Surgical Wound InfectionWOUND-REPORTNCT07926100
Recognizing and Reporting Surgical Wound Complications After Discharge From Gastrointestinal Surgery in Egypt
An observational study of Surgical Wound Infection, run by Alexandria University at 1 site in Egypt.
Trial summary
Many wound problems after surgery on the digestive system, including wound infection, are first noticed after the patient has already gone home. Delays in noticing a problem and contacting the hospital can delay treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Surgical Wound Infection
- How many people
- 51 participants
- Where
- 1 siteEgypt
- Study dates
- 10 Nov 2026to 24 Feb 2027
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Adult patients discharged 2 to 6 weeks earlier after gastrointestinal surgery, their family caregivers, registered nurses, and key informants responsible for discharge or follow-up policy, at three hospitals in Egypt.
Who may be able to join
- Patients: age 18 years or older
- Patients: discharged 2 to 6 weeks before the interview after gastrointestinal surgery (colon, rectum, stomach, small bowel, liver and biliary tract, pancreas, gallbladder) with an abdominal wound (open or laparoscopic)
- Patients: Arabic-speaking
- Patients: able to give informed consent
- Family caregivers: age 18 years or older
- Family caregivers: the family member most involved in the patient's wound care or communication with the hospital after discharge
Show all 10Show fewer
- Family caregivers: Arabic-speaking
- Nurses: registered nurses working in gastrointestinal or general surgical wards, discharge planning, or infection prevention at a study site
- Nurses: at least 1 year of surgical or infection-prevention experience
- Key informants: nursing managers, infection-control leads, or surgeons with responsibility for discharge or follow-up policy
Who cannot join
- Patients: cognitive impairment or inability to take part in an interview
- Patients: still hospitalized or readmitted at the time of interview
- Patients: day-case procedures without an abdominal wound requiring home care
- Family caregivers: paid or professional caregivers
- Nurses: on leave for the whole data collection period
- Nurses: in direct line management of the interviewer
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Egypt1 site
Faculty of Nursing, Alexandria University
Alexandria, Alexandria Governorate, 2500
About this study
Official title: Barriers and Enablers to Recognizing and Reporting Surgical Wound Complications After Hospital Discharge Following Gastrointestinal Surgery: A Multisite Qualitative Study of Patients, Caregivers, and Nurses to Inform Nurse-Led Remote Surveillance
Many wound problems after surgery on the digestive system, including wound infection, are first noticed after the patient has already gone home. Delays in noticing a problem and contacting the hospital can delay treatment. Existing studies come mostly from high-income countries and usually look at only one group of people. No study from Egypt or the Arabic-speaking region was found in the sources reviewed.
This qualitative study will explore what helps and what gets in the way when patients, family caregivers, and nurses recognize, report, and respond to surgical wound problems after discharge from gastrointestinal surgery. Individual semi-structured interviews will be held in Egyptian Arabic, in person or by telephone, at three hospitals in Egypt. The planned participants are 20 patients discharged 2 to 6 weeks earlier, 12 family caregivers, 15 nurses, and up to 4 key informants, for a planned total of 51. Participants will be chosen purposefully to include a wide range of experiences, and recruitment in each group will stop once further interviews bring no new themes.
Interviews will be analysed with reflexive thematic analysis, guided by the Common-Sense Model of Self-Regulation. The main result is a description of the barriers and enablers. Further results are a model of the pathway from noticing a wound change, to reporting it, to the nursing response, and a set of requirements for a nurse-led remote follow-up service.
- Conditions
- Surgical Wound Infection
- Keywords
- Surgical Site Infection
- Medical subject headings
- Surgical Wound Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Patients | Adults (18 years or older) discharged 2 to 6 weeks before interview after gastrointestinal surgery with an abdominal wound; planned n = 20. Interviewed once. | |
| Family Caregivers | Adult family member most involved in the patient's wound care or communication with the hospital after discharge; planned n = 12. Interviewed once. | |
| Nurses | Registered nurses in gastrointestinal or general surgical wards, discharge planning, or infection prevention, with at least 1 year of experience; planned n = 15. Interviewed once. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Barriers and Enablers to Recognizing, Reporting, and Responding to Post-Discharge Surgical Wound Complications
Individual, relational, and service-level barriers and enablers described by patients, caregivers, nurses, and key informants in semi-structured interviews and identified through reflexive thematic analysis. This is a qualitative outcome with no numeric scale; results are reported as themes.
Measured: Interviews from 10 November 2026 to 24 February 2027 (14 weeks), extendable by up to 4 weeks if the stopping rule is not met
Secondary outcomes (1)
Pathway Model From Noticing to Nursing Response
Model of the stages of noticing a wound change, judging concern, reporting, nurse triage, and follow-up, built from the themes and mapped to the Common-Sense Model of Self-Regulation.
Measured: Through analysis, up to 31 March 2027
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Nov 2026
- Study start10 Nov 2026 (estimated)
- Primary completion24 Feb 2027 (estimated)
- Study completion24 Feb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Surgical Wound InfectionStudies of the same condition, open and under way.
