Accès ouvert déclaré2024article
Accuracy of the Wound Healing Questionnaire in the diagnosis of surgical-site infection after abdominal surgery in low- and middle-income countries
James Glasbey, Adesoji Ademuyiwa, Alisha Bhatt, Bruce Biccard, Jane Blazeby, Peter Brocklehurst, Sohini Chakrabortee, JC Allen Ingabire, Francis Moïse Dossou, Irani Durán, Rohini Dutta, Dhruva Ghosh, Frank Gyamfi, Parvez Haque, Pollyanna Hardy, Mike Horton, Gabriella Hyman, Ritu Jain, Oluwaseun Ladipo‐Ajayi, Ismaïl Lawani, Souliath Lawani, Mwayi Kachapila, Rachel Lillywhite, Rhiannon Macefield, Laura Magill, Janet Martin, Jonathan Mathers, Kenneth A McLean, Punam Mistry, Rohin Mittal, Mark Monahan, Rachel Moore, Dion Morton, Moyo Ojo, Faustin Ntirenganya, Emmanuel Owusu Ofori, Rupert M. Pearse, Alberto Peón, Thomas Pinkney, Antonio Ramos de la Medina, Tubasiime Ronald, David Román, Emmy Runingamugabo, Alice Sitch, Anita Slade, Stephen Tabiri, Donna Smith, Aneel Bhangu, Duc‐Khanh To, Adesoji O Ademuyiwa, Simin Patrawala, Angela Prah, Christian Oko, Karolin Kroese, Corinne Dzemta, Covalic Melic Bokossa Kandokponou, Hulrich Behanzin, Cyrile Kpangon, Bernard Appiah Ofori, Abdul-Hafiz Saba, Gbana Limann, Daniel Acquah, Shamudeen Mohammed Alhassan, Sheriff Mohammed, Owusu Abem Emmanuel, Yakubu Musah, Yenli Edwin, Sheba Kunfah, Mustapha Yakubu, Abantanga Atindaana Francis, Emmanuel Ayingayure, Forster Amponsah‐Manu, Eric Agyemang, Vera Agyekum, Esther Adjei-Acquah, Emmanuel Yaw Twerefour, Barbra Koomson, Ruby Acheampong Boateng, Ato Oppong Acquah, Richard Ofosu-Akromah, Leslie Issa Adam-Zakariah, Nii Armah Adu-Aryee, Theodore Wordui, Coomson Christian Larbi, Akosa Appiah Enoch, Mensah Elijah, Kyeremeh Christian, Addo Gyambibi Kwame, Boakye Percy, Kontor Effah Bismark, Gyamfi Brian, Manu Ruth, Romeo Hussey, Samuel Dadzie, Akosua Dwamena Appiah, Grace Yeboah, Cynthia Osei Yeboah, James Amoako, Regina Acquah, Naa Anyekaa Sowah, Atta Kusiwaa, Esther Asabre, Cletus Ballu, Charles Gyamfi Barimah, Frank Owusu, Clement Ayum Sie-Broni, Vivian Adobea, Prince Yeboah Owusu, Marshall Zume, Abdul-Hamid Labaran, Raphael Adu-Brobbey, Martin Tangnaa Morna, Samuel Debrah, Patrick Opoku Manu Maison, Michael Nortey, Donald Enti, Mabel Pokuah Amoako-Boateng, Anthony Baffour Appiah, Richard Kpankpari, Benedict Boakye, Elizabert Mercy Quartson, Patience Koggoh, Anita Eseenam Agbeko, Frank Enoch Gyamfi, Joshua Arthur, Joseph Yorke, Christian Kofi Gyasi-Sarpong, Charles Dally, Agbenya Kobla Lovi, Michael Amoah, Boateng Nimako, Robert Sagoe, Anthony Davor, Fareeda Galley, Michael O. Adinku, Jonathan Boakye-Yiadom, Jane Acquaye, Juliana Appiah, Dorcas Otuo Acheampong, Iddrisu Haruna, Edward Amoah Boateng, Emmanuel Kafui Ayodeji, Samuel Tuffuor, Naa Kwarley, Yaa Tufuor, Ramatu Darling Abdulai, Fred Dankwah, Ralph Armah, Doris Ofosuhene, Dorcas Osei-Poku, Arkorful Ebenezer Temitope, Delali Akosua Gakpetor, Victoria Sena Gawu, Christopher Asare, Enoch Tackie, James Ankomah, Isaac Omane Nyarko, Zelda Robertson, Serbeh Godwin, Appiah Anthony Boakye, Godfred Fosu, Frank Assah-Adjei, Jyoti Dhiman, Esther Gnanamalar Sarojini Daniel, K Priyadarshini, Latha