Effectiveness of HealthTracker for post‐caesarean section surgical site infection surveillance: An intervention study

Author:

Ohr Se Ok12ORCID,Ball Jean1,Teber Erdahl3ORCID,Ferguson John K.4,Petherbridge Rachael12,Giles Michelle12

Affiliation:

1. HNE Nursing and Midwifery Research Centre Hunter New England Local Health District New Lambton New South Wales Australia

2. School of Nursing and Midwifery, The College of Health, Medicine and Wellbeing University of Newcastle Newcastle New South Wales Australia

3. Clinical Research Design, IT and Statistical Support The University of Newcastle Hunter Medical Research Institute (HMRI) New Lambton New South Wales Australia

4. HNE Infection Prevention Service Hunter New England Local Health District New Lambton New South Wales Australia

Abstract

AbstractThis intervention study aimed to implement and evaluate the effectiveness of HealthTracker, a post‐discharge surgical site infection surveillance system. Participants were 730 women birthing by caesarean section at a large hospital over a 6‐month period. Data were downloaded from clinical data systems and HealthTracker. Receiver operating characteristics were used to assess HealthTracker. Over a 6‐month period, 382 women completed HealthTracker, with 83 scoring ≥6, indicating signs and symptoms of surgical site infection. Of this 83, 58 sought advice from health professionals, 29 returned to hospital, and 45 received antibiotics. A total of 20 infections from a total population of 730 were confirmed, with 14 out of 382 respondents confirmed via HealthTracker. Receiver operating characteristics identified HealthTracker as an excellent indicator of surgical site infection. HealthTracker is a feasible mHealth option for monitoring post‐discharge surgical site infection post‐caesarean section. In addition, by providing alerts, advising women to monitor their symptoms and seek treatment if necessary, HealthTracker has the potential to enhance self‐efficacy for surgical wound monitoring at home.

Funder

Hunter New England Local Health District

Publisher

Wiley

Reference43 articles.

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4. Australian Commission on Safety and Quality in Health Care. (2017).Approaches to surgical site infection surveillance: For acute care settings in Australia.https://www.safetyandquality.gov.au/wp‐content/uploads/2017/07/Approaches‐to‐Surgical‐Site‐Infection‐Surveillance.pdf

5. Australian Institute of Health and Welfare. (2022).Australia's mothers and babies.https://www.aihw.gov.au/reports/mothers-babies/australias-mothers-babies/contents/labour-and-birth/method-of-birth

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