Value of a modified clinical signs and symptoms of infection checklist for leg ulcer management

Dennis, L. A., Dumville, J. C., Cullum, N. and Bland, J. M. (2010) Value of a modified clinical signs and symptoms of infection checklist for leg ulcer management. British Journal of Surgery, 97 5: 664-670. doi:10.1002/bjs.6950


Author Dennis, L. A.
Dumville, J. C.
Cullum, N.
Bland, J. M.
Title Value of a modified clinical signs and symptoms of infection checklist for leg ulcer management
Journal name British Journal of Surgery   Check publisher's open access policy
ISSN 1365-2168
0007-1323
Publication date 2010-05-01
Sub-type Article (original research)
DOI 10.1002/bjs.6950
Volume 97
Issue 5
Start page 664
End page 670
Total pages 7
Place of publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Background:
The aim of this study was to analyse the validity of a modified Clinical Signs and Symptoms Checklist used to measure infection in a sample of patients with a leg ulcer.

Methods:
Data from patients recruited to a randomized controlled trial evaluating larval therapy (VenUS II) were analysed using factor analysis to identify the underlying checklist structure. Linear regression analysis identified whether checklist items, patient characteristics and subjective judgement of infection could predict bacterial load.

Results:
There were several redundant checklist items when implemented in this sample and items forming the scale had low internal consistency (α = 0·27). No clear structure to the checklist was detected, with only one underlying theme revealed which had low internal consistency (α = 0·45). Predictions of bacterial count were possible using the emerged theme, some checklist items and ankle circumference, but not using clinicians' subjective judgement alone (P = 0·315).

Conclusion:
The modified Clinical Signs and Symptoms Checklist does not currently represent a valid tool to measure infection in leg ulcers. Some checklist items may predict bacterial load and may be better than subjective judgement alone.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 21 May 2014, 21:32:53 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work