Madankumar, Ida Nagomy, Soosan Prasad, Arpit Jacob Mathew, Danita Prakash, Priya Mary Jacob, Jeremiah P Anachy, Amy Mathew, Josy Thomas, Philip Alexander, Pradeep Zechariah, Neerav D Aruldas, Asif Mehraj, Hafsa Imtiyaz Ahmed, Rauf A. Wani, Fazl Q. Parray, Nisar Ahmad Chowdri, Laura Martinez Perez Maldonado, Diana S Gonzalez Vazquez, Iran I Durán Sánchez, Maria J Martínez Lara, Alejandra Nayen Sainz de la Fuente, Ana O Cortes Flores, Mariana E Barreto Gallo, Alejandro González‐Ojeda, Monica E Jimenez Velasco, Luis Hernández Miguelena, Reyes J Cervantes Ortiz, Gonzalo I Hernandez Gonzalez, Marco Hurtado Romero, Rosa I Hernandez Krauss, Luis A Dominguez Sansores, Alejandro Cuevas Avendaño, Celina Cuellar Aguirre, Isaac Baltazar Gomez, Hector Ortiz Mejia, Oscar E Olvera Flores, Erick A González García de Rojas, Kevin J Pintor Belmontes, Francisco José Barbosa‐Camacho, Aldo Bernal Hernández, Laura Reyes Aguirre, Rubén E Morán Galaviz, Clotilde Fuentes Orozco, Wenceslao G Ángeles Bueno, Fernando S Ramirez Marbello, Diego E Luna Acevedo, Michel Hernández Valadez, Ana L Bogurin Arellano, Luis R Ramírez-González, Bertha Guzmán Ramírez, Eduardo Valtierra Robles, Ramona I Rojas García, Jose V Pérez Navarro, Edgar J Cortes Torres, David R Dominguez Solano, Alberto N. Peón, Roque D Lincona Menindez, Rozana Reyes Gamez, Maria C Paz Muñoz, Orimisan Belie, Victoria Adeleye, Oluwafunmilayo Funke Adeniyi, Opeyemi Akinajo, David Akinboyewa, Felix Alakaloko, Oluwole Atoyebi, Olanrewaju Balogun, Christopher Bode, Olumide Elebute, Francis Ezenwankwo, Adesiyakan Adedotun, George Ihediwa, Jubril Kuku, Ayomide Makanjuola, Samuel Nwokocha, Olubunmi Ogein, Rufus Wale Ojewola, Abraham Oladimeji, Thomas Olajide, Iyabo Alasi, Oluwaseun Oluseye, Justina O. Seyi‐Olajide, Adaiah Soibi‐Harry, Emmanuel Williams, Agbulu Moses Vincent, Nnamdi Jonathan Duru, Kenneth Uche Onyekachi, Christiana Ashley, Chinelo Victoria Mgbemena, Moyosoluwa Ojo, Olowu Oluyemisi, Iyabode Ikuewunmi, Adeoluwa Adebunmi, Edet Glory Bassey, Ephraim Ohazurike, Olayide Michael Amao, Osunwusi Benedetto Oluwaseun, Emily Doris, Olutola Stephen, Christianah Gbenga-Oke, Olawunmi Olayioye, Kayode Oluremi, Esther Abunimye, Christianah Oyegbola, Olayade Kayode, Adeola Ayoola Orowale, Omolara Williams, Olufunmilade Omisanjo, Omolara Faboya, Zainab Imam, Olabode Oshodi, Yusuf A. Oshodi, Ayokunle Ogunyemi, Olalekan Ajai, Francisca Nwaenyi, Adewale Adisa, Adewale Aderounmu, Funmilola Wuraola, Oludayo Adedapo Sowande, LO Abdur-Rahman, Jibril Oyekunle Bello, Hadijat Olaide Raji, Nurudeen Abiola Adeleke, Saheed Lawal, Rafiat Afolabi, Abdulwahab Lawal, Okechukwu Hyginus Ekwunife, Ochomma Amobi Egwuonwu, Chisom Uche, Abubakar Bala Muhammad, Saminu S Muhammad, Idris Usman Takai, Mohammed A S Aliyu Salele, Onyekachi G Ukata, Mahmoud Kawu Magashi, Lawal Barau L B Abdullahi, Bello Muideen, Khadija Ado, Lofty-John Chukwuemeka L J C Anyawu, Samson Olori, Samuel Ali Sani, Olabisi Osagie, Ndubuisi Mbajiekwe, Oseremen I. Aisuodionoe-Shadrach, Godwin Akaba, Lazarus Ameh, Francis o Adebayo, Martins Uanikhoba, Felix O Ogbo, Nancy Tabuanu, Taiwo Lawal, Rukiyat A