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uti with klebsiella in type 1 diabetics

May Sewify, Shinu Nair, Samia Warsame, Mohamed Murad, Asma Alhubail, Kazem Behbehani, Faisal Al-Refaei, Ali Tiss
Diabetic patients have higher risk of urinary tract infection (UTI). In the present study, we investigated the impact of glycemic control in diabetic patients on UTI prevalence, type of strains, and their antimicrobial drugs susceptibility. This study was conducted on urine samples from 722 adult diabetic patients from which 252 (35%) samples were positive for uropathogens. Most UTI cases occurred in the uncontrolled glycemic group (197 patients) versus 55 patients with controlled glycemia. Higher glycemic levels were measured in uncontrolled glycemia group (HbA1c = 8...
2016: Journal of Diabetes Research
Vikas Garg, Abhishek Bose, Jyoti Jindal, Arvind Goyal
INTRODUCTION: Diabetes has been known to cause severe complicated UTI as a result of its various changes in the genitourinary system. This study of UTI in diabetic females enables us to know the pattern of infections, their causative organisms and severity, particularly with reference to European Association of Urology (EUA) guidelines for UTI 2015. MATERIALS AND METHODS: This is a prospective single centre study done over a period of one year at Dayanand Medical College and Hospital on a total of 151 diabetic (Group A) and non-diabetic (Group B) female patients with diagnosis of UTI...
June 2015: Journal of Clinical and Diagnostic Research: JCDR
Eu Chang Hwang, Seung Il Jung, Dong Deuk Kwon, Gilho Lee, Jae Hyun Bae, Yong Gil Na, Seung Ki Min, Hwancheol Son, Sun Ju Lee, Jae Min Chung, Hong Chung, In Rae Cho, Young Ho Kim, Tae-Hyoung Kim, In Ho Chang
This multicenter study was undertaken to determine the efficacy of antibiotic prophylaxis and identify the risk factors for infectious complications after prostate surgery in Korean patients. A total of 424 patients who underwent surgery of the prostate were reviewed. All patients underwent urinalysis and urine culture preoperatively and postoperatively. Efficacy of antibiotic prophylaxis and risk factors for infectious complications were investigated. Infectious complications were observed in 34.9% of all patients...
September 2014: Journal of Korean Medical Science
Biruk Yeshitela, Solomon Gebre-Selassie, Yeweyenhareg Feleke
BACKGROUND: The risk of urinary tract infection in diabetic patients is higher and the etiology and the antibiotic resistance of uropathogens have been changing over the past years. OBJECTIVE: The aim of this study was to determine the prevalence of symptomatic and asymptomatic bacteriuria and assess the antimicrobial susceptibility pattern of the isolates in diabetic patients. METHODS: A prospective study was conducted during June to August 2009 on diabetic in and out-patients in Tikur Anbessa University Hospital...
July 2012: Ethiopian Medical Journal
Athanasia Papazafiropoulou, Ioannis Daniil, Alexios Sotiropoulos, Eleni Balampani, Anthi Kokolaki, Stavros Bousboulas, Stavroula Konstantopoulou, Eystathios Skliros, Dimitra Petropoulou, Stavros Pappas
BACKGROUND: Diabetic subjects, especially women, show high prevalence of asymptomatic bacteriuria (ASB). The aim of the present study was to evaluate the prevalence of ASB in subjects with type 2 diabetes mellitus (T2D) with and without microalbuminuria (MA). FINDINGS: A hundred diabetic subjects with MA (53 males/47 females, mean age +/- standard deviation: 65.5 +/- 11.1 years) and 100 diabetic subjects without MA (52 males/48 females, mean age +/- standard deviation: 65...
2010: BMC Research Notes
E V Khaĭkina, G K Reshed'ko, O I Krechikova
Patients with diabetes mellitus and urinary tract infection were examined. The structure of the pathogens and their antibiotic susceptibility were investigated. Escherichia coli was shown to be the main pathogen of urinary tract infections in the patients with diabetes mellitus. The highest activity against the E. coli isolates was revealed in amoxycillin/clavulanate (92% of the susceptible strains), the 3rd and 4th generation cephalosporins, carbapenems, amikacin (100%) and fluoroquinolones (96%). At the same time the isolates were resistant to aminopenicillins and co-trimoxazole (29...
2006: Antibiotiki i Khimioterapii︠a︡, Antibiotics and Chemoterapy [sic]
R Goswami, C S Bal, S Tejaswi, G V Punjabi, A Kapil, N Kochupillai
In a case control study, we assessed the prevalence of bacterial urinary tract infections (UTI) and renal scarring in 155 consecutive type 1 (n=102) and type 2 (n=53) diabetic individuals and 128 healthy controls. Subjects who received antibiotics during the past 6 months, pregnant women and those with overt renal failure were excluded. In all subjects, urine culture and 99m Technetium (Tc) dimercapto-succinic acid renal scan was performed. UTI was diagnosed if two consecutive urine cultures grew the same organism with at least 10(5) colony forming unit (cfu)/ml in asymptomatic and at least 10(4) cfu/ml in symptomatic subjects, respectively...
September 2001: Diabetes Research and Clinical Practice
F Ankel, A B Wolfson, J S Stapczynski
The case of a patient with emphysematous cystitis who presented with complaints of lower abdominal pain, dysuria, and pneumaturia is presented. The presenting symptoms, differential diagnosis, and radiographic and cystoscopic appearances of emphysematous cystitis, a rare complication of lower urinary tract infection occurring almost exclusively in diabetics, are reviewed. Treatment consists of urinary drainage, prompt initiation of antibiotic therapy, and strict glucose control. The prognosis usually is excellent...
April 1990: Annals of Emergency Medicine
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