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Bacteraemia in diabetics.

I A MacFarlane, R M Brown, R W Smyth

    The Journal of Infection
    |May 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

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    Elderly patients with diabetes have a higher risk of developing bacteremia (bloodstream infection), often linked to urinary tract issues. Prompt treatment with antibiotics and insulin can effectively manage these serious infections.

    Area of Science:

    • Infectious Diseases
    • Endocrinology
    • Geriatrics

    Background:

    • Bacteremia is a significant hospital-acquired infection.
    • Diabetes mellitus is a common comorbidity in hospitalized patients.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of bacteremia in diabetic patients.
    • To identify common pathogens and sources of infection in this population.

    Main Methods:

    • Retrospective analysis of 168 patients with bacteremia over 22 months.
    • Comparison of diabetes prevalence between bacteremic patients and the general hospital population.
    • Identification of causative pathogens and infection sources.

    Main Results:

    • 29% of bacteremia patients had diabetes, significantly higher than the general hospital population (10%).

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  • Escherichia coli was the most common pathogen (33%), with urinary tract infections being the primary source.
  • Diabetic patients with bacteremia were elderly, often with long-standing diabetes, and frequently presented with non-specific symptoms.
  • Conclusions:

    • Elderly patients with diabetes have an increased risk of bacteremia, particularly from urinary tract infections, possibly due to diabetic autonomic neuropathy.
    • Vague symptoms and poor glycemic control are common in these cases.
    • Prompt antibiotic therapy and insulin management are crucial for successful treatment.