Abdus-Salam, Akinlabi Ajao, Augustine Takure, Omobolaji Ayandipo, Hyginus Ekwuazi, Olukayode Abayomi, Olatunji O. Lawal, Solomon Olagunju, K I Egbuchulem, Sikiru Adebayo, Peter Elemile, Usang E Usang, Joseph E Udosen, Expo E Edet, Akan Inyang, Edima M Olory, Gabriel U Udie, Godwin O Chiejina, Adams D Marwa, Faith J Iseh, Sunday A Ogbeche, Mary O Isa, Uchechukwu Ezomike, Sebastian O. Ekenze, M I Eze, Emmanuel O Izuka, Jude K Ede, Vincent Enemuo, Okezie Mbadiwe, Ngozi G Mbah, Alphonsine Imanishimwe, Sosthene Habumuremyi, Isaie Ncogoza, Emmanuel Munyaneza, Jean de Dieu Haragirimana, Christian Urimubabo, Violette Mukanyange, Jeannette Nyirahabimana, Emmanuel Mutabazi, Christophe Mpirimbanyi, Olivier Mwenedata, Hope Lydia Maniraguha, Emelyne Izabiriza, Moses Dusabe, Job Zirikana, Francine Uwizeyimana, Josiane Mutuyimana, Elisée Rwagahirima, Ronald Tubasiime, Aphrodis Munyaneza, Salathiel Kanyarukiko, Gibert Ndegamiye, Francine Mukaneza, Jean Claude Uwimana, Pierrine Nyirangeri, Deborah Mukantibaziyaremye, Aime Dieudonne Hirwa, Salomee Mbonimpaye, Piolette Muroruhirwe, Christine Mukakomite, Elysee Kabanda, Ncamsile Anthea Nhlabathi, Maria Fourtounas, Mary Augusta Adams, Hlengiwe Samkelisiwe Nxumalo, Nnosa Sentholang, Mmule Evelyn Sethoana, Mpho Nosipho Mathe, Zain Ally, Margot Flint, Ewen M. Harrison, Elizabeth Li, Dmitri Nepogodiev, Omar Omar, Joana Simões, Felicity Brant, Emily Heritage, Carmela Lapitan, D. Lissauer, Tracy Roberts, Neil Winkles, Emmy Runigamugabo, Azmina Verjee, Pierre Sodonougbo, Pamphile Assouto, Michel Armand Fiogbe, Houénoukpo Koco, Serge Metchinhoungbe, Hodonou Sogbo, Djifid Morel Séto, Yannick Tandje, Sosthène Kangni, Marcelin Akpla, Hugues Herve Chobli, Blaise Kovohouande, Gérard Agboton, Rene Ahossi, Raoul Baderha Ngabo, Nathan Bisimwa, Mireille Dokponou, Antoine Gaou, Roland Goudou, Emmanuel Hedefoun, Sunday Houtoukpe, Felix Kamga, Eric Kiki-Migan, René Loko, Afissatou Moutaïrou, Pencome Ogouyemi, Fouad Soumanou, Pia Tamadaho, Mack-Arthur Zounon, Luke Aniakwo Adagrah, Baba Alhaji Bin Alhassan, Alvin Asante-Asamani, Rahman Adebisi Ganiyu, Isabella Naa M Opandoh, Meshach Agyemang Manu, Maison Patrick Opoku Manu, Samuel Mensah, John Nkrumah, Elizaberth Mercy Quartson, Rebecca Adjeibah Akesseh, Barbara Koomson, Ataa Kusiwaa, Anthony Appiah Boakye, Godwin Serbeh, Kofi Yeboah Gyan, Ambe Obbeng, Diana Puozaa, Mark Aseti, Charles Banka, Derick Essien, Jemima Kwarteng, Kwame Gyambibi Addo, Enoch Appiah Akosa, Percy Boakye, Christian Larbi Coompson, Brian Gyamfi, Bismark Effah Kontor, Christian Kyeremeh, Ruth Manu, Elijah Mensah, Friko Ibrahim Solae, Gideon Kwasi Toffah, Kwabena Agbedinu, Emmanuel Gyimah Amankwa, Michael Amoah, George Amoah, Alex Ayim, Naabo Nuhu Noel Hamidu, Bertina Beauty Nyadu, Dominic Opoku, Anita Osabutey, Samuel Tuffour, Yaa Tufour, Francis Akwaw Yamoah, Abiboye Cheduko Yefieye, Faisal Adjei, Erica Akoto, Elikem Ametefe, Joachim Kwaku Amoako, Godsway Solomon Attepor, George Darko Brown, Benjamin Fenu, Philemon Kwame Kumassah, David Olatayo Olayiwola, Nelson Agboadoh, Fatao Abubakari, Guy Casskey Boateng, Prosper Tonwisi Luri, Abraham Titigah, Junior Atta