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2 . 2019

Postoperative infectious complications of median sternotomy in patients with pathology of carbohydrate metabolism

Abstract

Aim – to analyze postoperative infectious complications of median sternotomy in patients with pathology of carbohydrate metabolism.

Material and methods. 36 case histories of patients with postoperative infectious complications of median sternotomy and established diagnoses of diabetes mellitus type 2 and tolerance to carbohydrates operated for the period of 2010–2017 have been analyzed.

Results. The analysis showed that the level of carbohydrate metabolism in patients with type 2 diabetes before surgery is one of the main risk factors for the development of postoperative infectious complications in the field of surgical intervention. Infectious complications after cardiac surgery in patients with type 2 diabetes mellitus are accompanied by long-term treatment and hospital stay, high lethality, which requires further development of individual treatment regimens and patient management technologies.

Keywords:carbohydrate metabolism pathology, cardiac surgery, postoperative infectious complications

For citation: Nagibina I.A., Litvinova I.N., Bikinina G.Sh., Ekimov S.S., Ilov N.N., Kondratev D.A., Kadykova A.V., Tarasov D.G. Postoperative infectious complications of median sternotomy in patients with pathology of carbohydrate metabolism. Clin Experiment Surg. Petrovsky J. 2019; 7 (2): 66–70. doi: 10.24411/2308-1198-2019-12009. (in Russian)
Received 01.04.2019. Accepted 22.04.2019.

References

1. Gel’fand B.R., Yeryukhin I.A., Shlyapnikov S.A. Sur- gical infections. Moscow: Litterra, 2006: 119–21. (in Russian)

2. Berger M., Starostina Ye.G., Yorgens V., Dedov I. Insulin therapy practice. Berlin: Springer-Verlag, 1995: 21–2. (in Russian)

3. Bokeriya L.A., Beloborodova N.V. Infektsiya v kardiokhirurgii. Moscow: Izdatel’stvo NTsSSKh im. A.N. Bakuleva RAMN, 2007: 125. (in Russian)

4. Methodical recommendations "Microbiological monitoring of epidemic analysis of antibiotic resistance of microorganisms using the computer program WHONET". Saint Petersburg, 2004. (in Russian)

5. Mkrtumyan A.M. Insulin – normal and pathological. Moscow: GEOTAR-Media, 2008: 34–5. (in Russian)

6. Order of the Ministry of Health of the USSR of April 22, 1985 No. 535 “On the unification of microbiological (bacteriological) research methods used in the clinical diagnostic laboratories of medical institutions”.

7. SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities": 68–9. (in Russian)

8. Inzucchi S.E. Management of hyperglycemia in the hospital setting. N Engl J Med. 2006; 355: 1903–11. 

9. Lepelletier D., et al. Risk factors for mortality in patients with mediastinitis after cardiac surgery. Arch Cardiovasc Dis. 2009; 102 (2): 119–25.

10. Mangram A.J., Horan T.C., Pearson M.L., Silver L.C., et al. Guideline for prevention of surgical site infection (HICPAC). Infect Control Hosp Epidemiol. 1999; 20 (4): 250–78.

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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