Infección del tracto urinario en pacientes hospitalizados con diabetes tipo 2
Background: Urinary tract infection is more common among diabetic patients. Aim: To describe the frequency and features of urinary tract infection among diabetic patients admitted to a medicine service in Colombia. Material and Methods: Review of a database of diabetic patients aged over 18 years, a...
- Autores:
-
Tovar, Henry
Barragan, Viviana
Sprockel, John Jaime
Alba, Magda
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2016
- Institución:
- Fundación Universitaria de Ciencias de la Salud - FUCS
- Repositorio:
- Repositorio Digital Institucional ReDi
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.fucsalud.edu.co:001/1605
- Acceso en línea:
- https://repositorio.fucsalud.edu.co/handle/001/1605
- Palabra clave:
- Diabetes mellitus
Urinary tract infections
Alycosylated hemoglobin
Testing microbial
Antibacterial sensitivity
Pruebas de sensibilidad microbiana
Infecciones urinarias
- Rights
- openAccess
- License
- Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0)
Summary: | Background: Urinary tract infection is more common among diabetic patients. Aim: To describe the frequency and features of urinary tract infection among diabetic patients admitted to a medicine service in Colombia. Material and Methods: Review of a database of diabetic patients aged over 18 years, admitted to a Medicine Service in Colombia. The medical records and hospital evolution of those with urinary tract infections were reviewed. Results: Data from 470 patients aged 65 ± 13 years (50% females) were reviewed. Urinary tract infections were detected in 68 (14%), all community acquired. A culture was done in 50 (73%), which was positive in 80%. The most common microorganisms isolated were Escherichia coli and Klebsiella pneumoniae in 52 and 18% respectively. Twenty eight percent of E Coli strains were resistant to extended spectrum beta lactamases and 14% of K pneumoniae strains were resistant to ampicillin. Complications were observed in 28% of these patients and 6% died, mainly due to septic shock. Glycosylated hemoglobin levels in patients with and without urinary tract infection were 9.2 and 8.5% respectively (p = 0.016). Conclusions: Urinary tract infection is common among hospitalized diabetic patients and associated with complications and higher mortality |
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