Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System

H. J. Choi, L. Adiyani, J. Sung, JunYong Choi, H. B. Kim, YoungKeun Kim, Y. G. Kwak, H. Yoo, Sang Oh Lee, S. H. Han, S. R. Kim, T. H. Kim, H. M. Lee, H. K. Chun, J. S. Kim, J. D. Yoo, H. S. Koo, E. H. Cho, Kyungwon Lee

Research output: Contribution to journalArticle

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Abstract

Background Surveillance of healthcare-associated infection has been associated with a reduction in surgical site infection (SSI). Aim To evaluate the Korean Nosocomial Infection Surveillance System (KONIS) in order to assess its effects on SSI since it was introduced. Methods SSI data after gastrectomy, total hip arthroplasty (THA), and total knee arthroplasty (TKA) between 2008 and 2012 were analysed. The pooled incidence of SSI was calculated for each year; the same analyses were also conducted from hospitals that had participated in KONIS for at least three consecutive years. Standardized SSI rates for each year were calculated by adjusting for SSI risk factors. SSI trends were analysed using the Cochran–Armitage test. Findings The SSI rate following gastrectomy was 3.12% (522/16,918). There was a significant trend of decreased crude SSI rates over five years. This trend was also evident in analysis of hospitals that had participated for more than three years. The SSI rate for THA was 2.05% (157/7656), which decreased significantly from 2008 to 2012. The risk factors for SSI after THA included the National Nosocomial Infections Surveillance risk index, trauma, reoperation, and age (60–69 years). The SSI rate for TKA was 1.90% (152/7648), which also decreased significantly during a period of five years. However, the risk-adjusted analysis of SSI did not show a significant decrease for all surgical procedures. Conclusion The SSI incidence of gastrectomy and prosthetic joint replacement declined over five years as a result of active surveillance by KONIS.

Original languageEnglish
Pages (from-to)339-346
Number of pages8
JournalJournal of Hospital Infection
Volume93
Issue number4
DOIs
Publication statusPublished - 2016 Aug 1

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Replacement Arthroplasties
Surgical Wound Infection
Gastrectomy
Cross Infection
Incidence
Arthroplasty
Hip
Knee Replacement Arthroplasties

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases

Cite this

Choi, H. J. ; Adiyani, L. ; Sung, J. ; Choi, JunYong ; Kim, H. B. ; Kim, YoungKeun ; Kwak, Y. G. ; Yoo, H. ; Lee, Sang Oh ; Han, S. H. ; Kim, S. R. ; Kim, T. H. ; Lee, H. M. ; Chun, H. K. ; Kim, J. S. ; Yoo, J. D. ; Koo, H. S. ; Cho, E. H. ; Lee, Kyungwon. / Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System. In: Journal of Hospital Infection. 2016 ; Vol. 93, No. 4. pp. 339-346.
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title = "Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System",
abstract = "Background Surveillance of healthcare-associated infection has been associated with a reduction in surgical site infection (SSI). Aim To evaluate the Korean Nosocomial Infection Surveillance System (KONIS) in order to assess its effects on SSI since it was introduced. Methods SSI data after gastrectomy, total hip arthroplasty (THA), and total knee arthroplasty (TKA) between 2008 and 2012 were analysed. The pooled incidence of SSI was calculated for each year; the same analyses were also conducted from hospitals that had participated in KONIS for at least three consecutive years. Standardized SSI rates for each year were calculated by adjusting for SSI risk factors. SSI trends were analysed using the Cochran–Armitage test. Findings The SSI rate following gastrectomy was 3.12{\%} (522/16,918). There was a significant trend of decreased crude SSI rates over five years. This trend was also evident in analysis of hospitals that had participated for more than three years. The SSI rate for THA was 2.05{\%} (157/7656), which decreased significantly from 2008 to 2012. The risk factors for SSI after THA included the National Nosocomial Infections Surveillance risk index, trauma, reoperation, and age (60–69 years). The SSI rate for TKA was 1.90{\%} (152/7648), which also decreased significantly during a period of five years. However, the risk-adjusted analysis of SSI did not show a significant decrease for all surgical procedures. Conclusion The SSI incidence of gastrectomy and prosthetic joint replacement declined over five years as a result of active surveillance by KONIS.",
author = "Choi, {H. J.} and L. Adiyani and J. Sung and JunYong Choi and Kim, {H. B.} and YoungKeun Kim and Kwak, {Y. G.} and H. Yoo and Lee, {Sang Oh} and Han, {S. H.} and Kim, {S. R.} and Kim, {T. H.} and Lee, {H. M.} and Chun, {H. K.} and Kim, {J. S.} and Yoo, {J. D.} and Koo, {H. S.} and Cho, {E. H.} and Kyungwon Lee",
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Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System. / Choi, H. J.; Adiyani, L.; Sung, J.; Choi, JunYong; Kim, H. B.; Kim, YoungKeun; Kwak, Y. G.; Yoo, H.; Lee, Sang Oh; Han, S. H.; Kim, S. R.; Kim, T. H.; Lee, H. M.; Chun, H. K.; Kim, J. S.; Yoo, J. D.; Koo, H. S.; Cho, E. H.; Lee, Kyungwon.

