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Open access
Research Article
9 November 2017

Qualitative interviews to identify burden of illness, impacts and costs associated with surgical site infections

Abstract

Aim: To gather qualitative data from patients on the burden, impacts and costs of surgical site infections (SSI) requiring second surgeries. Patients & methods: 15 adults with SSIs from spinal (n = 4), knee replacement (n = 3) or hip replacement (n = 8) surgery participated in a focus group or individual interview. Patients completed the PROMIS Physical Functioning (PF) Short Form 10A (PROMIS-PF). Results: Patients reported impacts within four primary domains: PF/activity-related; social/emotional; financial/employment; and energy/sleep. The mean PROMIS-PF score was 39.3 (standard deviation = 12.1), over one standard deviation below 50, the US norm. Conclusion: SSIs impart a broad and significant impact on patients and their families. These burdens will be important to capture when selecting patient-reported outcome measures for this patient population.

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References

1.
Andersson AE, Bergh I, Karlsson J, Nilsson K. Patients' experiences of acquiring a deep surgical site infection: an interview study. Am. J. Infect. Control 38(9), 711–717 (2010).
2.
European Centre for Disease Prevention and Control. Annual Epidemiological Report 2016 – Surgical Site Infections. ECDC, Stockholm, Sweden (2016). https://ecdc.europa.eu/sites/portal/files/documents/AER-HCAI_SSI.pdf
3.
Moore AJ, Blom AW, Whitehouse MR, Gooberman-Hill R. Deep prosthetic joint infection: a qualitative study of the impact on patients and their experiences of revision surgery. BMJ Open 5(12), e009495 (2015).
4.
Tanner J, Padley W, Davey S, Murphy K, Brown B. Patient narratives of surgical site infection: implications for practice. J. Hosp. Infect. 83(1), 41–45 (2013).
5.
Anderson DJ, Kaye KS. Staphylococcal surgical site infections. Infect. Dis. Clin. North Am. 23(1), 53–72 (2009).
6.
WHO. The Burden of Health Care-Associated Infection Worldwide (2014). www.who.int/gpsc/country_work/burden_hcai/en/
7.
Cox J, Haill CF, Jenks PJ. Patient narratives of surgical site infection: implications for practice. J. Hosp. Infect. 84(1), 92 (2013).
8.
Treloar C, Champness S, Simpson PL, Higginbotham N. Critical appraisal checklist for qualitative research studies. Indian J. Pediatrics 67(5), 347–351 (2000).
9.
Patel H, Khoury H, Girgenti D, Welner S, Yu H. Burden of surgical site infections associated with select spine operations and involvement of Staphylococcus aureus. Surg. Infect. 17, 1–13 (2016)
10.
Patel H, Khoury H, Girgenti D, Welner S, Yu H. Burden of surgical site infections associated with arthroplasty and the contribution of Staphylococcus aureus. Surg. Infect. 17(1), 78–88 (2016)
11.
Patton M. Qualitative Research and Evaluation Methods. Volume 3. Sage Publications, London, UK (2002).
12.
Maxwell J. Designing a qualitative study. In: Handbook of Applied Social Research Methods. Bickman L, Rog DJ (Eds). Sage Publications, CA, USA, 69–100 (1997).
13.
Kemper EA, Stringfield S, Teddlie C. Mixed methods sampling strategies in social science research. In: Handbook of Mixed Methods in Social and Behavioral Research. Tashakkori A, Teddlie C (Eds). Sage Publications, CA, USA (2003).
15.
PROMIS Scoring Guide. Version 1.0 Short Forms, Profile Short Forms, Computer Adaptive Testing (2011). www.assessmentcenter.net/documents/PROMIS%20Scoring%20Manual-%20CATs,%20Profiles,%20Short%20Forms.pdf
16.
Boeije H. A purposeful approach to the constant comparative method in the analysis of qualitative interviews. Qual. Quant. 36(4), 391–409 (2002).
17.
Webster F, Bremner S, Katz J et al. Patients' perceptions of joint replacement care in a changing healthcare system: a qualitative study. Healthc. Policy 9(3), 55–66 (2014).