Patient understanding of and participation in infection-related care across surgical pathways: a scoping review

• Main Authors: Oluchi Mbamalu, Candice Bonaconsa, Vrinda Nampoothiri, Surya Surendran, Pranav Veepanattu, Sanjeev Singh, Puneet Dhar, Vanessa Carter, Adam Boutall, Timothy Pennel, Mark Hampton, Alison Holmes, Marc Mendelson, Esmita Charani
• Format: Article
• Language: English
• Published: Elsevier 2021-09-01
• Series: International Journal of Infectious Diseases
• Subjects: Infection care; Antimicrobial Stewardship; Surgery; Patient Education; Patient Engagement
• Online Access: http://www.sciencedirect.com/science/article/pii/S1201971221005956

ABSTRACT: Objective: To explore the existing evidence on patient understanding of and/or participation in infection-related care in surgical specialties. Method: A scoping review of the literature was conducted. PubMed, Web of Science, Scopus, and grey literature sources were searched using predefined search criteria for policies, guidelines, and studies in the English language. Data synthesis was done through content and thematic analysis to identify key themes in the included studies. Results: The initial search identified 604 studies, of which 41 (36 from high-income and five from low- and middle-income countries) were included in the final review. Most of the included studies focused on measures to engage patients in infection prevention and control (IPC) activities, with few examples of antimicrobial stewardship (AMS) engagement strategies. While patient engagement interventions in infection-related care varied depending on study goals, surgical wound management was the most common intervention. AMS engagement was primarily limited to needs assessment, without follow-up to address such needs. Conclusion: Existing evidence highlights a gap in patient participation in infection-related care in the surgical pathway. Standardization of patient engagement strategies is challenging, particularly in the context of surgery, where several factors influence how the patient can engage and retain information. Infection-related patient engagement and participation strategies in surgery need to be inclusive and contextually fit.