Comparative Study of Surgical Site Infection in Clean Surgical Procedures between Diabetic and Non-Diabetic Patients

Abstract

Objective: The objective of this study was to determine the frequency of surgical site infection in clean surgical procedures between diabetic and non-diabetic patients.

Study Design: Cohort study

Place and Duration of Study: This study was conducted at the Indoor Department of General Surgery, Nishtar Hospital Multan from 01-01-2016 to 02-07-2016

Materials and Methods: In this study, One hundred patients of either gender with 20-50 year of age who underwent the laparoscopic cholecystectomy procedure during the sampling period were included in this study. Fifty patients belong to diabetic group or exposed group (both type-I and II) and fifty patients belong to non-diabetic group or unexposed group. All cases included were operated by consultant surgeons under general anesthesia and strict aseptic conditions. A SSI case was distinguished utilizing CDC, USA definition, which expresses that "infection would be viewed as surgical site infection in the event that it happens inside 30 days after surgery and has any one of the accompanying: purulent discharge from the wound, agony or delicacy, confined swelling, redness, malodor, fever". Information with respect to SSI was recorded from both groups.

Results: Age range in this study was 20-50 years with mean age of 33.860 ± 6.49 years in diabetic group and 34.940 ± 7.29 years in non-diabetic group.  Majority of patients according to age groups were belongs to 20-35 years in both groups and there was more females than males. Seven patients in diabetic group developed surgical site infection. Three patients in non-diabetic group developed SSIs (p = 0.182) with relative risk of 2.33.

Conclusion: It is concluded that patients experiencing laparoscopic cholecystectomy has no increased risk of surgical site infection in diabetic patients when contrasted with non-diabetic patients..