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A preliminary study for the development of indices and the current state of surgical site infections (SSIs) in Korea: The Korean Surgical Site Infection Surveillance (KOSSIS) program

Title
A preliminary study for the development of indices and the current state of surgical site infections (SSIs) in Korea: The Korean Surgical Site Infection Surveillance (KOSSIS) program
Authors
Park S.J.Lee K.Y.Park J.W.Lee J.G.Choi H.J.Chun H.K.Kang J.G.
Ewha Authors
최희정
SCOPUS Author ID
최희정scopus
Issue Date
2015
Journal Title
Annals of Surgical Treatment and Research
ISSN
2288-6575JCR Link
Citation
vol. 88, no. 3, pp. 119 - 125
Keywords
General surgeryPreventionSurgical wound infectionSurveillance program
Publisher
Korean Surgical Society
Indexed
SCIE; SCOPUS; KCI WOS scopus
Abstract
Purpose: We aimed to develop an effective system for surgical site infection (SSI) surveillance and examine the current domestic state of SSIs for common abdominal surgeries in Korea. Methods: The Korean Surgical Site Infection Surveillance (KOSSIS) program was developed as an SSI surveillance system. A prospective multicenter study in nine university-affiliated or general hospitals was conducted for patients who underwent gastrectomy, cholecystectomy, appendectomy, colectomy, or proctectomy between August 16 and September 30 in 2012. Patients were monitored for up to 30 days by combining direct observation and a postdischarge surgeon survey. Data on SSIs were prospectively collected with KOSSIS secretarial support according to a common protocol. Operation-specific SSI rates were stratified according to risk factors and compared with data from the Korean Nosocomial Infections Surveillance System (KONIS) and National Healthcare Safety Network. A focus group interview was conducted with participating hospitals for feedback. Results: A total of 1,088 operations were monitored: 207 gastrectomies, 318 cholecystectomies, 270 appendectomies, 197 colectomies, and 96 proctectomies. Operation-specific SSI rates determined by the KOSSIS program were substantially higher than those found in KONIS (7.73% [95% confidence interval, 4.5%-12.3%] vs. 3.4% for gastrectomies, 10.15% [95% confidence interval, 6.1%-15.2%] vs. 4.0% for colectomy, and 13.5% [95% confidence interval, 7.4%-22.0%] vs. 4.2% for proctectomy). Conclusion: Despite a short surveillance period and heterogenous group of hospitals, our results suggest that KOSSIS could be a useful program to enhance SSI surveillance in Korea. Copyright © 2015, the Korean Surgical Society.
DOI
10.4174/astr.2015.88.3.119
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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