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위 수술 후 발생한 수술 부위 감염의 원인균 빈도 및 그람양성균 과 그람음성균 감염의 임상적 특성 비교

Other Titles
 Comparison of the Incidence and Clinical Characteristics of Gram-positive and Gram-negative Surgical Site Infections after Gastric Surgery. 
 김혜원 ; 김창오 ; 김준명 ; 최석훈 ; 김연아 ; 박대원 ; 이승순 ; 김영근 ; 김효열 ; 강철인 ; 백경란 ; 최희정 ; 송영구 ; 박윤수 ; 염준섭 ; 임승관 ; 최영화 ; 김민자 ; 최준용 ; 한상훈 ; 정수진 
 Infection and Chemotherapy, Vol.44(1) : 11~16, 2012 
Journal Title
 Infection and Chemotherapy 
Issue Date
factor in the trend of increasing medical costs. There have been numerous efforts to analyze the conditions and causes of SSI for the purpose of prevention. In this study of SSI development after gastric surgery, we evaluated the prevalence of specific pathogens and compared the clinical characteristics observed between gram-positive (GPB) and gram-negative bacteria (GNB). MATERIALS AND METHODS: We conducted a retrospective study of patients who developed SSI within 30 days after gastric surgery at 13 clinics in Korea, between January 2007 and December 2008. Only those cases of SSI which included confirmed pathogen were included in this study. RESULTS: Among the 121 patients who developed SSI, GPB were observed in 32 patients and 36 cases, and GNB were isolated in 32 patients and 36 cases. Methicillin resistant Staphylococcus aureus (MRSA) was the most frequently isolated pathogen in this analysis. There were no differences observed between the GPB and GNB group in terms of baseline characteristics, patient or procedure related risk factors, or factors associated with prophylactic antibiotics. CONCLUSIONS: In the previous studies of the occurrence of SSI after gastric surgery, it was reported that the majority of observed pathogens were enteric GNB. Further studies of the incidence of SSI after gastric surgery, particularly those related to MRSA infection, are necessary.
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