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

Sun Jin Park, Kil Yeon Lee, Ji Won Park, JaeGil Lee, Hee Jung Choi, Hee Kyung Chun, Jung Gu Kang

Research output: Contribution to journalArticle

3 Citations (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.

Original languageEnglish
Pages (from-to)119-125
Number of pages7
JournalAnnals of Surgical Treatment and Research
Volume88
Issue number3
DOIs
Publication statusPublished - 2015 Mar 1

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Surgical Wound Infection
Korea
Colectomy
Gastrectomy
Appendectomy
Cholecystectomy
Confidence Intervals
Cross Infection
Focus Groups
General Hospitals
Multicenter Studies
Observation

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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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",
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.",
author = "Park, {Sun Jin} and Lee, {Kil Yeon} and Park, {Ji Won} and JaeGil Lee and Choi, {Hee Jung} and Chun, {Hee Kyung} and Kang, {Jung Gu}",
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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. / Park, Sun Jin; Lee, Kil Yeon; Park, Ji Won; Lee, JaeGil; Choi, Hee Jung; Chun, Hee Kyung; Kang, Jung Gu.

In: Annals of Surgical Treatment and Research, Vol. 88, No. 3, 01.03.2015, p. 119-125.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A preliminary study for the development of indices and the current state of surgical site infections (SSIs) in Korea

T2 - The Korean Surgical Site Infection Surveillance (KOSSIS) program

AU - Park, Sun Jin

AU - Lee, Kil Yeon

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AU - Lee, JaeGil

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AU - Kang, Jung Gu

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N2 - 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.

AB - 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.

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