Owusu, Amos Bennin, Stanley Doe, Ruth Sarfo Kantanka, Ephraim Kobby, Kennedy Kofi Korankye Hanson Larnyor, Edwin Osei, Francis Abantanga, Darling Ramatu Abdulai, Imoro Osman, Shamudeen Alhassan Mohammed, Bernard Ofori, Emmanuel Abem Owusu, Anwar Sadat Seidu, Edwin Mwintiereh Taang Yenli, Arun Gautham, Alice Hepzibah, Grace Mary, Deepak Singh, Dimple Bhatti, William Bhatti, Karan Bir, Swati Daniel, Tapasya Dhar, Sunita Goyal, Ankush Ankush, Goyal, Monika Hans, Samuel Konda, Anil Luther, Amit Mahajan, Shalini Makkar, Kavita Mandrelle, Vishal Michael, Partho Mukherjee, Reuben Rajappa, Prashant Singh, Atul Suroy, Ravinder Singh Thind, Alen Thomas, Arti Tuli, Sreejith Kannummal Veetil, Esther Daniel Mark Jesudason, Rajesh Selvakumar, Bharat Shankar, Moonish Sivakumar, Rajeevan Philip Sridhar, Cecil Thomas, Devabalan Titus, Manisha Aggarwal, Parth Dhamija, Himani Gupta, Vinoth Kanna, Vinod Kumar, Gurtaj Singh, Amos Dasari, Elizabeth Kurien, Arpit Mathew, Anju Susan, Rose Varghese, Rahul Alpheus, Ashish Choudhrie, Hemanth Kumar, Nitin James Peters, Subrat Raul, Rajeev Sharma, Rakesh Vakil, Wenceslao Ángeles Bueno, Ana Bogurin Arellano, Edgar Cortes Torres, Erick González García de Rojas, Diego Luna Acevedo, Rubén Morán Galaviz, Oscar Olvera Flores, José Pérez Navarro, Kevin Pintor Belmontes, Fernando Ramirez Marbello, Luis Ricardo Ramírez-González, Ramona Rojas García, Reyes Cervantes Ortiz, Gonzalo Hernandez Gonzalez, Rosa Hernandez Krauss, Luis Dominguez Sansores, Laura Urdapilleta Gomez del Campo, Claudia Caballero Cerdan, David Dominguez Solano, Rafael Toriz Garcia, Mariana Barreto Gallo, Ana Cortes Flores, Monica Jimenez Velasco, Roque Lincona Menindez, María Paz Muñoz, Irán Irani Durán Sánchez, Diana Samantha González Vázquez, María José Martínez Lara, Lawal Abdullahi, Mohammed Aliyu, Lofty‐John Anyanwu, Saminu Muhammad, Onyekachi Ukata, Opeoluwa Adesanya, David Awonuga, Olushola Fasiku, Chidiebere Ogo, Moruf Abdulsalam, Abimbola Adeniran, Olukemi Akande, Kazeem Atobatele, Grace Eke, Esther Momson, Mobolaji Oludara, Yemisi Oyewole, Omotade Salami, Andrew Chiagozie Ekwesianya, Adedeji Fatuga, Adesola Jimoh, Oluwaseun LadipoAjayi, Olayanju Mokwenyei, Aloy Okechukwu Ugwu, Victor Ifeanyichukwu Modekwe, Chukwuemeka Chukwubuikem Okoro, Kenneth Ugwuanyi, Chuka Ugwunne, Akeem Adeleke, Wilson Adenikinju, Olumide Adeniyi, Akinfolarin Adepiti, Abdulhafiz Adesunkanmi, Samuel Ajekwu, Olusegun Ajenjfuja, Jerrie Akindojutimi, Akinbolaji Akinkuolie, Olusegun Isaac Alatise, Olubukola Allen, Lukmon Amosu, Micheal Archibong, Olukayode Arowolo, Deborah Ayantona, Ademola Ayinde, Olusegun Badejoko, Tajudeen A. Badmus, Amarachukwu Etonyeaku, Emeka Philip Igbodike, Omotade Adebimpe Ijarotimi, Adedayo Lawal, Fayowole Nana, Tunde Oduanafolabi, Olalekan Olasehinde, Olaniyi Olayemi, Stephen Omitinde, Owolabi Oni, Chigozie Onyeze, Ernest O. Orji, Adewale Rotimi, Abdulkadir Ayo Salako, Olufemi Solaja, Oluwaseun Sowemimo, Ademola Olusegun Talabi, Mohammed Tajudeen, Francis Adebayo, Felix Akpojene Ogbo, Sadiq Aa, Godwin Chiejina, Ekpo Edet, Mary Isa, Faith Iseh, Adams Marwa, Sunday Ogbeche, Edima Olory, Gabriel