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...

Full description

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)
Description
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