Thursday, December 26, 2013

Surgical site infection in Diabetics- Is it related to preoperative HBA1c levels ?

We are all concerned about the surgical site infections in diabetic individuals. This is more important in patients undergoing surgery with implantable devices such as vascular surgery, orthopedic surgeries. It is probably better to correct the HBA1c prior to surgery in elective cases. Patients and their relatives should be informed and explained about the importance of metabolic control and correction of the HBA1c prior to the major elective operations. We prefer to correct the anemia before elective surgery in a similar manner it would be better to correct the metabolic problems.
In a recent paper published it was found that the surgical site infections were associated with high HBA1c. DM patients whose blood glucose levels were poorly controlled before surgery were at high risk for SSI. To prevent SSI in DM patients, we recommend lowering the HbA1c to <7 .="" font="">http://www.ncbi.nlm.nih.gov/pubmed/24368606   2013 Dec 25

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