만성중이염 또는 진주종성 중이염의 조기 술 후 창상감염의 연관인자 (Associated Factors of Early Postoperative Surgical Site Infection in Chronic Otitis Media or Cholesteatomatous Otitis Media)

서지정보

· 발행기관 : 대한이비인후과학회 부산,울산,경남 지부회
· 수록지 정보 : 임상이비인후과 / 28권 / 2호 / 185 ~ 191페이지
· 저자명 : 이현민, 김석현, 김민식, 최성원, 이일우

초록

Background：Early postoperative surgical site infection after otologic surgeries for chronic otitis media (COM) and cholesteatomatous otitis media (CholeOM) increases the cost of medical care, such as additional antibiotics use and longer hospitalization period. Sometimes, this condition causes additional surgery or operation failure depending on the progression. Authors investigated factors associated with postoperative infection and conducted studies to improve understanding of postoperative infection. Methods：370 patients (mean age : 47.97) who underwent surgery for COM or CholeOM from January 2014 to June 2016 at tertiary referral center were analyzed retrospective chart review. Definition of early postoperative infection was based on surgical site infection within 10 days after surgery. Results：Nineteen patients showed early postoperative surgical site infection (mean age : 50.11 year ; 5.13%), and most common pathogen from infected site was Pseudomonas aeruginosa. Postoperative infection group revealed statistically significant longer admission duration (15.3 day vs. 7.8 day) and higher rate of preoperative antibiotic use (47.4% vs. 25.1%). Patients with smoking history, head and neck radiotherapy history, longer operation duration showed increased risk of postoperative infection, but this was not statistically significant. Conclusions：Early postoperative infections were more prevalent in cases with requiring preoperative antibiotics. This suggests that postoperative infections are associated with preoperative infection or condition of the middle ear, and are not related to the surgical procedure or surgeon factor.

영어초록

Background：Early postoperative surgical site infection after otologic surgeries for chronic otitis media (COM) and cholesteatomatous otitis media (CholeOM) increases the cost of medical care, such as additional antibiotics use and longer hospitalization period. Sometimes, this condition causes additional surgery or operation failure depending on the progression. Authors investigated factors associated with postoperative infection and conducted studies to improve understanding of postoperative infection. Methods：370 patients (mean age : 47.97) who underwent surgery for COM or CholeOM from January 2014 to June 2016 at tertiary referral center were analyzed retrospective chart review. Definition of early postoperative infection was based on surgical site infection within 10 days after surgery. Results：Nineteen patients showed early postoperative surgical site infection (mean age : 50.11 year ; 5.13%), and most common pathogen from infected site was Pseudomonas aeruginosa. Postoperative infection group revealed statistically significant longer admission duration (15.3 day vs. 7.8 day) and higher rate of preoperative antibiotic use (47.4% vs. 25.1%). Patients with smoking history, head and neck radiotherapy history, longer operation duration showed increased risk of postoperative infection, but this was not statistically significant. Conclusions：Early postoperative infections were more prevalent in cases with requiring preoperative antibiotics. This suggests that postoperative infections are associated with preoperative infection or condition of the middle ear, and are not related to the surgical procedure or surgeon factor.

참고자료

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