The impact of smartphone-based wound follow-up on surgical site infection detection: A quasi-experimental study.

IF 2.4 3区医学 Q2 INFECTIOUS DISEASES

American journal of infection control Pub Date : 2025-09-11 DOI:10.1016/j.ajic.2025.09.002

Pourya Khani, Leili Rostamnia, Rostam Jalali, Behnam Darabi, Nader Salari

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引用次数: 0

Abstract

Background: Surgical site infections (SSIs) are common postoperative complications that are frequently missed or diagnosed late due to limited follow-up. This study evaluated a smartphone-based wound follow-up system for detecting SSIs after discharge.

Methods: This quasi-experimental study selected 90 patients aged 18 to 70years undergoing general surgery at Taleghani hospital. The intervention group (n = 30) submitted postoperative wound photos via smartphone for immediate feedback; the control group (n = 60) received routine telephone follow-up at 1month. Data were analyzed in SPSS using independent t tests and logistic regression to compare SSI detection between groups.

Results: The mean age was 41.6±13.0years, with no significant difference between groups. SSIs were detected in 5 patients in the smartphone group and 2 in the control group (P = .043). Both groups had primarily moderate infections, with one high-risk infection observed in the smartphone group only. The smartphone intervention was associated with significantly higher odds of SSI detection (odds ratio = 5.8; 95% CI, 1.05-31.92).

Conclusions: Smartphone-based wound follow-up detected higher SSI rates and may enable earlier diagnosis. However, given the quasi-experimental design and small sample size, larger randomized multicenter studies are needed to confirm effectiveness and to evaluate longer-term patient outcomes.

查看原文本刊更多论文

基于智能手机的伤口随访对手术部位感染检测的影响：一项准实验研究。

背景：手术部位感染（ssi）是常见的术后并发症，由于随访有限，经常被遗漏或诊断较晚。本研究评估了一种基于智能手机的伤口随访系统，用于出院后检测ssi。方法：选取Taleghani医院普通外科患者90例，年龄18 ~ 70岁。干预组（n=30）通过智能手机提交术后伤口照片进行即时反馈；对照组（60例）术后1个月进行常规电话随访。数据在SPSS软件中进行分析，采用独立t检验和logistic回归比较组间SSI检出率。结果：患者平均年龄（41.6±13.0）岁，组间差异无统计学意义。智能手机组有5例患者存在ssi，对照组有2例患者存在ssi （P = 0.043）。两组主要都有中度感染，只有智能手机组有一例高危感染。智能手机干预与SSI检出率显著升高相关（比值比OR = 5.8; 95% CI, 1.05-31.92）。结论：基于智能手机的伤口随访检测到更高的SSI发生率，可能有助于早期诊断。然而，考虑到准实验设计和小样本量，需要更大规模的随机多中心研究来确认有效性并评估患者的长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of infection control 医学-传染病学

CiteScore

7.40

自引率

4.10%

发文量

479

审稿时长

24 days

期刊介绍： AJIC covers key topics and issues in infection control and epidemiology. Infection control professionals, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC)