Early postoperative glucose control predicts nosocomial infection rate in diabetic patients

作者: James J. Pomposelli , John K. Baxter , Timothy J. Babineau , Elizabeth A. Pomfret , David F. Driscoll

DOI: 10.1177/014860719802200277

关键词: Elective surgeryAntibiotic coverageProspective cohort studyDiabetes mellitusSurgeryAPACHE IIComplicationRisk factorPerioperativeMedicineAnesthesia

摘要: Objectives: To determine the relationship between perioperative glucose control and postoperative nosocomial infection rate in 100 consecutive diabetic patients undergoing elective surgery. Design Patients: One hundred initially uninfected surgery were prospectively monitored for rate. Glucose was determined by attending surgeon or diabetologist. Setting: A large tertiary care hospital that serves as in-patient facility a local diabetes center. Main Outcome Measures: All screened preoperatively. Only enrolled, all received antibiotic coverage. Perioperative prospectively. APACHE II scores on patients. Patients stratified into two groups: those with relatively "good" co...

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