Type, course and outcome of community acquired infections in hospitalized diabetics
Diabetes mellitus has been associated with increased frequency of serious infections which are attributed to immune deficiencies. The aims of this study were to investigate the type, course and outcomes of community acquired infections, and especially bacteremia in diabetics hospitalized for infecti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2010-10-01
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| Series: | Microbiology Research |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/mr/article/view/1832 |
| Summary: | Diabetes mellitus has been associated with increased frequency of serious infections which are attributed to immune deficiencies. The aims of this study were to investigate the type, course and outcomes of community acquired infections, and especially bacteremia in diabetics hospitalized for infection. One hundred and thirty-four consecutive patients (67 diabetics and 67 non-diabetics) matched for age, who were admitted to a general District Hospital in Greece due to infection, were included in this case control study. Diabetics presented urinary infections (46.3% vs. 26.8%, P=0.006), skin infections (9% vs. 0%, P=0.007) and bacteremia (11.1% vs. 1.5%, P=0.023) more often than controls. The most common microorganisms in diabetics were Escherichia coli, Klebsiella pneumoniae, Streptococcus species and fungi. Diabetics had a significantly prolonged hospital stay (6.7±5.4 vs. 4.5±2.4, P=0.003) compared to controls. In-hospital mortality was similar in both groups (10.4% vs. 3%, P=0.082) but diabetics had an increased risk from death due to bacteremia (Log-odds 4.2, SE=1.1, P<0.0001). Although the analyzed cohorts are small, we found that patients with diabetes mellitus have longer hospitalization related to infections and are at increased risk of bacteremia which may result in adverse outcome. |
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| ISSN: | 2036-7473 2036-7481 |