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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Relationship between postoperative infectious complications and glycemic control for diabetic patients in an orthopedic hospital in Kuwait
Medical Principles and Practice, Volume 18, No. 6, Year 2009
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Description
Objective: To study the relationship between postoperative infectious complications and glycemic control for diabetic patients in an orthopedic hospital in Kuwait. Subjects and Methods: Patients who underwent surgical orthopedic procedures between 2006 and 2007 were identified to provide demographic and clinical informations including age, gender, type of surgery, length of operation, HbA1c values, nature of specimens and species of the isolated pathogens. HbA1c <7% was used as the breaking point for diabetic control and occurrence of postoperative complications. Primary outcomes with infectious complications, including urinary tract infection, surgical site infection (SSI), lower respiratory tract infection and sepsis with different isolated pathogens were identified at least 48 h postoperatively. Results: Of 318 diabetic patients who underwent surgical operations, 90 (28.3%) developed postoperative complications; HbA1c <7% was significantly associated with decreased infectious complications with an adjusted odds ratio of 2.51 (95% confidence interval, 1.20-2.89). Regarding types of complications, urinary tract infectious complications were significantly higher among those patients with HbA1c ≥7% (p < 0.0001), while other complications (SSI, lower respiratory tract infection and sepsis) showed nonsignificant differences (p > 0.05). Conclusions: Our study confirmed a close association between preoperative glucose control indicated by HbA1c levels <7% and a decreased risk of postoperative infectious complications. Ideally, preoperative blood sugar should be controlled prior to elective surgery. Prophylaxis by antibiotics with preoperative patient preparation, proficient surgical technique and postoperative wound care is recommended for uncontrolled diabetics subjected to surgery. Copyright © 2009 S. Karger AG.
Authors & Co-Authors
Lamloum, S. M.
Kuwait, Kuwait City
Ministry of Health Kuwait
Mobasher, L. A.
Kuwait, Kuwait City
Ministry of Health Kuwait
Karar, Azza
Kuwait, Kuwait City
Ministry of Health Kuwait
Basiony, L.
Kuwait, Kuwait City
Ministry of Health Kuwait
Abdallah, T. H.
Kuwait, Kuwait City
Ministry of Health Kuwait
al-Saleh, Akram I.
Kuwait, Kuwait City
Ministry of Health Kuwait
Al-Shamali, N. A.
Kuwait, Kuwait City
Ministry of Health Kuwait
Statistics
Citations: 30
Authors: 7
Affiliations: 1
Identifiers
Doi:
10.1159/000235893
ISSN:
10117571
Research Areas
Health System And Policy
Study Design
Case-Control Study