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[Surgical site infection surveillance]
Toshiro Konishi1, Yasushi Harihara, Keita Morikane
1Department of Surgery, Kanto Medical Center, NTT-EC, Tokyo, Japan.
Nihon Geka Gakkai Zasshi
|November 30, 2004
Summary
Surgical site infections (SSIs) are a significant concern, with a 6.7% incidence in Japan. Early surveillance efforts aim to reduce these infections and improve patient outcomes.
Area of Science:
- Infectious Diseases
- Public Health
- Surgical Outcomes
Context:
- Surgical site infections (SSIs) are a major cause of prolonged hospitalization, increased costs, and decreased patient satisfaction.
- While SSI surveillance is established in the US and Europe, Japan initiated its national surveillance system later.
- The Japanese Nosocomial Infection Surveillance System (JNIS) began in 1998, with SSI surveillance starting the same year.
Purpose:
- To describe the establishment and early findings of SSI surveillance in Japan.
- To highlight the incidence of SSIs and identify high-risk surgical areas.
- To outline the development of a national SSI surveillance scheme under the Ministry of Health, Labour and Welfare.
Summary:
- From 1998 to October 2003, 20,948 cases were registered across 36 Japanese institutions, with 1,394 (6.7%) identified as SSIs.
- Gastrointestinal surgery demonstrated the highest incidence of SSIs among all surgical fields.
- Since July 2002, a national scheme involving 50 institutions has been implemented, supervised by the Ministry of Health, Labour and Welfare.
Impact:
- The establishment of the SSI Surveillance Study Meeting in October 2002 aims to expand participation and enhance data quality.
- Future efforts anticipate increased institutional involvement, reliable data collection, and a subsequent decrease in SSI rates in Japan.
- Improved SSI surveillance is crucial for enhancing patient safety and optimizing healthcare resource allocation.