Patient-Directed Active Surgical Incisions Surveillance May Lead to Further Surgical Site Infection Reduction

Surg Infect (Larchmt). 2019 Oct;20(7):584-587. doi: 10.1089/sur.2019.163. Epub 2019 Jul 18.

Abstract

Background: Surgical site infections have been a concern for many years, and decades-old articles demonstrate the benefit of surveillance and reporting of these infections with resulting decrease in incidence. Comprehensive surveillance is difficult and often incomplete and is hampered when patients must travel a distance for surgical care. In recent years there has been increasing interest in patient-generated health data (PGHD) that includes patients taking photographs of their surgical incisions. Methods: A selective review of articles on PGHD and photographic images was undertaken in combination with interviews of investigators in this field. Results: There is a possibility that a well-developed system to facilitate patient-provided images of the surgical incision to surgical care providers in a Health Insurance Portability and Accountability Act (HIPAA)-compliant manner could improve surgical surveillance and reduce unnecessary post-operative visits. Conclusions: Further study is required.

Keywords: HIPAA; images; patient-generated health data; surgical site infection; surveillance.

MeSH terms

  • Epidemiological Monitoring*
  • Humans
  • Incidence
  • Interviews as Topic
  • Medical Informatics / methods*
  • Medical Informatics / trends
  • Patient Generated Health Data*
  • Surgical Wound Infection / diagnostic imaging*
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / prevention & control*