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Surgery


in the large-scale study highlights its potential for widespread adoption across various surgical specialisms.


CSJ


References 1. National Wound Care Strategy Programme. Recommendations for Preventing and Managing Surgical Wound Complications. 2024.


2. Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Am J Infect Control. 1992;20(5):271-4.


3. Menz BD, Charani E, Gordon DL, Leather AJM, Moonesinghe SR, Phillips CJ. Surgical Antibiotic Prophylaxis in an Era of Antibiotic Resistance: Common Resistant Bacteria and Wider Considerations for Practice. Infect Drug Resist. 2021;14:5235-52.


4. Briggs T. A national review of adult elective orthopaedic services in England: Getting It Right First Time; 2015.


5. Schreiber PW, Sax H, Wolfensberger A, Clack L, Kuster SP. The preventable proportion of healthcare-associated infections 2005-2016: Systematic review and meta-analysis. Infect Control Hosp Epidemiol. 2018;39(11):1277-95.


6. Abbas M, de Kraker MEA, Aghayev E, Astagneau P, Aupee M, Behnke M, et al. Impact of participation in a surgical site infection surveillance network: results from a large international cohort study. J Hosp Infect. 2019;102(3):267-76.


7. Guest JF, Fuller GW, Griffiths B. Cohort study to characterise surgical site infections after open surgery in the UK’s National Health Service. BMJ Open. 2023;13.


8. Morgan-Jones R, Downie F, Dowsett C, Milne J, Rochon M, Sandoz H, et al. Prevention, identification and management of surgical wound dehiscence (SWD). Wounds UK; 2023.


9. Rochon M, Jawarchan A, Fagan F, Otter JA, Tanner J. Image-based digital post-discharge surveillance in England: measuring patient enrolment, engagement, clinician response times, SSI, and carbon footprint. J Hosp Infect. 2023;133:15-22.


10. Tanner J, Brierley Jones L, Rochon M, Westwood N, Wloch C, Vaja R, et al. Barriers and facilitators for SSI surveillance for adult cardiac surgery in a high-income setting: an in- depth exploration. J Hosp Infect. 2023;141:112-8.


11. Rochon M, Sandy-Hodgetts K, Betteridge R, Glasbey J, Kariwo K, McLean K, et al. Remote digital surgical wound monitoring and surveillance using smartphones. Journal of Wound Care. 2025;34(Sup4b):S1-S25.


12. Dalcól C, Tanner J, de Brito Poveda V. Digital tools for post-discharge surveillance of SSI. Journal of Advanced Nursing. 2024;80(1):96-109.


13. Rochon M, Tanner J, Cariaga K, Ingusan SD, 22 www.clinicalservicesjournal.com I May 2025


Jawarchan A, Morais C, et al. Post-discharge surgical site infection surveillance using patient smartphones: a single-centre experience in cardiac surgery. British Journal of Cardiac Nursing. 2024;19(5):1-11.


14. Rochon M, Cariaga K, Ingusan SD, Jawarchan A, Morais C, Rajakumar G, et al. Postoperative wound surveillance using patient smartphones: Learning from a large London maternity service. Wounds UK. 2024;20(4):34-9.


15. Rochon M, Tanner J, Jurkiewicz J, Beckhelling J, Aondoakaa A, Wilson K, et al. Wound imaging software and digital platform to assist review of surgical wounds using patient smartphones: The development and evaluation of artificial intelligence (WISDOM AI study). PLoS One. 2024;19.


16. Tanner J, Rochon M, Harris R, Beckhelling J, Jurkiewicz J, Mason L, et al. Digital wound monitoring with artificial intelligence to prioritise surgical wounds in cardiac surgery patients for priority or standard review: protocol for a randomised feasibility trial (WISDOM). BMJ Open. 2024;14(9):e086486.


Further details l Surgical site infection surveillance with Isla: https://isla.health/


l GSTT Central Digital Wound Hub: https:// www.guysandstthomas.nhs.uk/our-services/ monitoring-your-surgical-wound


l ROSSIN Platform Trial: https://fundingawards. nihr.ac.uk/award/NIHR163832


l WISDOM Study: https://www.wisdomai.uk/ about-wisdom


l GSTT Charity: https://gsttcharity.org.uk/


Funding


This work was funded by Guy’s and St Thomas’ NHS Foundation Trust Charity and Peter Sowerby Foundation.


Thanks and Acknowledgements The authors would like to thank colleagues from the Centre of Innovation, Transformation and Improvement for their help and support, along with staff and patients from GSTT, the GSTT Charity and Peter Sowerby Foundation.


About the authors


The Surgical Site Infection Team, from the Surveillance & Innovation Unit, at Guy’s and St Thomas’ NHS Foundation Trust, includes: Melissa Rochon Jamie Croker Anja Thompson Karen Cariaga Orna Carey Angila Jawarchan Nnadiebere Eva Ayogu Glorea Rajakumar Anuradha Kerung Danielle Baquillos Bella Odattil Alero Ilawole Richard Daniel


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