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Comparative Study of Postoperative Surgical Site Infections in Diabetic and Non-Diabetic Patients

Active, not recruiting
Conditions
Surgical Site Infection
Registration Number
NCT07049614
Lead Sponsor
Superior University
Brief Summary

This prospective observational study aims to compare the incidence and characteristics of postoperative surgical site infections (SSIs) between diabetic and non-diabetic patients undergoing elective general surgical procedures.

Detailed Description

Diabetes mellitus is a well-known risk factor for delayed wound healing and postoperative complications. The study seeks to identify how diabetic status influences SSI rates, types (superficial, deep, organ/space), and associated risk factors such as glycemic control (HbA1c), duration of diabetes, and presence of comorbidities.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
132
Inclusion Criteria
  • Adult male and female patients aged 18 to 80 years.
  • Patients undergoing elective general surgical procedures.
  • Patients diagnosed with diabetes mellitus (Type 1 or Type 2), whether on oral hypoglycemics or insulin, with satisfactory preoperative glycemic control.
  • Patients willing to give informed consent.
  • Patients available for postoperative follow-up on Day 1, 7, and 14.
Exclusion Criteria
  • Emergency surgical cases.
  • Patients with gestational diabetes.
  • Patients with poorly controlled diabetes preoperatively.
  • Patients with severe comorbid conditions, such as ischemic heart disease, peripheral vascular disease, neuropathy, active cancer, or immunocompromised states (e.g., HIV/AIDS).
  • Patients on immunosuppressive therapy.
  • Patients below 18 years of age.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Self administered questioner for data12 Months

A structured questionnaire developed for this study will record demographic data (age, gender, BMI), medical history (diabetes status, duration, HbA1c levels, comorbidities), lifestyle factors (smoking status), surgical details (type of surgery, surgical approach, duration of surgery), and postoperative outcomes (SSI presence, type, day of onset, management).

Scoring/Recording:

Diabetes status: Diabetic / Non-Diabetic HbA1c Level: Recorded as a percentage (%) Presence of SSI: Yes / No

Type of SSI:

Superficial Incisional SSI. Deep Incisional SSI. Organ/Space SSI. Postoperative Complications: Sepsis, wound dehiscence, organ dysfunction (marked Yes/No).

Hospital stay: Recorded in number of days.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

DHQ Hospital

🇵🇰

Dera Ismāīl Khān, Khyber Pakhtunkhwa, Pakistan

DHQ Hospital
🇵🇰Dera Ismāīl Khān, Khyber Pakhtunkhwa, Pakistan
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