Infect Chemother.  2013 Dec;45(4):422-430. 10.3947/ic.2013.45.4.422.

Incidence and Risk Factors for Surgical Site Infection after Gastric Surgery: A Multicenter Prospective Cohort Study

• 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

• KMID: 2170446
• DOI: http://doi.org/10.3947/ic.2013.45.4.422

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.

Keyword

Surgical site infection; Risk factors; Gastric surgery

MeSH Terms

Centers for Disease Control and Prevention (U.S.)
Cohort Studies*
Cross Infection
Hair Removal
Humans
Incidence*
Korea
Multivariate Analysis
Operating Rooms
Prospective Studies*
Risk Factors*
Tertiary Care Centers

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