The Sars-CoV-2 pandemic catalysed integration of telemedicine worldwide. This systematic review assesses it’s accuracy for diagnosis of Surgical Site Infection (SSI). Databases were searched for telemedicine and wound infection studies. All types of studies were included, only paired designs were taken to meta-analysis. QUADAS-2 assessed methodological quality. 1400 titles and abstracts were screened, 61 full text reports were assessed for eligibility and 17 studies were included in meta-analysis, mean age was 47.1 ± 13.3 years. Summary sensitivity and specificity was 87.8% (95% CI, 68.4–96.1) and 96.8% (95% CI 93.5–98.4) respectively. The overall SSI rate was 5.6%. Photograph methods had lower sensitivity and specificity at 63.9% (95% CI 30.4–87.8) and 92.6% (95% CI, 89.9–94.5). Telemedicine is highly specific for SSI diagnosis is highly specific, giving rise to great potential for utilisation excluding SSI. Further work is needed to investigate feasibility telemedicine in the elderly population group.

Sars-CoV-2 大流行促进了全球远程医疗的整合。本系统评价评估了其诊断手术部位感染 (SSI) 的准确性。在数据库中搜索远程医疗和伤口感染研究。包括所有类型的研究，仅对配对设计进行荟萃分析。QUADAS-2 评估了方法学质量。筛选了 1400 篇标题和摘要，评估了 61 篇全文报告的合格性，将 17 项研究纳入荟萃分析，平均年龄为 47.1 ± 13.3 岁。总结敏感性和特异性分别为 87.8% (95% CI, 68.4–96.1) 和 96.8% (95% CI 93.5–98.4)。整体 SSI 率为 5.6%。照片方法的敏感性和特异性较低，分别为 63.9%（95% CI 30.4-87.8）和 92.6%（95% CI，89.9-94.5）。远程医疗对 SSI 诊断具有高度特异性，具有高度特异性，产生了巨大的利用潜力，不包括 SSI。需要进一步的工作来调查老年人群远程医疗的可行性。