Journal List > Hanyang Med Rev > v.31(3) > 1044082

Kim: Current Status of Healthcare-associated Infections in Korea

Abstract

In this article, the annual reports of the Korean Nosocomial Infections Surveillance System (KONIS) were referred for the description of the current status of healthcare-associated infections (HAI) in Korea. KONIS has been established with the cooperation of the Korean Society for Nosocomial Infection Control and the Korea Centers for Disease Control and Prevention since 2006. The KONIS surveillance of healthcare-associated infections at intensive care units (ICU) and surgical site infections was performed by 116 ICUs of 63 hospitals in 2009. According to the 2010 report of KONIS, the infection rate per 1,000 patient-days in ICU is 7.65. The device-associated infection rates of bloodstream infection, urinary tract infection, and pneumonia are 3.27, 4.80, and 1.86, respectively. Surgical site infection (SSI) rates of gastric surgery, colon surgery, rectal surgery, craniotomy, ventricular shunt and spinal fusion are 3.3%, 4.7%, 5.8%, 3.6%, 5.1% and 3.9%, respectively. The SSI rates of gastrectomy and knee prosthesis are over 90 percentiles of the data of National Healthcare Safety Network, USA. In conclusion, the current healthcare-associated infection rates are higher than those of other developed countries. Through the harmonized communication of various specialists such as infectious diseases physicians, clinical microbiologists, and infection control nurses, the HAI should be monitored and prevented.

Figures and Tables

Fig. 1
Healthcare-associated infection rates of intensive care units according to the hospital size (infection rates per 1,000 patients-days, Modified from ref. 7).
hmr-31-135-g001
Fig. 2
Device utilization ratio of intensive care units according to the hospital size (device-days/patient-days). Modified from ref. 8.
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Fig. 3
Surgical site infection rates per 100 operations according to the operative procedures. Modified from ref. 9 and 10.
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Table 1
Healthcare-associated Infection Rates of Intensive Care Units from 2008 through 2010
hmr-31-135-i001

Modified from ref. 6

Table 2
Comparison of Device-associated Infection Rates between Reports of KONIS and NHSN, 2009
hmr-31-135-i002

KONIS, Korean Nosocomial Infections Surveillance System; NHSN, National Healthcare Safety Networks

Modified from ref. 8

Table 3
Comparison of Device Utilization Ratios between Reports of KONIS and NHSN, 2009
hmr-31-135-i003

KONIS, Korean Nosocomial Infections Surveillance System; NHSN, National Healthcare Safety Networks

Modified from ref. 8

Table 4
Number and Percentages of Surgical Site Infections (SSI) according to the Operative Procedures and Incision Depth
hmr-31-135-i004

Modified from ref. 9

Table 5
Surgical Site Infection (SSI) Rates according to Operative Procedures, 2010
hmr-31-135-i005

Modified from ref. 8

Table 6
Comparison of Surgical Site Infection Rates between Reports of KONIS and NHSN
hmr-31-135-i006

KONIS, Korean Nosocomial Infections Surveillance System; NHSN, National Healthcare Safety Networks

Modified from ref. 11

References

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