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3947/ic.2013.45.4.422

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Jeong, S. J., Ann, H. W., Kim, J. K., Choi, H., Kim, C. O., Han, S. H., Choi, J. Y., Peck, K. R., Kang, C. I., Yeom, J. S., Choi, Y. H., Lim, S. K., Song, Y. G., Choi, H. J., Yoon, H. J., Kim, H. Y., Kim, Y. K., Kim, M. J., Park, Y. S., & Kim, J. M. (2013). Incidence and risk factors for surgical site infection after gastric surgery: A multicenter prospective cohort study. Infection and Chemotherapy, 45(4), 422-430. https://doi.org/10.3947/ic.2013.45.4.422

Jeong, SJ, Ann, HW, Kim, JK, Choi, H, Kim, CO, Han, SH, Choi, JY, Peck, KR, Kang, CI, Yeom, JS, Choi, YH, Lim, SK, Song, YG, Choi, HJ, Yoon, HJ, Kim, HY, Kim, YK, Kim, MJ, Park, YS & Kim, JM 2013, 'Incidence and risk factors for surgical site infection after gastric surgery: A multicenter prospective cohort study', Infection and Chemotherapy, vol. 45, no. 4, pp. 422-430. https://doi.org/10.3947/ic.2013.45.4.422

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title = "Incidence and risk factors for surgical site infection after gastric surgery: A multicenter prospective cohort study",

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.",

keywords = "Gastric surgery, Risk factors, Surgical site infection",

author = "Jeong, {Su Jin} and Ann, {Hea Won} and Kim, {Jae Kyung} and Heun Choi and Kim, {Chang Oh} and Han, {Sang Hoon} and Choi, {Jun Yong} and Peck, {Kyong Ran} and Kang, {Cheol In} and Yeom, {Joon Sup} and Choi, {Young Hwa} and Lim, {Seung Kwan} and Song, {Young Goo} and Choi, {Hee Jung} and Yoon, {Hee Jung} and Kim, {Hyo Youl} and Kim, {Young Keun} and Kim, {Min Ja} and Park, {Yoon Seon} and Kim, {June Myung}",

year = "2013",

month = dec,

doi = "10.3947/ic.2013.45.4.422",

language = "English",

volume = "45",

pages = "422--430",

journal = "Infection and Chemotherapy",

issn = "2093-2340",

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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 - Kim, Min Ja

AU - Park, Yoon Seon

AU - Kim, June Myung

PY - 2013/12

Y1 - 2013/12

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

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DO - 10.3947/ic.2013.45.4.422

M3 - Article

AN - SCOPUS:84893194880

SN - 2093-2340

VL - 45

SP - 422

EP - 430

JO - Infection and Chemotherapy

JF - Infection and Chemotherapy

IS - 4

ER -

Incidence and risk factors for surgical site infection after gastric surgery: A multicenter prospective cohort study

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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