[Infection in hospitalized diabetics].
BACKGROUND
To analyse the infectious diseases of inpatient diabetics in a general hospital.


METHODS
We selected retrospectively 233 records of diabetics admitted during September, October and November 1990. There were 38 (16.3%) patients with infection, age 58.9 +/- 15.3 years, 29 (76.3%) were female, duration of diabetes were 10.8 +/- 9.1 years and 86.3% (n = 33) were possibly DM type II.


RESULTS
Peripheral macrovascular disease was the main cause of admission (42%). Forty infectious processes were analysed (two patients had two sites of infection). Cultures were performed in 77.5% of the cases and no microorganism predominated, even when different sites of infection were analysed. Urinary tract infection were the most frequent one (55%, n = 22), and 86.4% (n = 19) of them were observed in female. Pulmonary infections accounted for 71.4% of the cases of sepsis which occurred in 18.4% (n = 7) of our population. All patients with sepsis died.


CONCLUSIONS
Considering infections a worsening factor for diabetic patients we could conclude that it is important to perform some prophylatic measures to avoid them.
de Aguiar
L G
LG
Disciplina de Diabetes e Metabologia, Faculdade de Ciências Médicas, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro.
Carneiro
J R
JR
Ginzbarg
D
D
Cunha
E F
EF
Gomes
M B
MB
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003428:Cross Infection / Q000150:complications* / Q000175:diagnosis; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Infecćão diagnosticada em diabéticos durante internaćão hospitalar.