Evaluation of the Effect of Perioperative Blood Sugar Level on Surgical Site Infections in Patients Undergoing Total Mastectomy
| Author | Dawood Mafinezhad | en |
| Author | Reza Taheri | en |
| Author | Seyed Esmaeil Nezhad Hoseini | en |
| Author | Mohammadreza Motie | en |
| Orcid | Dawood Mafinezhad [0000-0002-4799-2268] | en |
| Orcid | Mohammadreza Motie [0000-0002-7101-1773] | en |
| Issued Date | 2019-12-07 | en |
| Abstract | Background: Stress hyperglycemia during surgeries has been reported to increase the possibility of surgical site infections (SSIs) and worsen the patient’s prognosis. Objectives: The aim of the present study was to evaluate the correlation between perioperative blood sugar level and SSIs in patients undergoing mastectomy. Methods: In this prospective case-control study, 158 female patients undergoing mastectomy were included with diabetes as an exclusion criterion. Blood glucose levels were measured in 5 phases for each patient. Results: Among 158 studied patients, 8 (5.5%) developed SSIs. Four patients (2.74%) in the control group and 4 patients (50%) in the case group had hyperglycemia in at least one of the stages. Logistic regression analysis demonstrated associations between SSI development and any blood glucose value of more than 150 mg/dL. It seems that age, medical history, current smoking, tumor characteristics, previous chemoradiotherapy, surgical duration, administration of prophylactic antibiotics, and other surgical factors have not been significantly correlated with SSI. Conclusions: As hyperglycemia is an easily controllable factor, the control of blood sugar levels during the perioperative period is recommended in patients undergoing breast surgeries to decrease SSI rates. | en |
| DOI | https://doi.org/10.5812/ijcm.88551 | en |
| Keyword | Blood Sugar Level | en |
| Keyword | Mastectomy | en |
| Keyword | Surgical Site Infection | en |
| Publisher | Brieflands | en |
| Title | Evaluation of the Effect of Perioperative Blood Sugar Level on Surgical Site Infections in Patients Undergoing Total Mastectomy | en |
| Type | Research Article | en |
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