Global guideline for the prevention of surgical site infection, WHO 수술 부위 감염 가이드라인

 

* Modified from reference [2].
NHSN: National Healthcare Safety Network;

SSI: surgical site infection;

OX/METH: oxacillin/methicillin;

ESC4: extended spectrum(ES) cephalosporins (cefepime, cefotaxime, ceftazidime, ceftriaxone);

FQ3: fluoroquinolones (ciprofloxacin, levofloxacin, moxifloxacin);

MDR1: multidrug resistance 1 gene (pathogen must test as “I” [intermediate] or “R” [resistant] to at least one drug in 3 of the 5 following classes: ESC4, FQ3, aminoglycosides, carbapenems*, and piperacillin [PIP] or piperacillin/tazobactam [PIP/TAZ]);

NA: not available;

VAN: vancomycin;

AMINOS: aminoglycosides (amikacin, gentamicin, tobramycin);

ESC2: ES cephalosporins (cefepime, ceftazidime);

MDR2: multidrug resistance 2 gene (pathogen must test as I or R to at least 1 drug in 3 of the 5 following classes: ESC2, FQ2, AMINOS, carbapenems, and PIP or PIP/TAZ.

* Carbapenems are imipenem and meropenem.

 

 

국내 2009년도 : national SSI surveillance system report

operation	The SSI rate per 100 operations
craniotomy	3.68% (22/1169)
ventricular shunt operation	5.96% (14/235)
gastric operations	4.25% (75/1763)
colon surgery	3.37% (22/653)
rectal surgery	5.83% (27/463)
hip joint replacement	1.93% (23/1190)
knee joint replacement	2.63% (30/1139)

 

국내 2008-2012년도 

operation	The SSI rate per 100 operations
gastrectomy	3.12% (522/16 918)
total hip arthroplasty	2.05% (157/7656)
total knee arthroplasty	1.90% (152/7648)

 

reference :

1) World Health Organization. (‎2018)‎. Global guidelines for the prevention of surgical site infection, 2nd ed.. World Health Organization. https://apps.who.int/iris/handle/10665/277399. License: CC BY-NC-SA 3.0 IGO

2) Sievert DM, Ricks P, Edwards JR, Schneider A, Patel J, Srinivasan A, et al. Antimicrobial resistant pathogens associated with healthcare associated infections: summary of data reported to the National Healthcare Safety
Network at the Centers for Disease Control and Prevention, 2009-2010. Infect Control Hosp Epidemiol. 2013;34(1):1-14.