Reliability and validity of using telephone calls for post-discharge surveillance of surgical site infection following caesarean section at a tertiary hospital in Tanzania

Antimicrobial Resistance and Infection Control
B NguhuniG Ippolito

Abstract

Surgical site infection (SSI) is a common post-operative complication causing significant morbidity and mortality. Many SSI occur after discharge from hospital. Post-discharge SSI surveillance in low and middle income countries needs to be improved. We conducted an observational cohort study in Dodoma, Tanzania to examine the sensitivity and specificity of telephone calls to detect SSI after discharge from hospital in comparison to a gold standard of clinician review. Women undergoing caesarean section were enrolled and followed up for 30 days. Women providing a telephone number were interviewed using a structured questionnaire at approximately days 5, 12 and 28 post-surgery. Women were then invited for out-patient review by a clinician blinded to the findings of telephone interview. A total of 374 women were enrolled and an overall SSI rate of 12% (n = 45) was observed. Three hundred and sixteen (84%) women provided a telephone number, of which 202 had at least one telephone interview followed by a clinical review within 48 h, generating a total of 484 paired observations. From the clinical reviews, 25 SSI were diagnosed, of which telephone interview had correctly identified 18 infections; telephone calls did not incorrectly i...Continue Reading

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Citations

Aug 21, 2019·JMIR MHealth and UHealth·Charlotte E J SandbergSamir Pathak
Oct 9, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Cerrene N GiordanoErica H Lee
May 14, 2020·Surgical Infections·Joseph D ForresterJennifer Rickard
Jul 6, 2021·World Journal of Surgery·Omolara Modupe WilliamsOlufunmilade Akinfolarin Omisanjo

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