- More trials run by Alexandria UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 51 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Alexandria University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mohamed Fakhry Ahmed Salem, Alexandria University
- Investigators
- Mohamed Fakhry Ahmed Salem, PHD, Principal investigator, Alexandria University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07926100
- Sponsor's protocol ID
- GI-WOUND-QUAL-2026-01
- Acronym
- WOUND-REPORT
- Status last verified
- Nov 2026
- First submitted
- 3 Nov 2026
- Last updated
- 9 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Barriers and Enablers to Recognizing and Reporting Surgical Wound Complications After Hospital Discharge Following Gastrointestinal Surgery: A Multisite Qualitative Study of Patients, Caregivers, and Nurses to Inform Nurse-Led Remote Surveillance
- ClinicalTrials.gov ID
- NCT07926100
- Acronym / sponsor ID
- WOUND-REPORT / GI-WOUND-QUAL-2026-01
- Conditions
- Surgical Wound Infection
- Keywords
- Surgical Site Infection
- Study type
- Observational
- Recruitment status
- Not yet recruiting
- Enrolment
- 51 participants (estimated)
- Lead sponsor
- Alexandria UniversityUniversity, hospital or other
- Study start
- 10 Nov 2026 (estimated)
- Primary completion
- 24 Feb 2027 (estimated)
- Study completion
- 24 Feb 2027 (estimated)
- First posted
- 9 Nov 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Many wound problems after surgery on the digestive system, including wound infection, are first noticed after the patient has already gone home. Delays in noticing a problem and contacting the hospital can delay treatment. Existing studies come mostly from high-income countries and usually look at only one group of people. No study from Egypt or the Arabic-speaking region was found in the sources reviewed.
This qualitative study will explore what helps and what gets in the way when patients, family caregivers, and nurses recognize, report, and respond to surgical wound problems after discharge from gastrointestinal surgery. Individual semi-structured interviews will be held in Egyptian Arabic, in person or by telephone, at three hospitals in Egypt. The planned participants are 20 patients discharged 2 to 6 weeks earlier, 12 family caregivers, 15 nurses, and up to 4 key informants, for a planned total of 51. Participants will be chosen purposefully to include a wide range of experiences, and recruitment in each group will stop once further interviews bring no new themes.
Interviews will be analysed with reflexive thematic analysis, guided by the Common-Sense Model of Self-Regulation. The main result is a description of the barriers and enablers. Further results are a model of the pathway from noticing a wound change, to reporting it, to the nursing response, and a set of requirements for a nurse-led remote follow-up service.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Patients | – | –Adults (18 years or older) discharged 2 to 6 weeks before interview after gastrointestinal surgery with an abdominal wound; planned n = 20. Interviewed once. |
| Family Caregivers | – | –Adult family member most involved in the patient's wound care or communication with the hospital after discharge; planned n = 12. Interviewed once. |
| Nurses | – | –Registered nurses in gastrointestinal or general surgical wards, discharge planning, or infection prevention, with at least 1 year of experience; planned n = 15. Interviewed once. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Adult patients discharged 2 to 6 weeks earlier after gastrointestinal surgery, their family caregivers, registered nurses, and key informants responsible for discharge or follow-up policy, at three hospitals in Egypt.
Key inclusion criteria (10 listed)
- Patients: age 18 years or older
- Patients: discharged 2 to 6 weeks before the interview after gastrointestinal surgery (colon, rectum, stomach, small bowel, liver and biliary tract, pancreas, gallbladder) with an abdominal wound (open or laparoscopic)
- Patients: Arabic-speaking
- Patients: able to give informed consent
- Family caregivers: age 18 years or older
Key exclusion criteria (6 listed)
- Patients: cognitive impairment or inability to take part in an interview
- Patients: still hospitalized or readmitted at the time of interview
- Patients: day-case procedures without an abdominal wound requiring home care
- Family caregivers: paid or professional caregivers
- Nurses: on leave for the whole data collection period
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Barriers and Enablers to Recognizing, Reporting, and Responding to Post-Discharge Surgical Wound Complications
Time frame: Interviews from 10 November 2026 to 24 February 2027 (14 weeks), extendable by up to 4 weeks if the stopping rule is not met
Individual, relational, and service-level barriers and enablers described by patients, caregivers, nurses, and key informants in semi-structured interviews and identified through reflexive thematic analysis. This is a qualitative outcome with no numeric scale; results are reported as themes.
1 secondary outcome
Pathway Model From Noticing to Nursing Response
Time frame: Through analysis, up to 31 March 2027
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Mohamed Fakhry Ahmed Salem, PHD principal investigator
Alexandria University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Surgical Wound Infection, run by Alexandria University at 1 site in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 9 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Mohamed Fakhry Ahmed Salem, PhD (01286038014, Mohamed.Fakhry@alexu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Barriers and Enablers to Recognizing, Reporting, and Responding to Post-Discharge Surgical Wound Complications (time frame: Interviews from 10 November 2026 to 24 February 2027 (14 weeks), extendable by up to 4 weeks if the stopping rule is not met). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Nov 2026; AzTrials last refreshed its copy on 9 Nov 2026.