title: [Factors contributing to the development of community-acquired infections in type-2 diabetics admitted to the Cayetano Heredia National Hospital].
abstract: This study aims to identify factors contributing to the development of community-acquired infections in hospitalized type-2 diabetics, using an unmatched case-control design. A total of 105 pairs of diabetic patients with community-acquired infections as compared to non-infectious diseases, respectively, were chosen randomly from the discharge registry of the clinical wards of a teaching hospital from 1991 to 1998. Bivariate and multivariate analysis was conducted with estimation of the adjusted odds ratio. According to stratified analysis controlling for age and sex, autonomic neuropathy proved to be a contributing factor to development of urinary tract infections (OR = 4.07). In the multivariate model, peripheral vasculopathy was isolated (R2: 0.24) as a contributing factor in the development of soft-tissue infections (OR = 6.79). Confidence intervals were significant at 0.05. In conclusion, peripheral vasculopathy and neurogenic bladder contribute to the development of community-acquired infections in hospitalized type-2 diabetics.
authors.affiliation: Departamento Académico de Salud Pública, Universidad Peruana Cayetano Heredia, San Martin de Porras, Lima, Perú. ginotapia@hotmail.com
authors.forename: G G
authors.initials: GG
authors.lastname: Tapia-Zegarra
authors.forename: J L
authors.initials: JL
authors.lastname: Chirinos
authors.forename: L M
authors.initials: LM
authors.lastname: Tapia-Zegarra
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D016491:Peripheral Vascular Diseases / Q000150:complications; D012189:Retrospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D001750:Urinary Bladder, Neurogenic / Q000150:complications
vernacular_title: Factores contribuyentes al desarrollo de infecciones adquiridas en la comunidad en diabéticos tipo 2 admitidos en salas de medicina del Hospital Nacional Cayetano Heredia.