Udie, Joseph Udosen, Usang Usang, Olanrewaju Amusat, Peter Osuala, Bamidele Suleman, Muideen Adesola, Sulaiman Agodirin, Isiaka Aremu, Olayinka Sayomi, Asimiyu Shittu, Jude Ede, Matthew Eze, Emmanuel Izuka, Ngozi Mbah, Uba Ezinne, Matthew Francis, Iweha Ikechukwu, Okoi Nnyonno, Philemon E. Okoro, Igwe Patrick, John Raphael, Oriji Vaduneme, Abhulimen Victor, Georges Bucyibaruta, Gisele Juru Bunogerane, Richard Crawford, Chikwendu Jeffrey Ede, Zafar K. Khan, Morapedi Kwati, Paddy Pattinson, Maria Elizabeth Stassen, Laura Thornley, Paul Wondoh, Cheryl Birtles, Mathete Ivy, Cynthia Mbavhalelo, Abdus-sami Adewunmi, Jonathan Cook, David Jayne, Søren Laurberg, Julia Brown, Simon Cousens, Neil Smart
5Citations signalées
1Institutions associées
1Pays d’affiliation
Résumé fourni par la source
INTRODUCTION: Telemedicine is being adopted for postoperative surveillance but requires evaluation for efficacy. This study tested a telephone Wound Healing Questionnaire (WHQ) to diagnose surgical site infection (SSI) after abdominal surgery in low- and middle-income countries. METHOD: A multi-centre, international, prospective study was embedded in the FALCON trial; a factorial RCT testing measures to reduce SSI in seven low- and middle-income countries (NCT03700749). It was conducted according to a pre-registered protocol (SWAT126) and reported according to STARD guidelines. The reference test was in-person review by a trained clinician at 30 postoperative days according to US Centres for Disease Control criteria. The index test was telephone administration of an adapted WHQ at 27 to 30 postoperative days by a researcher blinded to the outcome of in-person review. The sum of item response scores generated an overall score between 0 and 29. The primary outcome was the diagnostic accuracy of the WHQ, defined as the proportion of SSI correctly identified by the telephone WHQ, and summarized using the area under the receiving operator characteristic curve (AUROC) and diagnostic test accuracy statistics. RESULTS: Patients were included from three upper-middle income (396 patients, 13 hospitals), three lower-middle income (746 patients, 19 hospitals), and one low-income country (54 patients, 4 hospitals). 90.3% (1088 of 1196) patients were successfully contacted. Those with non-midline incisions (adjusted odds ratio: 0.36, 95% c.i. 0.17 to 0.73, P=0.005) or a confirmed diagnosis of SSI on in-person assessment (odds ratio: 0.42, 95% c.i. 0.20 to 0.92, P=0.006) were harder to reach. The questionnaire correctly discriminated between most patients with and without SSI (AUROC 0.869, 95% c.i. 0.824 to 0.914), which was consistent across subgroups. A representative cut-off score of ≥4 displayed a sensitivity of 0.701 (0.610-0.792), specificity of 0.911 (0.878-0.943), positive predictive value of 0.723 (0.633-0.814) and negative predictive value of 0.901 (0.867-0.935). CONCLUSION: SSI can be diagnosed using a telephone questionnaire (obviating in-person assessment) in low resource settings.
Sujets associés
Surgical site infection preventionPressure Ulcer Prevention and ManagementTelemedicine and Telehealth Implementation