In: Journal of Hospital Infection, Vol. 93, No. 4, 01.08.2016, p. 339-346.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Five-year decreased incidence of surgical site infections following gastrectomy and prosthetic joint replacement surgery through active surveillance by the Korean Nosocomial Infection Surveillance System

AU - Choi, H. J.

AU - Adiyani, L.

AU - Sung, J.

AU - Choi, JunYong

AU - Kim, H. B.

AU - Kim, YoungKeun

AU - Kwak, Y. G.

AU - Yoo, H.

AU - Lee, Sang Oh

AU - Han, S. H.

AU - Kim, S. R.

AU - Kim, T. H.

AU - Lee, H. M.

AU - Chun, H. K.

AU - Kim, J. S.

AU - Yoo, J. D.

AU - Koo, H. S.

AU - Cho, E. H.

AU - Lee, Kyungwon

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Background Surveillance of healthcare-associated infection has been associated with a reduction in surgical site infection (SSI). Aim To evaluate the Korean Nosocomial Infection Surveillance System (KONIS) in order to assess its effects on SSI since it was introduced. Methods SSI data after gastrectomy, total hip arthroplasty (THA), and total knee arthroplasty (TKA) between 2008 and 2012 were analysed. The pooled incidence of SSI was calculated for each year; the same analyses were also conducted from hospitals that had participated in KONIS for at least three consecutive years. Standardized SSI rates for each year were calculated by adjusting for SSI risk factors. SSI trends were analysed using the Cochran–Armitage test. Findings The SSI rate following gastrectomy was 3.12% (522/16,918). There was a significant trend of decreased crude SSI rates over five years. This trend was also evident in analysis of hospitals that had participated for more than three years. The SSI rate for THA was 2.05% (157/7656), which decreased significantly from 2008 to 2012. The risk factors for SSI after THA included the National Nosocomial Infections Surveillance risk index, trauma, reoperation, and age (60–69 years). The SSI rate for TKA was 1.90% (152/7648), which also decreased significantly during a period of five years. However, the risk-adjusted analysis of SSI did not show a significant decrease for all surgical procedures. Conclusion The SSI incidence of gastrectomy and prosthetic joint replacement declined over five years as a result of active surveillance by KONIS.

AB - Background Surveillance of healthcare-associated infection has been associated with a reduction in surgical site infection (SSI). Aim To evaluate the Korean Nosocomial Infection Surveillance System (KONIS) in order to assess its effects on SSI since it was introduced. Methods SSI data after gastrectomy, total hip arthroplasty (THA), and total knee arthroplasty (TKA) between 2008 and 2012 were analysed. The pooled incidence of SSI was calculated for each year; the same analyses were also conducted from hospitals that had participated in KONIS for at least three consecutive years. Standardized SSI rates for each year were calculated by adjusting for SSI risk factors. SSI trends were analysed using the Cochran–Armitage test. Findings The SSI rate following gastrectomy was 3.12% (522/16,918). There was a significant trend of decreased crude SSI rates over five years. This trend was also evident in analysis of hospitals that had participated for more than three years. The SSI rate for THA was 2.05% (157/7656), which decreased significantly from 2008 to 2012. The risk factors for SSI after THA included the National Nosocomial Infections Surveillance risk index, trauma, reoperation, and age (60–69 years). The SSI rate for TKA was 1.90% (152/7648), which also decreased significantly during a period of five years. However, the risk-adjusted analysis of SSI did not show a significant decrease for all surgical procedures. Conclusion The SSI incidence of gastrectomy and prosthetic joint replacement declined over five years as a result of active surveillance by KONIS.

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U2 - 10.1016/j.jhin.2015.12.021

DO - 10.1016/j.jhin.2015.12.021

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VL - 93

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JO - Journal of Hospital Infection

JF - Journal of Hospital Infection

SN - 0195-6701

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